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Registered Nurse Supervisor
Home >
Nurse Checklists >
Registered Nurse Supervisor >
Information
Enter full name
*
Last 4 digits of SSN
*
Enter your phone number
*
Enter your email
*
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
Assessment Section
Universal Precautions
✔ 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
*
★
★
★
★
★
Acute Care/Hospital
✔ Durable Medical Equipment (DME)
*
★
★
★
★
★
✔ Managed Care
*
★
★
★
★
★
✔ SNF/Long Term Care
*
★
★
★
★
★
✔ Home Health
*
★
★
★
★
★
✔ Hospice
*
★
★
★
★
★
✔ Outpatient
*
★
★
★
★
★
✔ Physician Office
*
★
★
★
★
★
Health Care Economics and Policies
✔ Understanding of Health Care Economics and Policies as it Applies to Delivery of Patient Care
*
★
★
★
★
★
✔ Concepts of Capital Budgeting
*
★
★
★
★
★
✔ Department/Unit Budgeting
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★
★
★
★
★
✔ Recruitment Techniques
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★
★
★
★
★
✔ Interviewing Techniques
*
★
★
★
★
★
✔ Labor Laws Pertaining to Hiring
*
★
★
★
★
★
✔ Orientation of New Employees
*
★
★
★
★
★
Quality Improvement
✔ Knowledge of Quality Improvement/Performance Improvement Tools
*
★
★
★
★
★
✔ Patient Safety
*
★
★
★
★
★
✔ Workplace Safety
*
★
★
★
★
★
✔ Performance Management
*
★
★
★
★
★
✔ Staff Development
*
★
★
★
★
★
✔ Coaching and Mentoring
*
★
★
★
★
★
✔ Project Management
*
★
★
★
★
★
✔ Business Development
*
★
★
★
★
★
✔ Developing Strategic Plans
*
★
★
★
★
★
✔ Developing Operational Plans
*
★
★
★
★
★
Cultural Competence
✔ Cultural Competence
*
★
★
★
★
★
✔ Personal Growth and Development
*
★
★
★
★
★
✔ Ethical Behavior and Practice
*
★
★
★
★
★
✔ Professional Association Involvement
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★
★
★
★
★
✔ Conflict Management
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★
★
★
★
★
✔ Team Dynamics
*
★
★
★
★
★
✔ Mediation/Coaching
*
★
★
★
★
★
Standards
✔ TJC Standards
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★
★
★
★
★
✔ OSHA Standards
*
★
★
★
★
★
✔ Risk Management/Service Utilization
*
★
★
★
★
★
✔ Local Department of Health
*
★
★
★
★
★
✔ State Department of Health
*
★
★
★
★
★
✔ Sitter Services
*
★
★
★
★
★
Age Specific Competencies
✔ 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)
*
★
★
★
★
★
Submit Assessment