PPR Healthcare Staffing - RN GERIATRIC SKILLS CHECKLIST

PPR Healthcare Staffing, Inc.
333 1st. St. North -- Suite 200
Jacksonville Beach, FL 32250
Fax:(888) 794-5038

RN GERIATRIC SKILLS CHECKLIST
First Name:		Last Name:
Phone:		Email:
SSN (last 4 only):		Date:

Key - for each box mark:		1 - Limited or no experience	2 - Somewhat experienced but may need review
		3 - Can function independently	4 - Competent to supervise

	1 2 3 4			1 2 3 4
Systems		\|	Care of Patient with
General Health Status		\|	Aneurysm
Assessment		\|	Angina
Normal Physiological Changes		\|	Cardiac Arrest
Associated with Age		\|	Congestive Heart Failure
Normal Psychological Changes		\|	Internal Pace Maker
Associated with Age		\|	Medications
Normal Sociological Changes		\|	Heparin Drip
Associated with Age		\|	Oral Anticoagulants
Normal Mental Changes		\|	Oral and IV Antihypertensives
Associated with Age		\|	Oral and Topical Nitrates
Procedures		\|	Lasix
Reality Orientation		\|	Digoxin
Resident Rights		\|	Pulmonary
Use of Restraints		\|	Assessment
Interdisciplinary Care Planning		\|	Breath/Lung Sounds
Cardiovascular		\|	Breathing Patterns
Assessment		\|	Cough/Secretions
Heart Sounds		\|	Skin/Nail Color
Pulses		\|	Lab Results
Neck Vein Distention		\|	Blood Gases
Peripheral Edema		\|	Procedures
Lab Values		\|	Airway Management
Cardiac Enzymes		\|	Endotracheal Tube/Suctioning
Electrolytes		\|	Tracheostomy Suctioning
Digoxin Levels		\|	Assist with Intubation
Procedures		\|	Chest Physiotherapy
Arrest Procedure/CPR		\|	Intermittent Positive Pressure Treatment
Equipment		\|
Pacemakers		\|
Doppler		\|
Antiemboletic Hose		\|
		\|



	1 2 3 4			1 2 3 4
Equipment		\|	Care of Patient with continued
Oxygen Therapy &		\|	Cancer of Brain
Medication Delivery Systems		\|	DTs
Bag and Mask		\|	Parkinsonism
Face Masks		\|	Macular Degeneration
Inhalers		\|	Neuromuscular Disease
Nasal Cannula		\|	Neuropathy
Portable Oxygen Tank		\|	Seizure Disorder
Ventilators		\|	Spinal Cord Injury
Incentive Spirometer		\|	Behaviors of:
Care of Patient with		\|	Wandering
Asthma		\|	Confusion
COPD		\|	Hallucinations
Tracheostomy		\|	Suicidal Ideations
Pneumonia		\|	Anxiousness
Pulmonary Embolism		\|	Agitation
Tuberculosis		\|	Combativeness
Medications		\|	Medications
Albuterol		\|	Anticonvulsants
Theophylline		\|	Antidepressants
Aminophylline		\|	Anticholinergic Agents
Neurological/Sensory		\|	Dopaminergic Agents
Assessment		\|	Musculoskeletal/Integumentary
Level of Consciousness		\|	Assessment
Neuro Check		\|	Circulation Checks
Mental Status		\|	Gait/Mobility
Motor Movement		\|	ROM/Joint Movement
Seizure Activity		\|	Strength
Procedures		\|	Posture
Assist with Lumbar Puncture		\|	Skin Integrity
Seizure Precautions		\|	Procedures
Application of Hearing Aids		\|	Crutch Walking
Prosthetic Eye Care		\|	Pin Care
Care of Contact Lens		\|	Cast Care
Equipment		\|	Use of Assistive Devices
Hyper/Hypothermia Blanket		\|	Body Mechanics
Care of Patient with		\|	Transfer Techniques
Alzheimer�s/Dementias		\|
Aphasia		\|
Blindness		\|
Cataracts		\|
Coma		\|
CVA		\|
		\|



	1 2 3 4			1 2 3 4
Equipment		\|	Equipment
Special Beds		\|	Drains
Traction		\|	Tubes
Prosethics		\|	N/G
Orthotic Devices		\|	Care of Patient with
K-Pad		\|	Bowel Obstruction
Splints/Immobilizers		\|	Colostomy/Ileostomy
TENS		\|	GI Bleeding
Hoyer Lift		\|	Hepatitis
Support Devices		\|	Inflammatory Bowel Disease
Cane		\|	Liver Failure
Cervical Collar		\|	Fistulas
Gait Belt		\|	Pancreatitis
Sling		\|	Medications/Supplements
Walker		\|	Antiemetics
Wheelchair		\|	Antispasmotics
Care of Patient with		\|	Vitamins
Arthritis		\|	Tube Feeding Solutions
Amputation		\|	Renal/Genitourinary
Cast		\|	Assessment
Osteoporosis		\|	Fluid and Electrolyte Balance
Pinned Fractures		\|	Lab Values
Rheumatic/Arthritic Disease		\|	Electrolytes
Joint Replacement		\|	BUN and Creatinine
Medications		\|	Procedures
Analgesics		\|	Nephrostomy Tube Care
Muscle Relaxants		\|	Peritoneal Dialysis
Topical Agents		\|	Bladder Training
NSAIDS		\|	Equipment
Gastrointestinal		\|	Bladder Irrigation
Assessment		\|	Care of Patient with
Bowel Sounds		\|	Peritoneal Dialysis
Nutritional Status/Weight		\|	Renal Failure
Procedures		\|	TURP
Lavage		\|	Urinary Tract Infection
Guaiac Test		\|	Urinary Diversion/Ileal
NG Tube Insertion		\|	Conduit Nephrostomy
Ostomy Care		\|	Medications
Paracentesis		\|	KCl
Removal of Fecal Impaction		\|	Diuretics
Enemas		\|
Bowel Retraining		\|
Oral Care/Care of Dentures		\|
		\|


		4
	1 2 3 4			1 2 3 4
Endocrine/Metabolic		\|	Care of Patient with
Assessment		\|	Lumpectomy
Diabetic Coma		\|	Mastectomy
Insulin Reaction		\|	Endometriosis
Lab Values		\|	Uterine Bleeding
Thyroid Function		\|	Medications
Glucose Tolerance		\|	Antifungal/Protozoan Agents
Fasting Blood Sugar		\|	Hormone Replacement
Ketone Bodies		\|	Hematology/Oncology
Serum Calcium		\|	Assessment
Procedures		\|	Skin Lesions/Tumors
Diabetic Teaching		\|	Family History
Equipment		\|	Cardinal Signs of Cancer
Insulin Pumps		\|	Tumor Classifications
Care of Patient with		\|	Lab Values
Diabetes Mellitus		\|	Blood Counts
Disorders of Adrenal Gland		\|	Blood Chemistry
Disorders of Pituitary Gland		\|	Procedures
Hyperthyroidism		\|	Patient/Family Counseling
Hypthyroidism		\|	Grieving Process
Thyroidectomy		\|	Altered Image
Medications		\|	Patient Teaching
Steroids/Adrenocorticosteroids		\|	Relaxation Techniques
Glucogon		\|	Imagery
Insulins		\|	Side Effects of Chemotherapy
Thyroid Replacement		\|	Bone Marrow Aspiration
Oral Antihyperglycemics		\|	Care of Patient with
Gynecologic		\|	Anemia
Assessment		\|	Immunosuppressed Conditions
External Genitalia		\|	Inpatient Hospice
Obstetric History		\|	Leukemias
Test Results		\|	Medications
Pap Smear		\|	Antineoplastic Agents
Mammogram		\|	Chemotherapeutic Agents
Procedures		\|
Douche		\|
Breast Self-Exam		\|
		\|

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize PPR to release this information to client facilities of PPR in relation to consideration of my employment to those facilities.



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