Skill Checklists

RN Supervisor

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

Universal Precautions

Working with patients in isolation

Working with patients in restraints

Patient/Family teaching

Patient Identification

Specialty beds

End of life care/palliative care

Knowledge of "Do Not Use Abbreviations"

Do you have charge/supervisor experience?

Knowledge of current Joint Commission National Patient Safety Goals

Knowledge/familiarity with HCAHPS scores

Acute Care/ Hospital

Managed Care

Durable Medical Equipment ( DME)

SNF/ Long Term Care

Home Health

Hospice

Outpatient

Physician Office

Understanding of health care economics and health care policies as it applies to delivery of patient care

Concepts of capital budgeting

Department/unit budgeting

Recruitment techniques

Interviewing techniques

Labor Laws pertaining to hiring

Orientation of new employees

Knowledge of quality improvement/performance improvement tools

Patient Safety

Workplace safety

Promotion of interdepartmental communication

Performance management

Staff Development

Coaching and mentoring

Project management

Business development

Developing Strategic plans

Developing operational plans

Cultural competence

Personal growth and development

Ethical behavior and practice

Professional association involvement

Conflict Management

Team dynamics

Mediation/coaching

TJC Standards

OSHA Standards

Risk Management/Service Utilization

Local Department of Health

State Department of Health

Sitter Services

Age Specific Competencies

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)

I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.