Wound Care
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Work Settings | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Acute Care Adult | |||||
| Clinic Adult | |||||
| SNF/LTAC/Subacute | |||||
| Hospice / Palliative Care | |||||
| Acute/Long Term Care Pediatrics | |||||
| Clinic Pediatrics | |||||
| Acute/Long Term Care Pediatrics |
| Pressure Ulcers | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Assessment | |||||
| Staging | |||||
| Prevention/Risk Assessment Tools - Adult | |||||
| Prevention/Risk Assessment Tools - Pediatrics | |||||
| Support Surface Selection |
| Neuropathic Ulcers | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Assessment | |||||
| Management |
| Venous Stasis Ulcers | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Assessment | |||||
| Management |
| Peripheral Arterial Ulcers | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Assessment | |||||
| Ankle Brachial Index | |||||
| Management |
| Other Wounds | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Fistulae Pouching / Skin Care | |||||
| Skin Care / Management of Drains |
| Wound Debridement | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Autolytic | |||||
| Enzymatic | |||||
| Mechanical | |||||
| Sharp |
| Dressings/Treatments | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Hydrogels | |||||
| Hydrocolloids | |||||
| Silver Products | |||||
| Foams | |||||
| Alginates | |||||
| Vacuum Assisted Closure | |||||
| Growth Factors | |||||
| Skin Substitutes | |||||
| Hyperbaric Oxygen Therapy | |||||
| Wound Cultures | |||||
| Electrical Stimulation | |||||
| Enzymatic Debriding Agents | |||||
| Mist Therapy |
| Colostomy / Ileostomy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Ostomy Equipment Selection | |||||
| Continence Skin Care Management | |||||
| Loop with Rod Stoma | |||||
| End Stoma | |||||
| Mucous Fistula | |||||
| Double Barrel Stoma | |||||
| Irrigation | |||||
| Ileal Lavage |
| Continent Ileostomy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Knock Pouch | |||||
| Pelvic Pouch |
| Urostomy / Continent | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Catheterization for C&S | |||||
| Knock Pouch | |||||
| Neobladder |
| Continence Therapeutic Devices | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Vaginal Cones | |||||
| Penile Clamps | |||||
| Male External Catheters | |||||
| Internal Urethral Inserts | |||||
| Catheters Mgmt & Self Care Teaching | |||||
| Magnetic Therapy | |||||
| Urinary Incontinence Program | |||||
| Fecal Incontinence Program |
| Burns | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Burn Management |
| Professional Knowledge and Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| National Patient Safety Goals / Core Measures | |||||
| Patient Family Teaching | |||||
| Age Specific / Population Based Care | |||||
| Isolation Precautions | |||||
| Infection Precautions | |||||
| Pain Assessment & Management | |||||
| Interpretation & Communication of Lab Values | |||||
| EMR | |||||
| EPIC | |||||
| Cerner | |||||
| Eclipsys | |||||
| McKesson | |||||
| Other Computerized System | |||||
| Computerized Physician Order Entry | |||||
| Bar Coding for Medication | |||||
| Culture |
| Other / Misc. | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Pain Management Assessment of Pain Levels without Intervention | |||||
| Pain Management Response Assessment with Intervention | |||||
| Experience: Charge Duty | |||||
| Experience: Preceptor |
| Age Specific Care | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Infant (Birth - 1 year) | |||||
| Toddler (1-3 years) | |||||
| Pre-school (3-6 years) | |||||
| School Age (6-12 years) | |||||
| Adolescent (12-18 years) | |||||
| Young Adult (18-30 years) | |||||
| Mature Adult (30-60 years) | |||||
| Elderly (>60 years) |