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Company
About Us
How it Works
Visit 360X Staffing
Services
Medical Staffing
Healthcare Support
Executive Search
Provider Services
CareNational: Your Gateway to Exciting Travel Nursing Adventures!
Career Advice
Blog and Resources
Success Stories
Anthem & CareNational: Comprehensive HEDIS Support
How CareNational Staffed CVS Health During Covid-19
Expert Case Manager Staffing for ConcertoCare | CareNational
Request a Quote
Apply for Jobs
Oncology Skills Checklist
Step
1
of
4
25%
Name
*
First
Last
Email
*
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Date
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
Administer PO Medications
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Administer Topical Medications
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Administer IM/SQ Medications
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Administer IV Medications
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Needle-less Systems
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Infusion Pumps
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Establish Peripheral IVs
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Discontinue Peripheral IVs
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Pain Assessment / Management
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Draw Blood for Lab Studies
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Admin Blood / Blood Products
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Central Venous Lines (CVL)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Hickman / Broviac Catheters
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
PCA / CADD
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Port-A-Cath
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Infusaid
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Infuse-A-Port
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
CARE OF ONCOLOGICAL PATIENT
Head, Neck, Chest
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Hematologic System
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Gastrointestinal Tract
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Reproductive System
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Skin (Melanomas / Nonmelanomas)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Urinary Tract
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
CARE OF ONCOLOGICAL PATIENT: Emergencies:
Cardiac Tamponade
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Dissesminated Intravascular Coagulation
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Hypercalcemia
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Organ Obstruction
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Sepsis
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Spinal Cord Compression
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Superior Vena Cava Syndrome
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Tumor Lysis Syndrome
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
CARE OF ONCOLOGICAL PATIENT: Family / Psychosocial Needs:
Patient/ Family Education
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Advance Directives
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Acute Phase
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Chronic Phase
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Terminal Phase
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Bereavement Phase
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
After Treatment (Survivorship)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
CANCER THERAPY: Radiation Therapy (RT)
Electromagnetic (X-rays, Gamma)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Particulate (Alpha, Beta)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
External Beam Therapy
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Knowledge of Early Effects of RT
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Knowledge of Interm. Effects of RT
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Knowledge of Late Effects of RT
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
CANCER THERAPY: Brachytherapy (Sealed Sources)
Interstitial Radiation Therapy
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Intracavitary Radiation Therapy
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Intraluminal Radiation Therapy
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
CANCER THERAPY: Radiopharmaceutical (Unsealed Sources)
Tracer Dose
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Therapeutic Dose
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
CANCER THERAPY: Surgical Intervention
Curative Surgery
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Diagnostic Surgery
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Mechanical Device Insertion
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Palliative Surgery
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Prophylactic Surgery
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Reconstructive Surgery
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Rehabilitative Surgery
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Bone Marrow Transplant-Allogenic
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Bone Marrow Transplant-Syngenic
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
ONCOLOGY HEALTH CARE SETTINGS
Adult
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Pediatrics
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Cancer Center
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Radiation Oncology
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Surgical Oncology
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Bone Marrow Unit
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Research/ Clinical Trials
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Subacute/ Skilled Nursing
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Home Health Care
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Hospice
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Clinic- Risk / Screening / Diagnosis
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Clinic – Surgery / Gyn
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Clinic – Medical / Hematology
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Clinic Immunology / Infectious
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
ANTINEOPLASCTIC AGENTS: Routes of Administration
Oral / SQ / IM
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Intravenous
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Intraarterial
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Intrathecal / Intraventricular
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Intraperitoneal (Tenckhoff Catheter)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Intrapleural
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Intravesicular
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
ANTINEOPLASCTIC AGENTS: Alkylating Agents
Bulsufan (Myleran)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Chlorambucil (Leukeran)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Cisplatin (Platinol)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Cyclophosphamide (Cytoxan)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Mechlorethamine (Mustargen)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
ANTINEOPLASCTIC AGENTS: Antimetabolites
Cytarabine (Ara-C)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Fluorouracil (5-FU)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Mercaptopurine (6-MP)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Methotrexate
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Leucovorin Rescue Protocol
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
ANTINEOPLASCTIC AGENTS: AntineoPlastic Antibiotics
Bleomycin
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Dactinomycin (Actinomycin)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Daunorubicin (DaunoXome)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Doxorubicin (Adriamycin)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
ANTINEOPLASCTIC AGENTS: Plant Alkaloids
Paclitaxel (Taxol)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Vinblastine (Velban)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Vincristine (Oncovin)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
ANTINEOPLASCTIC AGENTS: Hormonal Antineoplastics
Leuprolide (Lupron)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Megestrol (Megace)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Tamoxifen (Nolvadex)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Testolactone (Teslac)
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
ANTINEOPLASCTIC AGENTS: Staff Minimize Risk of Exposure
During Preparation
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
During Administration
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
During Disposal
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
CLASSIFICATION OF NEOPLASMS
Staging – TNM System
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Tissue of Origin
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Biologic Behavior
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Degree of Cell Differentiation
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Anatomic Site
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Recognition & Management of
Anxiety / Depression
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Metabolic Alterations
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Hypersensitivity
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Fatigue
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Hematopoietic
Anemia
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Leukopenia
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Thrombocytopenia
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Gastrointestinal
Anorexia / Dehydration
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Nausea / Vomiting
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Constipation / Diarrhea
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Muscositis / Ulceration
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Hepatic Toxicity
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Integumentary
Alopecia
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Dermatitis
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Hyperpigmentation
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Genitourinary
Cystitis
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Renal Toxicity
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Cardiovascular
Cardiac Toxicity
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Phlebitis
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Extravasation
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Neurologic
Neurotoxicity
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Ototoxicity
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Metabolic Encephalopathy
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Peripheral Neuropathy
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Pulmonary
Fibrosis
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Pneumonitis
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Edema
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
TREATMENT SIDE EFFECTS: Reproductive
Infertility
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Changes in Libido
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Erectile Dysfunction
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
NUTRITION
Assess Nutritional Status
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Assess / Manage Nutritional Impairment
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Interpretation of Lab Values
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Oral Feedings
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Enteral Tube Feeding
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Peripheral Parenteral Nutrition
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Central TPN
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
COMPUTERIZED CHARTING
Cerner
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Eclipsys
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Epic
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
McKesson
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
Meditech
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
List Other
Other
*
Please select an option
1. No Experience
2. Minimal Experience
3. Moderately Experienced
4. Very Experienced
AGE SPECIFIC
Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.
A.
Newborn/Neonatal (birth – 30 days)
B.
Infant (30 days – 1 year)
C.
Toddler (1 – 3 years)
D.
Preschool (3 – 5 years)
E.
School Age Children (5 – 12 years)
F.
Adolescent (12 – 18 years)
G.
Young Adults (18 – 39 years)
H.
Middle Adults (40 – 64 years)
I.
Older Adults (64 + years)
EXPERIENCE WITH AGE GROUPS:
Able to assess age appropriate behavior, motor skills and physiological norms.
A
B
C
D
E
F
G
H
I
Able to adapt care according to normal growth and development.
A
B
C
D
E
F
G
H
I
Able to communicate and instruct patient according to their age, maturity and comprehension ability.
A
B
C
D
E
F
G
H
I
Able to provide a safe environment according to the specific needs of various age groups.
A
B
C
D
E
F
G
H
I
I HAVE CURRENT CERTIFICATIONS FOR:
Current Certifications
*
Type
Completion Date
Expiration Date
Please add any certifications you have as well as your completion date and/or expiration date.
MY EXPERIENCE IS PRIMARILY IN
*
Field
Years
E-Signature
*
e-signature
The information I have provided in this knowledge and skills checklist it true and accurate to the best of my knowledge.
Your Name
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