RN SNF


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 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/AID’s

Cardiac arrest/CPR

Hypertension

Pre/post MI

CHF

Post cardiac surgery

Fluid & electrolyte imbalances

Medication Administration

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

Care of Patient with

Pneumonia

Asthma

COPD

Emphysema

Use & Administration of

Bronchodilators

Expectorants

Corticosteroids

NEUROLOGY

Assessment of neuro signs

Seizure precautions

Care of Patient with

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)

Use & Administration of

Antiseizure medications

Antiemetics

Laxatives

Enemas

Bowel prep

GASTROINTESTINAL

Foley catheter insertion/removal

GU irrigations

Nephrostomy tube

Suprapubic catheter

Ileo conduit

Use of bladder scan equipment

Care of Patient with

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

Care of Patient with

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

Newborn/neonate (birth-30 days)

Infant (31 days-1 year)

Toddler (2-3 years)

Preschool (ages 4-5 years)

School age (ages 6-12 years)

Adolescents (ages 13-21 years)

Young adult (ages 22-39 years)

Adults (ages 40-64 years)

Older adult (ages 65-79 years)

Elderly (ages 80+ years)