Administrative Registered Nurse Skills Checklist

Infusion Control Skills Checklist

Fill Out and Submit your Skills Checklist

(Infusion Control)

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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 CARE FOR

Adolescents (12–18 years):

★★★★

Elderly Adults (over 79+):

★★★★

Infant (1 month–1 year):

★★★★

Middle Adults (39–64 years):

★★★★

Newborn/Neonate (birth–30 days):

★★★★

Older Adults (64–79 years):

★★★★

Preschooler (3–5 years):

★★★★

School Age (5–12 years):

★★★★

Toddler (1–3 years):

★★★★

Young Adults (18–39 years):

★★★★

GENERAL SKILLS

Access/Management of Central Lines:

★★★★

Access/Management of Implanted Ports:

★★★★

Administration of Blood/Blood Products:

★★★★

Adult Respiratory/Cardiac Arrest:

★★★★

Automated Med Dispensing Systems:

★★★★

Care of Patient in Restraints:

★★★★

Crash Carts:

★★★★

Defibrillators:

★★★★

Isolation Precautions:

★★★★

Knowledge of Anatomy:

★★★★

Knowledge of Current IV Therapy Guidelines:

★★★★

List Types (Automated Med Dispensing Systems):

Moderate Conscious Sedation:

★★★★

Participation on Code Teams:

★★★★

Patient/Family Education:

★★★★

Pediatric Respiratory/Cardiac Arrest:

★★★★

Sedation Reversal Agents:

★★★★

Standard Precautions:

★★★★

Titration of Drips:

★★★★

KNOWLEDGE OF CURRENT IV THERAPY GUIDELINES

CDC:

★★★★

INS:

★★★★

ISMP:

★★★★

State:

★★★★

INSERTION OF

Interosseous Needles:

★★★★

Peripheral IV – Adult:

★★★★

Peripheral IV – Child:

★★★★

Peripheral IV – Neonate:

★★★★

Vein Selection – Peripheral IVs:

★★★★

MIDLINE/PICC LINES

Assist with Insertion in Interventional Radiology:

★★★★

Catheter and Introducer Device Selection:

★★★★

Contraindications for Midline/PICC Placement:

★★★★

Correct Tip Placement:

★★★★

Indications for Midline/PICC Placement:

★★★★

Insertion Site Preparation:

★★★★

Insertion Technique – Basic (Vein):

★★★★

Insertion Technique – Seldinger:

★★★★

Insertion Technique – Ultrasound:

★★★★

Maintaining Sterile Field:

★★★★

Measuring Technique:

★★★★

Midline Catheter Insertion – Adult:

★★★★

Midline Catheter Insertion – Child:

★★★★

Repositioning After X-Ray:

★★★★

Securing Insertion Site Post Placement:

★★★★

Vein Selection:

★★★★

X-Ray Assessment for Tip Location:

★★★★

CARE AND MAINTENANCE

Cap Changes:

★★★★

Dressing Changes:

★★★★

Femoral Line:

★★★★

Flushing Lines (Frequency/Solution):

★★★★

Groshong CVL:

★★★★

Groshong PICC:

★★★★

Heparin/Saline Lock:

★★★★

Hickman/Broviac:

★★★★

IJ Line:

★★★★

Multilumen Catheters:

★★★★

Peripheral IV:

★★★★

Port-a-Cath:

★★★★

Power PICC:

★★★★

Power Port:

★★★★

Scalp IV:

★★★★

Subclavian Line:

★★★★

Vascath:

★★★★

MEDICATION ADMINISTRATION

Ativan:

★★★★

Chemotherapy:

★★★★

Fentanyl:

★★★★

Heparin:

★★★★

Lidocaine:

★★★★

Streptokinase:

★★★★

TPA (Alteplase):

★★★★

TPN/Lipids:

★★★★

Valium:

★★★★

Versed:

★★★★

EQUIPMENT

Blood Warmer:

★★★★

CADD Pump:

★★★★

Curlin Pump:

★★★★

Needleless Systems:

★★★★

PCA Pumps:

★★★★

Pressure Lines:

★★★★

Rate Flow Regulator:

★★★★

Syringe Pump:

★★★★

Vista Pump:

★★★★

TROUBLESHOOTING / COMPLICATIONS

Air Embolism:

★★★★

Bleeding:

★★★★

Brachial Plexus Injury:

★★★★

Cardiac Arrhythmia:

★★★★

Cardiac Tamponade:

★★★★

Catheter Embolism:

★★★★

Catheter Erosion:

★★★★

Catheter Occlusion:

★★★★

Catheter-Related Sepsis:

★★★★

Catheter Tip Malposition or Retraction:

★★★★

Complications from Sedation:

★★★★

Declotting Peripheral Site:

★★★★

Endocarditis:

★★★★

Exit Site Infection:

★★★★

Exit Site Necrosis:

★★★★

Extravasation:

★★★★

Hematoma:

★★★★

Laceration of Vessels or Viscus:

★★★★

Myocardial Erosion:

★★★★

Perforation of Vessels or Viscus:

★★★★

Phlebitis:

★★★★

Repair Midline:

★★★★

Repair PICC:

★★★★

Thromboembolism:

★★★★

Ventricular Thrombosis:

★★★★

Venous Thrombosis:

★★★★

Vessel Erosion:

★★★★

DISCONTINUING IV THERAPY

Central Lines:

★★★★

Peripheral IVs:

★★★★

PICC/Midline:

★★★★

ADDITIONAL INFORMATION

Please list the EMR systems you have used:

Infusion Control Skills Checklist

Fill Out and Submit your Skills Checklist

(Infusion Control)

Proficiency Scale:

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