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Hudson Staffing Travel Nurses| Oncology Online Checklist
Oncology Online Checklist

Thank you for your decision to apply for a travel nursing position with Hudson Staffing! Before we can offer you a nursing employment opportunity in the Oncology field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.

GENERAL INFORMATION        
Note: * Denotes a required field.
Please enter your full name as it appears on your Social Security Card:

First Name
 
Middle Name
 
Last Name
 *


Please enter the Last Four digits of your Social Security Number:

 -   -   *       Please check here if you do not hold a valid social security card.


Please provide your contact information:

Phone Number
 *
E-mail Address
 *
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Type your e-mail address again above.
       
This profile is for use by healthcare professionals in the Oncology discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS        
Please mark your level of experience

     1. No theory and/or experience
     2. Limited experience/need supervision and/or support
     3. Experienced/minimal support needed to perform
     4. Proficient/can perform independently

MEDICATIONS / IV THERAPY 1 2 3 4
     Administer PO Medications
     Administer IM / SQ Medications
     Administer IV Medications
     Needle-less Systems
     Infusion Pumps
     Establish Peripheral IVs
     Discontinue Peripheral IVs
     Pain Assessment / Management
     Draw Blood for Lab Studies
     Admin Blood / Blood Products
     Central Venous Lines (CVL)
     Hickman / Broviac Catheters
     PCA / CADD
     Port-A-Cath
     Infusaid
     Infuse-A-Port
CARE OF ONCOLOGICAL PATIENT 1 2 3 4
     Head, Neck, Chest
     Hematologic System
     Gastrointestinal Tract
     Reproductive System
     Skin (Melanomas / Nonmelanomas)
     Urinary Tract
EMERGENCIES 1 2 3 4
     Cardiac Tamponade
     Dissesminated Intravascular Coagulation
     Hypercalcemia
     Organ Obstruction
     Sepsis
     Spinal Cord Compression
     Superior Vena Cavae Syndrome
     Tumor Lysis Syndrome
FAMILY / PSYCHOSOCIAL NEEDS 1 2 3 4
     Patient / Family Education
     Advance Directives
     Acute Phase
     Chronic Phase
     Terminal Phase
     Bereavement Phase
     After Treatment (Survivorship)
ANTINEOPLASTIC AGENTS 1 2 3 4
     Bleomycin
     Dactinomycin (Actinomycin)
     Daunorubicin (DaunoXome)
     Doxorubicin (Adriamycin)
ROUTS OF ADMINISTRATION 1 2 3 4
     Oral / SQ / IM
     Oral / SQ / IM
     Intraarterial
     Intrathecal / Intraventricular
     Intraperitoneal (Tenckhoff Catheter)
     Intrapleural
     Intravesicular
ALKYLATING AGENTS 1 2 3 4
     Bulsulfan (Myleran)
     Chlorambucil (Leukeran)
     Cisplatin (Platinol)
     Cyclophosphamide (Cytoxan)
     Mechlorethamine (Mustargen)
ANTIMETABOLITES 1 2 3 4
     Cytarabine (Ara-C)
     Fluorouracil (5-FU)
     Mercaptopurine (6-MP)
     Methotrexate
     Leucovorin Rescue Protocol
ANTINEOPLASTIC ANTIBIOTICS 1 2 3 4
     Bleomycin
     Dactinomycin (Actinomycin)
     Daunorubicin (DaunoXome)
     Doxorubicin (Adriamycin)
     Plant Alkaloids
     Paclitaxel (Taxol)
     Vinblastine (Velban)
     Vincristine (Oncovin)
HORMONAL ANTINEOPLASTICS 1 2 3 4
     Leuprolide (Lupron)
     Megestrol (Megace)
     Tamoxifen (Nolvadex)
     Testolactone (Teslac)
STAFF MINIMIZE RISK OF EXPOSURE 1 2 3 4
     During Preparation
     During Administration
     During Disposal
CLASSIFICATION OF NEOPLASMS 1 2 3 4
     Staging - TNM System
     Tissue of Origin
     Biologic Behavior
     Degree of Cell Differentiation
RADIATION THERAPY (RT) 1 2 3 4
     Electromagnetic (Xrays, Gamma Rays)
     Particulate (Alpha, Beta)
     External Beam Therapy
     Knowledge of Early Effects of RT
     Knowledge of Interim. Effects of RT
BRACHYTHERAPY (SEALED SOURCES) 1 2 3 4
     Interstitial Radiation Therapy
     Intracavitary Radiation Therapy
RADIOPHARMACEUTICAL (UNSEALED SOURCES) 1 2 3 4
     Tracer Dose
     Therapeutic Dose
SURGICAL INTERVENTION 1 2 3 4
     Curative Surgery
     Diagnostic Surgery
     Mechanical Device Insertion
     Palliative Surgery
     Prophylactic Surgery
     Reconstructive Surgery
     Rehabilitative Surgery
     Bone Marrow Transplant - Allogenic
     Bone Marrow Transplant - Syngenic
ONCOLOGY HEALTH CARE SETTINGS 1 2 3 4
     Adult
     Pediatrics
     Cancer Center
     Radiation Oncology
     Surgical Oncology
     Bone Marrow Unit
     Research / Clinical Trials
     Subacute / Skilled Nursing
     Home Health Care
     Hospice
     Clinic - Risk Assess / Screening / Diagnosis
     Clinic - Surgery / Gyn
     Clinic - Medical / Hematology
     Clinic - Immunology / Infectious
RECOGNITION & MANAGEMENT OF 1 2 3 4
     Anxiety / Depression
     Metabolic Alterations
     Hypersensitivity
     Fatigue
HEMATOPOIETIC 1 2 3 4
     Anemia
     Leukopenia
     Thrombocytopenia
GASTROINTESTINAL 1 2 3 4
     Anorexia / Dehydration
     Nausea / Vomiting
     Constipation / Diarrhea
     Muscositis / Ulceration
     Hepatic Toxicity
     Integumentary
     Alopecia
     Dermatitis
     Hyperpigmentation
     Genitourinary
     Cystitis
     Renal Toxicity
CARDIOVASCULAR 1 2 3 4
     Cardiac Toxicity
     Phlebitis
     Extravasation
NEUROLOGIC 1 2 3 4
     Neurotoxicity
     Ototoxicity
     Metabolic Encephalopathy
     Peripheral Neuropathy
PULMONARY 1 2 3 4
     Fibrosis
     Pneumonitis
     Edema
REPRODUCTIVE 1 2 3 4
     Infertility
     Changes in Libido
     Erectile Dysfunction
NUTRITION 1 2 3 4
     Assess Nutritional Status
     Assess / Manage Nutritional Impairment
     Interpretation of Lab Values
     Oral Feedings
     Enteral Tube Feeding
     Peripheral Parenteral Nutrition (PPN)
     Central TPN
Please read and agree to the statements below by marking the checkbox. You will not be able to submit until you have marked the checkbox.

* I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Oncology Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.




Privacy Note: Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (44.192.65.228) which will be used as a digital signature.



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Hudson Staffing
Phone: 1(866)256-8773
E-mail: info@hudsonstaffing.net

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