© 2003 - PRN Travel Nursing Agency © 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
© 2003 - PRN Travel Nursing Agency
PRN Travel Nursing Job Agency

MEDICAL & SURGICAL EXPERIENCE PROFILE

First Name: Last Name:Grad from nursing school:
Degree: RNC N/A     Oncology N/A
ACLS N/A     Chemotherapy N/A  
Charge Nurse Experience:
State of original License:
State of current License:
Phone Number:
 
Please indicate your level of experience with the following patient groups and clinical skills category according to the number of years of experience indicated below:
 
CATEGORIES 0, 1, 2, 3
0=No experience
1=limited experience
2=perform with review
3=perform independently


NEURO NURSING 0 1 2 3
  AGE GROUPS        
Neonate
Infant
Children
Adolescent
Adult
Geriatric
ASSESSMENT SKILLS
 
Level of conciousness
Glasgow coma scale
Motor/Sensory
Cranial Nerve
 
CLINICAL SKILLS
Cerebral arteriogram, pre & post
Lumbar puncture, set up & assist
CVA-thrombolytic
CVA-hemorrhagic
Thrombolytics
Heparin SQ & IV
Closed head injury
Spinal cord injury
Craniotomy, pre & post
Ventricular shunts, pre & post
C-Spine fracture
T-Spine fracture
L&S Spine fracture
Halo traction
Hemiplegia
Paraplegia
Quadraplegia
Meningitis
Encephalitis
Brain cancer
Multiple sclerosis
Dilantin PO, IV
Tegretol PO
Phenobabitol PO
Cortisone IV, IM
Librium PO IM IV
Valium PO IM IV
Starting IV's
 
CARDIAC NURSING
ASSESSMENT        
Abnormal heart sounds
Vascular bruits
Doppler Pulses
Peripheral pulses
Arrythmia identification
EKG initiate/run
EKG interpretation
CLINICAL SKILLS        
CHF
Acute MI
Atrial Fib
2nd degree heart block
Cardioversion
Temporary pacemaker
Permanent pacemaker
Undiagnosed chest pain
Cardiomyopathy
Peripheral vascular insufficiency
Electropysiology studies
Cardiac rehab
Post op CABG
Post op anerysm
Post op angioplasty
Pre/post cardiac cath
Cardiac cath, scrub nurse
Starting IV's
Cardizem
Dobutamine
Dopamine
Isuprel
Nitroglycerine
Lidocaine
         
RESPIRATORY NURSING        
ASSESSMENT        
Lung sounds (ausculate)
Lung sounds (percussion)
ABG's, interpretation
ABG's, collection
Lochia assessment
CLINICAL SKILLS        
Oxygen cannulas
Oxygen masks
Nonrebreather mask
Ambu bag
Nebulizers
IPPB
CPT
CPAP
BIPAP
Spirometry
Pneumothorax
Thoracentesis
Chest tubes,assisting insertion
Pleur Evac
Sputum collection
Thoracotomy care
Pulmonary rehab
TB protocol
Lung cancer
Pulmonary Edema
COPD
Theophylline IV, PO
Ventilator use
Asthma/Bronchitis
ET tubes, intubation assisting
ET tubes, extubation, assisting
Tracheostomy care
Trach, changing ties/dressing
Suction, oropharyngeal
Suction, Endotrachial
 
ORTHOPEDIC NURSING
ASSESSMENT SKILLS      
Range of motion
Motor deficits
Circulation/perfusion
CLINICAL SKILLS        
Fractures
Casting (assisting)
Skin traction (Buck's)
Skeletal traction
External fixators
K-wires, maintenance
Pre/post op joint replacements
Pre/post op pins/screws/nails
Pre/post op lumbar laminectomy
Pre/post op rotator cuff repair
Pre/post op closed reduction
Pre/post radiation therapy
Pre/post fracture pelvis
Osteomyelitis
Wound care
Amputation
Incision care
Decubitus ulcers
TENS unit
Skin cancer
         
GASTROINTESTINAL NURSING        
ASSESSMENT SKILLS        
Bowel sounds (auscultate)
Bowel sounds (percussion)
Nutritional
CLINICAL SKILLS        
NG tube placement
NG tube maintenance
Miller Abbot tube maintenance
Gastrostomy tube feedings
Feeding pumps
Paracentesis
Starting IV's
Appendicitis/appendectomy
Pre/postPEG placement
Pre/post iliostomy
Pre/post colostomy
Colostomy irrigation
Fecal impaction
Enemas
Pre/post colon resection
Pre/post gastroscopy
Pre/post colonoscopy
Pre/post hemorrhoidectomy
Assist with endoscopy
Esophageal varices
Duodenal ulcers
Gallbladder disease
Lap cholecystectomy
Open cholecystectomy
Pre/post cholangiogram
Uppper GI Bleed
Lower GI Bleed
Crohn's disease
Ulcerative colitis
Stomach cancer
Colon cancer