My responses in this checklist represent a true reflection of my experience and
comfort level. Please self-rate your comfort level in performing tasks in connection
with the below checklist. Rate your level of comfort for each line item by following
the below ranking system. Simply fill in the appropriate option immediately following
the rating number.
* Typed Name (typing your name below serves as an electronic signature)
1=Inexperienced in this area
2=Limited comfort/experience in this area
3=Comfortable/experienced in this area
4=Very comfortable/highly experienced in this area
Nightingale is certified by The Joint Commission and has earned its Gold Seal of Approval.