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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)

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)

SKILLED ENVIRONMENTS

Acute Care/ Hospital
Managed Care
SNF/ Long Term Care
Home Health
Outpatient

GENERAL/EXPERIENCE

Written Communication Skills
Verbal Communication Skills
Basic Negotiation Skills
Job Related Computer Skills
Ability to Prioritize
Ability to Educate through Different Methods (Cognitive, Affective, and Psychomotor)
Possess Strong Leadership Skills
Possess Clinical Knowledge
Ability to Work Effectively in All Situations
Ability to Critically Think and Problem Solve
Up to Date on Clinical Evidenced Based Practices
Monitoring and Evaluation
Theories and Principles of Adult Learning
Ability to Develop and Implement Relevant Nursing Curriculum
Ability to Identify and Manage Educational Opportunities
Ability to Delegate Appropriately
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