Medical Surgeries Skills Checklist

  • MM slash DD slash YYYY
  • Level of Proficiency

    1 = Proficient
    2 = Knowledgeable
    3 = Little or No Experience

  • Application / Use Of

  • Cardiac


  • Care of Patient With



  • Use & Admin. of these Drugs


  • Care of Patients With

  • Drug Calculations

  • Equipment

  • Genitourinary


  • Care of Patient With


  • Gastrointestinal


  • G I Drugs


  • Gynecology

  • Instruction on Care of Wounds

  • Integumentary

  • Knowledge Of

  • Maternal-Child Nursing


  • Provide Intrapartun Care to Patient With



  • Postpartum Assessment



  • Immediate Neonate Care



  • Newborn Care



  • Use of Equipment


  • Neurology


  • Care of Patient With



  • Use & Administration of these Drugs


  • Other

  • Orthopedic


  • Care of Patient With


  • Pediatrics


  • Care of Patient With


  • Pulmonary


  • Ventilators



  • ABG



  • Care of Patient With



  • Use & Admin. of these Drugs



  • Endotracheal Suctioning


  • Vascular

  • IV Therapy