Geriatric and Long Term Care

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Geriatric & Long Term Care

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1 - 2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

TYPE OF FACILITY EXPERIENCE

Nursing Home

Assisted Living

Continuing Care Retirement Community

Skilled Nursing Facility (SNF)

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days)

1

2

3

Infant (31 days to 12 months)

1

2

3

Toddler/Preschool (13 months to 5 years)

1

2

3

School Age Child/adolescent (6 years to 18 years)

1

2

3

Young Adults/Middle Adult (19 years to 64 years)

1

2

3

Older Adults/Elderly (65+ years)

1

2

3

GENERAL SKILLS

Standard Precautions

1

2

3

Care of Patient in Restraints

1

2

3

Pain Management

1

2

3

Care of Patient in Restraints

1

2

3

Automated Med Dispensing Systems

Accudose

Metro

Omnicell

Promanager Rx

Pyxis

N/A

Automated Med Dispensing Systems

Electronic Documentation

Allscripts

eCLinicalWorks

McKesson

Soarian

Care360

EPIC

Meditech

N/A

Cerner

MACLAB

PACS

MEDICATIONS-KNOWLEDGE AND USE OF

Pouring From Stock Medications

1

2

3

Narcotic Administration

1

2

3

IV Push/Drip Medications

1

2

3

Oral

1

2

3

Topical

1

2

3

Otic

1

2

3

Rectal

1

2

3

Vaginal

1

2

3

Ophthalmic

1

2

3

Continuous Subcutaneous Infusion Pumps

1

2

3

Total Parenteral Nutrition (TPN)

1

2

3

Peripheral Parenteral Nutrition

1

2

3

Patient Controlled Analgesia (PCA)

1

2

3

PHLEBOTOMY / IV THERAPY

Blood Draw-Peripheral

1

2

3

Mixing IVs

1

2

3

Regulating IVs

1

2

3

IV Infusion Pumps

1

2

3

Blood/Blood Product Administration

1

2

3

IV Pumps

Alaris

Alibaba

Bard

Baxter

Braun

CADD

IVAC

Zynomed

N/A

Other IV Pumps:

CARDIAC GENERAL

Recognizing Basic & Life-Threatening Dysrhythmias

1

2

3

Congestive Heart Failure

1

2

3

CARDIAC-Care of patient with:

Pulse Checks

1

2

3

Use of Doppler

1

2

3

Cardiac Monitors

1

2

3

Obtaining EKGs - 12 Lead

1

2

3

Use of Automatic BP Cuff (ie Dinamap)

1

2

3

KNOWLEDGE AND USE OF

Nitrates (Oral, Topical)

1

2

3

Antiarrythmics (Oral)

1

2

3

Antihypertensives (Oral)

1

2

3

RESPIRATORY GENERAL

Emphysema

1

2

3

COPD

1

2

3

Asthma Exacerbation

1

2

3

Tracheostomy

1

2

3

Pneumonia

1

2

3

Pre/Post Thoracic Surgery

1

2

3

Chest Tubes

1

2

3

RESPIRATORY-Care of patient with:

Collection of Sputum Specimen

1

2

3

O2 Cannulas/Masks

1

2

3

Non-rebreather Mask

1

2

3

Nebulizer Set-up/Use

1

2

3

Incentive Spirometry

1

2

3

Chest PT

1

2

3

Suctioning (Oral/Nasotracheal)

1

2

3

Suctioning (Tracheostomy Tube)

1

2

3

Ventilator Patient (Mouth Care, Suctioning, Ambu bag)

1

2

3

RESPIRATORY-Care of patient with:

Neuropathy

1

2

3

Steroids

1

2

3

NEURO GENERAL

Spinal Cord Injury - Acute

1

2

3

Spinal Cord Injury - Long Term

1

2

3

CVA Stroke

1

2

3

Neuromuscular Disease

1

2

3

Alzheimer Disease

1

2

3

Wandering

1

2

3

Hallucinations

1

2

3

Anxiousness

1

2

3

Agitation

1

2

3

Reality Orientation

1

2

3

NEURO-Care of patient with:

Assessing Levels of Consciousness

1

2

3

Pupil Checks

1

2

3

Seizure Precautions

1

2

3

Stroke Precautions

1

2

3

Swallow Precautions

1

2

3

Use of Hyper/Hypothermia Blanket

1

2

3

SENSORY DEFICITS-Care of patient with:

Dentures

1

2

3

Hearing Aid Devices

1

2

3

Care of Patients with Hearing Loss

1

2

3

Prosthetic Eye

1

2

3

Contact Lens Care

1

2

3

Cataracts

1

2

3

Blindness

1

2

3

Macular Degeneration

1

2

3

KNOWLEDGE AND USE OF

Anticonvulsant

1

2

3

Sedative

1

2

3

GI GENERAL

Nasogastric Tubes (i.e. Salem Sump, Levine)

1

2

3

Nasointestinal Tubes (i.e. Cantor, Miller-Abbot)

1

2

3

Jejunostomy, Gastrostomy, Cecostomy Tubes

1

2

3

Colostomy, Ileostomy

1

2

3

Administration of Tube Feedings via Flexible Tubes

1

2

3

By Gravity Infusion

1

2

3

By Feeding Pump

1

2

3

GASTROINTESTINAL-Care of patient with:

Collection of Stool Specimens

1

2

3

Bowel Preparation and Cleansing Procedures

1

2

3

Bowel Disimpaction

1

2

3

Bowel Retraining

1

2

3

Sitz Bath Treatments

1

2

3

Inserting and Checking Placement/Patency NG Tubes

1

2

3

ENDOCRINE GENERAL

Diabetes

1

2

3

Hyper/hypoglycemia

1

2

3

ENDOCRINE-Care of patient with:

Blood Glucose Monitoring

1

2

3

Performing Fingersticks

1

2

3

Use of Blood Glucose Meter Device

1

2

3

Use of Visual Blood Glucose Strips

1

2

3

KNOWLEDGE AND USE OF

Insulin

1

2

3

Single Type

1

2

3

Mixed Insulins

1

2

3

Insulin Infusion

1

2

3

RENAL/GU GENERAL

Incontinence

1

2

3

Urinary Retention

1

2

3

UTI

1

2

3

RENAL/GU-Care of patient with:

Insertion of Catheter-Female

1

2

3

Insertion of Catheter - Male

1

2

3

Insertion of Suprapubic Catheter

1

2

3

Applications of Condom Catheter

1

2

3

Bladder Retraining

1

2

3

Urinary Diversion

1

2

3

Bladder Irrigation (Continuous and Intermittent)

1

2

3

Peritoneal Dialysis

1

2

3

Manual

1

2

3

Automatic Cycler Machine

1

2

3

ORTHOPEDIC GENERAL

Total Joint Replacement

1

2

3

Rheumatic/Arthritic Disease

1

2

3

Amputation

1

2

3

Fracture

1

2

3

ORTHOPEDIC-Care of patient with:

Cast Care

1

2

3

CMS Checks

1

2

3

Traction - Skin

1

2

3

Traction - Skeletal

1

2

3

Range of Motion

1

2

3

Use of Assistive Devices

1

2

3

Applications of Splints of Extremities

1

2

3

Continuous Passive Motion Machine (CPM)

1

2

3

Transfer Techniques

1

2

3

Use of a Sliding Board

1

2

3

Gait Training/Retraining

1

2

3

Application of Prosthetic Devices

1

2

3

Application of Orthotic Devices

1

2

3

WOUND/SKIN-Care of patient with:

Pressure Sores

1

2

3

Leg Ulcers

1

2

3

Burns

1

2

3

WOUND/SKIN-Care of patient with:

Acute Dressing Changes

1

2

3

Wound Care

1

2

3

Irrigations

1

2

3

Identifying Common Skin Problems

1

2

3

IV Push/Drip Medications

1

2

3

Use of Special Pressure Relief Devices

1

2

3

Pressure Relief Mattress/Seat Cushion

1

2

3

ADDITIONAL SKILLS-Care of patient with:

Hemovacs

1

2

3

Jackson-Pratt Tubes

1

2

3

enrose Drains

1

2

3

T-Tubes

1

2

3

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