Pardon my ignorance,but I was on another thread and someone mentioned suctioning a trach was a task,rather than a nursing skill. I have never heard of that before. At my job,suctioning a trach is known as a skill,and I have placed that on my resume as skill. Another thing I would like to know... Is it possible for an experienced nurse to be behind on skill level? Let me give an example. Say an Rn has 10 years of experience but does not know how to start an IV infusion or push IV meds. Would he/she be considered lacking in skills if applying for acute care?