| CRITICAL
CARE SKILLS
CHECKLIST
This
profile is for use by Critical Care nurses with more than one year experience in their
discipline and specialty. It
will not be a determining factor for the
Advantage RN program.
Please enter your full legal name as it appears on your Social Security Card.
First
Name: Last
Name: email:
Please
check the
boxes below
for each
age group
for which
you have
provided
age appropriate
nursing care:
My
experience is primarily
in: (please indicate number
of
years)
Please indicate your
level of
experience:
A.
Theory, no practice
B.
Intermittent C.
One- Two
Years Current
Experience
D.
Two
plus years
experience, can function
independently
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