Skills Checklist - Infection Prevention RN

This Skills Checklist is a self-evaluation to assess your recent experience in various clinical settings focusing on the past 2 years.

0 = No Experience
1 = Some Experience
2 = Intermittent Experience
3 = Experienced
4 = Very Experienced

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AGE

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Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Older Adults (64+ years)

GENERAL SKILLS

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Standard Precautions
Isolation Precautions
Pediatric Respiratory/Cardiac Arrest
Adult Respiratory/Cardiac Arrest
Defibrillators
Care Planning & Discharge Planning
Patient/Family Education
Pain Management
Electronic Documentation
Patient Head to Toe Assessment

CARDIOVASCULAR: Assessment

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Angina
Apical Pulse Rate/Rhythm
Cardiac Auscultation (Rate, Rhythm)
Clinical Identification of Arrhythmias
Fluid Overload
Peripheral Pulses/Circulation Checks

CARDIOVASCULAR: Interpretation of Lab Results

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PT/PTT/INR
Serum Electrolytes

CARDIOVASCULAR: Equipment & Procedures:

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Holter Monitor
Pacemaker/AID

CARDIOVASCULAR: Care of Patient With

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Hypotension
CAD/Post Myocardial Infarction (MI)
Congestive Heart Failure (CHF)
Fluid Retention
Hypertension
Pre/Post Cardiac Surgery
Pre/Post Vascular Surgery

CARDIOVASCULAR: Medication Administration

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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: Assessment

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Auscultation of Lung Sounds/Rate & Work of Breathing
Pulse Oximetry
ABGs

PULMONARY: Equipment & Procedures

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Administration of O2 via Nasal Cannula
Apnea Monitor
Chest Percussion
Establishing an Airway
Incentive Spirometry
Orotracheal and Nasotracheal Suctioning
Sputum Specimen Collection
Nebulizer
CPAP
BiPAP
Ventilator Management

PULMONARY: Care of Patient With

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Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Lung Cancer
Primary Pulmonary Hypertension
Pulmonary Fibrosis
Pulmonary Emboli

PULMONARY: Medication Administration

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Bronchodilators
Steroids
Expectorants
Inhalers

NEUROLOGICAL: Assessment

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Neurological Signs/Level of Consciousness (LOC)
Neuro-Motor/Sensory Functions

NEUROLOGICAL: Equipment & Procedures

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Seizure Precautions
Traction

NEUROLOGICAL: Care of Patient With

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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)
Transient Ischemic Attacks (TIAs)

NEUROLOGICAL: Medication Administration

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Alzheimer’s Medications
Anti-Parkinson’s Medications
Anti-Seizure Medications
Corticosteroids
Sedative/Hypnotics

ORTHOPEDICS: Assessment

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Incision Checks
Circulation/Skin Checks
Gait
Range of Motion

ORTHOPEDICS: Equipment & Procedures

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Range of Motion (Active & Passive)
Cast/Brace
Crutch/Walking
Assistive Devices
TENS Units
Wheelchairs/Lift Equipment
Total Hip/Knee/Joint Replacement

ORTHOPEDICS: Medication Administration

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Enoxaparin (Lovenox)

GASTROINTESTINAL: Assessment

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Bowel Habits
Fluid Balance
Nutritional Status

GASTROINTESTINAL: Equipment & Procedures

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Colostomy/Ileostomy Care
Long-Term Feeding Tube
Nasogastric (NG) Tube
PEG/Gastronomy Tube
Drainage Devices/Tubes
Tube Feeding
Feeding Pumps

GASTROINTESTINAL: Care of Patient With

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Bowel Obstruction
Fecal Incontinence
Gastrointestinal Bleeding (G.I. Bleed)
Post-Gastrointestinal Surgery
Hepatitis
Inflammatory Bowel Disease
Liver Failure/Transplant

RENAL/GENITOURINARY: Assessment

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Arterio-Venous Fistula/Shunt
Fluid Balance

RENAL/GENITOURINARY: Interpretation of Lab Results

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Blood Urea Nitrogen (BUN)
Serum Creatinine
Serum Electrolytes

RENAL/GENITOURINARY: Equipment & Procedures

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3-Way Bladder Catheter
Foley Catheter Insertion/Maintenance
Straight Catheterization
Self-Catheterization
Ileostomy
Irrigations
Nephrostomy Tube
Suprapubic Catheter

RENAL/GENITOURINARY: Care of Patient With

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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: Assessment

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Diabetic Skin Assessment
Hyper- and Hypoglycemia

ENDOCRINE/METABOLIC: Interpretation of Lab Results

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Hemoglobin A1C
Serum Glucose

ENDOCRINE/METABOLIC: Equipment & Procedures

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Glucometers
Insulin Pumps

ENDOCRINE/METABOLIC: Care of Patient With

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Diabetes
Post-Tranplantation Surgery

ENDOCRINE/METABOLIC: Medication Administration

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Insulin
Oral Hypoglycemics

WOUND/SKIN CARE MANAGEMENT: Assessment

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Wound Assessment Scale
Skin Assessment
Surgical Wound Healing
Skin Grafts

WOUND/SKIN CARE MANAGEMENT: Equipment & Procedures

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Burns
Care of Pressure Ulcers
Dry and Wet to Dry Dressing Changes
Positioning of Patients
Specialty Beds
Special Mattresses and Positioning Devices
Wound Care (Sterile)
Wound Cultures
Wound Irrigations
Wound Vac

WOUND/SKIN CARE MANAGEMENT: Care of Patient With

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Burns
Pressure Ulcers
Surgical Wounds
Skin Grafts

ONCOLOGY: Assessment

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Immune Status
Symptoms Management
Signs/Symptoms of Infection

ONCOLOGY: Interpretation of Lab Results

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CBC with Differential
CMP

ONCOLOGY: Equipment & Procedures

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Reverse Isolation

ONCOLOGY: Care of Patient With

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Radiation Therapy
Leukemia/Lymphoma
Post-Oncology Surgery

ONCOLOGY: Medication Administration

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Oral Chemotherapy
Intravenous Chemotherapy Administration
Intravenous Chemotherapy Monitoring
Bone Marrow Stimulating Agents

INFECTIOUS DISEASE: Assessment

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Signs/Symptoms of Infection

INFECTIOUS DISEASE: Interpretation of Lab Results

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Blood Counts
Culture and Sensitivity

INFECTIOUS DISEASE: Equipment & Procedures

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Isolation Precautions

INFECTIOUS DISEASE: Care of Patient With

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C. Diff
HIV Infection
Tuberculosis
MRSA/VRE

INFECTIOUS DISEASE: Medication Administration

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Antibiotics
Antivirals
Anti-HIV
Immunizations

PSYCHIATRY: Assessment

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Monitoring Symptoms
Compliance with Medications

PSYCHIATRY: Care of Patient With

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Cognitive Disorders
Schizophrenia/Psychotic Disorders
Substance-Related Disorders
Mood Disorders (Anxiety/Depression, etc)

WOMEN’S HEALTH/MATERNAL-INFANT CARE: Assessment

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Fetal Heart Tones
Contractions

WOMEN’S HEALTH/MATERNAL-INFANT CARE: Care of Patient With

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Breast Feeding
Pregnancy-Related Complications
Post-Mastectomy
Post-Partum Mother/Baby Visit
Newborn Care
Bulb Suctioning
Cord and Circumcision Care
Phototherapy

PEDIATRICS: Assessment

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Growth
Development Stages
Nutrition
Family/Caregiver Interaction

PEDIATRICS: Equipment & Procedures

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Calculations of Pediatric Dosages
Croup Tent
Ventilator
Trach
Pediatric Ambu
Near Drowning
Pre- and Post-Cardiac Surgery

PEDIATRICS: Care of Patient With

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Broncho Pulmonary Dysplasia
Cystic Fibrosis
Respiratory Distress Syndrome (RDS)
Reye’s Syndrome
Pre- and Post-Spinal Surgery
Sickle Cell Disease
Spina Bifida

PAIN MANAGEMENT: Assessment

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Pain Scale
Response to Pain Management Interventions

PAIN MANAGEMENT: Equipment & Procedures

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Pharmacologic Pain Relief
Non-pharmacologic Pain Relief Measures
PCA Pump

PAIN MANAGEMENT: Care of Patient With

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Epidural Catheter/Site Monitoring/Pump
Patient Controlled Analgesia

PALLIATIVE AND END-OF-LIFE CARE

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Family Support and Teaching

Medication Protocols
Symptom Management
After Death Protocol and Management

PATIENT AND FAMILY TEACHING

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Diabetic
Pre- and Post-Procedure
Post-partum/Infant Care
Medications
Monitoring
Nutrition
Safety
Self-care
Equipment
Resources

MISCELLANEOUS

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APS/ CPS Reporting
Fall Assessment and Prevention
National Patient Safety Goals
Safety Assessment
Recognizing Failure to Thrive Across the Lifespan
Advanced Directives
Wheelchairs/Lift Equipment

CASE MANAGEMENT

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Experience as a Case Manager
Case Load
Supervision of Home Health Aides

EXPERIENCE WITH

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

DOCUMENTATION

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

Position Category

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Total Years of Experience

First Name

Last Name

Social Security #

Date of Birth

Email

Phone

Attestation

I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified, particularly within the last 2 years. I hereby authorize Alliant Personnel Resources (The Company) to collect, store, and release any information that I have provided in this Skills Checklist and/or any other documentation and information they have collected or that I have submitted in any form to its parent company(s), its subsidiaries, or other subcontractors/its service providers as it deems necessary in its business operations as well as to individuals and companies in relation to consideration of employment as a Healthcare Professional with those companies and individuals. I acknowledge that The Company will take precaution and care to protect my personal information that is collected/stored/shared but cannot guarantee permanent data security and I release The Company from all related liability for damages or punitive liability.

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Skills Checklist - Home Health LPN