Book Appointment

Skilled Nursing

Information

Proficiency Scale

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

Assessment Section

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/AIDs *
    ★ ★ ★ ★ ★
  • ✔ Cardiac Arrest/CPR *
    ★ ★ ★ ★ ★
  • ✔ Hypertension *
    ★ ★ ★ ★ ★
  • ✔ Pre/Post MI *
    ★ ★ ★ ★ ★
  • ✔ CHF *
    ★ ★ ★ ★ ★
  • ✔ Post Cardiac Surgery *
    ★ ★ ★ ★ ★
  • ✔ Fluid & Electrolyte Imbalances *
    ★ ★ ★ ★ ★
  • ✔ 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 *
    ★ ★ ★ ★ ★
  • ✔ Pneumonia *
    ★ ★ ★ ★ ★
  • ✔ Asthma *
    ★ ★ ★ ★ ★
  • ✔ COPD *
    ★ ★ ★ ★ ★
  • ✔ Emphysema *
    ★ ★ ★ ★ ★
  • ✔ Bronchodilators *
    ★ ★ ★ ★ ★
  • ✔ Expectorants *
    ★ ★ ★ ★ ★
  • ✔ Corticosteroids *
    ★ ★ ★ ★ ★

Neurology

  • ✔ 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

  • ✔ 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

  • ✔ 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

  • ✔ 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 *
    ★ ★ ★ ★ ★
  • ✔ Wound Care/Surgical *
    ★ ★ ★ ★ ★

Age Specific Competencies

  • ✔ 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) *
    ★ ★ ★ ★ ★