Rehab- Care RN Skills Checklist
Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 - 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)
TYPE OF FACILITY EXPERIENCE
TYPES OF ICU EXPERIENCE
AGE OF PATIENTS CARED FOR
GENERAL SKILLS
Automated Med Dispensing Systems
NEUROLOGIC - Care of patients with:
CARDIAC - Care of patients with:
ORTHOPEDIC - Care of patients with:
RESPIRATORY - Care of patients with:
GASTROINTESTINAL - Care of Patient with:
RENAL/GU - Care of patients with:
ENDOCRINE - Care of patients with:
KNOWLEDGE AND USE OF
WOUND/SKIN - Care of Patient with:
ADDITIONAL MEDICAL/SURGICAL SKILLS-Care of Patient With
INFECTIOUS DISEASE - Care of the patient with:
MEDICATIONS
