COMPETENCY AREA |
Required Proficiency |
Procedure Reviewed |
Competency Validated by Preceptor signature and date |
DEMONSTRATES ABILITY TO COMPLETE DOCUMENTATION RELATED TO THE FOLLOWING FUNCTIONS: |
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Admission to Agency |
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• Comprehensive Assessment including OASIS |
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• Develop Care Plan based on Assessment |
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• Utilizes Nursing Process Approach |
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• Referrals to other disciplines |
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• Within 48 hours of Start of Care |
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Coordination of Services |
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• Case management |
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• Delivers services according to Plan of Care |
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• Obtains orders to modify Plan |
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• 60 day Summary |
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• Refers/uses community resources |
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• Communication with physician and other members of the interdisciplinary team |
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Transfer/Discharge of Client |
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• Discharge Planning |
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• Community Resources |
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• Discharge Summary |
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Regulatory Compliance |
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h. Medicare Qualifying Criteria |
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COMPETENCY AREA |
Required Proficiency |
Procedure Reviewed |
Competency Validated by Preceptor signature and date |
• Skilled Need Evidence |
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• Homrbound Status |
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• Skilled Visits |
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• Supervision of Services |
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• LPN/LVN,Aides |
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DEMONSTRATES ABILITY TO COPMLETE A COMPREHENSIVE SYSTEM ORIENTD CLINICAL ASSESSMENT AND DOCUMENT FINDING |
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• Cardiovascular System |
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• Pulmonary System |
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• Neurological System |
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• Musculosketetal System |
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• Metabolic System |
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• Integumentary System |
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• Genitourinary System |
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• Gastrointestinal System |
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• Behavioral/Emotional Cognitive |
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DEMONSTRATES ABILITY TO PERFORM AND DOCUMENT SPECFIC ASSESSMENTS AND MANAGEMENT OF SYMPTOMS IN THE FOLLOWING AREAS: |
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• Pain evaluation that includes use of a rating scale |
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• Assessment of location,intensity,and duration of pain |
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• Medication program effectiveness |
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• Use of alternative therapies |
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• Pain Medication indecation and doses action and side effects (Narcotics,NSAIDS,Antidepressants,steroids, ) |
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COMPETENCY AREA |
Required Proficiency |
Procedure Reviewed |
Competency Validated by Preceptor signature and date |
DEMONSTRATES KNOWLEDGE OF MEDICATION MANAGEMENT AND DOCUMENTS ASSESSMENT,TEACHING,AND ASSESSED EFFECTS |
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• Cardiac Medications |
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• Respiratory Medications |
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• Inhalers,Nebulizers |
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• Diabetic Medications ( oral ab=nd insulin therapi es) |
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• Anticoagulant therapies and monitoring |
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• Neurologic/Behavioral Medications |
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• Antidepressants,Antipsychotic,Anticonvulsants |
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DEMONSTRATES KNOWLEDGE OF WOUND ASSESSMENT AND MANAGEMENT OF ULCERS AND OTHER WOUNDS |
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• Measurement of Wounds |
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• Staging of Ulcers |
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• Documentation of assessment and progress including written,use of photos |
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• Use of Various wound care treatments ( hydrocolloid,calcium alginate,transparent dressings) |
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• Use of Wound Vacs |
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• Wound irrigations and dressing |
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• Wound drains ( hemovac, J-P) |
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• Ace wraps, cast care, |
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• Sterile and non-sterile Dressing changes |
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• Ulcer prevention techniques |
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COMPETENCY AREA |
Required Proficiency |
Procedure Reviewed |
Competency Validated by Preceptor signature and date |
DEMONSTRATES KNOWLEDGE OF DIABETIC ASSESSMENT AND MANAGEMENT THROUGH CARE AND DOCUMENTATION |
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• Insulin type and teaching |
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• Use and care of glucometer |
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• Teaching in areas of Diet,exercise and sick dat care |
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• Signs and symptoms of hyper/hypoglycemia |
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• Foot and skin care |
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DEMONSTRATES SKILL IN PERFORMING SKILLED PROCEDURES: |
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• Medication Administration: |
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- Oral |
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- Intramuscular |
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- Subcutaneous |
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- Intravenous |
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- Suppositories |
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- Heparin Administration |
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- Insulin Administration |
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- Total Parenteral Nutrition |
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• IV Therapy: |
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- Venipuncture using: butterly,over the needle catheter |
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- Use of infusion pumps |
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- Central lines Access and Care |
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- Drawing Blood from lines |
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- Site Care |
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- Flushing Lines |
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• Mental status Exam: |
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• Aphasia care |
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• Spinal Cord injuries ( care and management ) |
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COMPETENCY AREA |
Required Proficiency |
Procedure Reviewed |
Competency Validated by Preceptor signature and date |
• Catheter insertion ( Foley and straight catheter) (Male/female) |
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• Change of suprapubic Catheter |
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• Irrigation of catheters |
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• Ostomy Care |
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- Colostomy |
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- Ileostomy |
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- Nephrostomy |
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- Tracheostomy |
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- Urostomy |
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• Range of Motion Exercises |
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• Ted Hose |
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• Cast Care |
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• Care of joint replacement client |
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• Suture, staple removal |
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• Nasogastric tube insertion and care |
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• Gastrostomy tube care and change |
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• Jejunostomy tube care |
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• Enteral feedings |
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- Bolus |
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- Continuous via pump |
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DEMONSTRATED SKILL IN USE OF EQUIPMENT |
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• Electric beds |
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• Specialized beds |
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• Pressure matters |
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• Infusion Pumps |
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• Ambulatory infusion pumps |
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COMPETENCY AREA |
Required Proficiency |
Procedure Reviewed |
Competency Validated by Preceptor signature and date |
• Glucometers |
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- Calibration and testing |
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- Specimen collecting and reporting |
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• C-PAP equipment |
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• Oxygen concentrators and pumps |
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• Home Ventitlators |
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• Hoyer Lifts |
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• Walker |
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• Wheelchair |
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• Assistive devices |
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• Demonstrates skill in teaching clients in action and in documentation of the plan |
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• Assess learning needs of client/family |
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• Establishes teaching plan with measurable objectives and time frames |
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• Documnents client respone |
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• Evaluates effectiveness of plan |
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• Documents respone and progress toward goals |
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• Modifies plan to accommodate client specfic needs |
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DEMONSTRATES KNOWLEDGE OF AGENCY SAFETY REQUIREMENTS AND ASSESSMENT OF SAFETY NEEDS IN THE HOME |
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• Fire safety and use of extinguuishers and warning devices |
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• Hazardous materials |
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• Emergency preparedness plan |
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• Home safety evaluation ( documentation/action taken) |
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• Restraints |
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• Personal safety practices |
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