Hudson Staffing Travel Nurses & Allied Health Careers
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Hudson Staffing Travel Nurses| Medical / Surgical Online Checklist
Medical / Surgical Online Checklist

Thank you for your decision to apply for a travel nursing position with Hudson Staffing! Before we can offer you a nursing employment opportunity in the Medical / Surgical field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.

GENERAL INFORMATION        
Note: * Denotes a required field.
Please enter your full name as it appears on your Social Security Card:

First Name
 
Middle Name
 
Last Name
 *


Please enter the Last Four digits of your Social Security Number:

 -   -   *       Please check here if you do not hold a valid social security card.


Please provide your contact information:

Phone Number
 *
E-mail Address
 *
Confirm E-mail Address
 *
Type your e-mail address again above.
       
This profile is for use by healthcare professionals in the Medical / Surgical discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS        
Please mark your level of experience

     1. No theory and/or experience
     2. Limited experience/need supervision and/or support
     3. Experienced/minimal support needed to perform
     4. Proficient/can perform independently

Cardiac 1 2 3 4
     Angina
     Post Acute MI
     Congestive Heart Failure
     Post Cardiac Cath
     Post Cardiac Surgery
     Aneurysm
     Carotid Endarterectomy
     Post Vascular Surgery
     Post Cardiac Transplant
PULMONARY 1 2 3 4
     Pneumonia
     COPD
     Tuberculosis
     Pulmonary Embolism
     Tracheostomy Management
     CPAP/BiPAP
     Interpretation of Arterial Blood Gases
     Post Lung Transplant
Neurological & Psychiatric 1 2 3 4
     Stroke Scale Assessment
     Traumatic Brain Injury
     CVA
     Post Craniotomy
     Seizure Disorders
     Spinal Cord Injuries
     Mood Disorders
     Substance Withdrawal
ORTHOPEDICS 1 2 3 4
     Circulation/Skin Checks
     Continuous Passive Motion Devices
     Ambulation Assistive Devices
     Prosthetics
     Cast Care
     Pin Care
     Traction
     Total Joint Replacement
     Amputation
GASTROINTESTINAL 1 2 3 4
     Bariatrics
     Feeding Tubes
     GI Bleeding
     Bowel Obstruction
     GI Surgery
     Liver Disease
     Pancreatitis
     Post Liver Transplant
     Post Pancreas Transplant
RENAL/GENITOURINARY 1 2 3 4
     Arteriovenous Fistula/Shunt
     3 Way Catheter & Bladder Irrigation
     Suprapubic Catheter
     Renal Failure
     Peritoneal Dialysis
     GU Surgery
     Nephrostomy Tubes
     Renal Transplant
     Management Pre/Post Hemodialysis
     Gyn Surgery
Endocrine Metabolic 1 2 3 4
     Diabetes Type I
     Diabetes Type II
     Blood Glucose Monitoring
     IV Insulin Protocols
     Management of Hypoglycemia
     Indwelling Insulin Pumps
     Pituitary Disorders
ONCOLOGY 1 2 3 4
     Chemotherapy Administration
     Radiation Therapy
     Medical Oncology
     Surgical Oncology
     Radiation Implants
     Bone Marrow Transplant
MEDICATIONS 1 2 3 4
     Antiarrhythmics
     Anticoagulants (IV, oral, & injection)
     Anti-Depressants
     Anti-Hypertensives
     Anti-Psychotics
     Benzodiazepines
     Emergency Medications
     Epidural Analgesia
     Inhaled Medications
     Insulin
     Narcotics/Opioid Analgesics (IV, oral, & injection)
     Nitrates (Oral & Topical)
     Non-Opioid Analgesics (IV, Oral, & Injection)
     Oral Hypoglycemics
     Patient Controlled Analgesia
     Procedural Sedation Administration
     Reversal Agents
     Steroids (IV, Oral, Inhaled)
     Automated Medication Dispensing (i.e. Pyxis, Omnicell)
IV THERAPY 1 2 3 4
     Starting IVs
     Central Line Blood Draws
     Central Line/Implanted Line Care
     TPN & Lipids
     Blood Product Administration
     Monitoring of Chemotherapy
CARDIAC MONITORING & EMERG. RESPONSE 1 2 3 4
     Placement of Telemetry Leads
     Rhythm Interpretation
     Dysrhythmia Management
     Obtain 12 Lead EKG
     Use of Rapid Response Teams
PROFESSIONAL KNOWLEDGE AND SKILLS 1 2 3 4
     National Patient Safety Goals/Core Measures
     Fall Risk Assessment/Prevention
     Pressure Ulcer Risk Assessment/Prevention
     Restraints/Use of Least Restrictive Device
     Patient/Family Teaching
     Age Specific/Population-Based Care
     Isolation Precautions
     Infection Prevention
     Pain Assessment & Management
     Charge Experience
     Interpretation and Communication of Lab Values
     Wound Care /Wound Vac
     Specialty Beds
EMR 1 2 3 4
     Epic
     Cerner
     Eclipsys
     McKesson
     Meditech
     Other Computerized System
     Computerized Physician Order Entry
     Bar Coding for Medication Administration
     EMR Conversion Yes No
CERTIFICATIONS        
     BLS
     ACLS
     Telemetry Certificate
     ONS Chemo/Biotherapy Certification
     Other Chemo Certification
Please read and agree to the statements below by marking the checkbox. You will not be able to submit until you have marked the checkbox.

* I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Medical / Surgical Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.




Privacy Note: Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (3.235.176.80) which will be used as a digital signature.



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Hudson Staffing
Phone: 1(866)256-8773
E-mail: info@hudsonstaffing.net

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