Telemetry/Stepdown Skills Checklist

Fill Out and Submit your Skills Checklist
Skills Checklist
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:
1No Experience
2Need Training
3Able to perform with supervisione
4Able to perform independently
CARDIOVASCULAR Care of Patient with
Acute MI
0
CHF
0
Angina Hypertension
0
Cardiomyopathy Cardiopulmonary Arrest
0
Abdominal Aortic Aneurysm
0
Carotid Endarterectomy
0
Femoral Popliteal Bypass
0
Pre & Post Cardiac Surgery
0
Pre & Post Cardiac Cath
0
Pre & Post PTCA
0
Permanent Pacemaker Temporary PacemakerExternal Pacemaker
0
Cardiac Lab Interpretation
0
Cardiac Patient/Family Teaching
0
RESPIRATORY
Respiratory assessment
0
Assess Lung sounds
0
Chest percussion
0
Establish/Protect Airway
0
Chest tubes/Pleurevac
0
Oxygen therapy
0
Drawing ABGs
0
Interpretation of ABGs
0
Incentive Spirometry
0
Suctioning: oral nasotracheal endotracheal tube tracheostomy tube
0
Oxygen Equipment Set Up and Maintenance: nasal canula non-rebreather mask venti-mask ET
0
Inturbation/extubationambu bag pulse oximetry
0
Care of patient with: COPD tracheostomy pulmonary edema ARDS ventilator (A/C, IMV, PEEP) pre/post-op thoracis surgery pneumonia chest tubes asthma emphysema
0
NEUROLOGY
Neurological assessment
0
Seizure precautions
0
Assessment and Management of Seizure Activity
0
Assisting with lumbar puncture
0
Signs/Symptoms of increasing ICP
0
Glascow Coma Scale
0
Crutchfield tongs
0
Circo-electric bed Halo traction
0
Stryker frame
0
Care of patient with: seizures CNS infection overdose DTs spinal cord injury acute head injury CVA/TIA neuromuscular disease pre/post neuro surgery
0
GASTROINTESTINAL
G.I. assessment
0
Bowel sounds
0
Inserting N-G tubes
0
Colostomy care
0
Measurement of I & O
0
Administration of tube feedings
0
Care of patients with: GI bleed NG tube G-tube J-tube abdominal wounds/surgeries inflammatory bowel disease bowel obstruction
0
RENAL/GENITOURINARY
Insertion and care of: straight cath Indwelling urinary cath: male female 3-way
0
Care of Patient with: Bladder Irrigation Suprapubic Tube Nephrostomy Tube Renal Transplant Nephrectomy Renal Transplant BPH Pre/post Turp
0
ORTHOPEDIC
Total Knee Replacement
0
Bucks Extension
0
Cast Care
0
Crutch Walking
0
K-Wires
0
Spica Casts
0
Balanced Suspension Traction
0
Circulation Checks
0
Care of Patient with: Amputation Rheumatic/Arthritic Disease Multiple Trauma Paraplegia External Fixation Post Arthroplasty
0
GENERAL
Blood Glucose Monitoring
0
Dressing Changes
0
Universal Precautions
0
Isolation
0
Discharge Planning
0
Care of Patient with: Diabetes Pressure Sores Sickle Cell Anemia Cancer Alzheimer's Disease HIV/AIDS
0
MEDICATIONS
Unit Dose
0
Dosage Calculation
0
Pouring from stock medication
0
Administration of Code Cart Emergency Drugs
0
Administration of :
Aminophylline
0
Ativan
0
Atropine
0
Chemotherapy Agents
0
Corticosteroids
0
Decadron
0
Digoxin
0
Dilantin
0
Dobutamine
0
Dopamine
0
Heparin Inhalers
0
Lidocaine
0
Lopressor
0
Magenesium Sulfate
0
Nipride Nitroglycerin
0
Phenobarbital
0
Thrombolytic Agents
0
Valium
0
Verapamil
0
IV THERAPY
Inserting IVs Mixing IV solutions
0
Heparin locks
0
TPN/Hyperalimentation
0
IV push IV drip Infusion pumps Syringe pumps
0
Continuous Subcutaneous Infusion Pumps
0
PCA Pumps
0
Ultrasonic Doppler
0
CVP lines/measurement of CVP
0
Central line dressing change
0
Blood/Blood products administration ordering/obtaining from blood bank identification/intercession for adverse reaction
0
Multi-lumen central venous catheters Implanted CVC (port-a-cath)
0
Assessment of IV insertion site
0
Assist with insertion of central line
0
X-ray/assessment after insertion
0
Care of patient with Central Line
0
Charge Nurse Experience?
0
CPR certified?
0
BCLS certified?
0
ACLS certified?
0
Knowledge of normal values?
0
Have you had a dysrhythmia course?
0
Age Specific Competencies
Infant (Birth - 1 year)
0
Preschooler (ages 2-5 years)
0
Childhood (ages 6-12 years)
0
Adolescents (ages 13-21 years)
0
Young Adults (ages 22-39 years)
0
Adults (ages 40-64 years)
0
Older Adults (ages 65-79 years)
0
Elderly (ages 80+ years)
0