Call us today! 773-661-6050

Nurse Skills Checklist

NURSE - HOME HEALTH SKILLS CHECKLIST

The following checklist is used to access your experience and skills in order to assist us in placing you in a successfuly assignment. Please provide an accurate self-assesment of your skills within the past 2 years using the following guidelines.

Frequency (Within past 2 years)

  1. Never Done or Observed Only
  2. Rarely Done (less than 6 times/year)
  3. Occasionally Done (1-2 times/month)
  4. Frequently Done (daily or weekly)

Experience (Within past 2 years)

  1. No Experience
  2. Limited Experience
  3. Experienced
  4. Highly Skilled
Title Frequency Experience
1 2 3 4 1 2 3 4
CARDIOVASCULAR Assessment
Apical Pulse Rate Rhythm
Cardiac Auscultation (Rate, Rhythm)
Clinical Identification of Arrhythmias
Fluid Overload
Lab Interpretation
PT/PTT/INR
Serum Electrolytes
Care of Patients With
Hypertension
Congestive Heart Failure (CHF)
Acute MI
Post Cardiac Surgery
Post Vascular Surgery
Medical Administration
ACE Inhibitors
Anti-arrhythmic
Antibiotics
Beta Blockers
Anlihypertensives
Calcium Channel Blockers
Diuretics
Digoxin
Oral and lopical nitrares
Narcotics
Potassium Supplementals
Statin Medications
Equipment & Procedures
Holter Monitor
Pacemaker AID
PULMONARY Assessment
Abnormal Breath Sounds
Pulse Oximetry
ABGs
Ventilator
Care of Patients with:
Asthma
COPD
Pulmonary Fibrosis
Pulmonary Embolism
Medication Administration
Bronchodilator
Steroids
Expectorants
Inhalers
Nebulizers
Equipment & Procedures
Oxygen Therapy (Nasal Cannula, Face Mask)
Manual Resuscitation Bag
Metered-Dose Inhaler
Nebulizers
Apnea Monitor
Tracheastomy Care
Ventilator
Cough Assist Machine
CPT Vest
Pulse Oximetry
NEUROLOGICAL Assessment
Signs and Symptoms of Stroke
Altered LOC
Care of Patients with:
Head Injury
Meningitis
Migraines
Seizures
TIA/Stroke
Overdose
Spinal Cord Injury
Alzheimer's
Dementia
Parkinson's
Post Cerebrovascular Accident
Coma
Paralogia/Quadriplegia
Medication Administration
Alzhemer's Medications
Anti-Parkinson's Medications
Anti-Seizure Medications
Corticosteriods
Sedative
ORTHOPEDICS Assessment
Range of Motion
Fracture/Dislocation
Gait
Care of Patients with:
Cast/Splint
Dislocation
Sprain/Fracture
Amputation
Join Replacement
Traction
Medication Administration
Analgesia/Sedation
Enoxaparin
Equipment & Procedures
Range of Motion
Cast/Brace
Crutch Walking
TENS unit
Cervical Collar
GASTRIONTESTINAL Assessment
Bowel Sounds
Distention
Fluid Balance
Nutritional Status
Care of Patients with:
Colostomy
Constipation/Impaction
Bowel Obstruction
Diarrhea
G-Tube (Reinsertion/Replacement)
Nausea/Vomiting
Hepatitis
Liver Failure
Medication Administration
Ipecac
Charcoal
Antiemetics
Antispasmodics
Equipment & Procedures
Enernes
Long Term Feeding Tube
Colostomy Care
G-Tubes
NG Tubes
RENAL/GENITOURINARY Assessment
Fluid Status
Shual/Fistula
Lab Interpretation
BUN/Creatinine/Electrolytes
Serum Creatinine
Care of Patients with:
Pyelonephritis/UTI
Obstruction
Home Hemodialysis
Peritoneal Dialysis
Post-Bladder Surgery
Post-Prostate Surgery
Medication Administration
Antibiotics
Equipment & Procedures
Urine Dipstick/C&S
3-Way Bladder Catheter
Nephrostomy Tube
Suprapubic Catheter
ENDOCRINE/METABOLIC Assessment
Hypo/Hyperglycemia
Diabetic Skin Assessment
Lab Interpretation
Blood Glucose
Urine Ketones
Care of Patients with:
Hypoglycemia/Insulin Shock
Hyperglycemia/DKA
Post-Transplantation Surgery
Medication Administration
Insulin
Oral Hypoglycemics
Equipment & Procedures
Glucameters
Insulin Pumps
Infecetious Disease Assessment
Wound Assessment
Care of Patients with:
Communicable Disease
Infectious Disease
HIV
Tuberculosis
MRSA
Medication Administaration
Antibiotics
Antivirals
Equipment & Procedures
Isolation Precautions
WOUND MANAGEMENT Assessment
Burn Care
Surgical Wound Healing
Dressing Change
Ostomy Care
Wound Repair(Staples/Sutures, etc.)
Burns
Pressure Ulcers
Wound Irrigations
Wound Vac. Specify:
PAIN MANAGEMENT
Assessment of Pain Level/Use of Pain Scale
Assessment of Response to Pain Management Interventions
Monitoring of Patients after Pain Medication
Comfort Care
Moderate Sedation
PSYCHIATRIC Assessment
Behavior
Monitoring Symptoms
Compliance with Medications
Care of Patients with:
Cognitive Disorders
Psychotic Disorders
Substance-Related Disorders
Mood Disorders
ONCOLOGY Assessment
Immune Status
Symptom Management
Signs/Symptoms of Infection
Care of Patients with:
Radiation Therapy
Lukemia/Lymphoma
Post-Oncology Surgery
Medication Administration
Oral Chemotherapy
IV Chemo Aministration
IV Chemo Monitoring
Bone Marrow Stimulating Agents
WOMEN'S HEALTH/MATERNAL/INFANT Assessment
Fetal Heart Tones
Contractions
Care of Patients with:
Breast Feeding
Breast Self-Examination
Pregnancy Related Complications
Post-Mastectomy
Post-partum Mother/Baby Visit
Newborn Care
Bulb Suctioning
Cord and Circumcision Care
Pholotherapy
PEDIATRICS Assessment
Growth
Development Stages
Nutrition
Care of Patients with:
Bronho-Pulmonary Dysplasia
Cystic Fibrosis
Near Drowning
Pre-and Post-Cardiac Surgery
PHLEBOTOMY/IV THERAPY
Care of Patients with:
Peripheral IV Lines
CVP Lines/Dressings
PICC Lines/Dressing
Tunneled Lines/Dressings
Long Term Lines/Dressings
Equipment & Procedures
Starting and Maintaining Peripheral IVs
Blood Draws and Lines
Management of Long Term IV Catheters
Management of Ports
TPN/Hyperailmentation
Infusion Pumps: Set up and Management
Specify Insulin Pump Typo:
PALLIATIVE AND END-OF-LIFE CARE
Family Support and Teaching
Medication Protocols
Symptom Management
After Death Protocol
MISCELLANEOUS
National Patient Safety Goals
Case Management
Supervision of Home Health Aides
Medicare/Medicaid
Pre-certifications
Private Insurance
Utilization Review
Workman's Comp
Computer Based Documentation Specify:

The information I have given is true and accurate to the best of my knowlege.

SIGNATURE
Valid XHTML 1.0 Transitional
Valid CSS!