Infection Preventionist Self-Assessment

Name*
Date
LEVELS OF PROFICIENCY

0 - No Experience | 1 - Some Experience: require assistance / supervision | 2 - Experienced: minimal support needed to perform | 3 - Very Experienced: can perform independently

PLEASE CHECK THE APPROPRIATE COLUMN THAT MOST ACCURATELY REFLECTS YOUR LEVEL OF EXPERIENCE:
ICP Skills
ICP Skills
Patient Population Experience
- Pediatric
- Adult
- Geriatric
Other Surveillance Software:
By clicking 'Submit', you acknowledge that the information provided is true and accurate to the best of your knowledge and further authorize Galileo Search, LLC. to share the above skills checklist with their clients/potential employees.