Activity Therapist or Recreation Therapist One program to handle all talent management needs from acquisition to development Personal Information HiddenOverall ScoreName(Required) First Middle Last Last 4 Digits of Social Security Number Email(Required) HiddenDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyGeneral Nursing Duties:Charge Duties(Required) 1 2 3 4 Primary Care(Required) 1 2 3 4 Team Nursing(Required) 1 2 3 4 Use of Computers(Required) 1 2 3 4 Pass Meds 1-15 Patients(Required) 1 2 3 4 Pass Meds 10-20 Patients(Required) 1 2 3 4 CPR - Initial Resuscitaiton(Required) 1 2 3 4 Cardiac Arrests - Administration of Meds & Assists Intubation(Required) 1 2 3 4 Antiembolism Stockings:a. 3-Way Foley(Required) 1 2 3 4 b. Suprapublic(Required) 1 2 3 4 Decubitus Care(Required) 1 2 3 4 Sterile Dressing Changes(Required) 1 2 3 4 Isolation, Regular(Required) 1 2 3 4 Isolation, Reverse(Required) 1 2 3 4 Enteric Isolation(Required) 1 2 3 4 Wound and Skin Isolation(Required) 1 2 3 4 Universal Precautions(Required) 1 2 3 4 Intracranical Pressure Monitoring(Required) 1 2 3 4 Seizure Precautions(Required) 1 2 3 4 Mechanical Ventilation(Required) 1 2 3 4 Neuro Assessment(Required) 1 2 3 4 Neurodrains and Tubes:a. Ventriculostomies(Required) 1 2 3 4 b. Epidural(Required) 1 2 3 4 c. Subdural(Required) 1 2 3 4 d. Inrathecal(Required) 1 2 3 4 e. Assessment of Drainage(Required) 1 2 3 4 Lumbar Puncture, assting with(Required) 1 2 3 4 Medication, Principles of Safe Administration(Required) 1 2 3 4 Intraveous Therapy, Initiating Line(Required) 1 2 3 4 Infusion Pumps(Required) 1 2 3 4 Administration of IV Drugs:a. Digoxin(Required) 1 2 3 4 b. Dilantin(Required) 1 2 3 4 c. Decadron(Required) 1 2 3 4 d. Valium(Required) 1 2 3 4 e. Librium(Required) 1 2 3 4 f. Lasix(Required) 1 2 3 4 g. Nipride(Required) 1 2 3 4 h. Dopamine(Required) 1 2 3 4 i. Phenobarbital(Required) 1 2 3 4 Tranfusion of Blood and Blood Products(Required) 1 2 3 4 Heparin Locks(Required) 1 2 3 4 Blood Drawing, arterial(Required) 1 2 3 4 Blood Drawing, Venous(Required) 1 2 3 4 Intralipid Administration(Required) 1 2 3 4 Hyperalimentation Administration(Required) 1 2 3 4 Chest Suction(Required) 1 2 3 4 Gastric Suction(Required) 1 2 3 4 Gastric Lavage(Required) 1 2 3 4 Wound Irrigations(Required) 1 2 3 4 CVP Lines(Required) 1 2 3 4 Tracheostomy Care(Required) 1 2 3 4 Patients with Impending DT's(Required) 1 2 3 4 Nasogastric Tubes(Required) 1 2 3 4 Drains:a. Jackson-Pratt(Required) 1 2 3 4 b. Penrose(Required) 1 2 3 4 c. Hemovac(Required) 1 2 3 4 Types of Traction:a. Halo(Required) 1 2 3 4 b. Cervical(Required) 1 2 3 4 c. Pelvic(Required) 1 2 3 4 d.Balanced(Required) 1 2 3 4 Type of Equipment:a. Roto-Rest Bed(Required) 1 2 3 4 b. Circo-Electric Bed(Required) 1 2 3 4 c. Stryker Frame(Required) 1 2 3 4 d. Hoyer Lift(Required) 1 2 3 4 Computerized Charting:a. Cerner(Required) 1 2 3 4 b. Eclipsys(Required) 1 2 3 4 c. Epic(Required) 1 2 3 4 d. McKesson(Required) 1 2 3 4 e. Meditech(Required) 1 2 3 4 Age SpecificInfant (Birth to 1 year)(Required) 1 2 3 4 Toddler (1-3 years)(Required) 1 2 3 4 Pre-school (3-6 years)(Required) 1 2 3 4 School Age (6-12 years)(Required) 1 2 3 4 Adolescent ( 12-18 years)(Required) 1 2 3 4 Young Adult ( 18-30 years)(Required) 1 2 3 4 Mature Adult (30-60 years)(Required) 1 2 3 4 Elderly (>60 years)(Required) 1 2 3 4 Legal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By signing this document you are agreeing that you have reviewed this Consumer Disclosure and consent and intend to transact business electronically; to use electronic signatures instead of wet ink signatures and paper documents, and to receive notices and disclosures electronically. You are not required to sign documents electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from the “sending party” and withdraw your consent at any time, as described below. Scope of Consent By utilizing this Service, you agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your relationship with the “sending party.” You may withdraw your consent, at any time, by following the procedures outlined below. 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