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Medical-Surgical RN Skills Checklist

The following checklist is a profile used to assess your Medical/Surgery proficiency and assist in matching your skills with available assignments. Your employment is not dependent upon responses given on this checklist. Please rate your ability as accurately as possible by checking the appropriate option.

Step 1 of 5

20%
  • PLEASE MARK YOUR LEVEL OF EXPERIENCE

    0 - No Experience
    1 - Theory/Observed Only
    2 - Intermittent Experience
    3 - Moderate Experience
    4 – Expert
  • General Skills

  • Cardiac Monitoring & Emergency Care

  • IV Therapy

  • Other

  • Cardiac

  • Cardiac - Care of Patient with:

  • Cardiac - Use & Administration of the Following:

  • Respiratory

  • Respiratory - Care of Patient with:

  • Respiratory - Use & Administration of the Following:

  • Gynecology

  • Neurology

  • Neurology - Care of Patient with:

  • Neurology - Use & Administration of the Following:

  • Gastrointestinal

  • Gastrointestinal - Care of Patient with:

  • Gastrointestinal - Use & Administration of the Following:

  • Genitourinary/Renal

  • Genitourinary/Renal - Care of Patient with:

  • Orthopedic

  • Other

  • Certifications

  • (not listed above)
    TypeExpiration Date MM/DD/YYYY 
  • Additional Skills

  • Age Specific Competencies

  • Additional Skills

  • Acceptance

  • The information I have given is true and accurate to the best of my knowledge. In addition, I hereby authorize Fidelis Partners to release this Medical/Surgical Profile to client institutions of Fidelis Partners in consideration of my employment with that institution.

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Fidelis Partners

Permanent placement services - matching top healthcare talent with hospitals and medical groups nationwide.

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