Oncology Checklist


Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  RADIATION THERAPY         Rating Stars (Click) 1 2 3 4
  Skin Assessment  
  Total Body Irradiation  
  Side Effect Management  
  External Radiotherapy  
  Brachytherapy  
  Radiation Safety Precautions  
  Intraoperative Radiatio  
  ONCOLOGY PATIENT CARE:         Rating Stars (Click) 1 2 3 4
  Renal Failure  
  Fever  
  Pneumonia  
  Cqrdiac Arrhymias  
  Hypercalcemia  
  Hyperkalemia  
  Pancreatitis  
  Pulmonary Embolism  
  Bowel Obstruction  
  Diabetes  
  VASCULAR DEVICES:         Rating Stars (Click) 1 2 3 4
  Flush Catheter  
  Punctured Catheter  
  Chemo Port  
  Omega-Port  
  S.E.A. Port  
  Port-A-Cath  
  Opti-Port  
  PICC Lines  
  Obtain Blood Specimens  
  Line Insertion Assistance  
  De-Clotting Ports  
  CARE OF PATIENTS WITH:         Rating Stars (Click) 1 2 3 4
  Foley Catheter Irrigations  
  CVP Line Insertion  
  Jejunostomy Tubes  
  Wound Care  
  Colostomy Care  
  TURP  
  Reverse Isolation  
  Liver Biopsy  
  Platelet Precautions  
  CARDIOVASCULAR         Rating Stars (Click) 1 2 3 4
  Hyperalimentation  
  Peripheral Blood Stem Cells  
  IV Fluid Hydration  
  Venoclusive Disease  
  Fresh Frozen Plasma  
  Infections  
  Pneumonitis  
  Graft Rejection  
  PSYCHO & SOCIAL CARE:         Rating Stars (Click) 1 2 3 4
  Palliative Care  
  Hospice Care  
  Family Support  
  Counseling/Death/Dying  
  Identifying Support Groups  
  Advance Directives  
  Identifying Resources  
  Health Care Proxy  
  PHARMACOLOGY         Rating Stars (Click) 1 2 3 4
  Floxuridine/FUDR  
  Doxorubicin/Adrianycin  
  Heparin/Coumadin  
  Carmustine/BiCNU  
  Dopamine  
  Cistplatin  
  Mitonycin/Mutanycin  
  Dilantin  
  ONCOLOGY & GENERAL CARE:         Rating Stars (Click) 1 2 3 4
  Thrombocytopenia  
  Stomatitis  
  Hemorrhabe  
  Oncology PCU  
  Neuropathy  
  Bone Marrow Transplant  
  Death /Dying  
  Venous Access Devices  
  Electrolyte Imbalance  
  Palliative/Hospice Care  
  Age Specific Competencies         Rating Stars (Click) 1 2 3 4
  Infant (Birth - 1 year)  
  Preschooler (ages 2-5 years)  
  Childhood (ages 6-12 years)  
  Adolescents (ages 13-21 years)  
  Young Adults (ages 22-39 years)  
  Adults (ages 40-64 years)  
  Older Adults (ages 65-79 years)  
  Elderly (ages 80+ years)