HOME HEALTH Skillsheet
ADMINISTRATION OF MEDICATIONS
Oral
                             
IM
                             
SQ
                             
IV
                             
Intradermal
                             
Ear Drops
                             
Eye Drops
                             
Topical
                             
IVP
                             
CARDIOVASCULAR SYSTEM
Chest tightness/pain
                             
Hypertension/Hypotension
                             
Acute MI
                             
Syncope
                             
Arrhythmias
                             
Other/Arteriosclerosis
                             
Temporary External Pacemaker
                             
Internal Pacemaker
                             
Pulse Checks
                             
Taking EKG Rhythm Strips
                             
Administration of Antiarrhythmics: Oral
                             
Administration of Antiarrhythmics: IV
                             
Administration of Antiarrhythmics: Topical
                             
Administration of Antiarrhythmics: Patient Teaching
                             
Administration of Antihypertensives: Oral
                             
Administration of Antihypertensives: IV
                             
Administration of Antihypertensives: Patient Teaching
                             
COLLECTION OF SPECIMENS
Sputum
                             
Stool
                             
Urine
                             
Venipuncture for lab work
                             
GASTROINTESTINAL PROBLEMS
Assessment of GI System: Cancer of the Rectum
                             
Assessment of GI System: Liver Failure
                             
Assessment of GI System: NG Gavage
                             
Tubal Irrigations
                             
Bowel Preparations & Cleansing Enemas
                             
Removal of Fecal Impaction
                             
Bowel Training & Teaching
                             
Wound Care & Dressing Changes
                             
Assessment of GI System: General
                             
Assessment of GI System: Inflammatory Bowel Disease
                             
Assessment of GI System: Malabsorption Syndrome
                             
Assessment of GI System: Cancer of the Colon
                             
Assessment of GI System: Cancer of the Esophagus
                             
Assessment of GI System: Fistulas & Shunts
                             
Assessment of GI System: Colostomy, Ileostomy, Jejunostomy, gastrostomy
                             
Assessment of GI System: Dehiscence
                             
Assessment of GI System: Cirrhosis
                             
Assessment of GI System: Liver Transplant
                             
Assessment of GI System: Insertion&Maintenance of Nasogastric tubes (SalemPump, Levine)
                             
Assessment of the GI System: Administration of tube feedings
                             
Assessment of GI System: NG Lavage
                             
Gastrointestinal tubes (Cantor, etc.)
                             
Administration of medication via nasogastric tube
                             
GENITOURINARY PROBLEMS
Care of Patient With: Cancer of the Female Reproductive System
                             
Care of Patient With: Renal Failure
                             
Care of Patient With: Cancer of the Bladder
                             
Care of Patient With: Peritoneal Dialysis
                             
Care of Patient With: Urinary Diversion (ie: ileal conduit)
                             
Bladder irrigations: Continious
                             
Bladder irrigations: Care of Nephrostomy Tube
                             
Bladder irrigations: Interpretation of Home Urinalysis
                             
Bladder irrigations: A0V Fistula/Shunt Care
                             
Administration Diuretics& Patient Teaching: Oral
                             
Administration Diuretics& Patient Teaching: IV
                             
Administration Diuretics& Patient Teaching: Blood Glucose Monitoring, Testing, Patient Teaching
                             
Administration Diuretics& Patient Teaching: Bladder Training and Teaching
                             
Assessment of Renal System
                             
Assessment of Genitourinary System
                             
Care of Patient With: Cancer of the Prostate
                             
Care of Patient With: Cancer of the Kidneys
                             
Care of Patient With: Hemodialysis
                             
Insertion of Foley Catheter: Female
                             
Insertion of Foley Catheter: Male
                             
Bladder irrigations: Intermittent
                             
Bladder irrigations: Collection of Urin Specimens
                             
HOME IV THERAPY
Care/Maintenance of Central Venous Catheters: Boviac Catheter
                             
Care/Maintenance of Central Venous Catheters: Groshong Catheter
                             
Care/Maintenance of Central Venous Catheters: IV Dressing Site Changes
                             
Care/Maintenance of Central Venous Catheters: Implantable Venous Access Devices
                             
Care/Maintenance of Central Venous Catheters: IV Infusion Controllers/Pumps
                             
Care/Maintenance of Central Venous Catheters: Volumetric Controllers/Pumps
                             
Care/Maintenance of Central Venous Catheters: Nonvolumetric Controllers/Pumps
                             
Care/Maintenance of Central Venous Catheters: Prepare and Mix IV
                             
Care/Maintenance of Central Venous Catheters: Calculate and Regulate IVs
                             
Care/Maintenance of Central Venous Catheters: Hickman Catheter
                             
Steel Needles (scalp vein, wing tipped)
                             
Over the Needle Plastic Cannulas
                             
Heparin Locks
                             
Maintain & Discontinuing IV Therapy
                             
Care/Maintenance of Central Venous Catheters: Quinton Catheter
                             
Starting Peripheral IVs
                             
IV ADMINISTRATION
Central Line Draws
                             
Infusion Therapy
                             
Blood & Blood Products
                             
Heparin Flushes
                             
Antineoplastic Drugs (chemotherapy)
                             
Antibiotics
                             
Lipids
                             
TPN
                             
Pain Control Medication via continuous infusions (narcotics)
                             
IV Push Medications
                             
IV Pumps
                             
NEUROLOGICAL PROBLEMS
Care of Patient with: Seizures
                             
Assess Cranial Nerves
                             
Seizure Precautions
                             
Traction: Cervical
                             
Assessment of levels of consciousness
                             
Assess sensory-motor functions of extremities
                             
Care of Patient with: Spinal Cord Injury
                             
Care of Patient with: Head Trauma
                             
Care of Patient with: CVA
                             
Care of Patient with: Drug Overdose
                             
Care of Patient with: Neuromuscular Disease (MS, Parkinsons, myasthenia gravis)
                             
Administration of Anticonvulsants: Oral
                             
Administration of Anticonvulsants: IV
                             
Administration of Steroids: Oral
                             
Administration of Steroids: IV
                             
Administration of Steroids: Stryker Frames
                             
ORTHOPEDIC PROBLEMS
Care of Patient With: Amputation of an Extremity
                             
Care of Patient With: Cast Care
                             
Traction: Skin
                             
Traction: Skeletal
                             
Traction: Care of Prosthetic/Orthopedic Devices/Patient Teching
                             
Assessment of Vascular System
                             
Circulation Checks
                             
Care of Patient With: Total Knee Replacement
                             
Care of Patient With: Total Hip Replacement
                             
Care of Patient With: Total Joint Replacement
                             
Care of Patient With: Rheumatic/Arthritic Disease
                             
Traction: Range of Motion Exercises
                             
Traction: Use of Assisting Devices (Canes, Walkers, Wheelchairs, etc.)
                             
RESPIRATORY SYSTEM
Administration of Bronchodilators: Inserting Oral Airways
                             
Incentive Spirometry
                             
IPPB
                             
Care of Patient With: Ventilator
                             
Administration of Bronchodilators: Oral
                             
Administration of Bronchodilators: IV
                             
Administration of Bronchodilators: Aerosols
                             
Asthma
                             
COPD
                             
TB
                             
Pleurisy
                             
Emphysema
                             
Pneumonia
                             
Lung Cancer
                             
Pulmonary Emboli
                             
Identifying rales/rhonchi/wheezes
                             
Chest Physiotherapy
                             
Nasotracheal Suctioning
                             
Oxygen Delivery Devices
                             
Ultrasonic Nebulizer
                             
Care of Patient with: Trachesostomy
                             
Care of Patient With: Chest Tubes
                             
Collection of Sputum Specimens
                             
Administration of Oxygen: Face Masks
                             
Administration of Oxygen: Cannula
                             
Administration of Bronchodilators: Use of Ambu Bag
                             
SPECIAL PATIENT CONSIDERATIONS
Patient with a Terminal Illness
                             
Anaphylactic Shock
                             
Respiratory Arrest
                             
Documentation of: Initial Home Assessments
                             
Patient with AIDS
                             
Cardiac Arrest
                             
Pain Management
                             
Cardiopulmonary Resuscitation
                             
Documentation of: Skilled Nursing Care
                             
Documentation of: Patient-Family Teaching
                             
Documentation Using: Medicare 485/486 forms
                             
Diabetes Teaching & Care
                             
Skin, Foot & Nail Care
                             
Insulin Administration & Teaching
                             
Post Cataract Care
                             
Assessment of Home Environment
                             
Care of Patients with Alzheimers or other forms of dementia
                             
WOUND AND SKIN PROBLEMS
Care of Patient With: Decubitus Ulcers
                             
Care of Patient With: Leg Ulcers
                             
Care of Patient With: Burns
                             
Care of Patient With: Irrigation of Wounds
                             
Care of Patient With: Wound Care
                             
Assessment of Integumentary System
                             
Dressing Changes
                             
Care of Patient With: Open Draining Sores
                             
Care of Patient With: Wound Debridement
                             
Care of Patient With: Patient Teaching of Wound Care
                             
Care of Patient With: Universal Safety Precautions
                             

 

SUPPLEMENTAL  
 

Intermittent Home Health Care Experience (Years):

Private Duty Home Care Experience (Years):

Experience with Adults (Years):

Experience with Peds (Years):

Experience with Infants (Years):

Experience with Medicare-certifed agency
Yes No

IV Therapy Certified
Yes No

Venipuncture Certified
Yes No

Chemotherapy Certified
Yes No

Oasis C Experience
Yes No

PHN
Yes No