Thank you for completing the online application.  Please take a moment to fill out a competency skills check list for the position you are applying.  You may also fill these out just to gage your  qualifications for a position with Nightingale Nursing, Home Health Care Inc.  What Position are you interested in applying for?

(click one)     RN/LPN     PCA


RN/LPN Checklist
Applicant Name:

Please let us know the skills in which you are proficient:
Tracheostomy Care IV Therapy
Suctioning (trach & NT) Chemotherapy
Trach Change Ventilator Venipuncture
Management SP Catheters CPR
Foley Catheters CPR Certified
G-tube Feedings Ambu Bag
NG tube Pacement Oxygen Administration
Nebulizer Treatment Percussion & Vibration
Apnea Monitor Pediatric Care
Decubitus Care Universal Precautions
Wound Care Care of the Dying (hospice)

SIGNATURE


DATE

NOTE: Your typed name in the signature box is a legal representation of your signature.

PCA Checklist
Applicant Name:

Please let us know the skills in which you are proficient:
Lifting & Body Mechanics Catheter Care
Transfers Applying External Catheter
Evacuation Carriers Recording I&O
Tub Bathing Digital Stimulation
Showering Suppository Insertion
Hair Care Enemas
Oral Care Food Preparation
Skin Care Knowledge of Special diets
Nail Care Comparative shopping
Shaving House Cleaning
Dressing Assist Laundry, Banking
Range of Motion Exercises Communication skills
Use of Glucometer Sign Language
Pulse Assessment Assisting Visually Impaired
Respiration Monitoring Behavior Modification
Temperature Monitoring Orientation for Memory Impaired

SIGNATURE


DATE

NOTE: Your typed name in the signature box is a legal representation of your signature.

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