Follow the steps to successfully complete your assessment

1. Click the ‘Get Form’ button to acquire the form and launch it in your editing tool.
2. Begin by entering your name in the 'Name of Applicant' field. Make sure to provide your full legal name as it appears on official documents.
3. Indicate your current status by selecting one of the options: RN (Registered Nurse), GN (Graduate Nurse), LPN (Licensed Practical Nurse), or GPN (Graduate Practical Nurse).
4. Answer the question about BCLS (CPR) certification, providing the expiration date if applicable. If you are an instructor, be sure to indicate that.
5. Proceed to the ACLS certification section and respond similarly, including the expiration date if you hold the certification. Indicate if you are an instructor.
6. List any additional professional certifications or memberships in the space provided to showcase your qualifications.
7. Indicate your competence in IV Therapy and check the appropriate box – Yes, No, or IV Certified.
8. Evaluate your competence level with various medical procedures like TPN or blood transfusions. Fill out the scale indicating your ability from 'Able to Use/Do' to 'Unfamiliar With' for each listed item.
9. Respond to whether you have experience with the unit dose system of medication administration, and provide a Yes or No answer.
10. Confirm if you can develop a nursing care plan and formulate nursing diagnoses by selecting Yes or No.
11. Describe your past charting experiences in the relevant field, providing specific types or systems used.
12. Indicate if you have worked with a hospital computer system, selecting Yes or No.
13. Confirm your familiarity with universal precautions by selecting Yes or No.
14. Indicate your proficiency in Basic Cardiac Arrhythmias with a Yes or No response.
15. List the roles you have held in past positions, selecting all that apply from the options provided.
16. Provide a brief description of your responsibilities in your last job to give context to your experience.
17. If applicable, specify any additional learning needs that have not been addressed in the form.
18. Remember to sign and date the form before submission.
19. Once you have completed all sections, save your changes, and choose to download, print, or share the completed form as needed.

Complete your Educational Needs Assessment online today to enhance your nursing orientation experience.