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Evaluation/Diagnosis/Prevention of speech impairment
Swallow evaluation and management
Cognitive communication
Medical Social Worker
Providing adequate resources for clients in the community
Implement Short/long term planning of care
Physical Therapy
Improve Mobility & Strength
Aid inside/outside ambulation
Range of motion, Positioning & Transfers
Balancing & Gait
Create an exercise plan
Occupational Therapy
Restore Function
Promote ADL functions
Non-Skilled Services
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Medication reminders
Vital signs monitoring & Report to Clinical Nurse
Mobility support
Forms
Administrator Competency & Job Description Form
Clinical Manager Job Description Form
Home Health Aide Competency & Job Description & Skill Validation
LPN Competency Job Description Form
MSW Competency Job Description Form
Occupational Therapist Assistant Job Description Form
Occupational Therapist Job Description Form
Physical Therapist Assistant Job Description Form
Physical Therapist Job Description Form
RN Job Description & Performance Evaluation & Competency Form
Speech Therapist Job Description Form
Resources
Employement
Alora/EVV
Alora
EVV
Home
About
Services
Skilled Services
Nursing Services
Wound Care
Ostomy Care
Catheter Care
G-Tube Feeding
Vital Signs Monitoring And Report To PCP Doctor
Safety Supervision
Symptom Monitoring
Mobility Support
Speech Therapy
Evaluation/Diagnosis/Prevention of speech impairment
Swallow evaluation and management
Cognitive communication
Medical Social Worker
Providing adequate resources for clients in the community
Implement Short/long term planning of care
Physical Therapy
Improve Mobility & Strength
Aid inside/outside ambulation
Range of motion, Positioning & Transfers
Balancing & Gait
Create an exercise plan
Occupational Therapy
Restore Function
Promote ADL functions
Non-Skilled Services
Home Health Aide
Medication reminders
Vital signs monitoring & Report to Clinical Nurse
Mobility support
Forms
Administrator Competency & Job Description Form
Clinical Manager Job Description Form
Home Health Aide Competency & Job Description & Skill Validation
LPN Competency Job Description Form
MSW Competency Job Description Form
Occupational Therapist Assistant Job Description Form
Occupational Therapist Job Description Form
Physical Therapist Assistant Job Description Form
Physical Therapist Job Description Form
RN Job Description & Performance Evaluation & Competency Form
Speech Therapist Job Description Form
Resources
Employement
Alora/EVV
Alora
EVV
GALAXY
>
LPN Annual Competency
LPN Annual Competency
Scroll
Name
(Required)
Date of Hire
(Required)
Date Completed
(Required)
Demonstrates ability to obtain and document appropriate age specific history/assessment for patients and provide skilled nursing procedures in the following categories:
1) Self-Assessment
Proficien
Need Review
No Experience
1. Documentation
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
2) Self-Assessment
Proficien
Need Review
No Experience
2. Care coordination
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
3) Self-Assessment
Proficien
Need Review
No Experience
3. Following plan of care
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
Demonstrates nursing skills:
1) Self-Assessment
Proficien
Need Review
No Experience
1.Tracheostomy care
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
2) Self-Assessment
Proficien
Need Review
No Experience
2. Oxygen administration
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
3) Self-Assessment
Proficien
Need Review
No Experience
3. Pharyngeal suction
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
4) Self-Assessment
Proficien
Need Review
No Experience
4. NG tube insertion/care
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
5) Self-Assessment
Proficien
Need Review
No Experience
5. Gastric tube feedings and care
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
6) Self-Assessment
Proficien
Need Review
No Experience
6. Gastric tube removal
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
7) Self-Assessment
Proficien
Need Review
No Experience
7.Ostomy care
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
8) Self-Assessment
Proficien
Need Review
No Experience
8. Enema
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
9) Self-Assessment
Proficien
Need Review
No Experience
9. Urinary catheters:
(Required)
Foley insertion and care (male and female)
Suprapubic catheter insertion/care
Irrigation
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
10) Self-Assessment
Proficien
Need Review
No Experience
10. Wound Care:
(Required)
Aseptic Technique
Sterile Technique
Wound Vac / PICO
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
11) Self-Assessment
Proficien
Need Review
No Experience
11. Suture/staple removal
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
12) Self-Assessment
Proficien
Need Review
No Experience
12. Pain assessment and management
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
Medication Administration: Demonstrates ability to administer, monitor and document medications for patients.
1) Self-Assessment
Proficien
Need Review
No Experience
1. Medication Administration Techniques
(Required)
Intramuscular
Subcutaneous
Total Parenteral Nutrition
Suppositories
Anticoagulant therapy
Insulin administration, site rotation
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
2) Self-Assessment
Proficien
Need Review
No Experience
2. Intravenous Therapy
(Required)
Administer fluids/medications
Blood draw
Site care
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
3) Self-Assessment
Proficien
Need Review
No Experience
3.Venipuncture
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
Infection Control
1) Self-Assessment
Proficien
Need Review
No Experience
1. Hand hygiene technique
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
2) Self-Assessment
Proficien
Need Review
No Experience
2. Aseptic technique
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
3) Self-Assessment
Proficien
Need Review
No Experience
3. Proper Bag Technique
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
4) Self-Assessment
Proficien
Need Review
No Experience
4. Standard precautions
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
Equipment
1) Self-Assessment
Proficien
Need Review
No Experience
1. Home Glucose Monitoring:
Specimen collection
Quality control process
Test correctly performed and interpreted
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
2) Self-Assessment
Proficien
Need Review
No Experience
2. PT/INR Testing:
Specimen collection
Quality control process
Test correctly performed and interpreted
Eval Method
Verbal Test
Written Test
Demo
Competent
Yes
No
Preceptor Initials
(Required)
Date
(Required)
Comments
Employee Signature
(Required)
Date
(Required)
Supervisor Signature
(Required)
Date
(Required)
Preceptor Signature
(Required)
Date
(Required)
Preceptor Signature
(Required)
Date
(Required)
Preceptor Signature
(Required)
Date
(Required)
Δ
Search for:
Home
About
Services
Skilled Services
Nursing Services
Wound Care
Ostomy Care
Catheter Care
G-Tube Feeding
Vital Signs Monitoring And Report To PCP Doctor
Safety Supervision
Symptom Monitoring
Mobility Support
Speech Therapy
Evaluation/Diagnosis/Prevention of speech impairment
Swallow evaluation and management
Cognitive communication
Medical Social Worker
Providing adequate resources for clients in the community
Implement Short/long term planning of care
Physical Therapy
Improve Mobility & Strength
Aid inside/outside ambulation
Range of motion, Positioning & Transfers
Balancing & Gait
Create an exercise plan
Occupational Therapy
Restore Function
Promote ADL functions
Non-Skilled Services
Home Health Aide
Medication reminders
Vital signs monitoring & Report to Clinical Nurse
Mobility support
Forms
Administrator Competency & Job Description Form
Clinical Manager Job Description Form
Home Health Aide Competency & Job Description & Skill Validation
LPN Competency Job Description Form
MSW Competency Job Description Form
Occupational Therapist Assistant Job Description Form
Occupational Therapist Job Description Form
Physical Therapist Assistant Job Description Form
Physical Therapist Job Description Form
RN Job Description & Performance Evaluation & Competency Form
Speech Therapist Job Description Form
Resources
Employement
Alora/EVV
Alora
EVV
