Home Health | Ikajuq Care

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Email us: info@ikajuq.ca

Call us: 1-888-272-9977

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Home Health RN Skills Checklist

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)

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

Care of Patient in Restraints

1

2

3

Automated Med Dispensing Systems

Accudose

Omnicell

Pyxis

Metro

Promanager Rx

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

Allscripts

Care360

Cerner

eCLinicalWorks

EPIC

MACLAB

McKesson

Meditech

PACS

Soarian

N/A

CARDIOVASCULAR

Cardiac Auscultation (Rate, Rhythm)

1

2

3

Clinical Identification of Arrhythmias

1

2

3

Fluid Overload/ CHF

1

2

3

Peripheral Pulses/Circulation Checks

1

2

3

PT/PTT/INR

1

2

3

Holter Monitor

1

2

3

Pacemaker/ AID

1

2

3

Pre/ Post Cardiac Surgery

1

2

3

Medications:

ACE Inhibitors

1

2

3

Anti-arrhythmic

1

2

3

Antibiotics

1

2

3

Anticoagulants

1

2

3

Antihypertensives

1

2

3

Antiplatelet Medications

1

2

3

Beta Blockers

1

2

3

Calcium Channel Blockers

1

2

3

Diuretics

1

2

3

Digoxin (Lanoxin)

1

2

3

Oral and Topical Nitrates

1

2

3

Narcotics

1

2

3

Insulin Infusions

1

2

3

Statin Medicationsel

1

2

3

PULMONARY

Asthma

Auscultation of Lung Sounds/Rate & Work of Breathing

1

2

3

Pulse Oximetry

1

2

3

Administration of O2 via Nasal Cannula

1

2

3

Apnea Monitor

1

2

3

Chest Percussion

1

2

3

Establishing an Airway

1

2

3

Incentive Spirometry

1

2

3

Orotracheal and Nasotracheal Suctioning

1

2

3

Tracheostomy Care and Protocols, including Suctioning

1

2

3

Nebulizer

1

2

3

CPAP

1

2

3

BiPAP

1

2

3

Ventilator Management

1

2

3

Chronic Obstructive Pulmonary Disease (COPD)

1

2

3

Lung Cancer

1

2

3

Primary Pulmonary Hypertension

1

2

3

Pulmonary Fibrosis

1

2

3

Pulmonary Emboli

1

2

3

NEUROLOGICAL

Neurological Signs/Level of Consciousness (LOC)

1

2

3

Neuro-Motor/Sensory Functions

1

2

3

Seizure Precautions

1

2

3

Alzheimer's Disease

1

2

3

Dementia

1

2

3

Degenerative Neurological Disorders (ALS, MS, etc.)

1

2

3

Cerebral Tumors

1

2

3

Post-Cerebrovascular Accident

1

2

3

Guillain-Barre Syndrome

1

2

3

Hemiparesis

1

2

3

Meningitis

1

2

3

Parkinson's Disease

1

2

3

Seizure Disorders

1

2

3

Paraplegia/Quadriplegia

1

2

3

Traumatic Brain Injury (TBI)

1

2

3

ORTHOPEDICS

Circulation/Skin Checks

1

2

3

Assistive Devices

1

2

3

TENS units

1

2

3

Wheelchairs/Lift Equipment

1

2

3

Amputation

1

2

3

Arthritis

1

2

3

Cast/Brace

1

2

3

Fractures

1

2

3

Traction

1

2

3

Total hip/Knee/ Joint Replacement

1

2

3

In home PT/INR

1

2

3

GASTROINTESTINAL

Nutritional Status

1

2

3

Colostomy/Ileostomy Care

1

2

3

Long-Term Feeding Tube

1

2

3

Nasogastric (NG) Tube

1

2

3

PEG/Gastrostomy Tube

1

2

3

Drainage Devices/Tubes

1

2

3

Tube Feeding

1

2

3

Feeding Pumps

1

2

3

Bowel Obstruction

1

2

3

Fecal Incontinence

1

2

3

Gastrointestinal Bleeding (G.I. Bleed)

1

2

3

Post-Gastrointestinal Surgery

1

2

3

Hepatitis

1

2

3

Inflammatory Bowel Disease

1

2

3

Liver Failure/ Transplant

1

2

3

RENAL/GENITOURINARY

Arterio-Venous Fistula/Shunt

1

2

3

3-Way Bladder Catheter

1

2

3

Foley Catheter Insertion/Maintenance

1

2

3

Straight Catheterization

1

2

3

Self-Catheterization

1

2

3

Prostatectomy

1

2

3

Peritoneal Dialysis

1

2

3

Nephrostomy Tube

1

2

3

Suprapubic Catheter

1

2

3

Urostomy

1

2

3

Hemodialysis (Receiving in an Out Pt. Clinic Setting)

1

2

3

Home Hemodialysis

1

2

3

Peritoneal Dialysis

1

2

3

Post-Bladder Surgery

1

2

3

Post-Prostate Surgery

1

2

3

Shunts and Fistulas

1

2

3

Urinary Incontinence

1

2

3

ENDOCRINE/METABOLIC

Diabetic Skin Assessment

1

2

3

Hyper- and Hypoglycemia

1

2

3

Glucometers

1

2

3

Indwelling Insulin Pumps

1

2

3

Diabetes

1

2

3

Post Kidney Transplantation Surgery

1

2

3

Thyroid Disease

1

2

3

WOUND/SKIN CARE MANAGEMENT

Assessment

1

2

3

Braden Assessment Scale

1

2

3

Surgical Wound Healing

1

2

3

Skin Grafts

1

2

3

Burns

1

2

3

Pressure Ulcer Staging

1

2

3

Care of Pressure Ulcers

1

2

3

Dry and Wet to Dry Dressing Changes

1

2

3

Positioning of Patients

1

2

3

Special Mattresses and Positioning Devices

1

2

3

Wound Care (Sterile)

1

2

3

Wound Cultures

1

2

3

Wound Irrigations

1

2

3

Wound Vac

1

2

3

ONCOLOGY

Immune Status

1

2

3

Symptoms Management

1

2

3

Signs/Symptoms of Infection

1

2

3

Reverse Isolation

1

2

3

Radiation Therapy

1

2

3

Leukemia/Lymphoma

1

2

3

Post-Oncology Surgery

1

2

3

Terminal Disease

1

2

3

INFECTIOUS DISEASE

Signs/Symptoms of Infection

1

2

3

Isolation Precautions

1

2

3

HIV Infection

1

2

3

Tuberculosis

1

2

3

MRSA/VRE

1

2

3

C. Difficile

1

2

3

PHLEBOTOMY/IV THERAPY

Blood Draws from Lines

1

2

3

Management of Long Term IV Catheters

1

2

3

TPN/Hyperalimentation

1

2

3

CVP Lines/Dressings

1

2

3

Tunneled Lines/Dressings

1

2

3

Long-Term Lines/Dressings

1

2

3

IV Pumps

Alaris

Alibaba

Bard

Baxter

Braun

CADD

IVAC

Zynomed

N/A

Other IV Pumps:

PSYCHIATRY

Monitoring Symptoms

1

2

3

Compliance with Medications

1

2

3

Cognitive Disorders

1

2

3

Schizophrenia/Psychotic Disorders

1

2

3

Substance-Related Disorders

1

2

3

Mood Disorders (Anxiety/Depression, etc.)

1

2

3

WOMEN'S HEALTH/MATERNAL-INFANT CARE

Fetal Heart Tones

1

2

3

Contractions

1

2

3

Breast Feeding Teaching

1

2

3

Pregnancy-Related Complications

1

2

3

Post-Mastectomy

1

2

3

Post-partum Mother/Baby Visit

1

2

3

Bulb Suctioning

1

2

3

Cord and Circumcision Care

1

2

3

Phototherapy

1

2

3

PEDIATRICS

Growth and Development Stages

1

2

3

Croup Tent

1

2

3

Ventilator

1

2

3

Trach

1

2

3

Broncho Pulmonary Dysplasia

1

2

3

Cystic Fibrosis

1

2

3

Near Drowning

1

2

3

Pre- and Post-Cardiac Surgery

1

2

3

RSV

1

2

3

Reye's Syndrome

1

2

3

Pre- and Post-Spinal Surgery

1

2

3

Sickle Cell Disease

1

2

3

Spina Bifida

1

2

3

PAIN MANAGEMENT

Assessment

Pain Scale

1

2

3

Response to Pain Management Interventions

1

2

3

Pharmacologic Pain Relief

1

2

3

Non-pharmacologic Pain Relief Measures

1

2

3

PCA Pump

1

2

3

Epidural Catheter/Site Monitoring/Pump

1

2

3

MEDICATIONS

Alzheimer's Medications

1

2

3

Antibiotics

1

2

3

Anti HIV

1

2

3

Antivirals

1

2

3

Parkinson's

1

2

3

Bone Marrow Stimulants

1

2

3

Bronchiolitis

1

2

3

Chemotherapy

1

2

3

Low Molecular Weight Heparins ( Fragmin, Lovenox)

1

2

3

Immunizations

1

2

3

Insulin

1

2

3

Inhalers

1

2

3

Oral hypoglycemics

1

2

3

Sedative/Hypnotics

1

2

3

PALLIATIVE AND END-OF-LIFE CARE

Family Support and Teaching

1

2

3

Medication Protocols

1

2

3

Symptom Management

1

2

3

After Death Protocol and Management

1

2

3

MISCELLANEOUS

Safety Assessment

1

2

3

Recognizing Failure to Thrive Across the Lifespan

1

2

3

Advanced Directives

1

2

3

CASE MANAGEMENT

Experience as a Case Manager

1

2

3

Case Load, usual number of patients cared for

1

2

3

4

5

6

7

8

9

10

Supervision of Home Health Aides

1

2

3

EXPERIENCE WITH

Long-term/Short-term Disability

1

2

3

Management of Complaints

1

2

3

Medicare/Medicaid

1

2

3

Pre-certifications

1

2

3

Private Insurance

1

2

3

Telephone Assessments

1

2

3

Utilization Review

1

2

3

Workman's Compensation

1

2

3

DOCUMENTATION

Diagnosis Coding (ICD Coding)

1

2

3

Document Plan of Care (Form 485)

1

2

3

OASIS Documentation

1

2

3

Computer Charting

1

2

3

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PICC Lines/Dressings

1

2

3

For Inquiries:

Tel: 1-888-272-9977

Email: info@ikajuq.ca

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