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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!


IV Therapy Nursing 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 theory and/or experience 2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform 4. Proficient/can perform independently
 
INSERTION OF
1 2 3 4
 
External Jugular
 
Interosseous
 
Peripheral IV - Feet
 
Peripheral IV - Scalp
 
Peripheral IV - Adult
 
Peripheral IV - Child
 
Peripheral IV - Neonate
 
Peripherally Inserted Central Catheter (PICC)
 
IV MAINTENANCE
1 2 3 4
 
Access Ports
 
Cap Changes
 
Dressing Changes
 
Femoral Line
 
Flushing Lines
 
Groshong CVL
 
Groshong PICC
 
Heparin/Saline Lock
 
Hickman/Broviac
 
Multilumen Catheter
 
Peripheral IV
 
Port-A-Cath
 
Power Injector PICC
 
DISCONTINUING IV THERAPY
1 2 3 4
 
Central Lines
 
Peripheral Ivs
 
PICC/Midline
 
SPECIMENS
1 2 3 4
 
Arterial Draw
 
Catheter Tip Culture
 
Culture Specimens
 
Line Draw
 
Venipuncture
 
EQUIPMENT
1 2 3 4
 
Bard Pumps
 
Blood Warmer
 
CADD Pumps
 
IV Pumps
 
IVAC Pumps
 
Needleless Systems
 
PCA Pumps
 
Pressure Lines
 
Ultrasound Guided IV Access
 
MIDLINES/PICC LINES
1 2 3 4
 
Vein Selection
 
Indications for Midline/PICC Placement
 
Contraindications for Midline/PICC Placement
 
Assist with Insertion of Interventional Radiology
 
Catheter & Introducer Device Selection
 
Conscious Sedation Procedures
 
Correct Tip Placement
 
Insertion Technique: Basic
 
Insertion Technique: Seldinger
 
Insertion Technique: Ultrasound
 
Knowledge of Anatomy
 
Maintaining Sterile Field
 
Measuring Techniques
 
Midline Catheter Insertion - Adult
 
Midline Catheter Insertion - Child
 
Patient Family Teaching
 
X-Ray Assessment for Tip Location
 
Repositioning After X-Ray
 
Securing Insertion Site Post Placement
 
FLUIDS/MEDICATIONS
1 2 3 4
 
Blood Products
 
Chemotherapy
 
IV Fluids
 
TPA (Alteplase)
 
TPN/Lipids
 
Lorazepam/Diazepam
 
Midazolam
 
TROUBLESHOOTING AND COMPLICATIONS
1 2 3 4
 
Air Embolism
 
Bleeding
 
Brachial Plexus Injury
 
Cardiac Arrhythmia
 
Cardiac Tamponade
 
Catheter Embolism
 
Catheter Erosion
 
Catheter Tip Malposition or Retraction
 
Catheter-Related Sepsis
 
Declotting Central Lines
 
Declotting Peripheral Site
 
Exit Site Infection
 
Exit Site Necrosis
 
Extravasation
 
Hematoma
 
Laceration of Vessels
 
Perforation of Vessels
 
Myocardial Erosion
 
Phlebitis
 
Repair Midline
 
Repair PICC
 
Thromboembolism
 
Venous Thrombosis
 
Ventricular Thrombosis
 
Vessel Erosion
 
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
 
Computerized Physician Order Entry
 
Eclipsys
 
Epic
 
McKesson
 
Meditech
 
Other: Specify
 
Other: Specify
 
EMR Conversion
 
CERTIFICATIONS (Current at time of completing this form)
 
BLS
 
ACLS
 
IV Certification
 
Other: Specify
 
Other: Specify
 
Other: Specify
IV Therapy Nursing Skills Checklist, version 1

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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