Administrative Registered Nurse Skills Checklist

EP Tech Skills Checklist

Fill Out and Submit your Skills Checklist

(EP Tech Skills Checklist)

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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.

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

Age of Patients Cared For

Newborn/Neonate (birth–30 days):

★★★★

Infant (1 month–1 year):

★★★★

Toddler (1–3 years):

★★★★

Preschooler (3–5 years):

★★★★

School Age Child (5–12 years):

★★★★

Adolescents (12–18 years):

★★★★

Young Adults (18–39 years):

★★★★

Middle Adults (39–64 years):

★★★★

Older Adults (64–79 years):

★★★★

Elderly Adults (over 79+ years):

★★★★

GENERAL SKILLS

Standard Precautions:

★★★★

Isolation Precautions:

★★★★

Pediatric Respiratory/Cardiac Arrest:

★★★★

Adult Respiratory/Cardiac Arrest:

★★★★

Crash Carts:

★★★★

Defibrillators:

★★★★

Care of Patient in Restraints:

★★★★

Pain Management:

★★★★

Automated Med Dispensing Systems:

★★★★

List Types (Med Dispensing Systems):

Care Planning & Discharge Planning:

★★★★

Patient/Family Education:

★★★★

Patient Head to Toe Assessment:

★★★★

Peripheral IV Insertion, Care and Maintenance:

★★★★

MEDICATIONS

Calculate mcg/min and mcg/kg/min:

★★★★

Titrating Medications:

★★★★

Isuprel:

★★★★

Adenosine:

★★★★

Amiodarone:

★★★★

ASSESSMENT AND MONITORING

Lead Placement:

★★★★

Basic 12 Lead EKG Interpretation: [rating 12lead]

Cardiac Rhythm Interpretation:

★★★★

Doppler:

★★★★

Blood Pressure Invasive and Noninvasive:

★★★★

HEMODYNAMIC MONITORING

Art Line:

★★★★

Swan Ganz:

★★★★

Waveform Assessment:

★★★★

General Lab work Interpretation:

★★★★

ABG Interpretation:

★★★★

Cardiac Enzyme Interpretation:

★★★★

Chemistry Interpretation:

★★★★

CARE AND MAINTENANCE

Central Venous Access Device:

★★★★

Arterial Line:

★★★★

Swan Ganz:

★★★★

IABP:

★★★★

Sheaths:

★★★★

Removal of Sheath:

★★★★

Manual Pressure Hold:

★★★★

FemStop:

★★★★

C-Clamp:

★★★★

VasoSeal, Angioseal, PerClose:

★★★★

Hematoma Recognition/Management:

★★★★

PROCEDURE EQUIPMENT

Scrub EP Procedures:

★★★★

Circulate EP Procedures:

★★★★

Monitor EP Procedures:

★★★★

Ablation (Atrial/Ventricular):

★★★★

Velocity Mapping:

★★★★

Carto Mapping:

★★★★

Rhythmia Mapping:

★★★★

Bloom Stimulator:

★★★★

Micropace EP-4:

★★★★

Diagnostic Catheters:

★★★★

Bi-V:

★★★★

Stereotaxis:

★★★★

AICD Placement:

★★★★

PPM:

★★★★

Bovie:

★★★★

Baylis:

★★★★

Temporary Pacemaker:

★★★★

Peak Plasma Blade:

★★★★

Cardioversion:

★★★★

Internal Cardioversion Catheters / AICD Testing:

★★★★

NIPS Procedure:

★★★★

Pericardiocentesis:

★★★★

Demonstrate Proper Preservation of Tissue Specimen for Lead Extractions:

★★★★

ACT Machine:

★★★★

Lead Extractions - Spectranetics laser:

★★★★

Device Implants:

★★★★

Ablation Equipment (ie: Stockert, Maestro, Cool Flow, Tactisys):

★★★★

Other Skills

Please list the EMR systems you have used:

EP Tech Skills Checklist

Fill Out and Submit your Skills Checklist

(EP Tech Skills Checklist)

Proficiency Scale:

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