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    MM slash DD slash YYYY
  • Skills Checklist

    This Skills Checklist is for use by nurses with more than one-year experience in their discipline and specialty. Please be accurate with your assessment.
    DIRECTIONS: Please indicate your level of experience by placing a check (X) in the box.
    Experience level:
    1 NO EXPERIENCE
    2 MINIMAL EXPERIENCE - requires supervision/assistance
    3 MODERATELY EXPERIENCED - requires initial review, then performs independently
    4 VERY EXPERIENCED - proficient
  • MEDICATIONS/IV THERAPY

  • CARE OF ONCOLOGICAL PATIENT

  • CARE OF ONCOLOGICAL PATIENT: Emergencies:

  • CARE OF ONCOLOGICAL PATIENT: Family / Psychosocial Needs:

  • CANCER THERAPY: Radiation Therapy (RT)

  • CANCER THERAPY: Brachytherapy (Sealed Sources)

  • CANCER THERAPY: Radiopharmaceutical (Unsealed Sources)

  • CANCER THERAPY: Surgical Intervention