This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
Geriatics
Kinetics
Pain Management
Diabetic Patient Management
Pediatrics
Nutruition
Oncology
Nuclear
Infectious Diesease
Psychiatric Patient Management
Renal Patient Management
Other (List)
Pyxiz Rx
Baxter
Abbott
Mckesson Home
Meditech
Young's Rule
Cowling's Rule
Freid's Rule for Infants
Acid Dilution
Stock Solutions
Alcholol Dilution
Calculatons for isotonic solution preparation
Millmoles vs milligram
Osmolarity
Adjustiving Creatinine clearance rate
Elimanation rate and elimination half life
Creatinine Clearance rate
Altering Formulas
Specific gravity for solids
Intersystem conversions
Mass/ Volume / Density
Specific gravity for Liquids
Radioactive Pharmaceuticals
Butter Solutions
Prescription Pricing
Solubility Ratios
% Volume in Volume
% Weight in Volume
% Weight in Weight
Conversions of concentration to mg/ ml
Oral Solution / Suspension
Parenteral
Home Infusion
Third party programs
Hospital
Retail
Long term care facility
Nuclear dispensing
Formulary Management
Patient Education
Diabetes
Asthma
AIDS / HIV Patients
Chemotherapeutics / Oncology
Endocrinology
Anticoagulation
Anaesthesia Management
Dyslipdemia
Isotonic solutions
TPN
Piggybacks
Epidural/ PCA pump management
Nuclear Pharmacy
Antibiotics
Chemotheraphy
Code Blue (CPR) Mangement
Electrolyted Solutions
Drug does based on body weight
Calibration of droppers
Drug dose based on age
Drug dose based on body surface area
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)
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