| Name |
|
| Date |
|
| Please choose your level of experience in each of the following. |
| |
GENERAL SKILLS & KNOWLEDGE |
Patient Safety |
|
| Assisting patient to ambulate |
|
| Fall precautions |
|
| Seizure precautions |
|
| No smoking |
|
| Restraints precautions |
|
| Oxygen safety |
|
| Turning & positioning every 2 hours |
|
| Hand washing – prevent infection |
|
| Help patients to be involved in their own care |
|
| Watch patients closely for changes in their health and report to your charge nurse if they need help |
|
Admission Process |
|
| Setup unit for admit |
|
| Orienting patient to surroundings |
|
| Call bell/emergency light |
|
| Weighing patients |
|
Patient Hygiene |
|
| Complete or partial bed bath |
|
| AM/PM care |
|
| Mouth or denture care |
|
| Hair combing/shampooing |
|
| Male shaving |
|
| Pericare |
|
| Sitz bath |
|
| Incontinence care |
|
| Back care |
|
| Skin care |
|
| Change bed linen |
|
Intake and Output |
|
| Empty foley catheter bag |
|
| Suction drainage |
|
| Replacing suction containers |
|
| Calculating oral intake |
|
| Measuring urine output |
|
| Empty surgical drainage bags |
|
| Colostomy bags |
|
| Feeding patients |
|
| Calorie count |
|
Vital Signs |
|
| Admission and routine |
|
| Post procedure |
|
| During blood transfusion |
|
| Post mortem care |
|
| Good body mechanics |
|
Ambulating patients with |
|
| IV, tubes and equipment |
|
| Walkers, canes, crutches |
|
| In and out of wheelchair |
|
| Universal precautions |
|
| Discharge process including valuables |
|
Application of Hot and Cold |
|
| Moist heat (K-pad) |
|
| Ice bags |
|
| |
| 2024 NATIONAL PATIENT SAFETY GOALS |
NPSG.01.01.01
• Identify patients correctly |
|
| • Use patients name and date of birth |
|
| • Make sure correct patient gets the correct medicine and treatment |
|
Improve staff communication
|
|
NPSG.02.03.01
Get important test results to the right staff person on time. |
|
Use medicines safely
|
|
NPSG.03.04.01
Before a proceedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up. |
|
NPSG.03.05.01
Take extra care with patients who take medicines to thin their blood. |
|
NPSG.03.06.01
Record and pass along correct information about a patient’s medicines. Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient. Give the patient written information about the medicines they need to take. Tell the patient it is important to bring their up-to-date list of medicines every time they visit their doctor. |
|
| Use Alarms Safely |
|
NPSG.06.01.01
Make improvements to ensure that alarms on medical equipment are heard and responded to on time. |
|
| Prevent infection
|
|
NPSG.07.01.01
Use the hand cleaning guidelines from the Centers of Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning |
|
| Identify patient safety risks |
|
NPSG.15.01.01
Reduce the risk for suicide. |
|
| Improve health care equity |
|
NPSG.16.01.01
Improving health care equity is a quality and patient safety priority. For example, health care disparities in the patient population are identified and a written plan describes ways to improve health care equity. |
|
| Prevent mistakes in surgery |
|
UP.01.01.01
Make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body. |
|
UP.01.02.01
Mark the correct place on the patients body where the surgery is to be done. |
|
UP.01.03.01
Pause before the surgery to make sure that a mistake is not being made. |
|
| |
SAFE & EFFECTIVE USE OF EQUIPMENT |
| K-pad |
|
| Hypo-hyperthermia blanket |
|
| TED hose |
|
| Automatic BP cuff/machine |
|
| Electronic thermometers |
|
| Tympanic thermometers |
|
| SCDs |
|
| Oxygen: nasal and mask |
|
| Bedside glucose quality controls |
|
| Specialty beds |
|
| Hoyer lift |
|
| Scales (bed, chair, standing) |
|
| Pulse oximeter sensor |
|
| Recliner chairs |
|
| Stretchers |
|
| Wheelchairs |
|
| IV poles, IV pumps |
|
| External catheters |
|
| Walker, cane, crutches |
|
| Bed check devices |
|
| Nurse call system |
|
| Code cart |
|
| |
|
CARE OF PATIENT WITH |
|
| IVs and central lines (knowledge of moving or turning patient without displacing lines) |
|
| Foley/external catheter |
|
| Hemovac/Jackson Pratt drains (moving patient without dislodging drains) |
|
| Chest tubes (moving patient without dislodging tubes) |
|
| Traction/Balkan frame |
|
| Isolation precautions |
|
| Decubitus |
|
| Tracheostomy |
|
| Colostomy |
|
| |
|
COMPUTERS |
|
| Health Connect |
|
| Meditech |
|
| Cerner |
|
| McKesson |
|
| EPIC |
|
| Camis |
|
| Affinity |
|
| |
|
| DOCUMENTATION |
|
| Graphic record |
|
| Vital signs |
|
| I and O (shift and 24 hour) |
|
| Patient activity |
|
| Teaching record |
|
| |
|
PROCEDURES |
|
| Blood glucose monitoring (assisting licensed personnel) |
|
| Enemas |
|
| Specimen collection |
|
| Urine |
|
| Stool |
|
| Sputum |
|
| Others (list) |
|
| |
|
PSYCHIATRIC |
|
| Admission of patient |
|
| Therapeutic communication skills |
|
| Management of assaultive patient |
|
| Care of the alcoholic patient |
|
| Care of the manic patient |
|
| Care of the patient with seizure disorder |
|
| Cardiopulmonary resuscitation |
|
| Active participation in multi-disciplinary staffing |
|
| Behavioral charting |
|
| Care of suicidal patient |
|
| Care of the drug dependent patient |
|
| Care of the hallucinatory patient |
|
| Neurological vital signs |
|
| |
|
| AGE SPECIFIC COMPETENCIES |
| Newborn (birth – 30 days) |
|
| Infant (30 days – 1 year) |
|
| Toddler (ages 1 – 3 years) |
|
| Preschooler (ages 3 – 5 years) |
|
| Childhood (ages 6 – 12 years) |
|
| Adolescents (ages 12 – 21 years) |
|
| Young Adults (ages 21 – 39 years) |
|
| Adults (ages 40 – 64 years) |
|
| Older Adults (ages 65 – 79 years) |
|
| Elderly (ages 80+ years) |
|
|
|
| YEARS EXPERIENCE |
years |
| |
All the information on this page is true and accurate to the best of my knowledge. By completing this form, I am authorizing
Professional Staffing to release this information to the appropriate client facilities in consideration of employment as a registry, local traveler of full traveler. |
| |
Please Enter Your Name and Date and then click the Submit Button
|
