Oncology RN Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/adolescent (6 years to 18 years)
Young Adults/ Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

General Skills

Care of Patient in Restraints
Automated Med Dispensing Systems
Electronic Documentation
IV Pumps
Peripheral IV Insertion, Care and Maintenance
Access/Management of Implanted Ports
Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)
Cardiac Monitoring/Interpretation
PCA/Epidural pumps
Titration of drips
Administration of Blood/Blood Products
Knowledge of "Do Not Use Abbreviations"
Cancer screening and detection
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

Settings

Inpatient
Outpatient
Hospice/palliative care
Adults
Pediatrics
Research/Clinical Trials
Bone Marrow Unit

Pain Management

Pain Assessment
Continuous Narcotic Infusion
Continuous Epidural Infusion
IV Push Narcotics
Use of Narcotic Pain Patches
Use of PCA Pump
Adjuvant Medications
Alternative Therapies
Nonpharmacologic Strategies

Phlebotomy/iv Therapy

IV Insertion, Maintenance and Discontinuation
Central Lines
Hickman
Groshong
Multilumen
Port-A-Cath
Blood Draw from Central Lines/Ports
Peripheral Venous Blood Draw
PICC Line Care and Maintenance
PICC Line Insertion
Infuse-a-port/power port
Administration of blood and blood products

Medication Knowledge And Administration Of

Antiemetics
Avastin
Benadryl
Bleomycin ( Blenoxane)
Biotherapeutic Agents ( Rituxan)
Bulsulfan ( Myleran)
Corticosteroids
Carboplatin
Chlorambucil ( Leukeran)
Cyclophosphamide ( Cytoxan)
Cistplatin
Cytarabine ( Ara-C)
Dactinomycin ( Actinomycin)
Daunorubicin ( Daunoxome)
Doxorubicin ( Adriamycin)
Decadron
Dilantin
Etoposide ( VP-16-213)
Epogen/neupogen
Fluorouracil ( 5 - FU)
Herceptin
Hormonal Antineoplastics
Hydroxyurea ( Hydrea)
IVIG
Oxaliplatin
Leucovorin Rescue Protocol)
Melphalan ( Alkeran)
Mercaptopurine ( 6-MP)
Methotrexate ( amethopterin)
Mitomycin ( Mutamycin)
Taxotere
Taxol
Usulfan ( Myleran)
Vinblastine ( Velban)
Vincritstine ( Oncovin)

Education And Care Of Patient With Following Effects Of Chemotherapy

Abnormal Lab Values (Neutropenia, Pancytopenia, etc)
Fatigue
Nausea/Vomiting
Anorexia
Constipation/Diarrhea
Mucositis/Stomatitis
Renal or Hepatic Toxicity
Cardiac Toxicity
Alopecia
Dermatitis
Cystitis
Neurotoxicity
Pneumonitis
Fever/Infection
Depression/Anxiety
Neuropathy
Altered skin integrity
Septic Shock

Cardiovascular

Cardiac toxicity
Cardiac tamponade
Cardiac dysrhythmias
Phlebitis
Extravasation
Lymphedema

Respiratory

Atelectasis
Edema
Pneumonia
Pneumonitis
Pulmonary Embolism
Fibrosis

Gu/gi

Anorexia/dehydration
Nausea/Vomiting
Constipation/Diarrhea
Bowel Obstruction
Renal or Hepatic Toxicity
Renal Failure
GI Bleed
Cystitis
Pancreatitis

Hematologic

Anemia
Disseminated Intravascular Coagulation ( DIC)
Hemorrhage
Leukopenia
Thrombocytopenia
Fluid/electrolyte imbalance

Neuro

Neurotoxicity
Ototoxicity
Peripheral Neuropathy

Psychosocial Care

Kubler-Ross stages of grieving
Identify support groups for patients/family
Self-care and coping skills
Goal setting
Advance directives
Quality of life issues
Palliative and Hospice care

Miscellaneous

Manage Cytotoxic Spills
Handle body fluids post chemo

Radiation Therapy

Knowledge of Early, Interim and Late Effects of Radiation
Provide skin care post-radiation
Brachytherapy - Interstitial/Intracavitary
Nonsealed radioactive therapy
Intraoperative radiotherapy (IORT)
External radiotherapy
Total body irradiation (TBI)
Radiation safety precautions

Bone Marrow Transplant

Adult BMT experience
Pediatric BMT experience
Stem cell transplant
Graft rejection
Venoocclusive disease
Graft-versus-Host disease (GVHD)

Skin

Wound debridement
Wet to dry dressing changes
Care of drains and tubes
Stress Fractures
Dermatitis
Alopecia