LPN/RN Competency and Skills Checklist - Vision Homecare ... 2026

1. Click ‘Get Form’ to open the LPN/RN Competency and Skills Checklist in the editor.
2. Begin by entering your personal information at the top of the form, including your last name, first name, middle initial, and date.
3. Indicate your years of experience in various medical areas by filling in the appropriate fields for MED/SURG, TELEMETRY, ICU, and others. Use a numerical format for clarity.
4. For each competency listed, check the column that best describes your experience level using the provided rating scale (1 = Limited/No Experience to 3 = Competent).
5. In the 'Additional Information' section, list any other relevant skills or experiences not covered in the checklist.
6. Complete the licenses and certifications section by providing details about your state license and any relevant certifications.
7. Finally, review all entries for accuracy before signing and dating the form at the bottom.

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