| 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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