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Home Health RN Skills Checklist

One program to handle all talent management needs from acquisition to development

Personal Information

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Proficiency Scale

1 – No Experience
2 – Need Training
3 – Able to perform with supervision
4 – Able to perform independently

AGE

Newborn/Neonate (birth to 30 days)(Required)
Infant (1 month to 1 year)(Required)
Toddler (1 year to 3 years)(Required)
Preschooler (3 years to 5 years)(Required)
School Age Child (5 years to 12 years)(Required)
Adolescents (12 years to 18 years)(Required)
Young Adults (18 years to 39 years)(Required)
Middle Adults (39 years to 64 years)(Required)
Older Adults (64+ years)(Required)

GENERAL SKILLS

Standard Precautions(Required)
Isolation Precautions(Required)
Pediatric Respiratory/Cardiac Arrest(Required)
Adult Respiratory/Cardiac Arrest(Required)
Defibrillators(Required)
Care Planning & Discharge Planning(Required)
Patient/Family Education(Required)
Pain Management(Required)
Electronic Documentation(Required)
Patient Head to Toe Assessment(Required)

CARDIOVASCULAR

1. Assessment
Angina(Required)
Apical Pulse Rate/Rhythm(Required)
Cardiac Auscultation (Rate, Rhythm)(Required)
Clinical Identification of Arrhythmias(Required)
Fluid Overload(Required)
Peripheral Pulses/Circulation Checks(Required)
3. Equipment & Procedures
PT/PTT/INR(Required)
Serum Electrolytes(Required)
2. Interpretation of Lab Results
Holter Monitor(Required)
Pacemaker/AID(Required)
3. Care of Patient With
Hypotension(Required)
CAD/Post Myocardial Infarction (MI)(Required)
Congestive Heart Failure (CHF)(Required)
Fluid Retention(Required)
Hypertension(Required)
Pre/Post Cardiac Surgery(Required)
Pre/Post Vascular Surgery(Required)
4. Medication Administration
ACE Inhibitors(Required)
Anti-arrhythmic(Required)
Antibiotics(Required)
Anticoagulants(Required)
Antihypertensives(Required)
Antiplatelet Medications(Required)
Beta Blockers(Required)
Calcium Channel Blockers(Required)
Diuretics(Required)
Digoxin (Lanoxin)(Required)
Oral and Topical Nitrates(Required)
Narcotics(Required)
Potassium Supplements(Required)
Statin Medications(Required)

PULMONARY

1. Assessment
Auscultation of Lung Sounds/Rate & Work of Breathing(Required)
Pulse Oximetry(Required)
ABGs(Required)
2. Equipment & Procedures
Administration of O2 via Nasal Cannula(Required)
Apnea Monitor(Required)
Chest Percussion(Required)
Establishing an Airway(Required)
Incentive Spirometry(Required)
Orotracheal and Nasotracheal Suctioning(Required)
Sputum Specimen Collection(Required)
Nebulizer(Required)
CPAP(Required)
BiPAP(Required)
Ventilator Management(Required)
3. Equipment & Procedures
Asthma(Required)
Chronic Obstructive Pulmonary Disease (COPD)(Required)
Chest Percussion(Required)
Lung Cancer(Required)
Primary Pulmonary Hypertension(Required)
Orotracheal and Nasotracheal Suctioning(Required)
Pulmonary Fibrosis(Required)
Pulmonary Emboli(Required)
4. Medication Administration
Bronchodilators(Required)
Steroids(Required)
Expectorants(Required)
Inhalers(Required)

NEUROLOGICAL

1. Assessment
Neurological Signs/Level of Consciousness (LOC)(Required)
Neuro-Motor/Sensory Functions(Required)
2. Equipment & Procedures
Seizure Precautions(Required)
Traction(Required)
3. Care of Patient With
Alzheimer’s Disease(Required)
Dementia(Required)
Degenerative Neurological Disorders (ALS, MS, etc.)(Required)
Cerebral Tumors(Required)
Post-Cerebrovascular Accident(Required)
Guillain-Barre Syndrome(Required)
Hemiparesis(Required)
Meningitis(Required)
Parkinson’s Disease(Required)
Seizure Disorders(Required)
Paraplegia/Quadriplegia(Required)
Traumatic Brain Injury (TBI)(Required)
Transient Ischemic Attacks (TIAs)(Required)
4. Medication Administration
Alzheimer’s Medications(Required)
Anti-Parkinson’s Medications(Required)
Anti-Seizure Medications(Required)
Corticosteroids(Required)
Sedative/Hypnotics(Required)

ORTHOPEDICS

1. Assessment
Incision Checks(Required)
Circulation/Skin Checks(Required)
Gait(Required)
Range of Motion(Required)
2. Equipment & Procedures
Range of Motion (Active & Passive)(Required)
Cast/Brace(Required)
Crutch/Walking(Required)
Assistive Devices(Required)
TENS Units(Required)
Wheelchairs/Lift Equipment(Required)
Total Hip/Knee/Joint Replacement(Required)
3. Medication Administration
Enoxaparin (Lovenox)(Required)

GASTROINTESTINAL

1. Assessment
Bowel Habits(Required)
Fluid Balance(Required)
Nutritional Status(Required)
2. Equipment & Procedures
Colostomy/Ileostomy Care(Required)
Long-Term Feeding Tube(Required)
Nasogastric (NG) Tube(Required)
PEG/Gastronomy Tube(Required)
Drainage Devices/Tubes(Required)
Tube Feeding(Required)
Feeding Pumps(Required)
3. Care of Patient With
Bowel Obstruction(Required)
Gastrointestinal Bleeding (G.I. Bleed)(Required)
Post-Gastrointestinal Surgery(Required)
Hepatitis(Required)
Inflammatory Bowel Disease(Required)
Liver Failure/Transplant(Required)

RENAL/GENITOURINARY

1. Assessment
Arterio-Venous Fistula/Shunt(Required)
Fluid Balance(Required)
2. Interpretation of Lab Results
Blood Urea Nitrogen (BUN)(Required)
Serum Creatinine(Required)
Electrolytes(Required)
3-Way Bladder Catheter(Required)
Foley Catheter Insertion/Maintenance(Required)
Straight Catheterization(Required)
Self-Catheterization(Required)
Ileostomy(Required)
Irrigations(Required)
Nephrostomy Tube(Required)
Suprapubic Catheter(Required)
4. Care of Patient With
Hemodialysis (Receiving in an Out Pt. Clinic Setting)(Required)
Home Hemodialysis(Required)
Peritoneal Dialysis(Required)
Post-Bladder Surgery(Required)
Post-Prostate Surgery(Required)
Shunts and Fistulas(Required)
Urinary Incontinence(Required)

ENDOCRINE/METABOLIC

1. Assessment
Diabetic Skin Assessment(Required)
Hyper- and Hypoglycemia(Required)
2. Interpretation of Lab Results
Hemoglobin A1C(Required)
Serum Glucose(Required)
3. Equipment & Procedures
Glucometers(Required)
Insulin Pumps(Required)
4. Care of Patient With
Diabetes(Required)
Post-Tranplantation Surgery(Required)
5. Medication Administration
Insulin(Required)
Oral Hypoglycemics(Required)

WOUND/SKIN CARE MANAGEMENT

1. Assessment
Skin Assessment(Required)
Surgical Wound Healing(Required)
Skin Grafts(Required)
2. Equipment & Procedures
Burns(Required)
Care of Pressure Ulcers(Required)
Dry and Wet to Dry Dressing Changes(Required)
Positioning of Patients(Required)
Specialty Beds(Required)
Special Mattresses and Positioning Devices(Required)
Wound Care (Sterile)(Required)
Wound Cultures(Required)
Wound Irrigations(Required)
Wound Vac(Required)
3. Care of Patient With
Pressure Ulcers(Required)
Surgical Wounds(Required)
Skin Grafts(Required)

ONCOLOGY

1. Assessment
Immune Status(Required)
Symptoms Management(Required)
Signs/Symptoms of Infection(Required)
2. Interpretation of Lab Results
CBC with Differential(Required)
CMP(Required)
3. Equipment & Procedures
Reverse Isolation(Required)
4. Care of Patient With
Radiation Therapy(Required)
Leukemia/Lymphoma(Required)
Post-Oncology Surgery(Required)
5. Medication Administration
Oral Chemotherapy(Required)
Intravenous Chemotherapy Administration(Required)
Intravenous Chemotherapy Monitoring(Required)
Bone Marrow Stimulating Agents(Required)

INFECTIOUS DISEASE

1. Assessment
Signs/Symptoms of Infection(Required)
2. Interpretation of Lab Results
Blood Counts(Required)
Culture and Sensitivity(Required)
3. Equipment & Procedures
Isolation Precautions(Required)
4. Care of Patient With
C. Diff(Required)
HIV Infection(Required)
Tuberculosis(Required)
MRSA/VRE(Required)
5. Medication Administration
Antibiotics(Required)
Antivirals(Required)
Anti-HIV(Required)
Immunizations(Required)

PSYCHIATRY

1. Assessment
Monitoring Symptoms(Required)
Compliance with Medications(Required)
2. Care of Patient With
Cognitive Disorders(Required)
Schizophrenia/Psychotic Disorders(Required)
Substance-Related Disorders(Required)
Mood Disorders (Anxiety/Depression, etc)(Required)

WOMEN’S HEALTH/MATERNAL-INFANT CARE

1. Assessment
Fetal Heart Tones(Required)
Contractions(Required)
2. Care of Patient With
Breast Feeding(Required)
Pregnancy-Related Complications(Required)
Post-Mastectomy(Required)
Post-Partum Mother/Baby Visit(Required)
Newborn Care(Required)
Bulb Suctioning(Required)
Cord and Circumcision Care(Required)
Phototherapy(Required)

PEDIATRICS

1. Assessment
Growth(Required)
Development Stages(Required)
Nutrition(Required)
Family/Caregiver Interaction(Required)
2. Equipment & Procedures
Calculations of Pediatric Dosages(Required)
Croup Tent(Required)
Ventilator(Required)
Trach(Required)
Pediatric Ambu(Required)
Near Drowning(Required)
Pre- and Post-Cardiac Surgery(Required)
3. Care of Patient With
Broncho Pulmonary Dysplasia(Required)
Cystic Fibrosis(Required)
Respiratory Distress Syndrome (RDS)(Required)
Reye’s Syndrome(Required)
Pre- and Post-Spinal Surgery(Required)
Sickle Cell Disease(Required)
Spina Bifida(Required)

PAIN MANAGEMENT

1. Assessment
Pain Scale(Required)
Response to Pain Management Interventions(Required)
2. Equipment & Procedures
Pharmacologic Pain Relief(Required)
Non-pharmacologic Pain Relief Measures(Required)
PCA Pump(Required)
3. Care of Patient With
Epidural Catheter/Site Monitoring/Pump(Required)
Patient Controlled Analgesia(Required)

PALLIATIVE AND END-OF-LIFE CARE

Medication Protocols(Required)
Symptom Management(Required)
After Death Protocol and Management(Required)

PATIENT AND FAMILY TEACHING

Diabetic(Required)
Pre- and Post-Procedure(Required)
Post-partum/Infant Care(Required)
Medications(Required)
Monitoring(Required)
Nutrition(Required)
Safety(Required)
Self-care(Required)
Equipment(Required)
Resources(Required)

MISCELLANEOUS

APS/ CPS Reporting(Required)
Fall Assessment and Prevention(Required)
National Patient Safety Goals(Required)
Safety Assessment(Required)
Recognizing Failure to Thrive Across the Lifespan(Required)
Advanced Directives(Required)
Wheelchairs/Lift Equipment(Required)

CASE MANAGEMENT

Experience as a Case Manager(Required)
Case Load(Required)
Supervision of Home Health Aides(Required)

EXPERIENCE WITH

Long-term/Short-term Disability(Required)
Management of Complaints(Required)
Medicare/Medicaid(Required)
Pre-certifications(Required)
Private Insurance(Required)
Telephone Assessments(Required)
Utilization Review(Required)
Workman’s Compensation(Required)

DOCUMENTATION

Diagnosis Coding (ICD Coding)(Required)
Document Plan of Care (Form 485)(Required)
OASIS Documentation(Required)

Authorizations

Legal Consent(Required)
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