Healthcare Staffing|Travel Nursing - Quality Care Nursing

Quality Care Nursing
Age Specific Practice Criteria
This checklist must be completed by all nursing personnel in addition to the checklist specific to your area of practice.

A. NEWBORN/NEONATE (BIRTH - 3O DAYS)
B. INFANT (30 DAYS - 1 YEAR)
C. TODDLER (1 -3 YEARS)
D. PRESCHOOLER (3 - 5 YEARS)
E. SCHOOL AGE CHILDREN (5 - 12 YEARS)
F. ADOLESCENTS (12 - 18 YEARS)
G. YOUNG ADULTS (18 - 39 YEARS)
H. MIDDLE ADULTS (39 - 64 YEARS)
I. OLDER ADULTS (64+)

Please check the boxes below for each age group you have expertise in providing age-appropriate nursing care.

* Required fields
Name *
E-mail Address *
Able to adapt care to incorporate normal growth and development
Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level
Can ensure a safe environment reflecting specific needs of various age groups
*Explain the age group you have expertise in providing nursing care to. Complete this ONLY if you answered "other" to any of the statements above
	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 authorize Quality Care Nursing to release this Skills Checklist to their client facilities in relation to consideratin of employment as a contrac nurse with those facilities.
Electronic Signature *
I have read and agree to the Privacy Policy *

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