Competency & Qualities Lydian Care Competency & Qualities Form This form may be requested by sites you are placed and will remain in your personnel file for inspection.Name(Required) First Last Date(Required) DD slash MM slash YYYY Please detail your experience in care and the placements you would be suitable for.(Required)For example Residential home for older people Nursing home for older people, learning disabilities, Supported living, Primary Care, Mental Health Community Care or Hospital Based.How many years of experience do you have as detailed above:(Required)Please indicate which of the following skills you are competent to perform independently(Required) Bed bath Bath/shower Mouth care Use of Hoists Use of sliding sheets Use of walking aids Continence management - Pads Conveen application Use of Commodes & Bed Pans Catheter care Stoma Care Assisting with eating Enteral feed management Record keeping Drug Admin - PO/Top Drug Admin - PR/SC/IM Drug Admin - IV Observations Urine Testing Fluid Balance Cannulation Venepuncture Catheterisation - Male Catheterisation - Female Blood Sugar monitoring Pressure Area Care Give Handover Supervision of staff Home management <30 (RQIA) Home management >30 (RQIA) select the check boxes for the skills you are competent in - if you are not competent in areas please leave blank.Please list your qualities which make you suitable for the post(Required)For example Caring, Responsible, Hard working, empathetic etc..Please give details of any other specialist skills that may be relevant to your clinical placement(Required)For example NVQ/QCF in health and social care, Clinical Obs training etc..I confirm that I have completed this form & to the best of my knowledge all information I have provided is true & correct. I understand that any false information or deliberate omission may render me liable to dismissal. Signature(Required)Please either draw using the pen with your mouse or if you are completing on your mobile or handheld device use your finger or stylus to sign your name.
