Skills Checklist - Oncology - Origin Travel Nurses

CARE OF PATIENTS WITH*

MEDICATION ADMINISTRATION*

PROCEDURES/SKILLS - INTRAVENOUS THERAPY*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Peripheral line insertions
Assessment of IV site
Care of IV Extravasation

PROCEDURES/SKILLS - INTRAVENOUS THERAPY*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Peripheral line insertions
Assessment of IV site
Care of IV Extravasation
TPN
Antibiotics
Antifungals/Antivirals
IV Push
Oral Chemotherapy
IM Injections
SQ Injections
Intrathecal
Continuous Narcotic Infusion
Suctioning - Oral
Suctioning - Nasotracheal
Tube Feeding
NG Tube Insertion
GastrostomyJejunostomy Tube Care
Colostomy/Enterostomal Care
Ileostomy Care
Platelet Precautions

PROCEDURES/SKILLS - INTRAVENOUS THERAPY (BLOOD/BLOOD PRODUCTS)*
Rarely Some Experience Proficient Trainer / Preceptor N/A
PRBCs
Platelets
FFP
Leukocytes/WBC
PROCEDURES/SKILLS - FOLEY CATHETER*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Insertion/Care
Irrigations
Suprapubic Catheter Care

PROCEDURES/SKILLS - CHEST TUBE & DRAINAGE SYSTEM*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Set up
Assist with insertion
Care & maintenance
Troubleshooting
Removal
Thoracentesis - assist
Paracentesis - assist
Liver Biopsy - assist
Bone Marrow Biopsy - assist
Central Line Placement - assist
Skin Care
Immunosuppression/Laminar Airflow

PROCEDURES/SKILLS - VENOUS ACCESS DEVICES*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Hickman/Broviac/Groshong
PICC lines
Site Care/Dressing Changes
Assist with Insertion
Declot Occluded Ports/Catheters
Temporary Repair of Catheters
Flush Lumens
Change Caps
Obtain Blood Specimens

PROCEDURES/SKILLS - VASCULAR ACCESS PORTS*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Port-a-Cath
Opti-Port
S.E.A. Port
Omega Port
Chemo Port
Access the Catheter Port
Flush Catheter
Troubleshooting/Maintain Patency
Obtain Blood Specimens
Patient/Family Teaching

RADIATION THERAPY*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
External Radiotherapy
Total Body Irradiation
Intraoperative Radiation Therapy
IORT Implants
Brachytherapy
Radiation Safety Procedures
Patient/Family Teaching.
Management of Side Effects

BONE MARROW TRANSPLANT*

PSYCHOSOCIAL CARE/SUPPORT*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Identify/Refer to Resources Available
Participation in Support Groups
Palliative Care
Advanced Directives
Death & Dying Counseling
Hospice Care
Support During Ethical Decision Making
Family Support

PAIN MANAGEMENT*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Pain assessment using pain scales
Epidural analgesia
IV conscious sedation
Patient controlled analgesia (PCA)
Narcotic Agents
Non-narcotic agents
Non-pharmacological measures

ASSESSMENT/OTHER*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Admission of patients to unit
Assess Breath Sounds
Assess Heart Sounds
Care Planning
Charge Nurse responsibilities
Circulation Checks
Computerized Charting
Manage Cytotoxic Spills
Neurological Assessments
Patient Teaching - General re: Oncology
Universal Precautions
Vital Signs

Age Group Experience*

Do you speak any languages other than English?*
- No
If yes, enter languages above, separated by commas.
Confirmation*
- I attest that the information I have given is both true and, to the best of my knowledge, represents an accurate self assessment of my professional skills and/or education.
Signature
Date
MM slash DD slash YYYY

Skills Checklist – Oncology

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Cormed
Auto Syringe
Pharmacia
Pancretec
Synchromed
Patient/Family Teaching -
Automated Med. Dispensing Systems
Automatic BP cuffs
Computer Charting Systems