1
MANA MEDICAL STAFFING
HEALTHCARE STAFFING SPECIALIST
CLINICAL SKILLS CHECKLIST
Name____________________________________________ Date ___________________________________________
Levels of Proficiency
A = Perform Well (at least one-year experience
within the last two years)
B = Limited Experience (6 months to one year
within the last two years)
C = Perform Infrequently (less than three
months within the last two years)
D = No Experience
PSYCH. CONSIDERATIONS
A
B
C
D
Psychiatric patient assessment
Care of acute case
Care of violent patient
Admin. psych. meds
Use of restraints
Takedown
ECG
Adult Pediatric
GI/GU/REPRODUCTIVE/
ENDOCRINE/INTEGUMENTARY
A
B
C
D
Admin. meds via NG/G-tube
Assist with vas-cath insertion
AV shunt/fistula care
Catheter insertion
Female
Male
Care of burn patients
Hyperbaric oxygen therapy
Dialysis
Hemodialysis
Peritoneal dialysis
CVVHD
Insulin preparation & admin.
Monitor blood glucose
Equipment used
Jejunostomy care
NGT insertion & care
Normal renal and GI
system physiology
Ostomy/stoma care
Peritoneal lavage
Poison control
Wound care/irrigation
Care of patients with
Acute cholecystitis
Acute renal failure
Bowel obstruction
IV THERAPY
A
B
C
D
Administration of
Chemotherapy meds
Antibiotics
IV push meds
Continuous IV fluids
Blood products
Autotransfusion
Calculate dosages
Calculate infusion rates
Mcg/min
Mcg/kg/min
Hang IV piggybacks
Hyperalimentation (TPN)
Peripheral/central line
Knowledge of solutions
Caloric requirements
Insertion of central line
CVP tray set-up
Use of Broviac &
Hickman catheters
Implanted access ports
Dressing changes
Insertion of peripheral line
Dressing changes
Discontinue line
Pump operations
IVAC
IMED
Other
(CONT.) GI/GU/
REPRODUCTIVE/ENDO/INTEG.
A
B
C
D
Diabetes
GI bleed
Hyper/hypoglycemia
Multiple abd wounds
Renal transplant
Pancreatitis
/