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PATIENT CARE TECHNICIAN SKILLS CHECKLIST | ||||||
| NAME | |||||||
| LAST 4 OF SSN | |||||||
| DATE | |||||||
| I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination. | |||||||
| Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below. | |||||||
| Proficiency Scale: |
1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently |
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| Rating Stars (Click) | OBTAINING AND RECORDING: | 1 | 2 | 3 | 4 | ||
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BP, including Orthostatic | ||||||
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VITAL SIGNS AND WEIGHTS | ||||||
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Administering an Enema | ||||||
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Applying Ted Hose | ||||||
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Asssessing Respirations | ||||||
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Assisting with Ambulation | ||||||
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Assist with Dressing | ||||||
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Colostomy Care | ||||||
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Denture Care | ||||||
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EKG | ||||||
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Incentive Spirometer | ||||||
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Isolation Techniques | ||||||
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Making an Unoccupied Bed | ||||||
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Making an Occupied Bed | ||||||
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Massaging | ||||||
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Measuring Height | ||||||
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Measuring Intake and Output | ||||||
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Moving the Patient | ||||||
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Mouth Care | ||||||
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Perineal Care | ||||||
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Phlebotomy | ||||||
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Placing Restraints | ||||||
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Positioning the Patient | ||||||
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Postmortem Care | ||||||
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Range of Motion | ||||||
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Sterile Technique | ||||||
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Transferring the Client | ||||||
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Universal Precautions | ||||||
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Using a Mechanical Lift | ||||||
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Recognizing Cardiac Arrest | ||||||
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Activating Code Team | ||||||
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Bringing Emergency Equipment to Room | ||||||
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Providing Appropriate Code Support | ||||||
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GI/GU | ||||||
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Report Abnormal Findings | ||||||
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Bowel Function | ||||||
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Bladder Function | ||||||
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Placing and Removing Bed Pan | ||||||
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Clamping Catheter | ||||||
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Emptying Foley Bag | ||||||
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Placing Condom Catheter | ||||||
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Emptying and Replacing Ostomy Bag (Established Ostomy) | ||||||
| Rating Stars (Click) | Assessing Pulse | 1 | 2 | 3 | 4 | ||
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Apical | ||||||
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Radial | ||||||
| Rating Stars (Click) | Assessing Temperature | 1 | 2 | 3 | 4 | ||
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Axillary | ||||||
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Oral | ||||||
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Rectal | ||||||
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Tympanic | ||||||
| Rating Stars (Click) | Medication Administration | 1 | 2 | 3 | 4 | ||
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Buccal | ||||||
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Oral | ||||||
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Rectal | ||||||
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Topical | ||||||
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Vaginal | ||||||
| Rating Stars (Click) | Weighing the Client | 1 | 2 | 3 | 4 | ||
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Chair | ||||||
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Bed | ||||||
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Sliding Scale | ||||||
| Rating Stars (Click) | Use of Electronic VS Equipment: | 1 | 2 | 3 | 4 | ||
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Automatic BP machine (Dynamap) | ||||||
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Electronic Thermometer | ||||||
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Applying Oximeter | ||||||
| Rating Stars (Click) | Administering Edemas: | 1 | 2 | 3 | 4 | ||
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Tap Water | ||||||
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Fleets | ||||||
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Return Flow | ||||||
| Rating Stars (Click) | Nutrition: | 1 | 2 | 3 | 4 | ||
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Estimating Intake | ||||||
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Setting up for Meals | ||||||
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Feeding Patients | ||||||
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Aspiration Precautions | ||||||
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Nourishments | ||||||
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Counting Calories | ||||||
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Fluid Restriction | ||||||
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NPO | ||||||
| Rating Stars (Click) | Specimens: | 1 | 2 | 3 | 4 | ||
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Collecting Stool | ||||||
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Collecting Sputum | ||||||
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Labeling Specimens and Preparing for Transport | ||||||
| Rating Stars (Click) | Collecting Urine: | 1 | 2 | 3 | 4 | ||
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Clean catch | ||||||
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24 hour | ||||||
| Rating Stars (Click) | Hygiene/Skin: | 1 | 2 | 3 | 4 | ||
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Risk Factors for Skin Breakdown | ||||||
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Observing Pressure Points for Redness or Breakdown | ||||||
| Rating Stars (Click) | Bathing/Daisy Hygiene: | 1 | 2 | 3 | 4 | ||
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Bathing (Shower/Tub/Arjo) | ||||||
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Oral Care, including Patients who are NPO, Comatose | ||||||
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Pen Care | ||||||
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Foot Care for Patients with Impaired Circulation or Sensation | ||||||
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Incontinence Care | ||||||
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Shaving and Precautions | ||||||
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Reducing Pressure and Friction | ||||||
| Rating Stars (Click) | Use of Pressure and Friction Reduction Services: | 1 | 2 | 3 | 4 | ||
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Special Beds/Mattresses | ||||||
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Heels and Elbow Protection | ||||||
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Foot Cradles | ||||||
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Use of Shower Chair | ||||||
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Use of Bath/Shower Boat | ||||||
| Rating Stars (Click) | Infection Control: | 1 | 2 | 3 | 4 | ||
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Reverse Isolation | ||||||
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Body Substance Isolation | ||||||
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TB Precautions | ||||||
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MRSA Precautions | ||||||
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Hand washing | ||||||
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Infectious/Hazardous Waste Disposal | ||||||
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Supply/Equipment Disposal | ||||||
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Use of Disposable Thermometer | ||||||
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Use of CPR Mask/Bag | ||||||
| Rating Stars (Click) | Proper Use of Specific Barrier, Methods: | 1 | 2 | 3 | 4 | ||
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Gloves | ||||||
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Gown | ||||||
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Mask/Goggles | ||||||
| Rating Stars (Click) | Safety and Activity: | 1 | 2 | 3 | 4 | ||
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Determining Patient ID | ||||||
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Identifying Safety Hazards | ||||||
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Determining Need for Additional Help | ||||||
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Assessing Safety and ADL Needs | ||||||
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Recognizing Abuse: Substance, Physical, Emotional etc | ||||||
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Maintaining clean, orderly work area | ||||||
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Disposing of Sharps | ||||||
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Handling hazardous materials | ||||||
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Proper body mechanics | ||||||
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ROM Exercises | ||||||
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Transferring to bed, WC, Commode etc | ||||||
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Turning and positioning | ||||||
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Patient Safety Module | ||||||
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Reporting Broken Equipment | ||||||
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Responding to Safety Hazards | ||||||
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Use of HoyerLift (Dextra/Maxi) | ||||||
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Bed Operation | ||||||
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Use of Wheel Locks | ||||||
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Use of Alarms: Bed, Patient, Unit | ||||||
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Use of Call Light | ||||||
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Documenting Use of Restraints | ||||||
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Use of Transfer Belt | ||||||
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Use of Gait Belt for Ambulation | ||||||
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Use of Seizure Pads | ||||||
| Rating Stars (Click) | Application of Restraints: | 1 | 2 | 3 | 4 | ||
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Belt including seat belt | ||||||
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Wrist/Ankle | ||||||
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Vest | ||||||
| Rating Stars (Click) | AGE SPECIFIC COMPETENCIES | 1 | 2 | 3 | 4 | ||
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Newborn (birth to 30 days) | ||||||
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Infant (31 days to 1 year) | ||||||
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Toddler (ages 2-3 years) | ||||||
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Preschooler (ages 4-5 years) | ||||||
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Childhood (ages 6-12 years) | ||||||
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Adolescents (ages 13-21 years) | ||||||
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Young Adults (ages 22-39 years) | ||||||
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Adults (ages 40-64 years) | ||||||
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Older Adults (ages 65 -79 years) | ||||||
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Elderly (ages 80+ years) | ||||||