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.
Work Settings | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acute care |
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Children’s hospital |
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Daily treatment center |
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Home health care |
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Inpatient acute rehab |
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Neonatal intensive care |
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Outpatient/outpatient community re-entry |
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Pediatrics |
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Psychiatric hospital |
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Private practice |
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School setting |
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Early intervention |
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Skilled nursing facility |
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Patient Populations | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Geriatrics |
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Hearing impaired |
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Learning disabilities |
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Pediatrics/school age |
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Progressive neurologic disease |
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Trachs/ventilators |
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Transient Ischemic Attach (TIA) |
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Traumatic brain injury |
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Voice/laryngectomy |
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Assessment Tools | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Boston assessment of severe aphasia |
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Boston diagnostic aphasia examination |
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Minnesota test for differential diagnosis of aphasia |
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Informal testing |
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Porch index of communicative abilities |
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Reading comprehension battery for aphasia |
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Ross information processing assessment-geriatric |
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Western aphasia battery |
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Bedside swallow evaluation |
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Blue dye test |
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Cervical auscultation |
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Fiber endoscopic evaluation study |
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Modified barium swallow study |
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Rehab Institute of Chicago evaluation of communication |
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Augmentative devices |
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Pure tone screening |
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Types of Disorders | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Aphasia |
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Apraxia |
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Autism |
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Cleft palate |
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CVA/stroke |
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Fluency |
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Dementia/alzheimers |
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Dysarthria |
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Dysphagia |
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Hearing loss |
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Learning disabilities |
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Traumatic brain injury |
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Treatment | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Augmentative devices |
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Behavior modification |
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Cognitive training |
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Community re-entry |
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Computer |
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Co-treatment |
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Treatment - cont. | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Group |
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Individual |
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Safety awareness |
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Total communication |
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Vital stimulation |
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Dysphagia across the age-spectrum |
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Regulations | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
FIMS |
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Medi-Cal |
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Medicare |
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Omnibus budget reconciliation |
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RUG levels |
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General Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Patient/family teaching |
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Patients in isolation |
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Patients in restraints |
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Initial evaluation |
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Lift/transfer devices |
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Specialty beds |
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End of life care/palliative care |
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Cerner |
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EPIC |
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McKesson |
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Meditech |
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Accurate patient identification |
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Effective communication |
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Pain assessment & management |
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Infection control |
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Universal precautions |
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Care of patients in isolation |
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Minimize risk of falls |
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Prevention of pressure ulcers |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infant (birth to 1 year) |
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Toddler (ages 1-3 years) |
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Preschooler (ages 3-5 years) |
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Childhood (ages 6-12 years) |
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Adolescents (ages 12-21 years) |
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Young Adults (ages 21-39 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) |
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