Area |
Not Applicable |
Inexperienced |
Limited |
Experienced |
Highly Experienced |
Psychiatric |
Adolescent |
N/A
|
1
|
2
|
3
|
4
|
Adult |
N/A
|
1
|
2
|
3
|
4
|
Geriatric |
N/A
|
1
|
2
|
3
|
4
|
Suicidal risk assessment |
N/A
|
1
|
2
|
3
|
4
|
Administration of psychotropic medications |
N/A
|
1
|
2
|
3
|
4
|
Charge nurse experience |
N/A
|
1
|
2
|
3
|
4
|
Contact precautions |
N/A
|
1
|
2
|
3
|
4
|
Discharge patient AMA |
N/A
|
1
|
2
|
3
|
4
|
DSM IV diagnosis |
N/A
|
1
|
2
|
3
|
4
|
Emergency custody order |
N/A
|
1
|
2
|
3
|
4
|
Group therapy leader |
N/A
|
1
|
2
|
3
|
4
|
Management of assaultive behavior |
N/A
|
1
|
2
|
3
|
4
|
Management of alcohol withdrawal symptoms |
N/A
|
1
|
2
|
3
|
4
|
Management of Narcotic withdrawal symptoms |
N/A
|
1
|
2
|
3
|
4
|
Management of violent patient |
N/A
|
1
|
2
|
3
|
4
|
Patient rights |
N/A
|
1
|
2
|
3
|
4
|
Psychiatric emergency response team |
N/A
|
1
|
2
|
3
|
4
|
Rapid tranquilization |
N/A
|
1
|
2
|
3
|
4
|
Restraints, application and assessment of |
N/A
|
1
|
2
|
3
|
4
|
Telephonic crisis intervention |
N/A
|
1
|
2
|
3
|
4
|
Therapeutic communication skills |
N/A
|
1
|
2
|
3
|
4
|
Eating disorder |
N/A
|
1
|
2
|
3
|
4
|
Hallucinations |
N/A
|
1
|
2
|
3
|
4
|
Lithium toxicity |
N/A
|
1
|
2
|
3
|
4
|
Manic-depression |
N/A
|
1
|
2
|
3
|
4
|
OD |
N/A
|
1
|
2
|
3
|
4
|
Substance abuse |
N/A
|
1
|
2
|
3
|
4
|
Schizophrenia |
N/A
|
1
|
2
|
3
|
4
|
Seclusion |
N/A
|
1
|
2
|
3
|
4
|
Suicidal behavior |
N/A
|
1
|
2
|
3
|
4
|
|
Cardiovascular |
Basic 12 lead EKG interpretation |
N/A
|
1
|
2
|
3
|
4
|
Defibrillation/cardioversion |
N/A
|
1
|
2
|
3
|
4
|
Care of the patient with CHF (congestive heart failure) |
N/A
|
1
|
2
|
3
|
4
|
Care of the patient with permanent pacemaker |
N/A
|
1
|
2
|
3
|
4
|
|
Pulmonary |
Assessment of breath sounds |
N/A
|
1
|
2
|
3
|
4
|
Chest physiotherapy |
N/A
|
1
|
2
|
3
|
4
|
Oral suctioning |
N/A
|
1
|
2
|
3
|
4
|
Nasotracheal suctioning |
N/A
|
1
|
2
|
3
|
4
|
Pulse oximeter use |
N/A
|
1
|
2
|
3
|
4
|
Interpretation of ABG’s panic values |
N/A
|
1
|
2
|
3
|
4
|
Chest tube |
N/A
|
1
|
2
|
3
|
4
|
COPD |
N/A
|
1
|
2
|
3
|
4
|
Tracheostomy |
N/A
|
1
|
2
|
3
|
4
|
Face mask |
N/A
|
1
|
2
|
3
|
4
|
Nasal cannula |
N/A
|
1
|
2
|
3
|
4
|
Portable O2 tank |
N/A
|
1
|
2
|
3
|
4
|
|
Neurology |
Assessment of neurological status |
N/A
|
1
|
2
|
3
|
4
|
Assist with Lumbar Puncture |
N/A
|
1
|
2
|
3
|
4
|
CVA |
N/A
|
1
|
2
|
3
|
4
|
DT’s |
N/A
|
1
|
2
|
3
|
4
|
Seizure activity |
N/A
|
1
|
2
|
3
|
4
|
|
Gastrointestinal |
Assessment of abdomen |
N/A
|
1
|
2
|
3
|
4
|
Administration of tube feeding |
N/A
|
1
|
2
|
3
|
4
|
Colostomy/ileostomy |
N/A
|
1
|
2
|
3
|
4
|
Hepatitis |
N/A
|
1
|
2
|
3
|
4
|
NG tube |
N/A
|
1
|
2
|
3
|
4
|
|
IV Therapy |
Start and maintenance of peripheral IV’s |
N/A
|
1
|
2
|
3
|
4
|
Start and maintenance of saline/heparin lock |
N/A
|
1
|
2
|
3
|
4
|
Administration of IV fluids |
N/A
|
1
|
2
|
3
|
4
|
Administration of blood and blood products (precautions, recognizing transfusion reactions and taking appropriate actions) |
N/A
|
1
|
2
|
3
|
4
|
Administration and mixing of IV meds |
N/A
|
1
|
2
|
3
|
4
|
Hang IV piggybacks |
N/A
|
1
|
2
|
3
|
4
|
Use of infusion pumps |
N/A
|
1
|
2
|
3
|
4
|
Knowledge of access and maintenance of central lines and catheters |
N/A
|
1
|
2
|
3
|
4
|
|
Additional nursing responsibilities |
Cast care |
N/A
|
1
|
2
|
3
|
4
|
Insertion and care of Foley catheter |
N/A
|
1
|
2
|
3
|
4
|
Knowledge of Normal Serum Lab Values |
N/A
|
1
|
2
|
3
|
4
|
Knowledge of isolation techniques and procedures |
N/A
|
1
|
2
|
3
|
4
|
Universal precautions |
N/A
|
1
|
2
|
3
|
4
|
Blood glucose testing |
N/A
|
1
|
2
|
3
|
4
|
Insulin administration |
N/A
|
1
|
2
|
3
|
4
|
Sterile dressing changes |
N/A
|
1
|
2
|
3
|
4
|
Assessment and care of pressure sores |
N/A
|
1
|
2
|
3
|
4
|
Decubitus ulcers |
N/A
|
1
|
2
|
3
|
4
|
Care of the pt. With AIDS |
N/A
|
1
|
2
|
3
|
4
|
|