Follow the steps to complete your skills checklist effectively.

1. Press the ‘Get Form’ button to access the checklist. This will allow you to obtain the form and open it in an editor for completion.
2. Begin filling in your personal details at the top of the form. Enter your last name, first name, and middle initial, followed by the date of completion.
3. Indicate your years of experience in various nursing specialties. Carefully fill out each section, including Med/Surg, Telemetry, ICU, and additional areas as required.
4. For each competency and skill listed, assess your experience level over the past two years. Use the provided rating scale (1 for limited/no experience, 2 for infrequent/minimal experience, and 3 for competent) to evaluate yourself honestly.
5. If applicable, list any additional skills or experience that are not included in the checklist in the designated area provided toward the end of the form.
6. Complete the licenses and certifications section. Provide all necessary details, including state, name, number, and expiration date.
7. Review the entire checklist to ensure that all information is accurate and complete before you submit.
8. Finally, sign and date the checklist to confirm the information is true and authorize the release of this Skills Checklist to client institutions.
9. Once finished, save your changes, and choose to download, print, or share the form as needed.

Complete your LPN/RN Competency and Skills Checklist online today.