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Skilled Nursing

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

General Skills

Advanced Directives *

Awareness of HCAHPS *

Patient/Family Teaching *

Discharge Planning *

UR/Medicare Review *

Lift/Transfer Devices *

Specialty Beds *

Restrictive Devices (Restraints) *

End of Life Care/Palliative Care *

Automated Medication Dispensing System (Pyxis, Omnicell, or other) *

National Patient Safety Goals *

Accurate Patient Identification *

Effective Communication *

Awareness of Patient Rights *

Interpretation & Communication of Lab Values *

Medication Administration *

Labeling (Medications & Specimens) *

Medication Reconciliation *

Anticoagulation Therapy *

Pain Assessment & Management *

Infection Control *

Universal Precautions *

Isolation *

Minimize Risk for Falls *

Prevention of Pressure Ulcers *

Cardiac

Assessment of Heart Sounds *

Identification of Arrhythmias (Rate/Rhythm) *

Pacemakers/AIDs *

Cardiac Arrest/CPR *

Hypertension *

Pre/Post MI *

CHF *

Post Cardiac Surgery *

Fluid & Electrolyte Imbalances *

Anticoagulants *

Antiarrhythmics *

Beta Blockers *

Nitroglycerin *

Diuretics *

Respiratory

Assessment/Auscultation of Lung Sounds *

Establishing an Airway *

Chest PT *

Incentive Spirometry *

Supplemental Oxygen (Cannula, Facemask) *

Tracheostomy Care *

Suctioning (Tracheostomy & Nasotracheal) *

Nebulizer Use *

Pneumonia *

Asthma *

COPD *

Emphysema *

Bronchodilators *

Expectorants *

Corticosteroids *

Neurology

Assessment of Neuro Signs *

Volume Status *

TBI (Traumatic Brain Injury: History of) *

Seizure Activity *

Spinal Cord Injury *

Stroke (CVA) *

Multiple Sclerosis *

Alzheimer's Disease *

Parkinson's Disease *

ALS (Amyotrophic Lateral Sclerosis) *

Antiseizure Medications *

Antiemetics *

Laxatives *

Enemas *

Bowel Prep *

Gastrointestinal

NG Tube (Insertion/Removal) *

Long Term Feeding Tubes (Dobhoff/Keofeed) *

Gastrostomy Tube *

Tube Feedings *

Monitoring Input/Output *

Colostomy/Ileostomy *

GI Bleed *

Feeding Devices/Adaptive Equipment *

Dietary Restrictions *

GT/PEG Feedings *

Antiemetics *

Laxatives *

Enemas *

Bowel Prep *

Foley Catheter Insertion/Removal *

GU Irrigations *

Nephrostomy Tube *

Suprapubic Catheter *

Ileo Conduit *

Use of Bladder Scan Equipment *

Shunts and Fistulas *

Straight Catheterizations *

Incontinence/Bladder Training *

Chronic Renal Failure/Dialysis *

Peritoneal Dialysis *

Orthopedic

Total Joint Replacement *

Arthroscopic Surgery *

Cast Care *

Pulse/CMS Checks *

Suture/Staple Removal *

Prosthesis Application *

Standard Extremity Braces *

Amputation *

Stump Wrapping *

Laminectomy *

Assistive Devices *

CPM Machines *

IV Therapy

Start & Maintain IVs *

Blood Draw: Venous *

Central Line Care (PICC) *

Blood Draw: Central Line PICC *

Care & Management of Ports *

Infusion Pumps *

Administration of Blood/Blood Products *

Skin

Wound Care/Surgical *

Wound Care/Medical *

Dressing Changes *

Skin Assessment *

Wound Vac *

Age Specific Competencies

Infant (Birth - 1 year) *

Preschooler (Ages 2-5 years) *

Childhood (Ages 6-12 years) *

Adolescents (Ages 13-21 years) *

Young Adults (Ages 22-39 years) *

Adults (Ages 40-64 years) *

Older Adults (Ages 65-79 years) *

Elderly (Ages 80+ years) *

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