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COMPETENCY ASSESSMENT CHECKLIST Adult Immunization Administration - vaccines 2026
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- Click ‘Get Form’ to open the COMPETENCY ASSESSMENT CHECKLIST in the editor.
- Begin by entering the facility name, position title, trainee name, assessment start date, and completion date in the designated fields at the top of the form.
- Proceed to each competency section. For each skill listed, assess your experience level using the self-assessment scale (1=Experienced, 2=Needs Practice/Assistance, 3=Never Done).
- In the 'Orientation' column, have your preceptor date and initial next to each competency as you complete your training.
- For validation of competency, document evaluation methods used (e.g., written test or demonstration) along with dates and initials in the respective columns.
- Utilize comment sections for any additional notes or observations relevant to each competency area.
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