RN's Clinical Skills Competency List 2009

							                       Clinical Skills                                                            Skill Level
                       Competency List                                                        1   Independently competent

                                                                                              2   Competent - requiring second opinion for
This clinical skills competency list is used by RAHC's Subject Matter Experts to guide the        findings outside normal limits
selection of appropriate placement options.                                                   3   Have theoretical understanding -
                                                                                                  never applied skill
It is NOT designed to be exclusionary but rather to highlight areas of clinical strength as
well as possible opportunities for professional development.                                  4   Not familiar— require training



Clinical Skill                     Please tick your skill level        Clinical Skill                    Please tick your skill level
Neurological                              1       2     3     4          Emergency                              1      2     3       4
Glasgow Coma Scale                                                   BLS                                                      
Facial nerve assessment                                              ALS                                                      
                                                                         Insertion of LMA                                         
Cardiovascular                            1       2     3     4          Insertion of guedels                                     
Heart sounds assessment                                              Fluid resuscitation                                      
ECG interpretation                                                   Insertion Chest tube                                     
Peripheral perfusion assessment                                      Management of fluid and electrolyte                      
Doppler                                                                      imbalances (e.g. hyperkalemia)
Cadiac monitoring                                                    Rape kit administration and reporting                    
                                                                         Triage Assessment                                        
Respiratory                               1       2     3     4          Paediatric                                               
Chest auscultation                                                   Multiple casualties                                      
Tracheostomy suctioning/mangement                                    Anaphylaxis                                              
Resuscitation                                                        Alcohol withdrawal assessment                            
Administration inhalants                                             Cricothyriodotomy                                        
                                                                         Burns management                                         
Gastrointestinal Assessment               1       2     3     4          Management of Chest Pain                                 
Abdomianl palpation and assessment                                   Emergency ventilation                                    
Nutitional assessment                                                Trauma - Primary and secondary
Nutritional planning                                                 observation                                              
Insertion of a Nasogastric tube                            
                                                                         ENT                                          1        2         3       4
Integumetry                               1       2     3     4          Eye Examination                                                      
Suturing                                                             Ear Examination                                                      
Wound assessment                                                     Audiometry                                                           
Wound management                                           
Management venous ulcers                                             O&G                                          1        2         3       4
Incision and drainage of abscess                                     pap-smear screening                                                  
                                                                         Foetal monitoring                                                    
Musculoskeletal                           1       2     3     4          Doppler use                                                          
Plaster removal                                                      Family planning counselling                                          
Plastering                                                 
Fitting and education                                                Midwifery                                    1        2         3       4
Back slabs/term for stabilising                                      Vaginal Delivery                                                     
Fracture immobilisation                                              APGAR                                                                
Spinal immobilisation                                                Post-natal assessment                                                
Treatment muscular injury (RICE)                                     Antenatal assessment                                                 
X-ray (use and interpretation)                             
                                                                         Paediatric                                   1        2         3       4
Genitourinary                             1       2     3     4          ALS                                                                  
Insertion IDC                                                        Glasgow coma scale                                                   
Male                                                                 Nutritional assessment                                               
Female                                                               Anaemia Diagnosis/ management/
                                                                         prevention
Suprapubic Aspiration                                                                                                                     
STI examination                                                      Reporting child abuse                                                
Female                                                     
Male                                                                 Mental Health                                1        2         3       4
Urine analysis interpretation                                        Alcohol and other Drugs referral                                     
Bladder scan                                                         Mini Mental Exam                                                     

                                                                                                                                   Please turn over...
 Clinical Skill                     Please tick your skill level              Skill Level
Education
                                                                            1   Independently competent
Individual Patient Education                               
Group Education Facilitation                                            2   Competent - requiring second opinion for
                                                                                findings outside normal limits
Medication Administration                                  
Diabetes Management Education                                           3   Have theoretical understanding -
                                                                                never applied skill
Sexual/Reproductive Health Education                       
                                                                            4   Not familiar— require training
Ante/neonatal Education                                    
Child health Education                                     
In-service Education for health
practitioners                                              
Chronic Disease Education                                  

Administrative/Other
On-call                                                    
Writing referral letters                                   
Medical consultation (phone)                               
Medical consultation for retrieval                         
Organising Patient travel                                  
Stock control and ordering                                 
Pharmacy management/ordering                               
Client follow-up referral                                  
Equipment maintenance                                      
Pathology management/storage                               
Use of the CARPA Standard treatment
Manual                                                     
Use of the CARPA procedural Manual                         
Management of cold-chain                                   
Immunisation (Endorsed)                                    



I agree that the above information is a true reflection of my current clinical competencies.

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                                                                                              RAHC Clinical Skills Competency List 2009