NORTHERN AREA ARMED FORCES HOSPITAL

MEDICAL / SURGICAL Page 1 of 2

NURSING SKILLS CHECKLIST
NOTE: Please complete the Skills Checklist to ensure your individual experience may be clearly understood. Tick () the
appropriate column and add comments as necessary for clarification of your knowlede ! skills. The information will be
used to ensure the best possible placement based on your clinical expertise and our hospital"s needs.
#$%&'#$( C)'*'C+) C,-P$T$*C'$S
C&##$*T). C,-P$T$*T
('ndicate year skill last
practised
or months of experience ained
C,--$*TS
(or if not competent)
MEDICAL NURSING
*euroloy
Cardioloy
#espiratory
$ndocrinoloy
*ephroloy/ #enal Transplant/ 0 C+P(
1astroenteroloy
,ncoloy!2ematoloy
#heumatoloy
1erontoloy
#ehabilitative -edicine
Psychiatry
Communicable (iseases
Tropical (iseases
(ermatoloy
Telemetry
SURGICAL NURSING
*eurosurery
Cardiac
3ascular
,pthalmic
$ar!*ose!Throat
-axillofacial!,ral
+bdominal!1eneral
1ynecoloy
,bstetrics
,rthopaedics
&roloy
Plastic!#econstructive
Thoracic
_________________________________ _________________________ ____________________
Name Signature Date
#$%&'#$( C)'*'C+) C,-P$T$*C'$S
C&##$*T). C,-P$T$*T
('ndicate year skill last C,--$*TS
NORTHERN AREA ARMED FORCES HOSPITAL
MEDICAL / SURGICAL Page 2 of 2
NURSING SKILLS CHECKLIST
practised
or months of experience ained
(or if not competent)
Cini!a S"i#
Provide eneral pre4operative care ! teachin
Provide eneral post4operative care ! teachin
Plan!provide dischare plannin!teachin
Plan ! provide (iabetic teachin to patient ! family
Perform capillary lucose testin/ e../ use lucometer
Care for patients with
tracheostomy
nephrostomy/ ileostomy
colostomy
'nitiate ! maintain tube feeds/ includin *1 and astrostomy
bolus feeds
continuous drip
'nsert nasoastric tube
'nsert 5oley catheter (male and!or female)
Care for ! administer fluids ! TP* via subclavian catheter
+dminister blood and blood products
'nsert '3
Perform venepuncture for blood samplin ! lettin
&se infusion control devices/ e../ 'vac/ 'med/ +bbot/ syrine pump/
hep lock/ volutrol/ buretrol/ etc.
&se wound drainae devices/ e.. hemovac/ etc.
+pply wound dressins/ includin burn dressins
#espiratory therapy treatments
Care for patient with chest tubes! underwater seal drainae device
#econi6e life threatenin arrhythmias!initiate treatment
'nitiate ! maintain 7asic Cardiac )ife Support -easures (7C)S
or e8uivalent/ certified)
Care for patients terminal illness ! support family
Care for post critical care patients
5unction as Chare *urse
9nowlede of cross cultural nursin and experience workin in a
multi4national staff roup
Please make any additional comments or explanations below or on reverse.
' acknowlede that ' will be tested on the above skills within the first month of my arrival and/ if ' fail to demonstrate an acceptable
standard (in comparison to the information provided on this list) my employment will be terminated and ' will be sent home.
S'1*+T&#$: :::::::::::::::::::::::::::::::::::::::: (+T$: ::::::::::::::::::::::::::
#evised September ;<<=