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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!


Home Health Skills Checklist

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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
 
CARDIOVASCULAR
1 2 3 4
 
ACS/Post MI
 
Heart Failure
 
Post Cardiac Surgery
 
PULMONARY
1 2 3 4
 
COPD
 
CPAP/BiPAP
 
Home Oxygen Administration
 
Lung Cancer
 
Oral/Nasotracheal Suctioning
 
Oxygen Safety Education
 
Pneumonia
 
Portable Oxygen
 
Pulmonary Emboli
 
Trach Care/Suctioning
 
Ventilator Management (Specify):
 
NEUROLOGICAL
1 2 3 4
 
Alzheimer's Disease/Dementia
 
Brain Injury/Traumatic
 
CVA/TIA
 
Degenerative Neurologic Disorders (ALS, MS, etc.)
 
Para/Quadriplegia
 
Parkinson's
 
Seizure Disorder
 
ORTHOPEDICS
1 2 3 4
 
Amputation
 
Assistive Equipment/Lift Devices (Specify:)
 
Application of Cast/Brace
 
In Home PT/INR (Specify):
 
Incision Checks
 
Joint Replacement
 
Staple Removal
 
GASTROINTESTINAL
1 2 3 4
 
Bowel Obstruction
 
Colostomy/Ileostomy Management
 
Drainage Devices
 
Feeding Pumps (Specify):
 
Gastric Tube Maintenance (NG, GJ, J, PEG, DOBHOFF)
 
GI Bleed
 
Hepatitis Liver Failure
 
RENAL/GENITOURINARY
1 2 3 4
 
AV Fistula/Shunt
 
Bladder Catheter Insertion/Maintenance
 
Hemodialysis
 
Peritoneal Dialysis
 
Urostomy
 
ENDOCRINE/METABOLIC
1 2 3 4
 
Cushing's / Addison's Disease
 
Diabetes
 
Hyper/Hypoglycemia
 
Indwelling Insulin Pumps
 
Thyroid Disease
 
WOUND/SKIN CARE
1 2 3 4
 
Braden Scale
 
Burns
 
Pressure Ulcer Prevention/Staging/Management
 
Wound Care
 
Wound Cultures
 
Wound Vac
 
ONCOLOGY
1 2 3 4
 
Chemotherapy Therapy Administration
 
Side Effects of Treatment
 
Symptom Management
 
Terminal Disease
 
INFECTIOUS DISEASE
1 2 3 4
 
Infectious/Contageous/Communicable Disease
 
Isolation Precautions
 
PHLEBOTOMY/IV THERAPY
1 2 3 4
 
Infusion Pump Set up and Management
 
IV Fluid Management
 
Peripheral IVs
 
Peripheral Venipuncture for Labs
 
Phlebotomy
 
PICC/CVP Lines
 
Specify Infusion Pump Type:
 
Start IVs
 
Venous Access Ports
 
PSYCHIATRIC
1 2 3 4
 
Cognitive Disorders
 
Management of an Aggressive Patient
 
Medication Compliance
 
Mood Disorders
 
Schizophrenia/Psychotic Disorders
 
WOMEN'S HEALTH/MATERNAL-INFANT CARE
1 2 3 4
 
Breast Feeding Support
 
Contractions
 
Fetal Heart Tones
 
Newborn Care
 
Phototherapy
 
Post Partum Mother/Baby Visit
 
PEDIATRICS
1 2 3 4
 
Bronchopulmonary Dysplasia
 
Cystic Fibrosis
 
Growth and Development
 
Muscular Dystrophy
 
Respiratory Distress Syndrome
 
Sickle Cell Disease
 
Spina Bifida
 
Spinal Surgery
 
Trach Care/Suctioning
 
Ventilator Management
 
Ventilator Type (Specify):
 
PAIN MANAGEMENT
1 2 3 4
 
Epidural Cath/Site Monitoring/Pump
 
PCA Pump
 
Response to Pain Management Interventions
 
PALLIATIVE AND END OF LIFE CARE
1 2 3 4
 
Family Support/Teaching
 
Palliative Symptom Management
 
Post Mortem Protocols
 
MEDICATIONS
1 2 3 4
 
Alzheimer's Medications
 
Antiarrhythmics
 
Antibiotics/Antivirals
 
Anti-Depressants
 
Anti-Hypertensives
 
Anti-Psychotics
 
Anti-Seizure Medications
 
Benzodiazepines
 
Calculation of Pediatric Dosages
 
Coumadin
 
Diuretics
 
Enoxaparin
 
Insulin
 
Nebulizer Medications
 
Opioid and Non-Opioid Analgesics
 
Oral & Topics Nitrates
 
Oral Chemotherapy
 
Oral Hypoglycemics
 
Rivaroxaban
 
Sedative/Hypnotics
 
HOME HEALTH
1 2 3 4
 
Allscripts
 
APS (Adult Protective services) Reports
 
Case Load - Pts/Day(specify)
 
Case Management
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
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
 
Supervise LVNs/HHAs
 
Telephonic Assessments
 
Universal Protocol Procedures (Time Out)
 
Wound Care/Wound Vac
 
Wound Care Certification: Specify
 
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
 
Epic
 
Cerner
 
Home Health Certification
 
HomeCare Home Base
 
Intake/Admissions
 
Long/Short Term Disability
 
Management of Complaints
 
McKesson
 
Medicare/Medicaid
 
Meditech
 
OASIS
 
OASIS Training: Specify
 
Private Insurance
 
Other Computerized Documentation System
 
Other: Specify
 
Other: Specify
 
EMR Conversion
 
CERTIFICATIONS
 
PALS
 
ACHPN
 
BLS
 
CHPN
 
CHPPN
 
Clinical Assessment Documentation
 
Coding Training: Specify
 
Diagnosis Coding
 
Document Plan of Care
 
IV Certification
 
Other: Specify
Home Health 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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