Skill Checklists

LTAC

This checklist was electronically signed on (Today’s date)

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

  • 1 = No Experience

  • 2 = Need Training

  • 3 = Able to perform with supervision

  • 4 = Able to perform independently

Cardiac

Use of cardiac monitors

Assessment of heart sounds

Cardiac Arrest

CPR

Care of patients with CHF

Atropine administration

Digoxin administration

Dopamine administration

Inderal administration

Lidocaine administration

Genitourinary

Fluid Balance

Foley Catheter Insertion

Ileostomy

GU Irrigations

Nephrostomy Tube

Endocrine

Blood Glucose Checks

Insulin Administration

Care of patients with Diabetes

Gastrointestinal

NG tube care and feedings

Gastrostomy tube care and feedings

Colostomy Care

Assessment of Bowel Sounds

Leadership/Patient Care

Taking Charge

Admission Procedures

Discharge Procedures

Patient Education

Patient Care Plans

Medications/IV Therapy

Medication Calculation

Reconstitution

Oral Administration

Eye Administration

IM Administration

SQ Administration

Rectal Administration

Starting IV’s

IV Medication Administration

Central Line Care

Neurology

Assessment of Neurological Status

Seizure Precautions

Care of a patient with a CVA

Care of a patient with Alzheimer’s

Care of patients with Spinal Cord Injury

Decadron Administration

Dilantin Administration

Phenobarbital Administration

Valium Administration

Ortho/Skin

Assessment of skin

Wound Care and Treatments

Use of special pressure relief devices

Care of pts with a total hip replacement

Care of pts with a total knee replacement

Crutch Walking

Respiratory

Pulse Oximetry

Oxygen Administration via nasal cannuia

Oxygen Administration via face mask

Principles of chest percussion

Care of patients with ventilator

Care of patients with COPD

Care of patients with ARDS

Care of patients with a Tracheotomy

Age Specific Competencies

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)

I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.