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Home Health

Home Health

Home Health

GENERAL SKILLS

Question 

Proficiency 

Frequency

Advanced directives
Patient / family teaching
Lift / transfer devices
Specialty beds
Restrictive devices (restraints)
End of life care / palliative care
Skin / wound assessment & care
Diabetic care & education
Blood Glucose Monitoring (BGM)
General nursing assessment
Recognizing failure to thrive across the lifespan
Monitoring of vital signs
Monitoring of intake / output
Monitoring of weight
Cardiac / respiratory arrest / CPR adult
Cardiac / respiratory arrest / CPR pediatric or infant
Documentation of skilled care (written) or computerized
Medicare 485 / 486 forms
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Medication reconciliation
Anticoagulation therapy
Pain assessment & management
Infection control (nosocomial / community-acquired)
Anti-infective therapy (antibiotics, antivirals, antifungals)
Universal precautions
Awareness of HCAHPS
General Skills - cont. Experience
Isolation
Minimize risk falls
Prevention of pressure ulcers

RESPIRATORY EXPERIENCE

Assessment / auscultation of lung sounds
Incentive spirometry
Principles of chest percussion
Establishing an airway

THERAPY EXPERIENCE

Starting & maintaining peripheral IVs
Blood draw: venous
Central line care (includes PICC / Groshong / Hickman)
Blood draw: central line
Care & management of ports
Care & management of nonvascular devices (epidural, intrathecal)
TPN & lipids
Administration of blood and blood products
Administration of chemotherapy
Monitoring of chemotherapy (does not initiate)
Infusion pumps

CARDIAC EXPERIENCE

Cardiovascular assessment
Clinical identification of dysrythmias (AP check for rate & rhythm)

CARE OF PATIENTS WITH

Hypertension
Coronary Artery Disease (CAD)
Acute MI
Post Coronary Artery Bypass Graft (CABG) / valve
CHF
Aneurysm (thoracic or abdominal)
Pre-post surgery

MEDICATION ADMINISTRATION / PATIENT TEACHING

Antidysrhythmics (i.e., betablockers, calcium channel blockers & cardiac glycosides)
Antihypertensives
Vasoactive drugs (NTG)
Diuretics (i.e., lasix, dyazide)

RESPIRATORY EXPERIENCE

Assessment / auscultation of lung sounds
Incentive spirometry
Principles of chest percussion
Establishing an airway

RESPIRATORY EXPERIENCE - CARE OF PATIENT WITH

Asthma
COPD
Pulmonary hypertension
Tracheostomy
Lung cancer
Pulmonary emboli

MEDICATION ADMINISTRATION / PATIENT TEACHING

Aminophylline
Bronchodilators (Bronkosol / Brethine)
Expectorants
Inhaled medications (proventil / anticholinergics / steroids / mucolytics)

NEUROLOGY EXPERIENCE

Assessment of neuro signs
Seizure precautions

CARE OF PATIENT WITH

Coma
Cerebral tumors
Seizure activity
Spinal cord injury / paralysis (para / quad)
TBI (Traumatic Brain Injury)
TIA’s
Stroke (CVA) hemiparesis
Alzheimer’s Disease
Meningitis
Multiple sclerosis
Parkinson’s disease
ALS (Amyotrophic Laterial Sclerosis)

MEDICATION ADMINISTRATION / PATIENT TEACHING

Cortocosteroids
Anticonvulsant
MAOIs
Antidyskinetics
Skeletal muscle relaxants
Dopamine (blockers & stimulants)

GI / GU EXPERIENCE

NG tube
Long term feeding tube (Keofeed, Dobhoff)
PEG / gastrostomy tube
Tube feeding
Drainage tubes (surgical & non- surgical)
G.I. bleed
Colostomy / ileostomy care
Ileal conduit
G.U. irrigations
Suprapubic catheter

CARE OF PATIENTS WITH

Shunts & fistulas
Straight catheterization
Self catheterization
Incontinence
Peritoneal dialysis
Hemodialysis

GYNECOLOGY EXPERIENCE

Endometriosis
Self breast exam
Mastectomy
Hysterectomy

ORTHOPEDIC EXPERIENCE

Total joint replacements (knee / hip / shoulder)
Crutch walking
Assistive devices
Arthroscopy / arthrotomy
TENS unit

CARE OF PATIENT WITH

Arthritis
Amputation
Casts
Fractures

MATERNAL - CHILD CARE EXPERIENCE

Assessment & care of complicated pregnancy
Breast feeding
Homecare of postpartum mother
Healthy baby

NEWBORN CARE

Bulb suctioning
Cord & circumcision care
Phototherapy
NG feedings

PEDIATRICS

Medication calculation for pedi dosing
Use of croup tent
Oxyhood

CARE OF PEDIATRIC PATIENT WITH

Asthma
Bone marrow transplant
Bronco- pulmonary dysplasia
Cardiac surgery
Cystic fibrosis
Epiglottiditis
Near drowning
Overdose / poison ingestion
Post harrington rod insertion
Respiratory Distress Syndrome (RDS)
Reye’s syndrome
Sickle cell disease
Spina bifida

USE OF EQUIPMENT FOR ALL AGE GROUPS EXPERIENCE

Cardiac monitors
Wound VAC
Apnea monitors
O2 administration (NC / mask)
Ultrasonic nebulizer
Ventilators

SOFTWARE PROGRAMS EXPERIENCE

MeDecision
TILE
OASIS

AGE-SPECIFIC COMPETENCIES EXPERIENCE

Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)

Rank each of the following sections on a scale

No experience

Little Experience

High Experience

Master

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