LTAC RN One program to handle all talent management needs from acquisition to development Personal Information HiddenOverall ScoreName(Required) First Middle Last Last 4 Digits of Social Security Number Email(Required) HiddenDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyAGE OF PATIENTS CARED FORYoung Adults (18 years to 39 years)(Required) 1 2 3 4 Middle Adults (39 years to 64 years)(Required) 1 2 3 4 Older Adults (64+ years)(Required) 1 2 3 4 CLINICAL SETTINGSAdmission(Required) 1 2 3 4 Advance Directives(Required) 1 2 3 4 Collect Appropriate Data(Required) 1 2 3 4 Organ/Tissue Donation(Required) 1 2 3 4 Patient and Family Teaching(Required) 1 2 3 4 Electronic Medical Records(Required) 1 2 3 4 CARDIOVASCULAR: ASSESSAbnormal Heart Sounds/Murmurs(Required) 1 2 3 4 Capillary Refill(Required) 1 2 3 4 CARDIOVASCULAR: Patient ExperienceAcute MI(Required) 1 2 3 4 Angina(Required) 1 2 3 4 Cardiac Arrest/CPR(Required) 1 2 3 4 Cardiomyopathy(Required) 1 2 3 4 Congestive Heart Failure(Required) 1 2 3 4 Pacemaker(Required) 1 2 3 4 AICD (Automatic Implanted Cardioverter/Defibrillator)(Required) 1 2 3 4 Post Cardio-Thoracic Surgery(Required) 1 2 3 4 CARDIOVASCULAR: MonitoringCVP Monitoring(Required) 1 2 3 4 Arterial Line(Required) 1 2 3 4 Cardiac Monitoring(Required) 1 2 3 4 CARDIOVASCULAR: LabsBNP (Brain Natriuretic Peptide)(Required) 1 2 3 4 Cardiac Enzymes and Isoenzymes(Required) 1 2 3 4 Coagulation Studies(Required) 1 2 3 4 Troponin(Required) 1 2 3 4 PULMONARY: AssessAdventitious Breath Sounds(Required) 1 2 3 4 Oxygenation Status(Required) 1 2 3 4 Rate and Work of Breathing(Required) 1 2 3 4 PULMONARY: Patient ExperienceAcute Pneumonia(Required) 1 2 3 4 Chest Tube(Required) 1 2 3 4 COPD(Required) 1 2 3 4 Pulmonary Edema(Required) 1 2 3 4 Pulmonary Embolism(Required) 1 2 3 4 Tracheostomy(Required) 1 2 3 4 Tuberculosis(Required) 1 2 3 4 PULMONARY: MonitoringPulse Oximetry(Required) 1 2 3 4 End Tidal CO2(Required) 1 2 3 4 PULMONARY: LabsABGs(Required) 1 2 3 4 NEUROLOGY: AssesLevel of Consciousness(Required) 1 2 3 4 Neuro Assessment(Required) 1 2 3 4 Reflex/Motor Deficits(Required) 1 2 3 4 Visual/Communication Deficits(Required) 1 2 3 4 NEUROLOGY: Patient ExperienceAlzheimer's Disease(Required) 1 2 3 4 Coma(Required) 1 2 3 4 CVA/Stroke(Required) 1 2 3 4 Neuromuscular Disease(Required) 1 2 3 4 Seizure Disorder(Required) 1 2 3 4 Spinal Cord Injury(Required) 1 2 3 4 Traumatic Brain Injury(Required) 1 2 3 4 Halo Traction/Cervical Tongs(Required) 1 2 3 4 GASTROINTESTINAL: AssessNutritional Status(Required) 1 2 3 4 Bowel Sounds(Required) 1 2 3 4 GI Assessment(Required) 1 2 3 4 GASTROINTESTINAL: Patient ExperienceAbdominal Wounds(Required) 1 2 3 4 Bowel Obstruction(Required) 1 2 3 4 Colostomy(Required) 1 2 3 4 GI/Esophageal Bleeding(Required) 1 2 3 4 Hepatitis(Required) 1 2 3 4 Pancreatitis(Required) 1 2 3 4 Liver Failure(Required) 1 2 3 4 Cancer(Required) 1 2 3 4 GASTROINTESTINAL: LabsSerum Amylase(Required) 1 2 3 4 Serum Ammonia(Required) 1 2 3 4 Liver Function Tests(Required) 1 2 3 4 RENAL/GENITOURINARY: AssessFluid Status(Required) 1 2 3 4 RENAL/GENITOURINARY: Patient ExperienceAcute Renal Failure(Required) 1 2 3 4 End Stage Renal Failure(Required) 1 2 3 4 Hemodialysis(Required) 1 2 3 4 Nephrostomy(Required) 1 2 3 4 Urinary Tract Infection(Required) 1 2 3 4 Suprapubic Cath(Required) 1 2 3 4 Fistula/Shunt(Required) 1 2 3 4 RENAL/GENITOURINARY: MonitoringI &O Measurment(Required) 1 2 3 4 Fluid Balance(Required) 1 2 3 4 RENAL/GENITOURINARY: LabsSerum Electrolytes(Required) 1 2 3 4 BUN and Creatinine(Required) 1 2 3 4 ENDOCRINE/METABOLIC: Patient ExperienceDiabetes(Required) 1 2 3 4 Blood Glucose(Required) 1 2 3 4 MUSCULOSKELETAL: AssessPulse/Circulation Checks(Required) 1 2 3 4 Pulse/Circulation ChecksAmputation(Required) 1 2 3 4 Joint Replacement(Required) 1 2 3 4 Skeletal/Skin Traction(Required) 1 2 3 4 Cast Care(Required) 1 2 3 4 IMMUNOLOGY/HEMATOLOGY/ONCOLOGY: Patient ExperienceCancer(Required) 1 2 3 4 HIV/AIDS(Required) 1 2 3 4 Treatment Side Effects - Chemo/Radiation(Required) 1 2 3 4 Sepsis(Required) 1 2 3 4 WOUNDS/INTEGUMENT: AssessS/S Infection(Required) 1 2 3 4 Staging of Pressure Ulcers(Required) 1 2 3 4 Skin Assessment(Required) 1 2 3 4 WOUNDS/INTEGUMENT: Patient ExperienceBurns(Required) 1 2 3 4 Pressure Ulcers(Required) 1 2 3 4 Surgical Wounds and Drains(Required) 1 2 3 4 Statis Ulcers(Required) 1 2 3 4 Wounds(Required) 1 2 3 4 WOUNDS/INTEGUMENT: MonitoringSkin Breakdown(Required) 1 2 3 4 MEDICATION/THERAPEUTIC INTERVENTIONS: Medication AdministrationAdminister IM and SQ Meds(Required) 1 2 3 4 Administer PO Medications(Required) 1 2 3 4 Administer IVP Medications(Required) 1 2 3 4 Administer IVPB Medications(Required) 1 2 3 4 Administer IV Drips and Titration(Required) 1 2 3 4 Administer Meds per Feeding Tubes(Required) 1 2 3 4 MEDICATION/THERAPEUTIC INTERVENTIONS: IV TherapyAssess/Maintain IV(Required) 1 2 3 4 Heparin Lock(Required) 1 2 3 4 Vascular Access Device - Care/Maintenance(Required) 1 2 3 4 Peripheral IV Insertion(Required) 1 2 3 4 MEDICATION/THERAPEUTIC INTERVENTIONS: BloodAdminister Blood/Blood Products(Required) 1 2 3 4 MEDICATION/THERAPEUTIC INTERVENTIONS: Nutrition TherapyEnteral Feeding Administration(Required) 1 2 3 4 TPN/Procalamine(Required) 1 2 3 4 Tube Feeding Pumps(Required) 1 2 3 4 Bolus Tube Feedings(Required) 1 2 3 4 NGT/SBFT Insertion(Required) 1 2 3 4 PEG/G-Tube(Required) 1 2 3 4 MEDICATION/THERAPEUTIC INTERVENTIONS: Oxygen AdministrationNasal Cannula(Required) 1 2 3 4 Venti Mask(Required) 1 2 3 4 Non-Rebreather Mask(Required) 1 2 3 4 Ambu-Bag(Required) 1 2 3 4 Trach Collar(Required) 1 2 3 4 Portable Oxygen Ventilator (IMV, AC, PEEP)(Required) 1 2 3 4 MEDICATION/THERAPEUTIC INTERVENTIONS: Pain ManagementAssess Pain Level Tolerance(Required) 1 2 3 4 Functional Pain Goal(Required) 1 2 3 4 Epidural Analgesia(Required) 1 2 3 4 Patient Controlled Analgesia(Required) 1 2 3 4 PROCEDURES/EQUIPMENT: Perform/MaintainChest Tube Drainage Systems(Required) 1 2 3 4 Doppler(Required) 1 2 3 4 Dressing Changes(Required) 1 2 3 4 Drains (JP-Hemovac-Penrose)(Required) 1 2 3 4 Suctioning (Oral-Naso-Pharnyx)(Required) 1 2 3 4 Tracheostomy Care/Suctioning(Required) 1 2 3 4 Indwelling Urinary Catheter(Required) 1 2 3 4 Isolation(Required) 1 2 3 4 Wound Vac(Required) 1 2 3 4 Finger Stick(Required) 1 2 3 4 PROCEDURES/EQUIPMENT: Specimen CollectionsWound Care/Irrigations(Required) 1 2 3 4 Butterfly Stick(Required) 1 2 3 4 Central-Line Blood Draw(Required) 1 2 3 4 Clean Catch Urine(Required) 1 2 3 4 Urine Catheter Culture Collection(Required) 1 2 3 4 Blood Cultures(Required) 1 2 3 4 Venipuncture(Required) 1 2 3 4 24 Hour Urine(Required) 1 2 3 4 PROCEDURES/EQUIPMENT: AssistBedside Invasive Procedures(Required) 1 2 3 4 Bronchoscopy(Required) 1 2 3 4 Central Line Insertion(Required) 1 2 3 4 Chest Tube Insertion(Required) 1 2 3 4 Endotracheal Intubation(Required) 1 2 3 4 Procedure/Moderate Sedation(Required) 1 2 3 4 Application Agreement(Required) 1 2 3 4 AuthorizationsLegal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By signing this document you are agreeing that you have reviewed this Consumer Disclosure and consent and intend to transact business electronically; to use electronic signatures instead of wet ink signatures and paper documents, and to receive notices and disclosures electronically. You are not required to sign documents electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from the “sending party” and withdraw your consent at any time, as described below. Scope of Consent By utilizing this Service, you agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your relationship with the “sending party.” You may withdraw your consent, at any time, by following the procedures outlined below. Paper Copies You are not required to sign documents electronically, or receive notices or disclosures electronically, and may request paper copies of documents or disclosures, if you prefer. You also have the ability to download and print any signed or unsigned documents sent to you through the electronic signature service. We may also email you a copy of all documents you sign using the electronic signature service. If you wish to receive paper copies instead of electronic documents you may close this web browser and request paper copies from the “sending party” by following the procedures outlined below. The “sending party” may apply a charge for additional expenses incurred by printing and mailing paper copies. Withdrawal of Consent You may withdraw your consent to receive electronic documents, notices or disclosures at any time. In order to withdraw consent you must notify the “sending party” that you wish to withdraw your consent to transact business electronically and to provide your future documents, notices, and disclosures in paper format. If at any time, after withdrawing your consent you choose to use our electronic signature system your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures, electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the procedures described below. Withdrawing your consent, requesting a paper copy, or updating your contact information You always have the ability to download and print any documents sent to you through our electronic signature system. To withdraw your consent to conduct business electronically, sign documents electronically, and receive documents, notices, or disclosures electronically, please contact the “sending party” directly; by telephone, by email (sent to the “sending party” with any of the topics outlined below stated in the subject line of your email) or by postal mail to their mailing address specified to receive such notices. “Withdrawal of Consent To Transact Business Electronically” To allow the “sending party” to identify and facilitate your withdrawal of consent to transact business electronically, please provide your name, email address, the date on which you are withdrawing your consent, your telephone number and mailing address. “Requesting A Paper Copy” To allow the “sending party” to identify you to provide a paper copy of the document requiring your signature, the notice, or disclosure, please provide the sending party with your name, email address, mailing address, telephone number, and name of the document of which you are requesting a paper copy . “Update Your Contact Information” To allow the “sending party” to identify you in order to update your contact information, please provide them with your name, email address, mailing address, and telephone number. The “sending party” will inform you of any fees related to costs for printing and mailing paper copies or your withdrawal consent to transact business electronically.CAPTCHANameThis field is for validation purposes and should be left unchanged.
