Staff Competency Checklist

DRAFT

Staff Competency Checklist

Purpose: These are the standards of the technical competencies

necessary for performance and/or clinical practice.

______

Employee Name Job Title

Standard Emergency
Code Revisions / Date / Method Used / Supervisor’s
Initials / Comments
Identifies specific Emergency Codes correctly
Demonstrates the appropriate job duties for specific Emergency Codes
Demonstrates the correct procedure for alerting specific Emergency Codes
Differentiates new Emergency Codes utilized in hospital safety and security system
Communicates the appropriate information with co-workers, patients, family members, and/or visitors.
?? TBD ??

Signature Initials Signature Initials

Employee Signature Date