= Skills Checklist =

Home Health Skills

Please rank the following skills on a scale of 1 to 4

1 = No theory and/or experience
2 = Limited experience
3 = Experienced/minimal support needed to perform
4 = Proficient

  • Experience with the Following Ages

  • Work Setting

  • Assessment

  • General Skills

  • Cardiovascular:

  • Interpretation of Lab Results

  • Equipment and Procedures

  • Care of Patient with

  • Medication Administration

  • Assessments

  • Equipment and Procedures:

  • Medication Administration

  • Neurological:

  • Assessment

  • Equipment and Procedures

  • Care of Patient with

  • Medication Administration

  • Orthopedics:

  • Assessment

  • Equipment and Procedures

  • Medication Administration

  • Gastrointestinal:

  • Assessment

  • Equipment and Procedures

  • Care of Patient with

  • Renal/Genitourinary:

  • Assessment

  • Interpretation of Lab Results

  • Equipment and Procedures

  • Care of Patient with

  • Endocrine/Metabolic:

  • Assessment

  • Interpretation of Lab Results

  • Equipment and Procedures

  • Care of Patient with

  • Medication Administration

  • Wound/Skin Care Management:

  • Assessment

  • Equipment and Procedures

  • Care of Patient with

  • Oncology:

  • Assessment

  • Interpretation of Lab results

  • Equipment and Procedures

  • Care of Patient with

  • Infectious Disease:

  • Assessment

  • Interpreatation of Lab Results

  • Equipment and Procedures

  • Care of patient with

  • Medication Administration

  • Psychiatry:

  • Assessment

  • Care of Patient with

  • Women’s Health/Maternal Infant Care:

  • Assessment

  • Care of Patient with

  • Pediatrics:

  • Assessment

  • Equipment and Procedures

  • Care of Patient with

  • Pain Management:

  • Assessment

  • Equipment and Procedures

  • Care of Patient with

  • Pallative and end of life care

  • Patient and family teaching

  • Miscellaneous

  • Case Management

  • Documentation

  • MM slash DD slash YYYY