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Travel Nursing Skills Checklists

Congratulations on your decision to apply for a travel nursing position with American Mobile! Before we can offer you a nursing employment opportunity, an electronic skills assessment must be completed. From the nursing skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!


Informatics Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
 
1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others
 
SETTINGS (Enter number of years experience)
 
Yrs. EMR Super User
 
Yrs. EMR Trainer
 
Yrs. Computer Charting Expert
 
Yrs: Other:Specify 
 
Cerner
1 2 3 4
 
Configuration
 
Trainer - Implementation/Conversion
 
Trainer - Ongoing Program
 
Super User
 
Implementation/Conversion
 
Computerized Provider Order Entry (CPOE)
 
Nursing Assessment
 
Nursing Documentation
 
Labs and Radiology
 
MAR
 
Bar Coded Medication Administration
 
Eclipsys
1 2 3 4
 
Configuration
 
Trainer - Implementation/Conversion
 
Trainer - Ongoing Program
 
Super User
 
Implementation/Conversion
 
Computerized Provider Order Entry (CPOE)
 
Nursing Assessment
 
Nursing Documentation
 
Labs and Radiology
 
MAR
 
Bar Coded Medication Administration
 
Epic
1 2 3 4
 
Configuration
 
Trainer - Implementation/Conversion
 
Trainer - Ongoing Program
 
Super User
 
Implementation/Conversion
 
Computerized Provider Order Entry (CPOE)
 
Nursing Assessment
 
Nursing Documentation
 
Labs and Radiology
 
MAR
 
Bar Coded Medication Administration
 
GE/IDX
1 2 3 4
 
Configuration
 
Trainer - Implementation/Conversion
 
Trainer - Ongoing Program
 
Super User
 
Implementation/Conversion
 
Computerized Provider Order Entry (CPOE)
 
Nursing Assessment
 
Nursing Documentation
 
Labs and Radiology
 
MAR
 
Bar Coded Medication Administration
 
McKesson
1 2 3 4
 
Configuration
 
Trainer - Implementation/Conversion
 
Trainer - Ongoing Program
 
Super User
 
Implementation/Conversion
 
Computerized Provider Order Entry (CPOE)
 
Nursing Assessment
 
Nursing Documentation
 
Labs and Radiology
 
MAR
 
Bar Coded Medication Administration
 
Meditech
1 2 3 4
 
Configuration
 
Trainer - Implementation/Conversion
 
Trainer - Ongoing Program
 
Super User
 
Implementation/Conversion
 
Computerized Provider Order Entry (CPOE)
 
Nursing Assessment
 
Nursing Documentation
 
Labs and Radiology
 
MAR
 
Bar Coded Medication Administration
 
OTHER SYSTEM
1 2 3 4
 
Specify System Name:
 
Configuration
 
Trainer - Implementation/Conversion
 
Trainer - Ongoing Program
 
Super User
 
Implementation/Conversion
 
Computerized Provider Order Entry (CPOE)
 
Nursing Assessment
 
Nursing Documentation
 
Labs and Radiology
 
MAR
 
Bar Coded Medication Administration
 
OTHER SYSTEM
1 2 3 4
 
Specify System Name:
 
Configuration
 
Trainer - Implementation/Conversion
 
Trainer - Ongoing Program
 
Super User
 
Implementation/Conversion
 
Computerized Provider Order Entry (CPOE)
 
Nursing Assessment
 
Nursing Documentation
 
Labs and Radiology
 
MAR
 
Bar Coded Medication Administration
 
CERTIFICATIONS/LICENSURES/REGISTRATIONS(Current at time of completing this form)
 
Certification in Informatics
 
Certification in Informatics
Small calendar
Date Acquired: 
 
Certification in Informatics
Small calendar
Exp. Date: 
 
Degree in Informatics
 
Degree Type (e.g. MS, MSN, DNS, PhD)
 
Degree Emphasis (e.g. Informatics, Education)
 
BLS
 
ACLS
 
PALS
 
Other: Specify
Informatics Skills Checklist, version 4

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. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

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