healthcare clinicallong term carelpnmedication administrationwound care
Complete evaluation framework
What to assess and how to score it
Review the evidence signals before interviewing. Then use the anchored descriptions—not instinct alone—to choose the score that best matches each answer.
01
Evaluation factor
Clinical competence
35% weight
Check hands-on scope: IV site care, wound dressing changes, Foley insertion, blood glucose monitoring, tube feeds, and comfort with 20 to 30 resident medication passes.
Evidence to listen for
Command of the procedures, anatomy, and equipment the role requires
Holds current registration or certification
Knows normal from abnormal and what to do about each
Recognises when a case is outside their scope
Five-point scoring guide
1
Poor
Unsafe knowledge gaps; registration missing or lapsed.
2
Needs Improvement
Knowledge gaps that would affect patient care.
3
Satisfactory
Competent for standard cases; needs support on complex ones.
4
Very Good
Strong clinical knowledge; safe and reliable across the usual range.
5
Excellent
Names specific skills performed at volume, cites patient loads and settings (skilled nursing, rehab, clinic), and knows scope limits without prompting.
02
Evaluation factor
Patient safety and protocol
30% weight
Probe medication safety habits: five rights checks, narcotic count reconciliation, MAR documentation, fall and skin risk assessment, and how they escalated a change in condition to the RN or provider.
Evidence to listen for
Follows identification, infection control, and documentation protocol without prompting
Can describe an error or near miss and what they did
Escalates deterioration early
Treats protocol as protection rather than bureaucracy
Five-point scoring guide
1
Poor
Casual about protocol; would not report an error.
2
Needs Improvement
Inconsistent protocol adherence; slow to escalate.
3
Satisfactory
Follows protocol reliably; documentation sometimes thin.
4
Very Good
Protocol is instinctive; escalates early and reports honestly.
5
Excellent
Describes a real deterioration they caught early, the vitals or signs that triggered it, and the incident reporting that followed.
03
Evaluation factor
Patient communication
20% weight
Assess how they explain a new medication or dressing plan to residents and families, and handle refusals, dementia-related resistance, or an angry family member at shift change.
Evidence to listen for
Explains a procedure to an anxious or confused patient
Handles distress, pain, or refusal without losing control of the interaction
Respects privacy and dignity in practice, not just in principle
Works with families and carers
Five-point scoring guide
1
Poor
Dismissive of patients; no bedside awareness.
2
Needs Improvement
Task-focused; struggles with distressed patients.
3
Satisfactory
Adequate rapport; less confident in difficult interactions.
4
Very Good
Calm, clear, and respectful with anxious or difficult patients.
5
Excellent
Uses plain language, gives a concrete de-escalation example, and respects refusal while documenting and notifying the charge nurse.
04
Evaluation factor
Working in a clinical team
15% weight
Look for shift handoff quality: SBAR reports to oncoming staff, delegating to CNAs, working under RN supervision, and coordinating with therapy, dietary, and pharmacy.
Evidence to listen for
Hands over cleanly and completely
Challenges a colleague when patient safety requires it
Takes direction from clinicians without deferring blindly
Handles shift work and pressure without becoming difficult to work with
Five-point scoring guide
1
Poor
Poor handover; cannot work in a clinical team.
2
Needs Improvement
Handover gaps; avoids raising concerns about colleagues.
3
Satisfactory
Reliable team member; handover adequate.
4
Very Good
Clean handovers and willing to speak up on safety.
5
Excellent
Gives structured handoff examples, delegates clearly to aides, and describes pushing back respectfully when an order looked unsafe.
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