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LPN / LVN - Home Health

LPN / LVN - Home Health

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 advance 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

GENERAL RESPONSIBILITIES

Activities of daily living
Admission of patient
Administration of medication
Ambulation
Application of heat and cold
Aseptic Technique
Assist with medical examination
Bathing: Sitz, tub, bed, shower
Bandaging
Binders
Body Alignment
Body Systems Review (Head to Toe data collection)
Cast care
Catheterization / Foley catheter care
Charting
Colostomy Care and irrigation
CPR
Crutch walking
Decubitus Care
Diabetic tests and preparation forms
Diabetic blood glucose testing
Dosage computation
Discharge patients
Draping
Dressing (sterile)
Ear drops
Elimination needs
Enemas, cleansing, retention, Harris flush
Restraints
Specimen collection: routine urine
Specimen collection: clean catch
Specimen collection: 12 & 24 hour specimen
Specimen collection: stool
Specimen collection: culture
Specimen collection: sputum
Specimen collection: from foley catheter
Suppositories
Suction-oral
Infection Control: Standard Universal Precautions
Infection Control: Reverse Isolation
Infection Control: TB/ Airborne Precautions
Infections Control: MRSA/ VRE Precautions
Isolation procedure for specimen collection
IVs: Monitor rate and infusion site
Medications: Oral, IM, SQ
Mouth care
Nail Care
Neurological Check
Nutritional check
Observations: Response to treatments/ meds
Observations: Signs of significant body system changes
Observations: Signs of shock
Observations: Signs of pain
Observes safety procedures
O2 administration
Pain assessment
Patient care plans (revise and update)
Patient safety standards/ precautions
Positioning patient
Postural drainage
Pre-op and post-op care
Provide comfort, safety and privacy
Pulse oxymetry
Range of motion
Report observations/ changes
Hand hygiene
Skin care
Trach care/suctioning
Topical Medication Application
Traction
Transfer/ transport patients: wheelchair
Transfer/ transport patients: gurney
Transfer/ transport patients: to chair
Urine test for glucose/ acetone
Vital Signs
Weight: Bed scales and standing scales

ELECTRONIC DOCUMENTATION

Alora Home Health
Axxess Home Health
ClearCare (by WellSky)
Homecare Homebase (HCHB)
Kinnser / WellSky
MatrixCare

AGE-SPECIFIC COMPETENCIES

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18- 39 years)
Middle adults (39- 64 years)
Older adults (64-79 years)
Elderly adults (80+ years)