Skill Checklists

Telemetry/Stepdown

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

CARDIOVASCULAR Care of Patient with

Acute MI

CHF

Angina Hypertension

Cardiomyopathy Cardiopulmonary Arrest

Abdominal Aortic Aneurysm

Carotid Endarterectomy

Femoral Popliteal Bypass

Pre & Post Cardiac Surgery

Pre & Post Cardiac Cath

Pre & Post PTCA

Permanent Pacemaker Temporary PacemakerExternal Pacemaker

Cardiac Lab Interpretation

Cardiac Patient/Family Teaching

Respiratory

Respiratory assessment

Assess Lung sounds

Chest percussion

Establish/Protect Airway

Chest tubes/Pleurevac

Oxygen therapy

Drawing ABGs

Interpretation of ABGs

Incentive Spirometry

Suctioning: oral nasotracheal endotracheal tube tracheostomy tube

Oxygen Equipment Set Up and Maintenance: nasal canula non-rebreather mask venti-mask ET

Inturbation/extubationambu bag pulse oximetry

Care of patient with: COPD tracheostomy pulmonary edema ARDS ventilator (A/C, IMV, PEEP) pre/post-op thoracis surgery pneumonia chest tubes asthma emphysema

Neurology

Neurological assessment

Seizure precautions

Assessment and Management of Seizure Activity

Assisting with lumbar puncture

Signs/Symptoms of increasing ICP

Glascow Coma Scale

Crutchfield tongs

Circo-electric bed Halo traction

Stryker frame

Care of patient with: seizures CNS infection overdose DTs spinal cord injury acute head injury CVA/TIA neuromuscular disease pre/post neuro surgery

Gastrointestinal

G.I. assessment

Bowel sounds

Inserting N-G tubes

Colostomy care

Measurement of I & O

Administration of tube feedings

Care of patients with: GI bleed NG tube G-tube J-tube abdominal wounds/surgeries inflammatory bowel disease bowel obstruction

RENAL/GENITOURINARY

Insertion and care of: straight cath Indwelling urinary cath: male female 3-way

Care of Patient with: Bladder Irrigation Suprapubic Tube Nephrostomy Tube Renal Transplant Nephrectomy Renal Transplant BPH Pre/post Turp

Orthopedics

Total Knee Replacement

Bucks Extension

Cast Care

Crutch Walking

K-Wires

Spica Casts

Balanced Suspension Traction

Circulation Checks

Care of Patient with: Amputation Rheumatic/Arthritic Disease Multiple Trauma Paraplegia External Fixation Post Arthroplasty

GENERAL

Blood Glucose Monitoring

Dressing Changes

Universal Precautions

Isolation

Discharge Planning

Care of Patient with: Diabetes Pressure Sores Sickle Cell Anemia Cancer Alzheimer's Disease HIV/AIDS

Medications

Unit Dose

Dosage Calculation

Pouring from stock medication

Administration of Code Cart Emergency Drugs

Administration of : Aminophylline

Administration of - Ativan

Administration of : Atropine

Administration of - Chemotherapy Agents

Administration of - Corticosteroids

Administration of - Decadron

Administration of : Digoxin

Administration of: Dilantin

Administration of -Dobutamine

Administration of - Dopamine

Administration of -Heparin Inhalers

Administration of - Lidocaine

Administration of - Lopressor

Administration - Magenesium Sulfate

Administration of - Nipride Nitroglycerin

Administration of - Phenobarbital

Administration of - Thrombolytic Agents

Administration of - Valium

Administration - Verapamil

IV Therapy

Inserting IVs Mixing IV solutions

Heparin locks

TPN/Hyperalimentation

IV push IV drip Infusion pumps Syringe pumps

Continuous Subcutaneous Infusion Pumps

PCA Pumps

Ultrasonic Doppler

CVP lines/measurement of CVP

Central line dressing change

Blood/Blood products administration ordering/obtaining from blood bank identification/intercession for adverse reaction

Multi-lumen central venous catheters Implanted CVC (port-a-cath)

Assessment of IV insertion site

Assist with insertion of central line

X-ray/assessment after insertion

Care of patient with Central Line

Charge Nurse Experience?

CPR certified?

BCLS certified?

ACLS certified?

Knowledge of normal values?

Have you had a dysrhythmia course?

Age Specific Competencies

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)

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.