NURSING CLINICAL COMPETENCY ASSESSMENT

Name:________________________________________________________________ Date:____________________________

Level of Competence

(I) = Inexperienced – No Experience (P) = Proficient – Performs Independently (N) = Novice – Needs Assistance (E) = Expert – Serves as Resource/Preceptor

Area of Practice (I) (N) (P) (E) Nursing Process (I) (N) (P) (E) Long Term Care Facility Assessment Skills

Skilled Nursing Facility Neuromuscular

Rehab Center/Hospital Cardiac

Hospital Respiratory

Extended Care Unit Gastrointestinal

Rehab Unit Care Plan Development

Hospice Unit Reassessment/Evaluation

Subacute Unit Patient Education

Patient Care Computerized Charting

Dementia Med Administration

Alzheimer’s Intravenous therapy

Parkinson’s Peripheral IV insertion

Multiple Sclerosis Monitoring/Maintenance

CHF Venipuncture

Pacemaker IV piggyback medication

Angina IV push medications

Hypertension Central Lines

COPD Tubing changes

Emphysema Site Care/Dressing Change

Pneumonia Port Cap changes

Pulmonary edema Blood Draws

Asthma PICC Lines

Cancer TPN

Diabetes Glucose Monitoring

Seizure Lab Value Interpretation

OVA Tracheostomy Care

Renal Failure Suctioning

Amputation Pulse Oximeter Total Joint Replacement Oxygen Administration

Care of Pt. on Ventilator

Tube Feeding

Assessment of Placement

Irrigation

Nasogastric Tubes

Insertion

Care & Maintenance

Gastrointestinal Tube

Care & Maintenance

Urinary catheters

Ostomy Care/Bag Changes

Colostomy

Peritoneal Dialysis