Resources

Skills Checklist

Select your specific clinical area of expertise and fill out the self evaluation form to help us in assessing your experience and find better opportunities for you.

    LTC RN Checklist Proficiency Scale

    PROFICIENCY SCALE
    1. No Experience 2. Need Training
    3. Able to perform with supervision 4. Able to perform independently

    GENERAL SKILLS1234
    Standard Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Isolation Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pediatric Respiratory/ Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adult Respiratory/ Cardiac Arrest*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Crash Carts*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Defibrillators*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care of Patients in Restraints*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pain Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Automated Med Dispensing System*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care Planning & Discharge Planning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient/ Family Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient Head to Toe Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    MEDICATION-KNOWLEDGE AND USE OF1234
    Pouring from Stock Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Narcotic Administration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Push/ Drip Medications*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antibiotics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Oral*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Topical*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Otic*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Rectal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Vaginal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ophthalmic*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Continuous Subcutaneous Infusion Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Total Parenteral Nutrition (TPN)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Peripheral Parenteral Nutrition*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Patient Controlled Analgesia (PCA)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    PHLEBOTOMY/ IV THERAPY1234
    Blood Draw- Peripheral*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood Draw- Central Line/ Port*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion, Care and Maintenance of Peripheral IV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care and Maintenance of Central Lines*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Care and Maintenance of Implanted Port- A- Cath*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mixing IVs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Regulating IVs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    IV Infusion Pumps*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blood/ Blood Product Administration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    CARDIAC1234
    Recognizing Basic & Life- Threatening Dysrhythmia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Congestive Heart Failure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pulse Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Doppler Cardiac Monitors*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Taking EKGs- 12 Lead**1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Automatic BP Cuff (ie Dinamap)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Care of Patient With1234
    Heart Failure*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CHF*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    MI*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Arrhythmias*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hypertension*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hypotension*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CAD*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of1234
    Anticoagulants*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nitrates (Oral, Topical)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antiarrhythmics (Oral)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Antihypertensives (Oral)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RESPIRATORY1234
    COPD*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Asthma Exacerbation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Tracheostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pneumonia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Emphysema*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pre/ Post Thoracic Surgery*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chest Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Collection of Sputum Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    O2 Cannulas/ Masks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Non- rebreather Mask*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nebulizer Set- up/ Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Incentive Spirometry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Chest PT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suctioning (Oral/ Nasotracheal)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Suctioning (Tracheostomy Tube)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Ventilator Patient (Mouth Care, Suctioning, Ambu bag)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of:1234
    Bronchodilators (Oral, IV, Inhaler)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Steroids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    NEURO1234
    Spinal Cord Injury- Acute*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Spinal Cord Injury- Long Term*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CVA/Stroke*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Neuromuscular Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Alzheimer's Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wandering*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hallucinations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Anxiety*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Agitation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Reality Orientation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assessing Levels of Consciousness*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pupil Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Seizure Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Stroke Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Swallow Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Assisting with Lumbar Puncture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Hyper/ Hypothermia Blanket*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of1234
    Anticonvulsant*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sedative*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    SENSORY DEFICITS-CARE OF PATIENTS WITH1234
    Dentures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hearing Aids*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hearing Loss*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Prosthetic eye*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Contact Lens Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Blindness*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Macular Degeneration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GASTROINTESTINAL- CARE OF PATIENTS WITH1234
    Nasogastric tubes (i.e. Salem Sump, Levine)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Nasointestinal Tubes (i.e. Cantor, Miller- Abbott)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Jejunostomy, Gastrostomy, Cecostomy Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Colostomy, Ileostomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bronchoscopy Lung/ Wedge Resection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    GI GENERAL1234
    Collection of Stool Specimens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bowel Preparation and Cleansing Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Administration of Tube Feedings via Flexible Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bowel Disimpaction*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bowel Retraining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Sitz Bath Treatments*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion and Checking Placement/ Patency NG Tube*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of1234
    Diabetes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Hyper/ hypoglycemia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ENDOCRINE GENERAL1234
    Blood Glucose Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Performing Fingersticks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Blood Glucose Meter Device*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Visual Blood Glucose Strips*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Knowledge and Use of1234
    Single Type Insulin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Mixed Insulins*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insulin Infusion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    RENAL/ GU- CARE OF PATIENTS WITH1234
    Incontinence*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Urinary Retention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    UTI*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion of Foley Catheter- Female*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion of Foley Catheter- Male*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Straight Catheterization- Male*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Straight Catheterization- Female*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Insertion of Suprapubic Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Application of Condom Catheter*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Retraining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Urinary Diversion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Bladder Irrigation (Continuous and Intermittent)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Peritoneal Dialysis1234
    Manual*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Automatic Cycler Machine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHOPEDIC- CARE OF PATIENTS WITH1234
    Total Joint Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Rheumatic/ Arthritic Disease*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Amputation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Fracture*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ORTHOPEDIC GENERAL1234
    Cast Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    CMS Checks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Traction- Skin*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Traction- Skeletal*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Range of Motion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Assistive Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Application of Splints of Extremities*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Continuous Passive Motion Machine (CPM)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Transfer Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Sliding Board*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Gait Training/ Retraining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Application of Prosthetic Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Application of Orthotic Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    WOUND/ SKIN- CARE OF PATIENTS WITH1234
    Pressure Sores*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Leg Ulcers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Burns*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    WOUND/ SKIN GENERAL1234
    Cast Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Acute Dressing Changes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wound Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Irrigations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Identifying Common Skin Problems*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Recognizing Normal Skin Changes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Use of Special Pressure Relief Devices*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Pressure Relief Mattress/ Seat Cushion*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    ADDITIONAL SKILLS- CARE OF PATIENTS WITH1234
    Hemovacs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Jackson-Pratt Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Penrose Drains*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    T-Tubes*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Wound Vac*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


    Age Specific Competency
    Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

    Competency Scale1234
    Newborn (birth-30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Infant (30 days-1 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Toddler (1-3 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Preschooler (3-5 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    School Age (5-12 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Adolescents (12-18 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Young Adults (18-39 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Middle Adults (39-64 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
    Older Adults (64 yrs +)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











      Therapy - Occupational Therapy

      PROFICIENCY SCALE
      1. No Experience 2. Need Training
      3. Able to perform with supervision 4. Able to perform independently

      Setting1234
      Acute*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Rehab*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Inpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Outpatient*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      SNF*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Schools*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Orthopedic1234
      Fractures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Total Joint Replacement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Osteoarthritis-Frozen Shoulder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hand Injuries*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Health*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Post-Operative Care*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Amputations*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Neurologic1234
      Stroke Rehabilitation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cognitive Disorders*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Head Trauma*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Spinal Cord Injury*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neuromuscular Diseases*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Alzheimer's /Dementia*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment-Wheelchair*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Prosthetics/Orthotics1234
      Upper Extremity Prosthetics*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Procedures/Treatments1234
      Splinting - Wrist*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Splinting - Hand*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Splinting - Elbow*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Functional - Dynamic Splinting*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Joint Mobilization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Myofacial Release*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Soft Tissue Manipulation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Iontophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      TENS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Hydrotherapy - Whirlpool*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Sterilization Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cryotherapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Wound Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Debridement*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Ultrasound*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Phonophoresis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Cognitive Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Vision Therapy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Neurodevelopmental Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment Assessment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adaptive Equipment Training*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Feeding Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Exercise Programs*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Postural Education*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Home Safety Evaluation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Community Re-entry*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Group Treatment*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Skilled Nursing Documentation1234
      Medicare A*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Medicare B*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      State Healthcare*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


      Other1234
      Cardiac Rehab*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      ICU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      CCU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      SICU Procedures*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Burn Management*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Work Hardening - Work Site Eval*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Functional Capacity Eval*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Transfers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Gait Training*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Muscle Energy Techniques*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Activities of Daily Living*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently



      Age Specific Competency
      Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

      Competency Scale1234
      Newborn (birth-30 days)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Infant (30 days-1 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Toddler (1-3 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Preschooler (3-5 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      School Age (5-12 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Adolescents (12-18 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Young Adults (18-39 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Middle Adults (39-64 yrs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
      Older Adults (64 yrs +)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











        Allied Health - Cath Lab Tech

        PROFICIENCY SCALE
        1. No Experience 2. Need Training
        3. Able to perform with supervision 4. Able to perform independently

        CIRCULATING ROLE (PAV)1234
        Airway Maintenance*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Arm Cases*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Co-Ox Setup Q.C., Run Sample*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Defibrillator Setup/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IABP*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Power Injector Setup/Use*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Left Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        PTCA/ Stents/ Balloons*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Radiation Protection*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Permanent Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Temporary Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Setting Threshold of Pacemaker*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotablator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Sphygmomanometer Monitoring*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Transducer Setup/Calibration*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Run Angiojet Machine*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        HEMODYNAMIC MONITORING1234
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Handoff Reports*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Left Heart Caths*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Caths*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hematoma Recognition & Mgt*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Intra-Aortic Balloon Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        EP Study*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Ablation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotablator*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FFR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        SCRUB POSITION1234
        Left Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Right Heart Catheterization*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Coronary Intervention*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Stent Implantation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Rotational Coronary Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Intra Aortic Balloon Pump*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Biopsy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Closure Device*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Temporary Pacemakers*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Angiojet*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Radial*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Brachial*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Peripherals*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        IVUS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        FFR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Impella*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        PPM*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ICD*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        BiV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Loop Recorder*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Structural Heart*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Manifold*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        ACIST/Medrad*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Hybrid OR*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Atherectomy*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Simultaneously Scrub & Pan Xray Table*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        Equipment1234
        Phillips*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Toshiba*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        GE*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens Artis Zeego*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Shimadzu*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Cannon Alphenix*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Electronic Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


        HEMODYNAMIC MONITORING EQUIP.1234
        GE MacLab Marquette*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Mennen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Merge Cardio/ Camtronics VERICIS*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        McKesson*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Philips Xper IM/ WITT*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Siemens Sensis*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently



        Age Specific Competency
        Able to ensure a safe and caring environment for the specific age groups indicated below; able to communicate and instruct patients from various age groups; able to evaluate age-appropriate behavior and skills.

        Competency Scale1234
        Peds*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
        Adults*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently











          Laboratory - Histotechnologist/Histotechnician

          PROFICIENCY SCALE
          1. No Experience 2. Need Training
          3. Able to perform with supervision 4. Able to perform independently

          HISTOLOGY1234
          Concept of Fixation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Assist with Frozen Sectioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          QC Req and Documentation*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Collection of Tissue Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Bone Marrow Biopsy & Slides*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Filing of Slides & Blocks*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Tissue Embedding (inc small Bxs)*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Running of Tissue Processor*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Microtome & Disposable Blades*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Principle of Hematoxylin & Eosin Stain*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Decalcify Bone & Hand Tissue*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Grossing Small Specimen*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          SPECIAL STAIN TECHNIQUES1234
          Group I*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group II*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group III*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group IV*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Group V*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          HISTOLOGY1234
          Storage Time of Wet Tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Disposal of Wet Tissues*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Universal Histology Precautions*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Coverslipping*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Preparation of Stains/Reagents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Proper Labeling of Reagents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          MOHS Sectioning*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          GYN Prep & Staining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Non-GYN Prep/Staining*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          FNA Collections*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Thinprep*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently
          Electronic Documents*1 - No Experience2 - Need Training3 - Able to perform with supervision4 - Able to perform independently


          CERTIFICATIONS
          ASCP*YesNo