Long Term Care RN / LPN Proficiency Skills Checklist

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The purpose of the following checklist is to assist in matching your skills with available assignments in order to meet both your needs and the needs of our client facilities. Please select the appropriate number for each skill level, patient care situation, or type of equipment.

Level of Experience:

Theory, No Practice
Intermittent Experience
One/Two Year Consistent Experience
Very Experienced, Able to Perform Without Supervision

Name:

Date:

AGE SPECIFIC CARE
Please indicate the level of experience with which you provide care for each age group in this specialty area.

	A	B	C	D
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-School (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)

SKILLS	A	B	C	D
Patient Rights
Communicates and obtains information while respecting the rights and privacy and confidentiality of Information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Involves the patient and family and respects their role in determining the nature of care to be provided, including Advance Directives.
Complies with nursing staff responsibility included in the hospital policy related to Organ Donation.
Meets patient and families needs regarding communication, including interpreter services.
Provides accurate information to patient and families in a timely manner.

Neurology
Neuro Assessment/Neuro Vitals
Seizure Precautions
Halo Traction
Caring for patient with:
Spinal Cord Injury
Pre/Post Neurological Surgery
Parkinson's
Alzheimer's
Autonomic Dysreflexia
Head Injury
Chronic C.V.A /T.I.A
Rehabilitation of the Neuro Patient
Using Glascow Coma Scale

Cardiovascular
Assessment
Capillary Refill
Edema
Heart Tones
Pulses
Angina (Acute and Chronic)
Assessing and Treating Orthostatic BP
Assessing Abnormal Heart Tones
Antiembolic Devices

Patients with Respiratory Problems
Assessing the Respiratory System including:
Breath Sounds
Breathing Pattern / Effort
Cough Effort
Skin and Nail Bed Color
Sputum (Color/Character)
Care and Maintenance if Acute Airway (Nasopharyngeal Airway, Oropharyngeal Airway)
Administering and Monitoring O2 including:
Nasal Cannula
Mask
O2 Sets
Demonstrating Proper Use of the Ambu Bag
Care of the Ventilator Dependent Patient:
Suctioning / Hyperventilation
Ventilator Settings
Documentation
Care of the patient with:
Respiratory Failure
Respiratory Infections
Status Asthmaticus
Respiratory Distress Syndrome
Pulmonary Edema
Pulmonary Emboli
Tension Pneumothorax
Tracheotomy
Use of Incentive Spirometer

Gastrointestinal
Assessing Bowel Sounds
Identifying Abnormalities
Caring for Patient on Total Parenteral Nutrition
Inserting / Maintaining Feeding Tubes / NG Tubes
Administering Tube Feedings
Abdominal Wounds or Infections
Ileostomy / Colostomy
Stool Tests
I&O: Shift Volumes and totals including marking and / or measuring amount of urine, gastric fluid, NG drainage, emesis, diarrhea