Skilled Nursing
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| General Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Assessment of Heart Sounds | |||||
| Identification of Arrhythmias (Rate/Rhythm) | |||||
| Pacemakers/AIDs | |||||
| Cardiac Arrest/CPR | |||||
| Hypertension | |||||
| Pre/Post MI | |||||
| CHF | |||||
| Post Cardiac Surgery | |||||
| Fluid & Electrolyte Imbalances | |||||
| Anticoagulants | |||||
| Antiarrhythmics | |||||
| Beta Blockers | |||||
| Nitroglycerin | |||||
| Diuretics |
| Respiratory | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Assessment/Auscultation of Lung Sounds | |||||
| Establishing an Airway | |||||
| Chest PT | |||||
| Incentive Spirometry | |||||
| Supplemental Oxygen (Cannula, Facemask) | |||||
| Tracheostomy Care | |||||
| Suctioning (Tracheostomy & Nasotracheal) | |||||
| Nebulizer Use | |||||
| Pneumonia | |||||
| Asthma | |||||
| COPD | |||||
| Emphysema | |||||
| Bronchodilators | |||||
| Expectorants | |||||
| Corticosteroids |
| Neurology | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Assessment of Neuro Signs | |||||
| Volume Status | |||||
| 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) | |||||
| Antiseizure Medications | |||||
| Antiemetics | |||||
| Laxatives | |||||
| Enemas | |||||
| Bowel Prep |
| Gastrointestinal | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| NG Tube (Insertion/Removal) | |||||
| Long Term Feeding Tubes (Dobhoff/Keofeed) | |||||
| Gastrostomy Tube | |||||
| Tube Feedings | |||||
| Monitoring Input/Output | |||||
| Colostomy/Ileostomy | |||||
| GI Bleed | |||||
| Feeding Devices/Adaptive Equipment | |||||
| Dietary Restrictions | |||||
| GT/PEG Feedings | |||||
| Antiemetics | |||||
| Laxatives | |||||
| Enemas | |||||
| Bowel Prep | |||||
| Foley Catheter Insertion/Removal | |||||
| GU Irrigations | |||||
| Nephrostomy Tube | |||||
| Suprapubic Catheter | |||||
| Ileo Conduit | |||||
| Use of Bladder Scan Equipment | |||||
| Use of Bladder Scan Equipment | |||||
| Shunts and Fistulas | |||||
| Straight Catheterizations | |||||
| Incontinence/Bladder Training | |||||
| Chronic Renal Failure/Dialysis | |||||
| Peritoneal Dialysis |
| Orthopedic | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Total Joint Replacement | |||||
| Arthroscopic Surgery | |||||
| Cast Care | |||||
| Pulse/CMS Checks | |||||
| Suture/Staple Removal | |||||
| Prosthesis Application | |||||
| Standard Extremity Braces | |||||
| Amputation | |||||
| Stump Wrapping | |||||
| Laminectomy | |||||
| Assistive Devices | |||||
| CPM Machines |
| IV Therapy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Wound Care/Surgical | |||||
| Wound Care/Medical | |||||
| Dressing Changes | |||||
| Skin Assessment | |||||
| Wound Vac | |||||
| Wound Care/Surgical |
| Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Infant (Birth - 1 year) | |||||
| Preschooler (Ages 2-5 years) | |||||
| 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) |