Home Health
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Cardiovascular | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| ACS/Post MI | |||||
| Heart Failure | |||||
| Post Cardiac Surgery | |||||
| Cardiac Auscultation (Rate/Rhythm) | |||||
| Peripheral Pulse/Circulation Checks | |||||
| Cardiovascular |
| Pulmonary | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Asthma | |||||
| COPD | |||||
| Pneumonia | |||||
| Lung Cancer | |||||
| Pulmonary Emboli | |||||
| Auscultate Lung Sounds | |||||
| Oxygen Administration | |||||
| Oxygen Safety | |||||
| Oro/Nasotracheal Suctioning | |||||
| CPAP/BiPAP | |||||
| Ventilator Management (Specify) |
| Neurological | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Joint Replacement | |||||
| DVT Prophylaxis/Recognition | |||||
| Incision Checks | |||||
| Staple Removal | |||||
| Fractures | |||||
| Cast/Brace | |||||
| Amputation | |||||
| Arthritis | |||||
| Assistive Equipment/Lift Devices | |||||
| In Home PT/INR (Specify) |
| Gastrointestinal | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Diabetes | |||||
| Hyper/Hypoglycemia | |||||
| Diabetic Skin Assessment | |||||
| Cushing's / Addison's Disease | |||||
| Thyroid Disease | |||||
| Insulin Pumps | |||||
| Glucometers |
| Wound/Skin Care | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Braden Scale | |||||
| Pressure Ulcer Prevention | |||||
| Pressure Ulcer Staging | |||||
| Pressure Ulcer Management | |||||
| Burns | |||||
| Wound Care | |||||
| Wound Cultures | |||||
| Wound Vac |
| Oncology | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Risk for Infection | |||||
| Symptom Management | |||||
| Side Effects of Treatment | |||||
| Terminal Disease |
| Infectious Disease | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| MRSA | |||||
| VRE | |||||
| C. Difficile | |||||
| HIV | |||||
| Tuberculosis | |||||
| Isolation Precautions |
| Phlebotomy/IV Therapy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Cognitive Disorders | |||||
| Mood Disorders | |||||
| Schizophrenia/Psychotic Disorders | |||||
| Medication Compliance | |||||
| Cognitive Disorders |
| Women's Health/Maternal-Infant Care | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Pregnancy Related Complications | |||||
| Fetal Heart Tones | |||||
| Contractions | |||||
| Post Partum Mother/Baby Visit | |||||
| Newborn Care | |||||
| Phototherapy | |||||
| Breast Feeding Support |
| Pediatrics | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Palliative Symptom Management | |||||
| Pain Management/Response | |||||
| Family Support/Teaching | |||||
| After Death Protocols | |||||
| Palliative Symptom Management |
| Medications | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| National Patient Safety Goals/Core Measures | |||||
| Safety Assessment | |||||
| Fall Assessment and Prevention | |||||
| Patient/Family Teaching | |||||
| Age Specific/Population Based Care |
| EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Allscripts | |||||
| Cerner | |||||
| Epic | |||||
| HomeCare Home Base | |||||
| McKesson | |||||
| Meditech | |||||
| EMR Conversion | |||||
| Other Computerized Documentation System |
| Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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) |