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)

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)

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)

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/adolescent (6 years to 18 years)
Young Adults/Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

General Skills

Care of Patient in Restraints
Automated Med Dispensing Systems
Electronic Documentation
Peripheral IV Insertion, Care and Maintenance
Access/Management of Implanted Ports
Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)
Cardiac Monitoring/Interpretation
PCA/Epidural pumps
Standard Precautions
Isolation Precautions
Knowledge of "Do Not Use Abbreviations"
Care Planning & Discharge Planning
Patient/Family Education
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

Cardiovascular

Cardiac Auscultation (Rate, Rhythm)
Clinical Identification of Arrhythmias
Fluid Overload/ CHF
Peripheral Pulses/Circulation Checks
PT/PTT/INR
Holter Monitor
Pacemaker/ AID
Pre/ Post Cardiac Surgery
Pre/ Post Vascular Surgery

Medications:

ACE Inhibitors
Anti-arrhythmic
Antibiotics
Anticoagulants
Antihypertensives
Antiplatelet Medications
Beta Blockers
Calcium Channel Blockers
Diuretics
Digoxin (Lanoxin)
Oral and Topical Nitrates
Narcotics
Potassium Supplements
Statin Medications

Pulmonary

Asthma

Auscultation of Lung Sounds/Rate & Work of Breathing
Pulse Oximetry
Administration of O2 via Nasal Cannula
Apnea Monitor
Chest Percussion
Establishing an Airway
Incentive Spirometry
Orotracheal and Nasotracheal Suctioning
Tracheostomy Care and Protocols, including Suctioning
Nebulizer
CPAP
BiPAP
Ventilator Management
Chronic Obstructive Pulmonary Disease (COPD)
Lung Cancer
Primary Pulmonary Hypertension
Pulmonary Fibrosis
Pulmonary Emboli

Neurological

Neurological Signs/Level of Consciousness (LOC)
Neuro-Motor/Sensory Functions
Seizure Precautions
Alzheimer's Disease
Dementia
Degenerative Neurological Disorders (ALS, MS, etc.)
Cerebral Tumors
Post-Cerebrovascular Accident
Guillain-Barre Syndrome
Hemiparesis
Meningitis
Parkinson's Disease
Seizure Disorders
Paraplegia/Quadriplegia
Traumatic Brain Injury (TBI)

Orthopedics

Circulation/Skin Checks
Assistive Devices
TENS units
Wheelchairs/Lift Equipment
Amputation
Arthritis
Cast/Brace
Fractures
Traction
Total hip/Knee/ Joint Replacement
In home PT/INR

Gastrointestinal

Nutritional Status
Colostomy/Ileostomy Care
Long-Term Feeding Tube
Nasogastric (NG) Tube
PEG/Gastrostomy Tube
Drainage Devices/Tubes
Tube Feeding
Feeding Pumps
Bowel Obstruction
Fecal Incontinence
Gastrointestinal Bleeding (G.I. Bleed)
Post-Gastrointestinal Surgery
Hepatitis
Inflammatory Bowel Disease
Liver Failure/ Transplant

Renal/genitourinary

Arterio-Venous Fistula/Shunt
3-Way Bladder Catheter
Foley Catheter Insertion/Maintenance
Straight Catheterization
Self-Catheterization
Prostatectomy
Peritoneal Dialysis
Nephrostomy Tube
Suprapubic Catheter
Urostomy
Hemodialysis (Receiving in an Out Pt. Clinic Setting)
Home Hemodialysis
Peritoneal Dialysis
Post-Bladder Surgery
Post-Prostate Surgery
Shunts and Fistulas
Urinary Incontinence

Endocrine/metabolic

Diabetic Skin Assessment
Hyper- and Hypoglycemia
Glucometers
Indwelling Insulin Pumps
Diabetes
Post Kidney Transplantation Surgery
Thyroid Disease

Wound/skin Care Management

Assessment
Braden Assessment Scale
Surgical Wound Healing
Skin Grafts
Burns
Pressure Ulcer Staging
Care of Pressure Ulcers
Dry and Wet to Dry Dressing Changes
Positioning of Patients
Special Mattresses and Positioning Devices
Wound Care (Sterile)
Wound Cultures
Wound Irrigations
Wound Vac

Oncology

Immune Status
Symptoms Management
Signs/Symptoms of Infection
Reverse Isolation
Radiation Therapy
Leukemia/Lymphoma
Post-Oncology Surgery
Terminal Disease

Infectious Disease

Signs/Symptoms of Infection
Isolation Precautions
HIV Infection
Tuberculosis
MRSA/VRE
C. Difficile

Phlebotomy/iv Therapy

Blood Draws from Lines
Management of Long Term IV Catheters
TPN/Hyperalimentation
CVP Lines/Dressings
PICC Lines/Dressings
Tunneled Lines/Dressings
Long-Term Lines/Dressings
IV Pumps

Psychiatry

Monitoring Symptoms
Compliance with Medications
Cognitive Disorders
Schizophrenia/Psychotic Disorders
Substance-Related Disorders
Mood Disorders (Anxiety/Depression, etc.)

Women's Health/maternal-infant Care

Fetal Heart Tones
Contractions
Breast Feeding Teaching
Pregnancy-Related Complications
Post-Mastectomy
Post-partum Mother/Baby Visit
Newborn Care
Bulb Suctioning
Cord and Circumcision Care
Phototherapy

Pediatrics

Growth and Development Stages
Croup Tent
Ventilator
Trach
Broncho Pulmonary Dysplasia
Cystic Fibrosis
Near Drowning
Pre- and Post-Cardiac Surgery
RSV
Reye's Syndrome
Pre- and Post-Spinal Surgery
Sickle Cell Disease
Spina Bifida

Pain Management

Assessment

Pain Scale
Response to Pain Management Interventions
Pharmacologic Pain Relief
Non-pharmacologic Pain Relief Measures
PCA Pump
Epidural Catheter/Site Monitoring/Pump

Medications

Alzheimer's Medications
Antibiotics
Anti HIV
Antivirals
Anti Parkinson's
Bone Marrow Stimulants
Bronchodilators
Chemotherapy
Low Molecular Weight Heparins ( Fragmin, Lovenox)
Immunizations
Insulin
Inhalers
Oral hypoglycemics
Sedative/Hypnotics

Palliative And End-of-life Care

Family Support and Teaching
Medication Protocols
Symptom Management
After Death Protocol and Management

Miscellaneous

Safety Assessment
Recognizing Failure to Thrive Across the Lifespan
Advanced Directives

Case Management

Experience as a Case Manager
Case Load, usual number of patients cared for
Supervision of Home Health Aides

Experience With

Long-term/Short-term Disability
Management of Complaints
Medicare/Medicaid
Pre-certifications
Private Insurance
Telephone Assessments
Utilization Review
Workman's Compensation

Documentation

Diagnosis Coding (ICD Coding)
Document Plan of Care (Form 485)
OASIS Documentation
Computer Charting