Hospice


 
This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:

  • 1 . No Experience

  • 2 . Need Training

  • 3 . Able to perform with supervision

  • 4 . Able to perform independently

GENERAL NURSING

Admit and Initial Assessment

Supervise Unlicensed Personnel

Vital Sign Monitoring

Pulse Oximetry

Assessment of Breathing Patterns

Oropharyngeal Suctioning

Tracheostomy Suctioning

Incentive Spirometry

Admin/Monitor O2 Administration

Care of Trach Patient

Care of Diabetic Patient

Urine Dipstick

Blood Glucose Monitoring

Care of the Dialysis Patient

Care of Shunts and Fistulas

Insertion/Maintain Foley Catheter

Application/Maintain Condom Catheter

Maintain Urostomy

Maintain Suprapubic Catheter

Wound Care/Debridement

Dressing Changes

Wounds Drains (JP/Hemovac)

Positioning/Transferring

Restraints

Crutch Walking/Wheelchairs

Specialized Bed (Clinitron, etc.)

Standard Precautions

Isolation Techniques

Advance Directives

Port-A-Catheter

Temp Repair Tom/Puncture Catheters

Declot Occluded Ports or Catheters

Documentation

Computerized Documentation

MEDICATIONS / IV THERAPY

Follow Protocols

Patient Teaching

Checking Dosage

Evaluate Pertinent Lab Data

ROUTES OF ADMINISTRATION

Administer Oral Medications

Administer Topical Medications

Administer Ophthalmic/Otic Meds

Administer Rectal/Vaginal Meds

Administer IM/SQ Medicationsp

Administer IVPB Medications

Administer Continuous Infusion

Needle-Less Systems

Infusion Pumps

Draw Blood for Lab Studies

VENOUS ACCESS DEVICES

Establish Peripheral IVs

Hep Lock/Saline Lock

Discontinue Peripheral IVs

Central Venous Lines (CVL)

Hickman/Broviac Catheters

Quinton Catheter

Groshong

Patient Teaching

Dressing Changes/Routine Care

Obtain Blood Specimens from Catheter

Perip. Inserted Central Catheter (PICC)

Insertion of PICC

ADMINISTER BLOOD / BLOOD PRODUCTS

Packed Red Blood Cells

Platelet Concentrates

Fresh Frozen Plasma

Cryoprecipitate

ALTERED PROTECTIVE MECH

Reverse Isolation

AIDS Patient

Neutropenia

Thrombocytopenia

Altered Skin Integrity

Neuropathy

Altered Mental Status

Stomatitis

NUTRITION

Assess Nutritional Status

Assess/Manage Nutritional Impairment

Interpretation of Lab Values

Oral Feedings

Enteral Tube Feeding

Tube Feeding Assessment (residual, etc)

Peripheral Parenteral Nutrition (PPN)

Central TPN

G-Tube

J-Tube

GJ-Tube

Flex. Feeding Tube Insertion (Dobhoff)

NG Tube Insertion

Enterostomy/Ostomy Care

Colostomy Irrigation and PT Teaching

CARE OF PATIENTS WITH ACUTE/CHRONIC PAIN

Continuous Narcotic Infusion (KUB)

IV Push Narcotic Agents

Continuous Epidural Medications

Oral Medications

Transdermal Agents

PCA Pumps

Alternative Therapies

Non-Pharmacologic Strategies

Pain Management TENS Units

EMERGENCIES

Cardiopulmonary Arrest

Fever/Sepsis

Seizures

Hemorrhage

Hypercalcemia

Hypo/Hyperkalemia

Hypomagnesemia

Organ Obstruction

Diabetic Ketoacidosis

FAMILY/PSYCHOLOGICAL NEEDS

Patient/Family Education

Advance Directives

Resources for PT/Family

PT Teaching Self-Care

PT Teaching Coping Skills

Assist with Goal Setting

Quality of Life Issues

Ethical Decision Making

Death and Dying Counseling

Hospice Care

Stages of Grieving

After Treatment (Survivorship)

Family Education re: Cancer Screening

JOINT COMMISSION

National Safety Goals

"Do Not Use" Abbreviations and Terms