Home Health

Information

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Assessment Section

Cardiovascular

✔ ACS/Post MI *
★ ★ ★ ★ ★
✔ Heart Failure *
★ ★ ★ ★ ★
✔ Post Cardiac Surgery *
★ ★ ★ ★ ★
✔ Cardiac Auscultation (Rate/Rhythm) *
★ ★ ★ ★ ★
✔ Peripheral Pulse/Circulation Checks *
★ ★ ★ ★ ★
✔ Cardiovascular *
★ ★ ★ ★ ★

Pulmonary

✔ Asthma *
★ ★ ★ ★ ★
✔ COPD *
★ ★ ★ ★ ★
✔ Pneumonia *
★ ★ ★ ★ ★
✔ Lung Cancer *
★ ★ ★ ★ ★
✔ Pulmonary Emboli *
★ ★ ★ ★ ★
✔ Auscultate Lung Sounds *
★ ★ ★ ★ ★
✔ Oxygen Administration *
★ ★ ★ ★ ★
✔ Oxygen Safety *
★ ★ ★ ★ ★
✔ Oro/Nasotracheal Suctioning *
★ ★ ★ ★ ★
✔ CPAP/BiPAP *
★ ★ ★ ★ ★
✔ Ventilator Management (Specify) *
★ ★ ★ ★ ★

Neurological

✔ CVA *
★ ★ ★ ★ ★
✔ Alzheimer's Disease/Dementia *
★ ★ ★ ★ ★
✔ Parkinson's *
★ ★ ★ ★ ★
✔ Degenerative Neurologic Disorders (ALS, MS, etc.) *
★ ★ ★ ★ ★
✔ Brain Tumor *
★ ★ ★ ★ ★
✔ Brain Injury *
★ ★ ★ ★ ★
✔ Para/Quadriplegia *
★ ★ ★ ★ ★
✔ Seizure Disorder *
★ ★ ★ ★ ★
✔ Level of Consciousness/Neuro Changes *
★ ★ ★ ★ ★

Orthopedic

✔ Joint Replacement *
★ ★ ★ ★ ★
✔ DVT Prophylaxis/Recognition *
★ ★ ★ ★ ★
✔ Incision Checks *
★ ★ ★ ★ ★
✔ Staple Removal *
★ ★ ★ ★ ★
✔ Fractures *
★ ★ ★ ★ ★
✔ Cast/Brace *
★ ★ ★ ★ ★
✔ Amputation *
★ ★ ★ ★ ★
✔ Arthritis *
★ ★ ★ ★ ★
✔ Assistive Equipment/Lift Devices *
★ ★ ★ ★ ★
✔ In Home PT/INR (Specify) *
★ ★ ★ ★ ★

Gastrointestinal

✔ Nutritional Assessment *
★ ★ ★ ★ ★
✔ Colostomy/Ileostomy Management *
★ ★ ★ ★ ★
✔ Fecal Incontinence/Diarrhea *
★ ★ ★ ★ ★
✔ Bowel Obstruction *
★ ★ ★ ★ ★
✔ GI Bleed *
★ ★ ★ ★ ★
✔ Post GI Surgery *
★ ★ ★ ★ ★
✔ Hepatitis Liver Failure *
★ ★ ★ ★ ★
✔ NG Tubes *
★ ★ ★ ★ ★
✔ Feeding Tubes *
★ ★ ★ ★ ★
✔ Feeding Pumps (Specify): *
★ ★ ★ ★ ★
✔ Drainage Devices *
★ ★ ★ ★ ★
✔ Gastrointestinal *
★ ★ ★ ★ ★

Renal/Genitourinary

✔ Hemodialysis *
★ ★ ★ ★ ★
✔ AV Fistula/Shunt *
★ ★ ★ ★ ★
✔ Peritoneal Dialysis *
★ ★ ★ ★ ★
✔ Post Bladder Surgery *
★ ★ ★ ★ ★
✔ Post Prostate Surgery *
★ ★ ★ ★ ★
✔ Urostomy *
★ ★ ★ ★ ★
✔ Urinary Incontinence *
★ ★ ★ ★ ★
✔ Bladder Catheter Insertion/Maintenance *
★ ★ ★ ★ ★
✔ Suprapubic Catheter Insertion/Maintenance *
★ ★ ★ ★ ★
✔ Hemodialysis *
★ ★ ★ ★ ★

Endocrine/Metabolic

✔ Diabetes *
★ ★ ★ ★ ★
✔ Hyper/Hypoglycemia *
★ ★ ★ ★ ★
✔ Diabetic Skin Assessment *
★ ★ ★ ★ ★
✔ Cushing's / Addison's Disease *
★ ★ ★ ★ ★
✔ Thyroid Disease *
★ ★ ★ ★ ★
✔ Insulin Pumps *
★ ★ ★ ★ ★
✔ Glucometers *
★ ★ ★ ★ ★

Wound/Skin Care

✔ Braden Scale *
★ ★ ★ ★ ★
✔ Pressure Ulcer Prevention *
★ ★ ★ ★ ★
✔ Pressure Ulcer Staging *
★ ★ ★ ★ ★
✔ Pressure Ulcer Management *
★ ★ ★ ★ ★
✔ Burns *
★ ★ ★ ★ ★
✔ Wound Care *
★ ★ ★ ★ ★
✔ Wound Cultures *
★ ★ ★ ★ ★
✔ Wound Vac *
★ ★ ★ ★ ★

Oncology

✔ Risk for Infection *
★ ★ ★ ★ ★
✔ Symptom Management *
★ ★ ★ ★ ★
✔ Side Effects of Treatment *
★ ★ ★ ★ ★
✔ Terminal Disease *
★ ★ ★ ★ ★

Infectious Disease

✔ MRSA *
★ ★ ★ ★ ★
✔ VRE *
★ ★ ★ ★ ★
✔ C. Difficile *
★ ★ ★ ★ ★
✔ HIV *
★ ★ ★ ★ ★
✔ Tuberculosis *
★ ★ ★ ★ ★
✔ Isolation Precautions *
★ ★ ★ ★ ★

Phlebotomy/IV Therapy

✔ eripheral Venipuncture for Labs *
★ ★ ★ ★ ★
✔ Start IVs *
★ ★ ★ ★ ★
✔ Peripheral IVs *
★ ★ ★ ★ ★
✔ PICC/CVP Lines *
★ ★ ★ ★ ★
✔ Venous Access Ports *
★ ★ ★ ★ ★
✔ Infusion Pump Set up and Management *
★ ★ ★ ★ ★
✔ Specify Infusion Pump Type *
★ ★ ★ ★ ★

Psychiatric

✔ Cognitive Disorders *
★ ★ ★ ★ ★
✔ Mood Disorders *
★ ★ ★ ★ ★
✔ Schizophrenia/Psychotic Disorders *
★ ★ ★ ★ ★
✔ Medication Compliance *
★ ★ ★ ★ ★
✔ Cognitive Disorders *
★ ★ ★ ★ ★

Women's Health/Maternal-Infant Care

✔ Pregnancy Related Complications *
★ ★ ★ ★ ★
✔ Fetal Heart Tones *
★ ★ ★ ★ ★
✔ Contractions *
★ ★ ★ ★ ★
✔ Post Partum Mother/Baby Visit *
★ ★ ★ ★ ★
✔ Newborn Care *
★ ★ ★ ★ ★
✔ Phototherapy *
★ ★ ★ ★ ★
✔ Breast Feeding Support *
★ ★ ★ ★ ★

Pediatrics

✔ Growth and Development *
★ ★ ★ ★ ★
✔ Respiratory Distress Syndrome *
★ ★ ★ ★ ★
✔ Bronchopulmonary Dysplasia *
★ ★ ★ ★ ★
✔ Cystic Fibrosis *
★ ★ ★ ★ ★
✔ Muscular Dystrophy *
★ ★ ★ ★ ★
✔ Spina Bifida *
★ ★ ★ ★ ★
✔ Spinal Surgery *
★ ★ ★ ★ ★
✔ Sickle Cell Disease *
★ ★ ★ ★ ★
✔ Trach Care/Suctioning *
★ ★ ★ ★ ★
✔ Ventilator Management *
★ ★ ★ ★ ★
✔ Ventilator Type (Specify) *
★ ★ ★ ★ ★

Pain Management

✔ Verbal/Nonverbal Pain Scales *
★ ★ ★ ★ ★
✔ Response to Pain Management Interventions *
★ ★ ★ ★ ★
✔ PCA Pump *
★ ★ ★ ★ ★
✔ Epidural Cath/Site Monitoring/Pump *
★ ★ ★ ★ ★
✔ Non-Pharmacologic Pain Measures *
★ ★ ★ ★ ★

Palliative and End of Life Care

✔ Palliative Symptom Management *
★ ★ ★ ★ ★
✔ Pain Management/Response *
★ ★ ★ ★ ★
✔ Family Support/Teaching *
★ ★ ★ ★ ★
✔ After Death Protocols *
★ ★ ★ ★ ★
✔ Palliative Symptom Management *
★ ★ ★ ★ ★

Medications

✔ Alzheimer's Medications *
★ ★ ★ ★ ★
✔ Antiarrhythmics *
★ ★ ★ ★ ★
✔ Antibiotics/Antivirals *
★ ★ ★ ★ ★
✔ Anti-Depressants *
★ ★ ★ ★ ★
✔ Anti-Hypertensives *
★ ★ ★ ★ ★
✔ Anti-Psychotics *
★ ★ ★ ★ ★
✔ Anti-Seizure Medications *
★ ★ ★ ★ ★
✔ Benzodiazepines *
★ ★ ★ ★ ★
✔ Calculation of Pediatric Dosages *
★ ★ ★ ★ ★
✔ Coumadin *
★ ★ ★ ★ ★
✔ Diuretics *
★ ★ ★ ★ ★
✔ Enoxaparin *
★ ★ ★ ★ ★
✔ Inhaled Medications *
★ ★ ★ ★ ★
✔ Nebulizer Medications *
★ ★ ★ ★ ★
✔ Insulin *
★ ★ ★ ★ ★
✔ Opioid and Non-Opioid Analgesics *
★ ★ ★ ★ ★
✔ Oral Chemotherapy *
★ ★ ★ ★ ★
✔ Oral Hypoglycemics *
★ ★ ★ ★ ★
✔ Oral & Topics Nitrates *
★ ★ ★ ★ ★
✔ Rivaroxaban *
★ ★ ★ ★ ★
✔ Sedative/Hypnotics *
★ ★ ★ ★ ★
✔ Steroids *
★ ★ ★ ★ ★

Home Health

✔ Intake/Admissions *
★ ★ ★ ★ ★
✔ Case Manager *
★ ★ ★ ★ ★
✔ Case Load - Pts/Day (specify) *
★ ★ ★ ★ ★
✔ Supervise LVNs/HHAs *
★ ★ ★ ★ ★
✔ Medicare/Medicaid *
★ ★ ★ ★ ★
✔ Long/Short Term Disability *
★ ★ ★ ★ ★
✔ Private Insurance *
★ ★ ★ ★ ★
✔ Telephonic Assessments *
★ ★ ★ ★ ★
✔ APS Reports *
★ ★ ★ ★ ★
✔ OASIS *
★ ★ ★ ★ ★
✔ Diagnosis Coding *
★ ★ ★ ★ ★
✔ Document Plan of Care *
★ ★ ★ ★ ★
✔ Clinical Assessment Documentation *
★ ★ ★ ★ ★

Professional Knowledge and Skills

✔ National Patient Safety Goals/Core Measures *
★ ★ ★ ★ ★
✔ Safety Assessment *
★ ★ ★ ★ ★
✔ Fall Assessment and Prevention *
★ ★ ★ ★ ★
✔ Patient/Family Teaching *
★ ★ ★ ★ ★
✔ Age Specific/Population Based Care *
★ ★ ★ ★ ★

EMR

✔ Allscripts *
★ ★ ★ ★ ★
✔ Cerner *
★ ★ ★ ★ ★
✔ Epic *
★ ★ ★ ★ ★
✔ HomeCare Home Base *
★ ★ ★ ★ ★
✔ McKesson *
★ ★ ★ ★ ★
✔ Meditech *
★ ★ ★ ★ ★
✔ EMR Conversion *
★ ★ ★ ★ ★
✔ Other Computerized Documentation System *
★ ★ ★ ★ ★

Age Specific Competencies

✔ nfant (Birth - 1 year) *
★ ★ ★ ★ ★
✔ Preschooler (ages 2-5 years) *
★ ★ ★ ★ ★
✔ Epic 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) *
★ ★ ★ ★ ★