CLINICAL COMPETENCY CHECKLIST REGISTERED NURSE

CLINICAL COMPETENCY CHECKLIST REGISTERED NURSE



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