Emergency Department Skills Checklist

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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.

1 = Never Performed 2 = Limited Experience 3 = Comfortable Performing 4 = Proficient


CARDIOVASCULAR 1 2 3 4
Assess Heart Sounds
Acute MI
Abdominal Aortic Aneurysm
Angina, unstable
Cardiac Monitoring
Congestive Heart Failure (CHF)
Arrhythmia Intrepretation
Obtaining 12-Lead EKG
Cardiopulmonary Arrest/CPR
Cardioversion
Defibrillation
Assist with Insertion of Pacemaker
CARDIOVASCULAR 1 2 3 4
Application of External Pacemaker
Transthoracic Pacemaker
CVP - set up
CVP - interpretation of readings
Swan Ganz - Set up/assist with insert
Swan Ganz - interpretation of readings
Thrombolytic Therapy
Anaphylactic Shock
Cardiogenic Shock
Hypovolemic Shock
Septic Shock
RESPIRATORY 1 2 3 4
Assess Breath Sounds
Pulmonary Edema
Pulmonary Emboli
COPD
Pneumonia
Pneumothorax
Hemopneumothorax
Tension Pneumothorax
Status Asthmaticus
Anaphylactic Reactions
Near Drowning
Thoracentesis/Paracentesis - assist with
Chest tube & drainage system
a. Set up
b. Assist with insertion
c. Care & maintenance
d. Troubleshooting
Intubation - assist with
Extubation - assist with
Emergency Tracheotomy - assist with
RESPIRATORY 1 2 3 4
Trach Tube
T-piece
Obtain Arterial Blood Gases
a. Radial artery
b. Femoral artery
c. From arterial line (A-line)
Interpretation of Blood Gases
Oxygen Therapy Administration
a. Ambu bag
b. Bag & mask
c. BiPAP
d. Face mask
e. Nasal cannula
f. Trach Collar
Nebulizer Set-up/Administration
Oropharyngeal Suctioning
Nasotracheal Suctioning
Endotracheal Suctioning
Tracheostomy Suctioning
NEUROLOGICAL 1 2 3 4
Neuro Assessments
Glascow Coma Scale
Neuro Signs
Acute Head Injuries
Acute Spinal Cord Injuries
C-Spine Precautions
Application of Cervical Collars
Acute CVA/TIA
Seizures
Seizure precautions
Increase ICP - monitor/observe for
Lumbar Puncture - assist with
Migraine Headache
Syncope
GASTROINTESTINAL 1 2 3 4
Abdominal Pain
Appendicitis
Cholecystitis
Gastritis
GI Bleed
Esophageal Varices
Abdominal Wounds
Bowel Obstruction
Acute Pancreatitis
Diabetic Ketoacidosis (DKA)
Hernia
Insertion of NG tube
Insertion of Ewald tube
Gastric Lavage
BURNS 1 2 3 4
Calculation of BSA
First Degree
Second Degree
Third Degree
Electrocution
Radiation Exposure/Reporting
Hazardous Material Exposure/Reporting
RENAL 1 2 3 4
Acute Renal Failure
Chronic Renal Failure
Peritoneal Dialysis
Renal Calculi/Kidney Stones
Insertion of Foley Catheter
EENT 1 2 3 4
Ear Irrigations
Eye Irrigations
Nasal Packing
Removal of Nasal Foreign Body
Remove Contact Lenses
Visual Acuity Assessment
Eye Patch Application
Fluorescein/Woods Lamp
Use of Morgan Lens Irrigation
Epiglottitis
ORTHOPEDIC 1 2 3 4
Assess Extremity Circulation
Set up/assist cast application
Set up/assist OCL Splinting
Closed Fracture Reductions - assist with
Dislocation Reductions - assist with
Orthopedic Appliance Application
Orthopedic Appliance Patient Teaching
Set up Steinman Pin/K-wires insertion
OBSTETRICS/GYNECOLOGY 1 2 3 4
Pelvic Exam/Obtain Cultures-assist with
Doppler Fetal Heart Tones (FHT)
Emergency Delivery
Hemorrhage
Ectopic Pregnancy
OBSTETRICS/GYNECOLOGY 1 2 3 4
Spontaneous Abortion
Preeclampsia/Eclampsia
Placentia Previa
Aburptio Placenta
Communicable Diseases
PEDIATRICS 1 2 3 4
Pediatric Assessments/VS
Medication Dosage Calculation
Lab Value Interpretation
Overdose/Poison ingestion
Pediatric Arrest/Resuscitation
Near Drowning
Child Abuse/Reporting
Epiglottitis
PYSCHIATRIC 1 2 3 4
Overdose
ETOH Withdrawl/Delirium Tremens
Suicidal Patients
Crisis Intervention
Restraints
Maintaining Patient Rights
Emergency 72 Hour Hold
TRAUMA 1 2 3 4
Level 1 Trauma experience
Level 2 Trauma experience
Blood Warmer
Peritoneal Lavage
Open Chest Massage
Hypovolemic Shock
AutoTransfuser
MAST Suit
ENVIRONMENTAL 1 2 3 4
Hypothermia
Heat Stroke/Exhaustion
Heat Exhaustion
Snake Bite
Antivenom Administration
Animal/Human Bite
MISCELLANEOUS 1 2 3 4
Triage Procedures
Isolation Procedures
Intrepretation of Critical Lab Values
Insertion of Adult IV's
Insertion of Pediatric IV's
Assist with Cut Down
Setup/Assist with Central Line Insertion
Setup/Assist with Arterial Line Insertion
Procedure for Patient Signing AMA
Consent for Treatment of a Minor
Conscious Sedation
COBRA Criteria/Transfering Patients
Computer Charting Systems
SEXUAL ASSULT 1 2 3 4
Rape Kit
Reporting Procedure for Violent Acts


LACERATIONS 1 2 3 4
Suture Tray set up
Suture/Staple - assist with
Suture/Staple Removal
Steri Strip Application
MEDICATIONS 1 2 3 4
Adenosine
Atropine
Bretylium
Cardizem
Decadron
Dextrose
Digoxin
Dobutamine/Dobutrex
Dopamine
Epinephrine
Heparin
Insulin
Isuprel
MEDICATIONS 1 2 3 4
Lidocaine
Mannitol
Narcan
Nipride
Nitroglycerine/Tridil
Paralytic Agents
Penobarbital
Procainamide
Romazicon
Sodium Bicarbonate
Solu-Medrol
Thrombolytics
Verapamil


Age Specific Skills
Check the box under EACH age group that you have experience with and are comfortable with for each skill below.
Neonates
(0-30 days)
Infants
(1 mo-1 yr)
Toddlers
(1-3 yrs)
Preschool
(4-6 yrs)
School Age
(7-12 yrs)
Adolescent
(13-18 yrs)
Young Adult
(19-39 yrs)
Middle Adults
(40-64 yrs)
Older Adults
(65+ yrs)
Understands the different communication needs for the age group & changes communication methods and terminology accordingly
Understands the different medications, dosages and possible side effects for the age group and administers medications appropriately
Understands the different safety risks for the age group and alters the environment accordingly
Understands the normal growth and development for the age group and adapts care accordingly