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RN - Hospice

RN - Hospice

This checklist was electronically signed on September 12, 2026

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.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

PATIENT RIGHTS

Communicate and obtain information while respecting patient rights, privacy, and confidentiality of information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Involve the patient and family and respect their role in determining the nature of care provided, including advanced directives.
Meet patients’ and families' communication needs, including interpreter services.
Provide accurate information to patients and families on time.

COMMUNICATION

Communicate with patients and their companions in a courteous manner
Understand the chain of communication, who to contact, and when
Listen actively to patient concerns and address them appropriately.
Cultural Sensitivity and Language Skills

COMPLIANCE

Scope and Frequency of Services
Medicare/State Regulations for Hospice
Document Progression of Decline
DME Authorization & Documentation of Need/Order
OASIS-C

INFECTION CONTROL

Aseptic technique
Universal precautions
Personal Protective Equipment
Biohazard waste disposal

WORK SETTING

Home Hospice
Inpatient Hospice
Pediatric Hospice
Home Health/Hospice Setting

ASSESSMENT

Intake Assessment
Assessment Interview
Physical Exam
Coping Status
Environmental Status

PLAN OF CARE

Set Goals with Patient/Family
Collaboration with Other Team Members

SYMPTOM MANAGEMENT

Urgent Assessment of Symptoms
Reduce Symptoms to Level Acceptable to Patient
Report on Symptoms/Management to Provider
Treat Underlying Cause
Severity Scale
Management of Nausea
Management of Constipation
Management of Fatigue
Anorexia/Cachexia
Restlessness
Educate Family of Symptom Management

PAIN MANAGEMENT

Identify Source of Pain
Pain Severity
PAINAD Scale for Non-verbal Patient
Reduce Pain to Level Acceptable to Patient
WHO 3-Step Ladder
Non-Pharmacological Management of Pain
Pharmacological Management of Pain
Effects of Pharmacological Treatment
Nociceptive/Neuropathic/Mixed Pain
Management of Nociceptive Pain
Management of Neuropathic Pain
Educate Family on Pain Management

WOUND CARE

Positioning Techniques
Bed/Support Surface Selection
Pressure Ulcer Staging/Management
WoundVac management
Response to Treatment
Evaluate Factors that Impede Healing
Educate Family on Positioning/Shearing

PEDIATRICS

Developmentally Appropriate Assessment
Parental/Sibling Support
Pediatric Support Team Collaboration

AFTER DEATH

Family/Cultural Rituals/Rites
Patient Care after Death
Coordinate Mortuary Services
Bereavement Services

PROFESSIONAL KNOWLEDGE AND SKILLS

Identify Source of Suffering
Identify Source of Suffering
Patient/Family Directs Goals of Care
Maximize Quality of Life
Cultural Diversity
National Patient Safety Goals/Core Measures
Supervision of Ancillary Staff
Fall Risk Assessment/Prevention
Infection Prevention
Isolation Precautions
Interpretation and Communication of Lab Values

MEDICATION ADMINISTRATION

Equianalgesic Conversion Formula
Titration of Opioids
IV Pump Management
Evaluate Effectiveness of Medications
Family Management of Medications
Disposal of Medications

MEDICATIONS

Antianginal
Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Antihyperlipidemic Drugs
Antihypertensive
Anti-Infectives
Anti-Inflammatory/Analgesic Drugs
CNS Stimulants
Diuretics
Electrolyte Therapy
Gastrointestinal Drugs
Hormones
Immunosuppressants
Mental Health Medications
Muscle Relaxants
Narcotics/Opioids
Neurocognitive Drugs
Neuromuscular Blocking Agent
Ophthalmic
Pulmonary Drugs
Steroids
Vaccines

AUTOMATED MEDICATION DISPENSING SYSTEMS

Accudose
Metro
Omnicell
Promanager Rx
Pyxis
eMAR

ELECTRONIC DOCUMENTATION

Allscripts
Athena
Care360
Cerner (Oracle)
CPSI
CPSI
Eclipsys
EPIC
Greenway Primesuite
Homecare Homebase (HCHB)
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Soarian

AGE-SPECIFIC COMPETENCIES

Newborn – 30 days
Infant 30 days- 1 year
Toddler 1-3 years
Preschooler 3-5 years
School-age 5-12 years
Adolescents 12-18 years
Young adults 18- 39 years
Middle adults 39-64 years
Older adults 64+ years