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Travel Nursing Skills Checklists

Congratulations on your decision to apply for a travel nursing position with American Mobile! Before we can offer you a nursing employment opportunity, an electronic skills assessment must be completed. From the nursing skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!


PACU Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
 
 
Please mark your level of experience
1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others
 
WORKSETTING
 
Yrs. ICU
 
Yrs. Inpatient PACU
 
Yrs. Outpatient/Ambulatory PACU
 
Yrs. Pain Management Department
 
Yrs. PEDI-PACU
 
Yrs. Pre/Post Op
 
Cardiac
1 2 3 4
 
AAA Repair
 
AICD Insertion
 
Cardioversion
 
Dysrhythmia Management and Interpretation
 
Malignant Hyperthermia
 
Pacemaker-Permanent & Temporary
 
TAVR/TAVI Recovery
 
Vascular Surgery
 
A-Line
 
Swan/PALines
 
CVP Monitoring
 
PULMONARY
1 2 3 4
 
Chest Tube Assist with Insertion/Removal, Management
 
Fresh Tracheostomy
 
Laryngospasm
 
PA Monitoring
 
Pneumothorax/Hemothorax
 
Rapid Intubation Assist
 
Thoracotomy/Lobectomy/Pneumonectomy
 
Ventilator Management
 
CO2 Monitoring
 
NEUROLOGICAL
1 2 3 4
 
Glascow Coma Scale
 
Hypo/Hyperthermia Blanket
 
Hypothermia Protocol
 
ICP Monitoring
 
Sedation Scales/Levels
 
Seizures
 
Spinal Precautions
 
Stroke Scale/NIHSS
 
ORTHOPEDICS
1 2 3 4
 
Continuous Passive Range of Motion Devices
 
Post amputee phantom pain
 
Total Joint Replacement
 
Traction
 
GASTROINTESTINAL
1 2 3 4
 
Colostomy/Ileostomy
 
ERCP
 
Gastric tube insertion/management (NG, GJ, J, PEG, DOBHOFF)
 
RENAL/GU
1 2 3 4
 
Arteriovenous Fistula/Shunt Management
 
Nephrostomy Tubes
 
Post Surgery Urinary Retention Management
 
ENDOCRINE
1 2 3 4
 
Hypoglycemia/Hyperglycemia
 
IV insulin Protocols
 
WOUND MANAGEMENT
1 2 3 4
 
Surgical Drains
 
Surgical Wound Assessment
 
Wound Vac
 
SHOCK/TRAUMA
1 2 3 4
 
Burns
 
Injury Severity Score
 
Major Trauma
 
Shock Management
 
Trauma Code
 
Traumatic Amputation
 
INFECTIOUS DISEASE/IMMUNOSUPPRESSED PATIENTS
1 2 3 4
 
Isolation/Infection Prevention
 
Oncology Care/Precautions
 
IV THERAPY
1 2 3 4
 
Arterial Line Management
 
Blood and Blood Product Administration
 
Central Line/Implanted Line Care
 
Phlebotomy
 
Starting IVs
 
MEDICATIONS
1 2 3 4
 
Anesthesia Medications
 
Anti-Arrhythmics
 
Anticoagulants
 
Anti-Hypertensives
 
Anti-Seizure Medications
 
Benzodiazepines
 
Emergency Medications
 
Narcotics/Opioid Analgesics
 
Nitrates
 
Non-Opioid Analgesics
 
Patient-Controlled Analgesics
 
Procedural Sedation
 
Reversal Agents
 
Steroids
 
Vasoactive Drips - No Titration (Heparin is not a Vasoactive Medication)
 
Vasoactive Drips - Titration (Heparin is not a Vasoactive Medication)
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Fall Risk Assessment/Prevention
 
National Patient Safety Goals/Core Measures
 
Patient/Family Teaching
 
Phase 1
 
Phase 2
 
Pressure Ulcer Risk Assessment/Prevention
 
Recover and Care for ICU Patients
 
Restraints/Use of Least Restrictive Device
 
Universal Protocol Procedures (Time Out)
 
AGE SPECIFIC/POPULATION BASED-CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age Children
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
EMR
1 2 3 4
 
Allscripts
 
GE
 
Bar Coding for Medication Administration
 
Cerner
 
Computerized Physician Order Entry
 
Eclipsys
 
Epic
 
McKesson
 
Other Computerized System
 
Meditech
 
Other: Specify
 
Other: Specify
 
EMR Conversion
 
CERTIFICATIONS* (Current at time of completing this form)
 
BLS
 
ACLS
 
PALS
 
CCRN
 
Telemetry Certificate
 
Certification: CAPA or CPAN
 
Other: Specify
PACU Skills Checklist, version 8

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

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