ROWAN COUNTY HEALTH DEPARTMENT - Public …
REFUGEE HEALTH
Competency Skills Checklist
Competencies and nursing skills are to be confirmed/assessed by the supervisor during the initial evaluation and at the time of the annual evaluation.
|PROGRAM COMPETENCY SUBJECTS |DATE REVIEWED |REVIEWER’S INITIALS |
|I. |NC Refugee Health Program Purpose | |
| |A. |Identify / Treat any | |
| | |threat to public | |
| | |health | |
| |A. |Overseas exam, flight| |
| | |to US port of entry, | |
| | |quarantine review at | |
| | |port of entry and | |
| | |send notification to | |
| | |state, flight to NC | |
| | |on same day, assisted| |
| | |by NC refugee | |
| | |resettlement agency &| |
| | |local sponsors | |
| |A. |Medicaid if meets | |
| | |categorical (children| |
| | |and adults pregnant | |
| | |or with dependent | |
| | |children) and income | |
| | |requirements - may | |
| | |have limitations | |
| |A. |Schedule within 30 | |
| | |days of arrival and | |
| | |refer to private | |
| | |provider if cannot | |
| | |complete physical | |
| | |exam portion | |
| |A. | |
| | |mmigrantrefugeehealt| |
| | |h/guidelines/domesti| |
| | |c/domestic-guideline| |
| | |s.html | |
| | |Medical history / | |
| | |review of health | |
| | |documents | |
| |A. |Tuberculosis | |
| | |screening - see | |
| | |Tuberculosis | |
| | |Competency Skills | |
| | |Checklist | |
| |A. |A physical exam | |
| | |should be completed | |
| | |for all newly | |
| | |arrived refugees | |
| |A. |To identify individuals with medical conditions that legally exclude them from being able to come to| | |
| | |the U.S. | | |
| |A. | | | |
| |A. | | |
| | |th-departments | | |
| |A. |
|Communication |Achieved |Needs Improvement |Not Achieved |Not Applicable |
|1. Employee introduces self and explains purpose of visit. | | | | |
|2. Employee establishes rapport with caregiver/client. | | | | |
|3. Employee communicates with client/caregiver in a professional, culturally, and age | | | | |
|appropriate manner. | | | | |
|4. Employee communicates with staff in a professional manner. | | | | |
|5. Employee provided services confidentially. | | | | |
|History Taking |Achieved |Needs Improvement |Not Achieved |Not Applicable |
|6. Employee conducts history in accordance with programmatic guidelines. | | | | |
|7. Employee allows client/caregiver time to explain responses. | | | | |
|8. Employee allows client/caregiver time to ask questions. | | | | |
|9. Employee uses leading questions to elicit client information. | | | | |
| Health Counseling / Education |Achieved |Needs Improvement |Not Achieved |Not Applicable |
|10. Employee provides education and counseling in accordance with programmatic | | | | |
|guidelines. | | | | |
|11. Employee provides age-appropriate and program-specific counseling in a clear, | | | | |
|precise and professional manner. | | | | |
|12. Client verbalized an understanding of information/counseling provided. | | | | |
|13. Employee allows client time to ask questions and answers client’s questions | | | | |
|appropriately. | | | | |
|Physical Assessment |Achieved |Needs Improvement |Not Achieved |Not Applicable |
|14. Employee explains procedures to client/caregiver. | | | | |
|15. Employee provides client privacy. | | | | |
|16. Employee attempts to establish rapport and make client comfortable. | | | | |
|17. Employee performs components of physical assessment in accordance with programmatic | | | | |
|guidelines. | | | | |
|18. Employee discusses finding with client/caregiver. | | | | |
|19. Employee makes appropriate referrals based on | | | | |
|findings. | | | | |
|Case Management |Achieved |Needs Improvement |Not Achieved |Not Applicable |
|20. Employee has a system of documenting and follow-up of referrals. | | | | |
|21. Employee maintains a Tickler File of client and follow-up Tickler system. | | | | |
|22. Employee documentation supports all client contacts and referral / follow-up | | | | |
|information. | | | | |
|23. Follow-up is conducted in accordance with agency / programmatic guidelines. | | | | |
|24. Records are maintained in accordance with HIPAA guidelines. | | | | |
|25. Employee documents assessments, counseling and client’s information in approved | | | | |
|format in accordance with programmatic guidelines. | | | | |
|Documentation |Achieved |Needs Improvement |Not Achieved |Not Applicable |
|26. Documentation is precise and clear. | | | | |
|27. Employee uses approved abbreviations. | | | | |
|28. Documentation supports referrals and follow-up. | | | | |
Observer / Preceptor Comments:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Feedback Provided to Employee: Date: _____________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Follow-up Planned:
________________________________________________________________________________________________________________________________________________________________
Supervisor’s Signature: ___________________________________ Date: _________________
Employee’s Signature: ____________________________________ Date: _________________
The program supervisor should maintain this information within the program files.
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