Wound Care Specialist
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
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
Electronic Medical Records
Discharge planning
Patient and family education
Isolation precautions
Admissions
Informed consents
History taking
Allergies to adhesive, latex, etc.
Debridement (Autolysis, enzymatic, biosurgical, cleaning)
Exposure wound
Identifying types of tissue
Lab studies (Albumin, prealbumin, CBC)
Pressure injury
Tunneling wounds
Acute wound care
Cytotoxic solutions
Emergent wound care
Full thickness wounds
Infection of wound
Norton assessment
Staging Wounds
Chronic wound care
Documenting wound drainage
Foreign body wounds
Identifying wound margins
Partial thickness wounds
Undermining wounds
Burn wounds
Device Pressure Injury
Fistula
Individual patient risk factors
Necrotic tissue
Radiation wounds or burns
Braden scaling
Dehiscence
Evisceration
Hyperbarics
Mechanical insult wounds
Pressure ulcer staging
Diabetic shoes
Multi-potus boots
Air fluidized mattresses
Personal Protective Equipment
Low air loss mattresses
Support stockings
Compression pumps
Specialty beds (Bariatric, air fluidized)
Alternating air mattresses
Orthotic devices
Walking devices
Cushions
Grab bars
Anti-Shear devices
Cradles
Trapeze lifts
Positioning wedges
Commodes
1-3 years
39-64 years
30 days - 1 year
18-39 years
5-12 years
3-5 years
64+ years
0-30 days
12-18 years
Post acute care
Acute care
Home health
Outpatient wound clinic
Chlorhexidine
Acetic acid
Metronidazole solution
Dakin’s Solution
Saline
Hydrogen Peroxide
Triple antibiotic solutions
Maenad acetate
Iodine
Antimicrobial
Hydrogels
Wound fillers
Contact layers
Silicone
Bioengineered tissues (cadaver, porcine, autologous grafts)
Hydrocolloids
Transparent films
Alginates
Growth factors
Special absorptives
Collagen
Impregnated gauze
I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
