Skill Checklists

Emergency RN

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

ED PHARMACOLOGY - Medications

Valium (Diazepam)

Thrombotytic Therapy

Succinylcholine

Sodium Bicarbonate

Procainamicle (Pronestyl)

Phenobarbital

Normodyne (Labetolol)

Norepinephrine Bitartrate (Levophed)

Nitrogtycerin (Tridil)

Nipride (Nitroprusside)

Neosynephrine

Mucomyst (acetylcysteine)

Metoprolol (Lopressor)

Lidocaine

Lasix (Furosemide)

Ipecac

lnocor (Armrinone)

lnderal (Propranolol)

Heparin Drip

Fentanyl

Epinephrine (Adrenalin)

Dopamine (lntropin)

Dobutamine (Dobutrex)

Dittiazem (Cardizem)

Dilantin (Phenytoin)

Digoxin (Lanoxin)

Digibind (Digoxin Immune Fab)

Charcoal

AquaMephyton (Vitamin K)

Atropine

Alupent (Metaprotenenol)

Varapamil (Calan, Isoptin, Verelan)

Vecuronium

ED PHARMACOLOGY - Provision of Care

Manage adverse reactions

Assess for therapeutic response , expected outcomes

Administer Medications through various routes of delivery (PO, IM, IV, IO, ET, SQ, Intradermal, topical, rectal,etc)

Verfication of Accurate IV Pump Delivery

Perform & manage IV dosage dnp calculations (formula for fluid rate calculation)

Perform mathematical calculations for accurate medication administration(dosage calculations, weigh calculations, metric conversions)

Rights of Medication administration

Cardiovascular - Assist with and set up

Cardioversion

Temporary Pacemaker insertion

PA catheter/ Swain- Ganz insertion

Central line insertion

Arterial Line Insertion

Pericardial Centesis

Cardiovascular - Assessment

EKG Changes for MI

12 lead EKG interpretation

Apply perform 12 lead EKG

Pulses/ Circulation via droppler

Pulses/ Circulation via palpation

Blood Pressure (non- invasive)

Abnormal Heart tones (ie murmur, gallop, friction rub)

Normal Heart tones (ie S1, S2)

Rhythm interpretation

Cardiovascular - Provision of care for

Percarditis

Pericardial Effusion

Myocardial Confusion

Congestive heart failure (CHF)

Cardiac arrest

Angina

Abdominal Aortic Aneuysm

Acute MI

Cardiac tamponade

Pulmonary - Equipment & procedures

O2 therapy & medication delivery systems

Obtaining arterial blood gases

Care of the patient with a chest tube

Assist with thoracetesis

Care of the patient on a ventilator

Assist with thoracentisis

Assist with rapid sequences intubation

Assist with intubation

Assist with extubation

Airway management devices/ suctioning

Trouble shooting high and low pressure vent alarms

Pulse oximetry

Pulmonary - Assessment

Interpretion of Oximetry Values

Application of Oximetry

Application of CPAP

Application of BiPAP

Auscultate for confirmation of ET tube placement

Identify adventitious lung sounds

Auscultate breathe sounds

Pulmonary - Provision of Care for

Tuberculosis

Tension pneumothorax

Status Asthmaticus

Pulmonary Embolism

Pulmonary Edema

Pneumonia

Laryngopasm

Hemapneumothorax

COPD

Aspiration

Orthopedics - Provision of care for

Placement of Cast

Wrist splint

Pinned fractures

Knee immobilizer

Cast

Ankle splint

Ankle brace

Pelvic Sheeting/ Pelvic binder

Fracture/ dislocation reductions

Orthopedics - Assessment

Range of motion

Gait

Cast/ Splint Circulation checks

Infectious Diseases - Provision of Care for

Tuberculosis

Influenza

Hepatitis

Acquried immune deficiency syndrome/ HIV

System inflammatory response syndrome (SIRS)

Pefussis

Meningitis

Vanicella

VRE

MRSA

Infectious Diseases - Equipment & procedures

N-95 Mask

Isolation Precaution

Professional Practice - Professional Issues

Utitlizes EMR for accurate patient documentation

Maintains nursing competencies / certifications required by Facility/ State

Performs all nursing functions within the RN Scope of practise

Maintain privacy and dignity for each patient

Professional Issues - Interdisciplinary Communication

Utilizes SBAR Communication

Complies with Joint commission CMS, and other federal/ State regulations and guidelines

Maintain patient confidentially per HIPAA guidelines

Collaborate with interdisciplinary tems for care of patient

Communicate with patient using age and cultural appropriate methods

Patient Education - General

Provides education to patient regarding follow up care as indicated

Provides education to patient regarding Medications and diesease process

Provides education to patient preparation for invasive procedure

Pain Management - Provision of care

Narcotic analgesia

Non -pharmacologic comfort measures

Epidural anesthesia / Analgesia

IV conscious sediation

Pain Management - Assessment of

Therapeutic response to pain medication

Pain level / Tolerance

Wound Management / Surgical - Assesment of

Wound Locations

Wound Characteristics

Wound Staging

Wound Management / Surgical - Equipment & Procedures

Aneurysm Precautions

TIA

Spinal cord injury

Seizures

Gastroenterology - Provision of Care for

Splenic Rupture

Esophageal Bleed

Liver Failure

GI Bleed

Bowel obstruction

Abdominal trauma

Gastroenterology - Procedures

Proper N/G Tube placement

Nutritional Status

Bowel Sounds

Endocrine - Equipment

Use of Insulin Pen

Blood Glucose monitoring Devices

Endocrine - Assessment

S/S Insulin reaction

S/S Diabetic coma

Endocrine - Provision of Care for

Diabetic ketoacidosis

Diabetes mellitus

Endocrine - Procedures

Implementation of Sliding Scale

Fingerstick Blood Glucose

Obstetrics / Gynecology - Assist with

Pelvic Exam

Set up pelvic exam

Obstetrics / Gynecology - Provision of care for

Spontaneous abortion

Preeclampsia/ eclampsia

Precipitious delivery

Placenta prevta

Vaginal Hemorrhage

DIC

Abruptio Placenta

Obstetrics / Gynecology - Equipment & Procedures

Crisis intervention and provision of care for the assault victim

Rape kit

Pelvic Tray

Pediatrics - Procedures

Obtaining consent to treat

Reporting of suspected child abuse/ neglect

Recongnition of suspected chid abuse/ neglect

Pediatrics - Provisions of care for

Pediatric Arrest

Status epliepticus

Overdose / Poison ingestion

Status Asthmaticus

Near Drowing

Epiglottitis

Phlebotomy / IV Therapy/ Invase Procedures - Provision of Care for

Peripheral line / dressing

Pericardiocentesis

Portacath

PICC

Groshong

Broviac/ Hickman

Angiography Prep

Phlebotomy / IV Therapy/ Invase Procedures - Equipment & procedures

Starting IVs

Drawing venous blood

Assist with cutdown

Administration of blood / blood products

Phlebotomy / IV Therapy/ Invase Procedures - Labs

Interpretation of CBC

Interpretation of Chemistry

Interpretation of ABG Results

Maxillofacial / Ocular - Assessment of

Eyes Injuries

Maxillofacial injuries

Visual acurity

Maxillofacial / Ocular - Equipment & Procedures

Removal of contact lens

Nasal Packing

Morgan lens irrigation

Set up Flourescent / Woods lamp Exam

Eye Irrigation

Ear Irrigation

Application of eye patch

Trauma / Shock - Assessment

Triage

Poison index

Champion trauma score

Trauma / Shock - Provision of care for

Traumatic Amputation

Septic Shock

Neurogenic shock

Hypovolemic Shock

Cardiogenic Shock

Anaphylactic Shock

Radiation exposure

Minor trauma

Major trauma

Hypothermia

Heat exhaustion/stroke

Hazardous rnatenal exposure

Gunshot/stab wound

Electrocution

Dehydration

Burns.Third degree

Burns.Second degree

Burns First degree

Burns.Rule of nines

Bites venomous spider

Bites.venomous snake

Bites.human

Bites.animal

Trauma / Shock - Equipment & Procedures

Ground transport

Application of Mast suit

Air Transport of trauma patient

Patient Advocacy - General

Demonstrate effective coping skills in caring for the ER Patient

Demostrate Spiritual & Cultural Considerations for the ER Patient

Adhere to legal procedutes regarding notifications of organ donation provider

Provide care for end of lif decisions that famileies face in ER such as withdrawal of life support

Age Specific

Elderly (>60 years)

Mature Adult (30-60 years)

Young Adult (18-30 years)

Adolescent (12-18 years)

School Age (6-12 years)

Pre-school (3-6 years)

Toddler (1-3 years)

Infant (Birth to 1 year)

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.