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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!


Wound/Ostomy/Continence 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*
 
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
 
WORK SETTINGS
1 2 3 4
 
Acute Care - Adult
 
Acute/Long Term Care - Pediatrics
 
Clinic - Adult
 
Clinic - Pediatrics
 
Hospice/Palliative Care
 
SNF/LTAC/Subacute
 
STAGING
1 2 3 4
 
Prevention/Risk Assessment Tools - Pediatrics
 
Prevention/Risk Assessment Tools -Adult
 
Wound Healing Assessment
 
TYPES OF WOUNDS
1 2 3 4
 
Fistulae- Pouching/Skin Care
 
Neuropathic Ulcers
 
Peripheral Arterial Ulcers
 
Venous Stasis Ulcers
 
WOUND DEBRIDEMENT
1 2 3 4
 
Autolytic
 
Enzymatic
 
Mechanical
 
Sharp
 
DRESSINGS/TREATMENTS
1 2 3 4
 
Alginates
 
Compression Dressings
 
Foams
 
Hydrocolloids
 
Hydrogels
 
Silver Products
 
Skin Care/Management of Drains
 
Vacuum Assisted Closure
 
VACUUM ASSISTED CLOSURE
1 2 3 4
 
Growth Factors
 
Skin Substitutes
 
HYPERBARIC OXYGEN THERAPY
1 2 3 4
 
Electrical Stimulation
 
Enzymatic Debriding Agents
 
Mist Therapy
 
Wound Cultures
 
COLOSTOMY/ILEOSTOMY
1 2 3 4
 
Continence Skin Care Management
 
Double Barrel Stoma
 
End Stoma
 
Ileal Lavage
 
Irrigation
 
Loop with Rod Stoma
 
Mucous Fistula
 
Ostomy Equipment Selection
 
CONTINENT ILEOSTOMY
1 2 3 4
 
Kock Pouch
 
Pelvic Pouch
 
UROSTOMY/CONTINENT
1 2 3 4
 
Catheterization for C&S
 
Indiana Pouch
 
Kock Pouch
 
Neobladder
 
CONTINENCE EVALUATION
1 2 3 4
 
Biofeedback
 
Cystometrogram
 
Electromyography
 
Leak Point Pressures
 
Manometry
 
Pudendal Nerve Terminal Motor Latency
 
Urodynamics
 
Uroflometry
 
CONTINENCE THERAPEUTIC DEVICES
1 2 3 4
 
Catheters - Mgmt& Self Care Teaching
 
Fecal Incontinence Program
 
Internal Urethral Inserts
 
Magnetic Therapy
 
Male External Catheters
 
Penile Clamps
 
Urinary Incontinence Program
 
Vaginal Cones
 
BURNS
1 2 3 4
 
Alginate Dressings
 
Assessment
 
Burn Management
 
Foam Dressings
 
Hydrocolloid Dressings
 
Hydrogel Dressings
 
Wet to dry dressings
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Universal Protocol Procedures (Time Out)
 
Charge Experience
 
Fall Risk Assessment/Prevention
 
Infection Prevention
 
Isolation Precautions
 
National Patient Safety Goals/Core Measures
 
Pain Assessment & Management
 
Patient Family Teaching
 
Pressure Ulcer Risk Assessment/Prevention
 
Restraints/Use of Least Restrictive Device
 
Wound Care /Wound Vac
 
AGE SPECIFIC/POPULATION-BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
EMR
1 2 3 4
 
Allscripts
 
GE
 
Bar Coding for Medication Administration
 
Cerner
 
Computer Physician Order Entry
 
Epic
 
McKesson
 
Meditech
 
Eclipsys
 
Other: Specify
 
Other: Specify
 
EMR Conversion
 
CERTIFICATIONS* (Current at time of completing this form)
 
BLS
 
ACLS
 
PALS
 
CCRN
 
WOCN
 
Other: Specify
Wound/Ostomy/Continence Skills Checklist, version 5

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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