Onward Healthcare Skills Checklists

Congratulations on your decision to apply for a travel nursing position with Onward Healthcare! Before we can offer you a nursing employment opportunity, an electronic skills assessment must be completed. From the nursing skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!


Hospice Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
Last 4 of Social Security Number*
- -
E-Mail Address* Phone Number*
or
 
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
 
WORK SETTINGS
1 2 3 4
 
Home Hospice
 
Inpatient Hospice
 
Pediatric Hospice
 
Home Health/Hospice Setting
 
ASSESSMENT
1 2 3 4
 
Intake Assessment
 
Assessment Interview
 
Physical Exam
 
Coping Status
 
Environmental Status
 
PLAN OF CARE
1 2 3 4
 
Set Goals with Pt/Family
 
Collaborate with Other Team Members
 
Ensure Continuity of Care
 
SYMPTOM MANAGEMENT
1 2 3 4
 
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
1 2 3 4
 
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
1 2 3 4
 
Positioning Techniques
 
Bed/Support Surface Selection
 
Pressure Ulcer Staging/Management
 
Response to Treatment
 
Evaluate Factors that Impede Healing
 
Educate Family on Positioning/Shearing
 
PEDIATRICS
1 2 3 4
 
Developmentally Appropriate Assessment
 
Parental/Sibling Support
 
Pediatric Support Team Collaboration
 
MEDICATION ADMIN
1 2 3 4
 
Equianalgesic Conversion Formula
 
Titration of opioids
 
IV Pump Management
 
Evaluate Effectiveness of Medications
 
Family Management of Medications
 
Disposal of Medications
 
AFTER DEATH
1 2 3 4
 
Facility Family/Cultural Rituals/Rites
 
Patient Care after Death
 
Coordinate Mortuary Services
 
Bereavement Services
 
COMPLIANCE
1 2 3 4
 
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
1 2 3 4
 
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
1 2 3 4
 
Epic
 
Cerner
 
Eclipsys
 
Allscripts
 
McKesson
 
Meditech
 
Other Computerized System
 
Computerized Physician Order Entry
 
Bar Coding for Medication Administration
 
 
EMR Conversion
 
CERTIFICATIONS
 
BLS
Small calendar
Exp. Date: 
 
CHPN
Small calendar
Exp. Date: 
 
ACHPN
Small calendar
Exp. Date 
 
CHPPN
Small calendar
Exp. Date 
 
Other: Specify 
Small calendar
Exp. Date: 
 
Other: Specify 
Small calendar
Exp. Date: 
Hospice Skills Checklist, version 1

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

Travel nurse jobs, staffing and recruitment from Onward Healthcare. © 2015 AMN Healthcare, Inc. All rights reserved. Reproduction and distribution of these materials is prohibited without the expressed written authorization of AMN Healthcare, Inc.

© 2015 Onward Healthcare
Terms of Use | Privacy Policy