Emerald Health Services: Skills Checklist: Telemetry/Stepdown

Telemetry/Stepdown 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

CARE OF PATIENTS WITH	1	2	3	4
Peritonitis
TURP/TURBP
Urinary Tract Infection
Arthroscopic Surgery
Amputation
Osteomylelitis
Osteoporosis
Pinned Fractures
Other Fractures
Rheumatic/Arthritic Disease
Total Hip Replacement
Total Knee Replacement
Diabetes Insipidus
Diabetes Mellitus
Leukemia
Malignant Tumors
Anemia
Sickle Cell Anemia
Adrenal Disorders
Hyperthyroidism
Hypothryoidism
Pituitary Disorders
Burns
Delirium Tremens
HIV/AIDS
Thrombophlebitis
Post Hypophysectomy
Post Thyroidectomy
Post-op care after:
a. GI Surgery
b. Orthopedic Surgery
c. Ostomy
d. Vascular Surgery
e. GYN Surgery
Post Mastectomy
Post Hysterectomy
Transfusion Reaction
MRSA
VRE

MEDICATION ADMINISTRATION	1	2	3	4
Albuteral (Ventolin)
Aminophylline
Antibiotics
Anticoagulants
Anticonvulsants
Antihypertensives
Atropine
Beta-Blockers
Ca+ Channel Blockers
Chemotherapeutic Agents
Corticosteroids
Digoxin
Heparin
Insulin
Lasix
Lidocaine
Nitroglycerine
Narcotics
Oral Hypoglycemics
Thyroid Replacement
Starting IV's

MEDICATION ADMINISTRATION	1	2	3	4
Mixing IV's
Regulating IV's
Suppository
Thrombolytics
TPN Administration
PPN Administration
Patient Controlled Analgesia (PCA)
Blood/Blood Product Administration
Continuous IV Infusion
CAD Pump
Eye/ear instillations
IM injections
Insulin Pump
IV Push
Metered Dose Inhalers
Nebulizer
Piggyback infusions
Rectal infusion
Suppository
SQ injections
Z track injections

PROCEDURES/SKILLS	1	2	3	4
A-V Fistula Care
Brace/Splint Application
Foley/Straight Cath insertion & care
a. Male
b. Female
Bladder Irrigation
Bowel Prep/Cleaning
Care of suprapubic catheter
Cast care
Cast application (assist with)
Central line care
a. Broviac
b. Groshong
c. Hickman
d. PICC
e. Portacath
f. Quinton
Chemotherapy
Chest physiotherapy
Chest tube & drainage system
a. Set up
b. Assist with insertion
c. Care & maintenance
d. Troubleshooting
e. Removal
CPR
CVP Measurment
Cardioversion
Defibrillation
EKG - obtaining 12 lead
EKG arrhythmia interpretation
EKG - lead placement
Femoral Sheaths-Mgmt/Discontinuing
Continuous Tube Feeding
Glascow Coma Scale
Gastric Lavage, Iced Saline
Gavage, Intermittent Tube Feeding
Gastric Suction
a. Intermittent
b. Continuous
Halo Traction/Cervical Tongs
Interpretation of Lab Results
a. Blood gases
b. Blood chemistry
c. Cardiac enzymes/isoenzymes
d. CBC
e. Coagulation studies
f. Cultures
g. Electrolytes
h. Urine dipstick
Intestinal Tract Tube Insertion/Care
a. Gastrostomy tubes
b. Jejunostomy tubes
c. Nasogastric tubes
d. Orogastric tubes
e. T-tubes (care only)

PROCEDURES/SKILLS	1	2	3	4
Isolation Procedures
Lumbar Puncture (assist with)
Nephrostomy Tube Care
Nerve Stimulators
Oral Airway Insertion
Oxygen Therapy Administration
a. Ambu bag
b. Bag & mask
c. BiPAP
d. Face mask
e. Nasal cannula
f. Trach Collar
Pacemaker
a. Permanent
b. Temporary
Peritoneal Dialysis
a. Automatic cycler
b. Manual
Restraints
Saline/Heparin Lock
Specimen Collection
a. Blood
- central line
- venous stick
b. Cultures
c. Sputum
d. Urine
Suctioning
a. Oral/Yankauer
b. Oral-pharyngeal
c. Nasal-pharyngeal
d. Tracheostomy
Temperature
a. Axillary
b. Oral
c. Tympanic
Thoracentesis - assist with
Use of Doppler
Wound/Ostomy Care
a. Colostomy care/bag change
b. Ileostomy care/bag change
c. Irrigations
d. Pressure Ulcers
- staging
- care
e. Stasis Ulcers
f. Sterile Dressing Changes
g. Steristrip Application
h. Surgical Wounds w/ or w/o Drains

ASSESSMENT/OTHER	1	2	3	4
Assess Breath Sounds
Assess Heart Sounds
Admission of patients to unit
Care Planning
Charge Nurse responsibilities
Circulation Checks
Computerized Charting
Patient Teaching
Neurological Assessments
Vital Signs

PAIN MANAGEMENT	1	2	3	4
Pain assessment using pain scales
Epidural Analgesia
IV Conscious Sedation
Patient Controlled Analgesia (PCA)
Narcotic Agents
Non-narcotic Agents
Non-pharmacological Measures

EQUIPMENT	1	2	3	4
Automated Med. Dispensing Systems
Automatic BP cuffs
Cardiac/Tele Monitor
Femoral Hemostasis Devices
Glucometer
Hypo/Hyperthermia Blanket
Infusion Pumps (specific brands)
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EQUIPMENT	1	2	3	4
Oxygen Flow meter
Portable Cardiac Monitors/Defibrillators
Pressure Relief Devices
Pulse Oximetry
Specialty Beds
a. Air fluidized
b. Low air loss
e. Other specify -
Ventilator Management/Troubleshooting

Do you speak any languages other than English?	Yes	No

If yes, which language(s)?

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

I hereby certify that ALL information I have provided to Emerald, 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.

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