SKILLS CHECKLIST
 

Home Healthcare Skills Checklist

   

The following checklist is used to assess your experience and skills and help your Nurse Advisor place you in the proper assignment. Please provide a self-assessment of your skills using the following guidelines.

1 No experience
2 Require training
3 Have performed this task and able to perform without supervision
4 Most experienced and able to perform independently
5 Able to teach and supervise
Skills Checklist are available for registered candidates.
 

Cardiac

1 2 3 4 5
Apical Pulse Rate Rhythm
Assessment Skills
Cardiac Arrest
CPR
Holter Monitor
Diuretics
Pacemaker
Care of Patient With 1 2 3 4 5
Acute MI
Aneurysm
CHF
Fluid Retention
Hypertension
Pre/Post Cardiac Surgery
Use and Administration of the Following: 1 2 3 4 5

Antihypertensive Meds

Cardizem
Coumadin
Digoxin
Diuretics
Inderal
Lasix
Potassium Supplements

Gastrointestinal

1 2 3 4 5

Colostomy Care

Dehiscence
G.I. Bleed
Gastrostomy Tube
NG Tube
T-Tube
Tube Feedings

Genitourinary/Renal

1 2 3 4 5
Foley Catheter Insertion
GU Irrigations
Ileostomy
Nephrostomy Tube
Suprapubic Catheter

Care of Patient With

1 2 3 4 5
Incontinence
Shunts and Fistulas
Straight Catheterization

Gynecology

1 2 3 4 5
Endometriosis
Hysterectomy
Mastectomy

Self Breast Exam

Maternal-Child Care

1 2 3 4 5

Assessment and Care of Complicated Pregnancy

Healthy Baby
Home Care of Postpartum Mother

Neonate Care

1 2 3 4 5
Collect Cord Blood Samples
Eye Prophylaxis
Suction

Newborn Care

1 2 3 4 5
Administer Blood and Blood Products
Cord and Circumcision Care
Draw Blood from U-line
Neonatal Level I
Neonatal Level II
Neonatal Level III
NG Feedings
Phototherapy
Suction with Catheter

Use of Equipment

1 2 3 4 5
Apnea Monitors
Cardiac Monitors
Oxyhood
Ventilators

Neurology

1 2 3 4 5
Assessment of Neuro Signs
Seizure Precautions
Traction

Care of Patient With

1 2 3 4 5

Neuro Trauma

Overdose
Seizure Activity
Stroke (CVA)
Trauma Spinal Cord Injury

Use and Administration of the Following:

1 2 3 4 5
Decadron
Dilantin
Phenobarbital
Valium
 

Orthopedic

1 2 3 4 5
Arthroscopy/Arthrotomy
Assistive Devices
Bucks Extension
Crutch Walking
Total Hip Replacement
Total Knee Replacement

Care of Patient With

1 2 3 4 5
Amputation
Skeletal Traction
Trauma

Pediatrics

1 2 3 4 5
Apnea Monitor
Assist with Lumbar Puncture
Calculation of Pedi Dosages
Cardiac Monitor
CPR ? Infant/Child
Preparation of Emergency Drugs
Scalp Veins
Starting IV Therapy
Tracheostomy Care and Suctioning
Use of Croup Tent
Use of Oxygen
Use of Ventilators

Care of Patient With

1 2 3 4 5
Asthma
Bone Marrow Transplant
Broncho-Pulmonary Dysplasia
Cardiac Surgery
CHF
Cystic Fibrosis
Diabetes Mellitus
Epiglottis
Failure to Thrive
Leukemia
Meningitis

Near Drowning

Overdose/Poison Ingestion
PDA Ligation

Post Harrington Rod Insertion

RDS
Reye?s Syndrome
Sickle Cell Disease
Spina Bifida
Tracheoesophageal

Respiratory

1 2 3 4 5
Assessment/Auscultation of Lung Sounds
Care of Home Ventilator Patients
Establishing an Airway
Home Administration of O2 via:
    Nasal Cannula
    Face Mask
Identifying Rales, Rhonchi
Principals of Chest Percussion
Ultrasonic Nebulizer

Care of Patient With

1 2 3 4 5
COPD
Lung Cancer
Pulmonary Emboli
Tracheostomy

Use and Administration of the Following:

1 2 3 4 5
Aminophylline
Brethine
Bronkosol

Skin

1 2 3 4 5
Assessment Skills
Decubitus Care
Irrigation of Wounds
Patient Teaching Skills of Wound Care
Wound Care (Aseptic)
Wound Care (Sterile)

Vascular

1 2 3 4 5
Administration of Blood & Blood Products
Assessment of Vascular System
Dialysis
Fluid Overload
Heparin Locks
Hickman/Broviac Catheters
Infusion Pumps
Knowledge of Normal Serum Lab Values
Obtaining Venous Blood Samples
Peripheral Pulses
Port-a-caths
Starting IV?s
TPN/Hyperalimentation
Use and Administration of the Following: 1 2 3 4 5
Heparin
I.V Infusions

Other

1 2 3 4 5
Burn Patients
Chemotherapy
Documentation of Skilled Care
Isolation Techniques
Medicare 485/486 Forms
Oncology

Use and Administration of the Following:

1 2 3 4 5
Diabetic Teaching
Glucome ters
Insulins
 

 

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