Licensed Nurse Competency Checklist - LeadingAge Il
Licensed Nurse Competency Checklist
Licensed Nurse Competency ChecklistName: Title: Hire Date:Evaluation(Check One)Skill NeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWHistory and PhysicalNursing AssessmentAdjustment ChartingAdmissionReadmissionRoom ChangeCathetersCatheterization – FemaleCatheterization – MaleFoley Insertion/RemovalChange of ConditionAssessmentVital SignsThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill AreaChange of rdsNeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWNeurologicalAssessment LOC PupillaryAssessment Speech Motor Function ExtremityStrength PainRespiratoryAssessment Breath Sounds Cough, Sputum SOB Skin/nailbeds orlips-color Oxygen useCardiovascularAssessment Heart rate,rhythm Apical Pulse Edema Heart Sounds Neck vein Capillary Refill Chest, jaw or armpainThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill AreaChange of rdsNeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWGastrointestinalAssessment Inspection Auscultation Bowel Sounds Abd aorta bruit Palpation N,V,D Date of last BM Appetite BowelIncontinenceGenitourinaryAssessment Color, odor,amount Pain w/urination Abd discomfort Fever Quality of Stream BladderIncontinenceChartingNeuro Checks24 Hour Report BoardThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill eedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal /WeightChangesNotificationMDResident RepresentativeResidentMedicareMedicareWeekly SummariesChartingProblem ChartingThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill AreaWeekly rdsNeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWIncident/Accident/EventCharting and NotificationAllegation of Abuse,Neglect, nFall RiskPainNutrition/Hydration/WeightRestraints –Chemical/PhysicalSkin ColorDiaphoresisRashReddened AreasPressure UlcersNon-pressurewoundsIncisionsSkin TearsBruisiingAbrasionsThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill AreaAssessment/Documentation/POC/Notification (cont.)Colostomy/IleostomyClinical AssessmentDiabetic Monitoring/Blood GlucoseMonitoringDiabetic Monitoring/Blood TrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWAppliance ChangeProcessNotificationEar DropsEar DropsEmergency CodesEnemaFire, Tornado,Elopement, MissingResidentEnemaEye DropsEye DropsThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill dsNeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWDaily CareInsertion (MandatoryClass if LPN)Heparin – Sub InjectionHeparin – Sub InjectionInsulinMixed DoseSingle DoseSliding ScaleIV TherapyInsertion (RN Only)Heparin Flush (RN Only)IV Fluid to MechanicalPump (RN Only)IV Push Medications (RNOnlyThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill AreaIV sNeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWIV Piggy BackMedications (RN Only)Central VenousCathetersLabSpecimen CollectionTranscription of OrdersMedicationsAdminister and RecordOral MedsAdminister and RecordIM MedsAdminister and RecordSub Q MedsChecks – apical, B/P, ch Card SystemThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill StandardsNeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWRecord PRNMedication/TreatmentMantouxNarc CountPatchesPain Scale andInterventionsNG TubesFlushesInsertionPlacement CheckNebulizerNebulizerNitroglycerin OintmentPRNNitroglycerin OintmentPRNOccurrence Form – MedErrorOccurrence Form – MedErrorThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill AreaOral AssessmentOral AssessmentOxygen ndardsNeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWLiquid O2Oxygen Therapy(cont.)Portable TanksPain ManagementPain ManagementTreatmentsSkin-Pressure UlcersDocumentationSkin-Pressure UlcersAssessment/MeasurementSkin-Pressure UlcersSterile TechniqueOintmentsPressure ReliefThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill tandardsNeedsAdditionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWSplint ApplicationTEDSOtherPhonePhoneP&P Manual and UsageP&P Manual and UsagePost Mortem CarePost Mortem CareRectal ChecksSuppository InsertionRectal ChecksSuppository InsertionReport/Assignment SheetReport/AssignmentSheetRestorative NursingCan measure residentself-performance per RAImanualCan identify staff level ofassistance per RAImanualThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill AreaRestorative Nursing(cont.)Completes tools tomeasure:o Voluntary /Involuntary ROMo Contractureso Feeding assist. levelo Ambulationo Bed Mobilityo Dressing / Grooming/ BathingIdentifies documentationrequirements andunderstands minutesrecordingRounds (Team Leader)Rounds (Team al/NasopharyngealSubra Pubic CathDaily tionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWInsertionTranscription of OrdersTranscription of OrdersThis document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
Evaluation(Check One)Skill AreaTrach tionalTrainingMethod of Evaluation(Check One)D Skills DemonstrationO Performance ObservationW Written TestV Verbal TestDOWRoutine (Changing Ties,etc.)SuctioningVentilator CareVentilator CareTube FeedingTube Feeding GravityTube Feeding(cont.)Tube Feeding PumpStandard PrecautionsBlood SpillsIsolation TechniquesInfection ControlHand washingOther (Describe)Other (Describe)This document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017VVerification(Initials/Date)
*I certify that I have received orientation in the above mentioned entator:InitialsSignature(Place in Employment File)Date(PLACE IN EMPLOYMENT FILE)This document is for general informational purposes only.It does not represent legal advice nor relied upon as supporting documentation or advice with CMS or other regulatory entities. Pathway Health Services, Inc. – All Rights Reserved – Copy with Permission Only - Requirements of Participation P&P Manual 2017
Competency (Initials/Date) Demonstrated/ Meets Standards Needs Additional Training D O W V . Trach Care etc.) Routine (Changing Ties, Suctioning Ventilator Care Ventilator Care Tube Feeding Tube Feeding Gravity Tube Feeding (cont.) Tube Feeding Pump Standard Precautions Blood Spills
nurse practitioner 1.0 fte nurse manager juvenile svcs 1.0 fte nurse manager main jail 1.0 fte nurse manager elmwood 1.0 fte assistant nurse manager 11.2fte clinical nurse 2.0 fte licensed vocational vocational nurse 2.5 fte medical unit clerk 1.0 fte medical social worker 3.0 fte administrative nurse ii 59.
published by: LeadingAge Oregon 7340 SW Hunziker, Suite 104, Tigard, Oregon 97223 503.684.3788 2018 LeadingAge Oregon serves the not-for
UNESCO EDUCATION SECTOR 5 Systems thinking competency Anticipatory competency Normative competency Strategic competency Collaboration competency Critical thinking Self-awareness competency Integrated problem-solving competency Promotion of key competencies for sustainability ESD enables all individuals to contribute to achieving the SDGs by equipping them
Clinical Nurse Specialists34 . Nurse Practitioners and Clinical Nurse Specialists35 . Nurse Anesthetists35 . Nurse Midwives36 . Nurse Practitioners and Nurse Midwives36 . Non-White, Hispanic, or Latino Advanced Practice Nurses37 . REGISTERED NURSES IN THE WORKFORCE37 . Characteristics within Employment Setting39 . Registered Nurses in Nursing .
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) – a licensed health care provider who has had one year of education from a practical nurse program and works under the supervision of a registered nurse, advanced practice nurse
Manager Opening Checklist Line Check Prep Checklist Station Setup Bar Opening Checklist Closing Checklist Host Opening/Closing Checklist Multi‐unit Inspections Checklist Periodic Maintenance Checklist Permits & License Review Staff Reviews/Evaluations
The Nurse Aide I Training program is designed to provide entry level Nurse Aide students with nurse aide skills essential for providing resident care under the general supervision of a registered nurse per 42 CFR §483.152(a)(5)(i) and to successfully meet the competency requirements for listing on the Nurse Aide I Registry.
conforming to ASTM F480 and (ASTM D1785 or ASTM D2241): (check one): Schedule 40 Schedule 80 Schedule 120. Thermoset Plastic: (check one) Filament Wound Resin Pipe conforming to ASTM D2996 Centrifugally Cast Resin Pipe conforming to ASTM D2997 Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517 Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950 PTFE Fluorocarbon .
