Wound Care & Ostomy Skills Checklist

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Wound Care & Ostomy Skills Checklist

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 below to describe your experience/expertise in each area listed below.

WORK SETTINGS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Acute Care – Adult
Clinic – Adult
SNF/LTAC/Subacute
Hospice / Palliative Care
Acute/Long Term Care – Pediatrics
Clinic – Pediatrics
PRESSURE ULCERS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment
Staging
Prevention/ Risk Assessment Tools – Adult
Prevention/ Risk Assessment Tools -Pediatrics
Support Surface Selection
NEUROPATHIC ULCERS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment
Management
VENOUS STASIS ULCERS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment
Management
PERIPHERAL ARTERIAL ULCERS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment
Ankle Brachial Index
Management
OTHER WOUNDS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Fistulae – Pouching / Skin Care
Skin Care/ Management of Drains
WOUND DEBRIDEMENT

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Autolytic
Enzymatic
Mechanical
Sharp
DRESSINGS/ TREATMENTS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Hydrogels
Hydrocolloids
Silver Products
Foams
Alginates
Vacuum Assisted Closure
Growth Factors
Skin Substitutes
Hyperbaric Oxygen Therapy
Wound Cultures
Electrical Stimulation
Enzymatic Debriding Agents
Mist Therapy
COLOSTOMY / ILEOSTOMY

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Ostomy Equipment Selection
Continence Skin Care Management
Loop with Rod Stoma
End Stoma
Mucous Fistula
Double Barrel Stoma
Irrigation
Ileal Lavage
CONTINENT ILEOSTOMY

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Knock pouch
Pelvic Pouch
UROSTOMY / CONTINENT

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Catherization for C&S
Knock Pouch
Neobladder
CONTINENCE THERAPEUTIC DEVICES

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Vaginal Cones
Penile Clamps
Male External Catheters
Internal Urethral Inserts
Catheters –Mgmt & Self Care Teaching
Magnetic Therapy
Urinary Incontinence Program
Fecal Incontinence Program
BURNS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Burn Management
PROFESSIONAL KNOWLEDGE AND SKILLS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
National Patient Safety Goals/ Core Measures
Patient Family Teaching
Age Specific/Population Based Care
Isolation Precautions
Infection Precautions
Pain assessment & Management
Interpretation & Communication of Lab Values
EMR
EPIC
Cerner
Eclipsys
McKesson
Other Computerized System
Computerized Physician Order Entry
Bar coding for Medication
Culture
OTHER / MISC.

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Pain Management Assessment of Pain Levels without intervention
Pain Management Response Assessment with Intervention
Experience: Charge Duty
Experience: Preceptor
AGE SPECIFIC CARE

No Experience Need Traning Able to perform with Supervision Able to perform Independetly
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (60 years)

I hereby certify that ALL information I have provided on this skills checklist, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.