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
Outpatient/outpatient community re-entry
Progressive neurologic disease
Transient Ischemic Attack (TIA)
Boston assessment of severe aphasia
Boston diagnostic aphasia examination
Minnesota test for differential diagnosis of aphasia
Porch index of communicative abilities
Reading comprehension battery for aphasia
Ross information processing assessment-geriatric
Bedside swallow evaluation
Fiber endoscopic evaluation study
Modified barium swallow study
Rehab Institute of Chicago evaluation of communication
Dysphagia across the age-spectrum
Omnibus budget reconciliation
End of life care/palliative care
Accurate patient identification
Pain assessment & management
Care of patients in isolation
Prevention of pressure ulcers
Age Specific Competencies
Preschooler (ages 3-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 12-21 years)
Young Adults (ages 21-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)