Hospice

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

(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
WORK_SETTINGS
Home Hospice
Inpatient Hospice
Pediatric Hospice
Home Health/Hospice Setting
ASSESSMENT
Intake Assessment
Assessment Interview
Physical Exam
Coping Status
Environmental Status
PLAN_OF_CARE
Set Goals with Pt/Family
Collaborate with Other Team Members
Ensure Continuity of Care
SYMPTOM_MANAGEMENT
Urgent Assessment of Symptoms
Reduce Symptoms to Level Acceptable to Pt.
Report Symptoms/Management to Provider
Treat Underlying Cause
Severity Scale
Management of Nausea
Management of Constipation
Management of Fatigue
Anorexia/Cachexia
Restlessness
Educate Family on Symptom Management
PAIN_MANAGEMENT
Identify Source of Pain
Pain Severity
PAINAD Scale for Non Verbal Patient
Reduce Pain to Level Acceptable to Patient
WHO 3 Step Ladder
Non-Pharmacologic Management of Pain
Pharmacologic Management of Pain
Effects of Pharmacologic Treatment
Nociceptive/Neuropathic/Mixed Pain
Management of Nociceptive Pain
Management of Neuropathic Pain
Educate Family on Pain Management
WOUND_CARE
Positioning Techniques
Bed/Support Surface Selection
Pressure Ulcer Staging/Management
Response to Treatment
Evaluate Factors that Impede Healing
Educate Family on Positioning/Shearing
PEDIATRICS
Developmentally Appropriate Assessment
Parental/Sibling Support
Pediatric Support Team Collaboration
MEDICATION_ADMIN
Equianalgesic Conversion Formula
Titration of opioids
IV Pump Management
Evaluate Effectiveness of Medications
Family Management of Medications
Disposal of Medications
AFTER_DEATH
Facility Family/Cultural Rituals/Rites
Patient Care after Death
Coordinate Mortuary Services
Bereavement Services
COMPLIANCE
Scope and Frequency of Services
Medicare/State Regulations for Hospice
Document Progression of Decline
DME Authorization & Documentation of Need/Order
OASIS-C
PROFESSIONAL_KNOWLEDGE_AND_SKILLS
Identify Source of Suffering
Palliative Care Philosophy
Patient/Family Directs Goals of Care
Maximize Quality of Life
Cultural Diversity
Supervision of Ancillary Staff
National Patient Safety Goals/Core Measures
Fall Risk Assessment/Prevention
Infection Prevention
Isolation Precautions
Interpretation and Communication of Lab Values
EMR
Epic
Cerner
Eclipsys
Allscripts
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration