| 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 |
|
|
|
English
Spanish