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Skills Checklists

Congratulations on your decision to apply for an allied position with ClubStaffing! Before we can offer you an allied employment opportunity, an electronic skills assessment must be completed. From the 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!

ClubStaffing
5901 Broken Sound Pkwy.
Suite 450
Boca Raton, Florida 33487
Fax: (561) 367-0884


Medical Assistant 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*
Last 4 of Social Security Number*
- -
E-Mail Address* Phone Number*
or
 
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
 
WORK SETTINGS
1 2 3 4
 
Office/Clinic Adult
 
Office/Clinic Pediatrics
 
Office/Clinic Specialty
 
Other: Specify
 
Other: Specify
 
Other: Specify
 
Vital Signs
1 2 3 4
 
Height/Weight
 
Vital Signs - B/P, Temp/ Pulse
 
Snellen Eye Exam
 
Audiometry
 
12 Lead ECG
 
Prepare for Exam
1 2 3 4
 
Record History/Medications
 
Positioning/Draping
 
Set up and Assist with Procedures
1 2 3 4
 
Biopsy
 
Burn Care
 
Casting
 
Dressing Change
 
Nebulizer Treatments
 
Pap Smear
 
Splinting
 
Stitches
 
Injections
1 2 3 4
 
Immunization Records
 
Intramuscular
 
Subcutaneous
 
Intradermal
 
Specimen Collection
1 2 3 4
 
Urine - UA/Clean Catch
 
Venipuncture
 
Capillary
 
Throat
 
Sputum
 
Vaginal
 
Stool
 
Wound
 
Laboratory Tests
1 2 3 4
 
H&H
 
Blood Glucose via Glucometer
 
HbA1c
 
Urinalysis
 
Pregnancy
 
Strep
 
Office Duties
1 2 3 4
 
Computerized Scheduling
 
Computerized Charting
 
Telephone Triage
 
Scheduling
 
Authorization Forms
 
Insurance Verification
 
Coding
 
Transcription
 
CERTIFICATIONS/LICENSURES/REGISTRATIONS
 
Certification 
Small calendar
Date: 
 
Certification 
Small calendar
Date: 
 
Certification 
Small calendar
Date: 
Medical Assistant Skills Checklist, version 2

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.

© 2018 AMN Healthcare, Inc. All rights reserved. Reproduction and distribution of these materials is prohibited without the expressed written authorization of AMN Healthcare, Inc.