Health Care Skills Rating
  Registered Nurse Supervisor Skills Checklist
   NAME  
   Email-Id
   DATE    
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.

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

  
Rating Stars (Click)
Universal Precautions 1
2
3
4
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
Rating Stars (Click)
Acute Care/ Hospital 1
2
3
4
Durable Medical Equipment ( DME)
Managed Care
SNF/ Long Term Care
Home Health
Hospice
Outpatient
Physician Office
Rating Stars (Click)
Understanding of health care economics and health care policies as it applies to delivery of patient care 1
2
3
4
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
Rating Stars (Click)
Age Specific Competencies 1
2
3
4
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)