Clinic RN (Primary Care) Skills Checklist

Clinic RN (Primary Care) All the fields are mandatory

Name

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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 : -	1 = Never Performed	2 = Limited Experience	3 = Comfortable Performing	4 = Proficient
Frequency : -	1 = Never	2 = Sometimes	3 = Often	4 = Always

Clinical Practice

Schedule and manage appointments

1

2

3

4

1

2

3

4

Organize and maintain patient's medical record

1

2

3

4

1

2

3

4

File medical records

1

2

3

4

1

2

3

4

Utilize electronic health records for accurate
patient documentation

1

2

3

4

1

2

3

4

Demonstrate telephone techniques

1

2

3

4

1

2

3

4

IDC-9 Coding

1

2

3

4

1

2

3

4

IDC-10 Coding

1

2

3

4

1

2

3

4

CPT Coding

1

2

3

4

1

2

3

4

Insurance Billing

1

2

3

4

1

2

3

4

Obtain and analyze vital signs

1

2

3

4

1

2

3

4

Perform comprehensive physical patient
assessment

1

2

3

4

1

2

3

4

Obtain and document patient history

1

2

3

4

1

2

3

4

Obtain and document patient allergies

1

2

3

4

1

2

3

4

Recognize abnormal assessment findings
and intervene accordingly

1

2

3

4

1

2

3

4

Prioritize responsibilities for effective safe
patient care

1

2

3

4

1

2

3

4

Utilize two patient identifiers prior to
treatments, procedures, and medication
administration

1

2

3

4

1

2

3

4

Utilize multiple screening tools (hearing test,
vision test, developmental test)

1

2

3

4

1

2

3

4

Telephone Triage procedures

1

2

3

4

1

2

3

4

Laboratory test interpretation

1

2

3

4

1

2

3

4

Radiology test interpretation

1

2

3

4

1

2

3

4

EKG interpretation

1

2

3

4

1

2

3

4

Develop and maintain nursing care plan

1

2

3

4

1

2

3

4

Determine time and time intervals

1

2

3

4

1

2

3

4

Determine start and stop times for time intervals

1

2

3

4

1

2

3

4

Determine time using military time and analog clock

1

2

3

4

1

2

3

4

Activate and participate in emergency response
plan for emergency situations

1

2

3

4

1

2

3

4

Perform Basic Life Support, CPR, and Heimlich
maneuver

1

2

3

4

1

2

3

4

Utilize AED for emergency situations

1

2

3

4

1

2

3

4

Initiate patient referrals to other healthcare agencies

1

2

3

4

1

2

3

4

Maintain proper body mechanics

1

2

3

4

1

2

3

4

Understand and follow physicians orders

1

2

3

4

1

2

3

4

Maintain and apply safety/risk protocols for
fall precautions

1

2

3

4

1

2

3

4

Maintain and apply safety/risk protocols for
suicide precautions

1

2

3

4

1

2

3

4

Perform pain assessment

1

2

3

4

1

2

3

4

Apply non-pharmacological techniques for pain
when appropriate (diversion, relaxation, breathing,
etc.)

1

2

3

4

1

2

3

4

Assess post-surgical patient for complications

1

2

3

4

1

2

3

4

Perform nursing interventions for end of life care

1

2

3

4

1

2

3

4

Assess and manage a variety of drains (Surgical,
wound, etc.)

1

2

3

4

1

2

3

4

Perform wound/pressure ulcer staging assessment
and classification

1

2

3

4

1

2

3

4

Assess for drug/alcohol dependence and withdrawal

1

2

3

4

1

2

3

4

Adhere to hand washing guidelines

1

2

3

4

1

2

3

4

Maintain aseptic technique

1

2

3

4

1

2

3

4

Maintain Universal Precautions

1

2

3

4

1

2

3

4

Maintain sterile technique when appropriate

1

2

3

4

1

2

3

4

Utilize Isolation Precautions when appropriate

1

2

3

4

1

2

3

4

Utilize Personal Protective Equipment when indicated

1

2

3

4

1

2

3

4

Disposal of biohazardous materials

1

2

3

4

1

2

3

4

Maintain clean environment utilizing environmental
cleaning procedures

1

2

3

4

1

2

3

4

Recognition and reporting of suspected
abuse/neglect for all age groups

1

2

3

4

1

2

3

4

Demonstrate assertiveness and initiate advocacy
for patients

1

2

3

4

1

2

3

4

Utilize chain of command to ensure safe patient care

1

2

3

4

1

2

3

4

Abide by Advance Directives (Living, Wills,
Health care proxy, Power of Attorney for Health Care)

1

2

3

4

1

2

3

4

Maintain privacy and dignity for each patient

1

2

3

4

1

2

3

4

Maintain patient confidentiality per HIPAA guidelines

1

2

3

4

1

2

3

4

Identify and respond to issues of confidentiality

1

2

3

4

1

2

3

4

Complies with Joint Commission, NPSG, CMS,
and other federal/state regulations and guidelines

1

2

3

4

1

2

3

4

Report incidents as indicated and follow protocols
for incidents

1

2

3

4

1

2

3

4

Report patient conditions as indicated by
federal/state regulations and guidelines (abuse/
neglect, communicable diseases, gunshot, wound,
dog bite)

1

2

3

4

1

2

3

4

I acknowledge and understand the Joint
Commission's list of "Do Not Use Abbreviations"
(4- Yes 1- No)

1

2

3

4

1

2

3

4

Communicate accurately and effectively in English,
both written and verbal

1

2

3

4

1

2

3

4

Communicate with patient using age and cultural
appropriate methods

1

2

3

4

1

2

3

4

Respond to and initiate written communication

1

2

3

4

1

2

3

4

Recognize and respond to verbal communication

1

2

3

4

1

2

3

4

Recognize and respond to nonverbal communication

1

2

3

4

1

2

3

4

Collaborate with interdisciplinary teams for care of
patient

1

2

3

4

1

2

3

4

Utilize SBAR communication

1

2

3

4

1

2

3

4

Give and receive reports from other healthcare
professionals regarding patient care

1

2

3

4

1

2

3

4

Delegate effectively to licensed and
non-licensed personnel

1

2

3

4

1

2

3

4

Utilize problem-solving/decision making techniques

1

2

3

4

1

2

3

4

Venipuncture

1

2

3

4

1

2

3

4

Central line blood draws

1

2

3

4

1

2

3

4

Capillary puncture

1

2

3

4

1

2

3

4

Throat specimen collection

1

2

3

4

1

2

3

4

Urine specimen collection

1

2

3

4

1

2

3

4

Stool specimen collection

1

2

3

4

1

2

3

4

Suptum specimen collection

1

2

3

4

1

2

3

4

Tissue specimen collection

1

2

3

4

1

2

3

4

Use methods for quality testing

1

2

3

4

1

2

3

4

Perform urinalysis testing

1

2

3

4

1

2

3

4

Perform glucometer testing

1

2

3

4

1

2

3

4

Perform pediatric screenings (PKU)

1

2

3

4

1

2

3

4

Utilize 6 rights of medication administration

1

2

3

4

1

2

3

4

Utilize dosage calculation formulas for accurately
determine medication dosages

1

2

3

4

1

2

3

4

Maintain medication and immunization records

1

2

3

4

1

2

3

4

Provide education to patient regarding medications

1

2

3

4

1

2

3

4

Obtain history regarding contraindications

1

2

3

4

1

2

3

4

Obtain history regarding anaphylactic/allergy
reactions

1

2

3

4

1

2

3

4

Assess for therapeutic responses, expected
outcomes

1

2

3

4

1

2

3

4

Assess for and manage adverse reactions

1

2

3

4

1

2

3

4

Waste medications (Utilize proper procedures
and documentation)

1

2

3

4

1

2

3

4

Topical

1

2

3

4

1

2

3

4

Oral

1

2

3

4

1

2

3

4

Intradermal injection

1

2

3

4

1

2

3

4

Intramuscular injection

1

2

3

4

1

2

3

4

Subcutaneous injection

1

2

3

4

1

2

3

4

IV Push

1

2

3

4

1

2

3

4

IV infusion

1

2

3

4

1

2

3

4

Blood transfusion

1

2

3

4

1

2

3

4

Chemotherapy

1

2

3

4

1

2

3

4

Insulin

1

2

3

4

1

2

3

4

Drug overdose treatment

1

2

3

4

1

2

3

4

Antibiotics

1

2

3

4

1

2

3

4

Analgesics

1

2

3

4

1

2

3

4

Narcotics

1

2

3

4

1

2

3

4

IV Fluids

1

2

3

4

1

2

3

4

Muscle relaxers

1

2

3

4

1

2

3

4

Anti-anxiety

1

2

3

4

1

2

3

4

Sedatives

1

2

3

4

1

2

3

4

Anticoagulant therapy

1

2

3

4

1

2

3

4

Provide patient education in relation to vaccines

1

2

3

4

1

2

3

4

PPD placement and reading results

1

2

3

4

1

2

3

4

Flu vaccine

1

2

3

4

1

2

3

4

Pneumococcal vaccine

1

2

3

4

1

2

3

4

Varicella

1

2

3

4

1

2

3

4

DTaP

1

2

3

4

1

2

3

4

MMR

1

2

3

4

1

2

3

4

HepA

1

2

3

4

1

2

3

4

HepB

1

2

3

4

1

2

3

4

HPV

1

2

3

4

1

2

3

4

Rotavirus

1

2

3

4

1

2

3

4

IPV

1

2

3

4

1

2

3

4

Hib

1

2

3

4

1

2

3

4

HPV

1

2

3

4

1

2

3

4

Meningococcal

1

2

3

4

1

2

3

4

Determine eligibility to receive vaccine

1

2

3

4

1

2

3

4

Identify needs for health maintenance and disease
prevention

1

2

3

4

1

2

3

4

Provide instruction for health maintenance and
disease prevention

1

2

3

4

1

2

3

4

Instruct individuals according to their needs

1

2

3

4

1

2

3

4

Instruct and demonstrate use and care of patient
equipment

1

2

3

4

1

2

3

4

Explain general office policies

1

2

3

4

1

2

3

4

Provide education and patient preparation for
invasive procedures

1

2

3

4

1

2

3

4

Obtain patient consent for treatments and
procedures

1

2

3

4

1

2

3

4

Perform time-out procedure

1

2

3

4

1

2

3

4

Provide Central line/PICC line care

1

2

3

4

1

2

3

4

Ear lavage

1

2

3

4

1

2

3

4

Placement and management of peripheral IV

1

2

3

4

1

2

3

4

Assist with Doppler exams

1

2

3

4

1

2

3

4

Assist with simple biopsy

1

2

3

4

1

2

3

4

Assist with I&D

1

2

3

4

1

2

3

4

Assist with lumbar puncture

1

2

3

4

1

2

3

4

Assist with wound debridements

1

2

3

4

1

2

3

4

Assist with Colposcopy

1

2

3

4

1

2

3

4

Assist with Urodynamic Studies

1

2

3

4

1

2

3

4

Assist with IUD insertions

1

2

3

4

1

2

3

4

Assist with bone marrow biopsy

1

2

3

4

1

2

3

4

Assist with setting of simple bone fractures

1

2

3

4

1

2

3

4

Assist with suturing

1

2

3

4

1

2

3

4

Removal of sutures/staples

1

2

3

4

1

2

3

4

Application of casts/splints

1

2

3

4

1

2

3

4

Sterile dressing changes

1

2

3

4

1

2

3

4

Non-sterile dressing changes

1

2

3

4

1

2

3

4

Oxygen administration

1

2

3

4

1

2

3

4

Accessing venous ports

1

2

3

4

1

2

3

4

Measurement and application of anti-embolic
stockings

1

2

3

4

1

2

3

4

Instruct/educate patient to use incentive spirometer

1

2

3

4

1

2

3

4

Place and manage nasogastric tube

1

2

3

4

1

2

3

4

Perform oral and nasopharyngeal suctioning

1

2

3

4

1

2

3

4

Insert and remove indwelling urinary catheter

1

2

3

4

1

2

3

4

Insert and remove straight urinary catheter

1

2

3

4

1

2

3

4

General clinic (more than 5 MDs in practice)

1

2

3

4

1

2

3

4

General clinic (less than 5 MDs in practice)

1

2

3

4

1

2

3

4

General internal medicine

1

2

3

4

1

2

3

4

Allergy Clinic

1

2

3

4

1

2

3

4

Endocrinology

1

2

3

4

1

2

3

4

Gastroenterology

1

2

3

4

1

2

3

4

Health/Wellness Screening

1

2

3

4

1

2

3

4

OB/GYN

1

2

3

4

1

2

3

4

Occupational Health

1

2

3

4

1

2

3

4