Skills Checklist – Tele PCU Stepdown RN

Skills Checklist – Tele, PCU, Stepdown RN

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• GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Standard Precautions
  Isolation Precautions
  Pediatric Respiratory/ Cardiac Arrest
  Adult Respiratory/ Cardiac Arrest
  Crash Carts
  Defibrillators
  Care of Patient in Restraints
  Pain Management
  Care Planning and Discharge Planning
  Patient/ Family Education
  Patient Head to Toe Assessment
  Dressing Changes
  Knowledge of Normal Serum Lab Values
  Obtaining Cultures (Blood, Sputum, Swab, Urine)
  Administration of Blood and Blood Products
  PCA Pumps
  Infusion Pumps
  Calculate mcg/min and mcg/kg/min
  Titrating Medications
  Moderate/Conscious Sedation & Reversal Agents
  Automated Med Dispensing System
  Electronic Documentation

• GENERAL SKILLS – TYPES OF AUTOMATED MED DISPENSING SYSTEMS:(if applicable)
• GENERAL SKILLS – TYPES OF ELECTRONIC DOCUMENTATION:(if applicable)
• IV THERAPY*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Initiate Peripheral IV
  Discontinue Peripheral IV
  Central Line Blood Draw
  Central Line Care & Maintenance
  PICC Line Blood Draw
  PICC Line Care & Maintenance

• NEURO GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Assessment of Neuro Signs
  Glasgow Coma Scale
  Seizure Precautions
  Assist With Lumbar Puncture
  Halo Traction

• NEURO – Care of Patients with:*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  CVA
  Seizure Activity
  Overdose
  Neuro/Head Injury/ Trauma
  Pre/Post Neuro Surgery
  Cranial Hemorrhage
  Multiple Sclerosis
  Post-Op AV Shunt

• MEDICATION KNOWLEDGE AND USE OF*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Decadron
  Dilantin
  Magnesium Sulfate
  Phenobarbital
  Steroids
  Valium
  Versed

• CARDIAC GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Auscultation of Cardiac Sounds
  Dopplers
  Interpretation of 12 lead EKG
  Interpretation of Arrhythmias
  Defibrillation/cardioversion
  Permanent Pacemaker
  Temporary Pacemaker
  AICD
  Art-Line (transducer set-up, D/C)
  Sheath Removal
  Interpretation of Cardiac Enzymes

• CARDIAC – CARE OF PATIENTS WITH*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Angina
  CHF
  Post MI
  Pre/Post Cardiac Cath
  Pre/Post Cardiac Surgery
  Open Sternal Wound (Debridement)
  Heart Transplant

• MEDICATION KNOWLEDGE AND USE OF*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Atropine
  Diuretics
  Digoxin
  Dopamine
  Dobutrex
  Heparin Drip (Precautions & Maintenance)
  Inderal
  Inocor
  Isuprel
  Lidocaine
  Nipride
  Nitroglycerin
  Pronestyl
  Morphine
  Thrombolytic Agents
  Magnesium Sulfate
  Versed
  Prep/Titration of Emergency Drugs

• RESPIRATORY GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Establishing an Airway
  Ambuing Techniques
  Administration of O2
  Chest Tubes
  Pulse Oximetry
  Interpretation of ABG
  Use of IPPB
  Incentive Spirometer
  Oral Suctioning
  Nasotracheal Suctioning
  ET Suctioning

• RESPIRATORY CARE OF PATIENTS WITH*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  COPD
  ARDS
  Pre/Post Thoracic Surgery
  Pulmonary embolism
  Pulmonary Edema
  Pneumothorax
  Pneumonia
  Inhalation Injuries
  Emphysema
  Asthma
  Lung Transplant

• MEDICATION KNOWLEDGE AND USE OF:*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Aminophylline
  Corticosteroids
  Bronchodilators

• GASTROINTESTINAL GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  NG Tube Insertion, Care and Maintenance
  Gastrostomy Tube
  Jejunostomy Tube
  Enterostomal Care
  Tube Feedings

• GASTROINTESTINAL- CARE OF PATIENTS WITH:*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Pancreatitis
  G.I. Bleed
  Esophageal Bleeding
  Bowel Obstruction
  Whipple Procedure
  Liver Transplant
  Paralytic Ileus
  E.R.C.P.

• MEDICATION KNOWLEDGE AND USE OF:*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Antiemetics
  TPN/Hyperalimentation

• GENITOURINARY/ RENAL GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Peritoneal Dialysis
  Hemodialysis
  Foley/Straight Catheter Insertion
  GU Irrigations
  Nephrostomy Tube
  Suprapubic Tube
  Electrolyte Imbalance/ Replacement

• GENITOURINARY/ RENAL- CARE OF PATIENTS WITH:*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  T.U.R.P.
  Shunts and Fistulas
  Nephrectomy
  Renal Transplant
  Renal Trauma
  Chronic/Acute Renal Failure

• GYNECOLOGY GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  GYN Exam Prep

• GYNECOLOGY- CARE OF PATIENTS WITH:*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Ectopic Pregnancy/Ruptured Ectopic Pregnancy
  Hysterectomy
  Repair of Cystocele/ Rectocele

• ORTHOPEDIC GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Assessment of C/M/S
  K-Wises/Steinman Pins
  Removal of Hardware

• ORTHOPEDIC- CARE OF PATIENT WITH:*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Total Joint Replacement
  Spica Cast/Body Cast
  Amputation
  Traction
  Ortho Trauma
  Laminectomy

• ENDOCRINE GENERAL SKILLS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Diabetic Teaching
  Blood Glucose Monitoring

• ENDOCRINE – Care of Patients With:*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Hyper/Hypoglycemia

• MEDICATION KNOWLEDGE AND USE OF*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Insulin (IV, SQ)
  D50

• PHLEBOTOMY/ IV THERAPY*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Peripheral IV Insertion, Care and Maintenance
  Assisting with Insertion of Central Lines
  Care and Maintenance of Central Lines
  Assisting with Insertion of PICC Lines
  Care and Maintenance of PICC Lines
  Assist with IC Cutdown
  Phlebitis

• OTHER*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Heparin Drip (Precautions and Maintenance)
  Care of Oncology Patient
  Chemotherapy Administration
  Care of Patient with Burns
  Care of Patient with HIV/AIDS
  Hyperbaric Oxygenation
  Suicide Precautions
  Post Mortem Cares

• CARDIAC MONITORS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Hewlett- Packard
  Spacelab
  Siemens
  Marquette
  Mennen
  Lifecare
  Nihon-Koder

• Other Cardiac Monitors (Please List):(if applicable)
• VENTILATORS*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Bear
  Bennett 7200
  CPAP
  Emerson
  Engstrom/ Erica
  EMV
  MA-I
  MA-II
  Monihan
  Ohio 560
  PEEP
  Pressure Pre-Set
  Servo
  Siemens

• Other Ventilators (Please List):(if applicable)
• Age Group Experience*
  

  	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
  Newborn (birth – 30 days)
  Infant (30 days – 1 year)
  Toddler (1 – 3 years)
  Preschooler (3 – 5 years)
  School Age (5 – 12 years)
  Adolescents (12 – 18 years)
  Young Adults (18 – 39 years)
  Middle Adults (39-64 years)
  Older Adults (64+ years)

• Do you speak any languages other than English?*
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• Confirmation*
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    I attest that the information I have given is both true and, to the best of my knowledge, represents an accurate self assessment of my professional skills and/or education.
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