Oncology Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment with ADEX Medical Staffing, LLC. Proficency Scale: 1 = No Experience - Theory only 2 = Limited Experience - Infrequent 3 = Moderate Experience - Able to perform independently 4 = Proficient - Able to perform proficiently and instruct Scale: 1 = Never Observed 2 = Less than 6 times a year 3 = 1 or 2 Times a Month 4 = Daily or Weekly Personal Information Name: Email: City: Country: United States State/Region: Send to: None Specified Care Of Patients With 1 2 3 4 1 2 3 4 Atelectasis/Pneumothorax Bowel Obstruction Cardiac Arrhythmias
Diabetes Tumor Lysis Syndrome DIC Electrolyte Imbalance Fever GI Bleed Hemodialysis Hemorrhage Hypercalcemia Hypokalemia/Hyperkalemia Infection Lymphedema Nausea/Vomiting/Diarrhea Neuropathy Neutropenia Oncologic Surgeries Pancreatitis Peritoneal Dialysis Pleural Effusion Pneumonia Pulmonary Embolism Renal Failure Respiratory Distress Septic Shock SIADH Spinal Cord Compression (SCC) Stomatitis Stress Fractures Superior Vena Cava Syndrome Thrombocytopenia
TURP Medication Administration 1 2 3 4 1 2 3 4 Bleomycin (Blenoxane) Carmustine (BiCNU) Cistplatin Corticosteroids Coumadin/Heparin Cyclophosphamide (Cytoxan) Decardron Dilantin Dopamine Doxorubicin (Adriamycin) Epogen/Neupogen Etoposide (VP-16-213) Fluorouracil (5-FU) Fluxuridine (FUDR) Hydroxyurea (Hydrea) Melphalan (Alkeran) Methotrexate (Amethopterin) Mitomycin (Mutamycin) Titrate Morphine Usulfan (Myleran) Vinblastine (Velban) Vincristine (Oncovin) Procedures/Skills 1 2 3 4 1 2 3 4 Peripheral line insertions
Assessment of IV site Care of IV Extravasation Blood/Blood Products PRBCs Platelets FFP Leukocytes/WBC TPN Antibiotics Antifungals/Antivirals IV Push Oral Chemotherapy IM Injections SQ Injections Intrathecal Continuous Narcotic Infusion Suctioning - Oral Suctioning - Nasotracheal Tube Feeding NG Tube Insertion GastrostomyJejunostomy Tube Care Colostomy/Enterostomal Care Ileostomy Care Platelet Precautions Foley Catheter Insertion/Care Irrigations Suprapubic Catheter Care Chest tube & drainage system
Insertion/Removal Thoracentesis - assist Paracentesis - assist Liver Biopsy - assist Bone Marrow Biopsy - assist Central Line Placement - assist Skin Care Immunosuppression/Laminar Airflow Hickman/Broviac/Groshong PICC lines Site Care/Dressing Changes Declot Occluded Ports/Catheters Temporary Repair of Catheters Flush Lumens Change Caps Obtain Blood Specimens Vascular Access Ports Port-a-Cath Opti-Port S.E.A. Port Omega Port Chemo Port Access the Catheter Port Flush Catheter Troubleshooting/Maintain Patency Patient/Family Teaching Radiation Therapy 1 2 3 4 1 2 3 4 External Radiotherapy
Total Body Irradiation Intraoperative Radiation Therapy IORT Implants Brachytherapy Radiation Safety Procedures Patient/Family Teaching Management of Side Effects Bone Marrow Transplant 1 2 3 4 1 2 3 4 Peripheral Blood Stem Cells Autologous BMT Allogeneic BMT Patient/Donor Education Infection Graft Rejection GVHD Graft vs. Host Disease Venocclusive Disease Pneumonitis Equipment 1 2 3 4 1 2 3 4 Ambulatory Infusion Pumps Automated Med. Dispensing Systems Automatic BP cuffs Implantable Infusion Pumps Glucometer/Accucheck Isolation PCA Pumps Pressure Relief Devices Pulse Oximetry
Reverse Isolation Psychosocial Care/Support 1 2 3 4 1 2 3 4 Identify/Refer to Resources Available Participation in Support Groups Palliative Care Advanced Directives Death & Dying Counseling Hospice Care Support During Ethical Decision Making Family Support Pain Management 1 2 3 4 1 2 3 4 Pain assessment using pain scales Epidural analgesia IV conscious sedation Patient controlled analgesia (PCA) Narcotic Agents Non-narcotic agents Non-pharmacological measures Assessment/Other 1 2 3 4 1 2 3 4 Admission of patients to unit Assess Breath Sounds Assess Heart Sounds Care Planning Charge Nurse responsibilities Circulation Checks Computerized Charting
Manage Cytotoxic Spills Neurological Assessments Patient Teaching - General re: Oncology Universal Precautions Vital Signs Age 1 2 3 4 1 2 3 4 Newborn (birth-30 days) Adolescents (12-18 years) Infant (30 days - 1 year) Young Adults (18-39 years) Toddler (1-3 years) Middle Adults (39-64 years) Preschooler (3-5 years) Older Adults (64+ years) School Age (5-12 years) Signature The information represented above is true and correct to the best of my knowledge. I authorize ADEX Medical Staffing, LLC to share this skills checklist with its clients. Initials: Copyright 2009 ADEX Medical Staffing, LLC Form Reviewed by ADEX Clinician - 11/16/2010