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
Assessment
Auscultation/Irregular Heart Sounds
Peripheral Edema
PQRST Assessment
Interpretation of Labs/Tests - EKG
Interpretation of Lab Test- Lab Tests (Cardiac Enzymes, Troponin, BNP)
Equipment & Procedures - Arrhythmia Interpretation
Equipment & Procedures - 12-Lead Set Up
Equipment & Procedures - 12-Lead Basic Interpretation
Equipment & Procedures - Defibrillation
Equipment & Procedures - External Pacer
Care of the Patient with - Chest Pain/ACS
Care of Patient with: Arrhythmias
Care of Patient with: CHF
Care of Patient with: AED
Care of Patient with: Cardiac Arrest/CPR
Medications - Nitroglycerin
Medications - Morphine
Medications - Heparin
Medications - ALS (Epinephrine, Atropine, Anti-Arrhythmics)
Assessment of IV insertion site
Abnormal Breath Sounds (Wheezing, Stridor, Crackles)
Abnormal Breathing Pattern (Rapid, Labored, Slow)
Interpretation of Lab/Tests - Pulse Oximetry
Interpretation of Lab Test- ABGs
Equipment & Procedures - Oxygen Therapy (Nasal Cannula, Face Mask)
Equipment & Procedures - Manual Resuscitation Bag (MRB, Ambu Bag)
Equipment & Procedures - Metered-Dose Inhaler (MDI)
Equipment & Procedures - Nebulizers
Care of the Patient with - Aspiration
Care of Patient with: Asthma/Reactive Airway Disease
Care of Patient with: COPD
Care of Patient with: Pneumonia
Care of Patient with: Pulmonary Edema
Care of Patient with: Pulmonary Embolism
Medications - Bronchodilators
Medications- Steroids
Medications -Diuretics
Signs & Symptoms of Stroke
Altered LOC
Equipment & Procedures - Assist with Lumbar Puncture
Equipment & Procedures - Cervical Collar
Equipment & Procedures - Spinal Immobilization
Care of the Patient with- Head Injury
Care of Patient with: Meningitis
Care of Patient with: Migraine
Care of Patient with: Seizures
Care of Patient with: TIA/Stroke
Medications - Imitrex (Sumatriptan Succinate)
Medications -Phenobarbitol
Medications - Dilantin (Phenytoin)
Medications - Depakote
Assessment - Range of Motion
Assessment - Color, Warmth, Movement, Sensation
Assessment - Fracture/Dislocation
Equipment & Procedures - Apply Splints
Equipment & Procedures - Assist with Casting
Equipment & Procedures - Assist with Reduction of Dislocation
Equipment & Procedures - Transfer Boards
Care of the Patient with - Cast/Splint
Care of Patient with: Dislocation
Care of Patient with: External Appliance
Care of Patient with: Sprain/Fracture
Medications - Analgesia/Sedation
Assessment - Bowel Sounds
Assessment - Distention
Assessment - Fluid Balance
Assessment - Nutritional Status
Equipment & Procedures - Enemas
Equipment & Procedures - Gastric Lavage
Equipment & Procedures - G-Tubes
Equipment & Procedures - NG Tubes
Care of the Patient with - Colostomy
Care of Patient with: Constipation/Impaction
Care of Patient with: Diarrhea
Care of Patient with: G-Tube (Reinsertion/Replacement)
Care of Patient with: Nausea/Vomiting
Medications - Ipecac
Medications - Charcoal
Medications - Antiemetics
Medications - Antispasmodics
Assessment - Fluid Status
Assessment - Shunt/Fistula (Thrill/Bruit)
Interpretation of Labs/Tests - BUN/Creatinine/Electrolytes
Equipment & Procedures - Urine Dipstick/C&S
Equipment & Procedures - Placement & Management of Bladder Catheters
Care of the Patient with - Pyelonephritis/UTI
Care of Patient with: Obstruction
Care of Patient with: Renal Calculi
Care of Patient with: Renal Trauma
Care of Patient with: Testicular Torsion
Care of Patient with: Priapism
Medications - Antibiotics
Medications - Hypo/Hyperglycemia
Interpretation of Labs/Tests - Blood Glucose
Interpretation of Labs/Tests - Urine Ketones
Equipment & Procedures - Bedside Blood Glucose Monitoring
Care of Patient with: Hypoglycemia/Insulin Shock
Care of Patient with: Hyperglycemia/DKA
Medications - Dextrose
Medications - Insulin
Medications - Oral Hypoglycemics
Assessment - Visual Acuity
Assessment - Foreign Body
Assessment - Enlarged Tonsils
Equipment & Procedures - Ear Irrigation/Removal Foreign Body
Equipment & Procedures - Eye Injury/Foreign Body/Detached Retina
Equipment & Procedures - Assist with Removal of Nasal Foreign Body
Equipment & Procedures - Epistaxis
Equipment & Procedures - Set Up/Assist Cautery
Equipment & Procedures - Set Up Slit Lamp
Medications - Silver Nitrate
Medications - Liquid Cocaine
Medications - Anti-Hypertensives
Assessment - Communicable Disease
Assessment - Interpret Culture Results
Equipment & Procedures - Obtain Cultures
Equipment & Procedures - Fever Management
Equipment & Procedures - Isolation
Equipment & Procedures - Reverse Isolation/Hepa Filter
Equipment & Procedures - Use of Personal Protective Equipment
Care of the Patient with - Communicable Disease
Care of Patient with: Infectious Disease
Care of Patient with: Immunosuppression/Neutropenia
Medication - Antibiotics
Medications - Antivirals
Burn Care
Dressing Change
Ostomy Care
Wound Repair (Staples/Sutures, etc.)
Assessment of Response to Pain Management Interventions
Assessment of Pain Level/Use of Pain Scale
Monitoring of Patients after Pain Medication
Comfort Care
Moderate Sedation
Assessment - Behavior
Assessment - Drug/ETOH
Assessment = Risk for Violence
Equipment & Procedures - Managing Threatening/Violent Behavior
Equipment & Procedures - Psychiatric Hold
Care of Patient with: Drug OD
Care of Patient with: ETOH OD
Care of Patient with: Depression/Anxiety
Care of Patient with: Restraints
Care of Patient with: Suicide Risk
Medications - Antipsychotics/Antidepressants
Medications - Reversal Agents
Assessment - Vaginal Bleeding
Assessment - Doppler/Fetal Heart Tones
Assessment - Ectopic Pregnancy
Equipment & Procedures - Pelvic Tray
Care of the Patient with - Ectopic Pregnancy
Care of Patient with: Hemorrhage
Care of Patient with: Pelvic Inflammatory Disease
Care of Patient with: Placenta Abruptio/Previa
Care of Patient with: Precipitous Delivery
Care of Patient with: Pregnancy-Induced Hypertension
Care of Patient with: Spontaneous Abortion
Child Abuse Recognition/Reporting
Shaken Baby Syndrome
Obtaining Consent to Treat
Assessment- Normal VS for age groups
Assessment - Use of Dynamap/Doppler Leg Cuffs for B/P
Assessment - Failure to Thrive
Equipment & Procedures - Assist with Fracture Stabilization
Equipment & Procedures - Cooling/Warming Measures
Equipment & Procedures - Draw Labs (Venous/Butterfly)
Equipment & Procedures - Ear Care-Assist with Cleaning/Wash, Insert Ear Drops
Equipment & Procedures - IM/SQ Medications in Pediatric Patients
Equipment & Procedures - Obtain RSV Culture
Equipment & Procedures - Obtain Urine Culture (Cath/Bag)
Equipment & Procedures - Lumbar Puncture
Equipment & Procedures -Papoose Board/Therapeutic Hold
Equipment & Procedures - Start IV in Pediatric Patient
Care of the Pediatric Patient with - Abdominal Pain
Care of the Pediatric Patient with - Asthma/Reactive Airway Disease
Care of the Pediatric Patient with - Aspiration
Care of the Pediatric Patient with - Burns
Care of the Pediatric Patient with - Dehydration
Care of the Pediatric Patient with - Epiglottitis
Care of the Pediatric Patient with - Fever
Care of the Pediatric Patient with - Foreign Object
Care of the Pediatric Patient with - Fracture
Care of the Pediatric Patient with - Head Injury
Care of the Pediatric Patient with - Hypo/Hyperglycemia
Care of the Pediatric Patient with - Hypo/Hyperthermia
Care of the Pediatric Patient with - Lacerations
Care of the Pediatric Patient with - Near Drowning
Care of the Pediatric Patient with - Nursemaid's Elbow
Medications (Others in System Specific Areas) - Ipecac/Charcoal
Medications (Others in System Specific Areas) - Bronchodilators/Nebulizers
Medications (Others in System Specific Areas) - Fluid Replacement
Physician's Office
Clinic
Urgent Care
Emergency Dept - Yrs:
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)
Intake and Triage
National Patient Safety Goals
AMA procedures
Disaster Management
Computerized Charting
Care of Patient with: Bites
Care of Patient with: Hazardous Materials Exposure
Care of Patient with: Victims of Acts of Violence
Adults
BLS
ACLS
PALS
Other: Specify
Copyright © Ambe Healthcare Staffing
