Intermediate Care Skills Checklist

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(Intermediate Care)

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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

CARDIAC

Acute Coronary Syndrome:

★★★★

Congestive Heart Failure:

★★★★

Post Open Heart (12-24 hours):

★★★★

Carotid Endarterectomy:

★★★★

Post Vascular Surgery:

★★★★

Heart Transplant:

★★★★

Pacemaker - Temporary/Permanent:

★★★★

Pacemaker - Epicardial:

★★★★

Sheath Removal:

★★★★

Heart Sounds:

★★★★

PULMONARY

Pneumonia:

★★★★

Respiratory Distress:

★★★★

COPD:

★★★★

Breath Sounds:

★★★★

Post Thoracic Surgery:

★★★★

Chest Tube Placement & Management:

★★★★

Trach Management:

★★★★

Modes of Ventilation (AC/PC/SIMV/CPAP):

★★★★

Intubation/Extubation:

★★★★

External CPAP/BiPAP:

★★★★

Interpretation of Arterial Blood Gases:

★★★★

NEUROLOGIC & PSYCHIATRIC

Stroke Scale Assessment:

★★★★

CVA:

★★★★

Brain Injury:

★★★★

Post Craniotomy:

★★★★

Spinal Cord Injury:

★★★★

Seizure Disorders:

★★★★

ETOH/Drug Withdrawal:

★★★★

GASTROINTESTINAL

GI Bleeding:

★★★★

GI Surgery:

★★★★

Liver Failure:

★★★★

Pancreatitis:

★★★★

Liver Transplant:

★★★★

Pancreas Transplant:

★★★★

RENAL/GENITOURINARY

Renal Failure:

★★★★

Renal Surgery:

★★★★

Renal Transplant:

★★★★

Arteriovenous Fistula/Shunt:

★★★★

Nephrostomy Tubes:

★★★★

Peritoneal Dialysis:

★★★★

ENDOCRINE METABOLIC

Diabetes - Hypo/Hyperglycemic Crisis:

★★★★

Pituitary Disorders:

★★★★

IV Insulin Protocols:

★★★★

Indwelling Insulin Pumps:

★★★★

MEDICATIONS

Anti-Arrhythmics:

★★★★

Anticoagulants (IV, oral & injection):

★★★★

Anti-Hypertensives:

★★★★

Anti-Psychotics:

★★★★

Anti-Seizure Medications:

★★★★

Benzodiazepines:

★★★★

Procedural Sedation:

★★★★

Diuretics:

★★★★

Emergency Medications:

★★★★

Inhaled Medications:

★★★★

Insulin:

★★★★

Titrate Vasoactive Drips:

★★★★

Manage Vasoactive Drips - No Titration:

★★★★

Narcotics/Opioid Analgesics (IV, oral & injection):

★★★★

Nitrates (Oral & Topical):

★★★★

Non-Opioid Analgesics (IV, Oral & Injection):

★★★★

Reversal Agents:

★★★★

Steroids (IV, Oral, Inhaled):

★★★★

Automated Medication Dispensing (i.e. Pyxis, Omnicell):

★★★★

IV THERAPY

Starting Ivs:

★★★★

Central Line Blood Draws:

★★★★

Central Line/Implanted Line Care:

★★★★

Arterial Line Management:

★★★★

TPN & Lipids:

★★★★

Blood Product Administration:

★★★★

Administration of Chemotherapy:

★★★★

CARDIAC MONITORING & EMERGENCY RESPONSE

Dysrhythmia Interpretation:

★★★★

Dysrhythmia Management:

★★★★

Obtain 12 Lead EKG:

★★★★

Interpret 12 Lead EKG:

★★★★

Cardioversion:

★★★★

Defibrillation:

★★★★

Malignant Hyperthermia:

★★★★

PROFESSIONAL KNOWLEDGE AND SKILLS

National Patient Safety Goals/Core Measures:

★★★★

Fall Risk Assessment/Prevention:

★★★★

Pressure Ulcer Risk Assessment/Prevention:

★★★★

Restraints/Use of Least Restrictive Device:

★★★★

Patient/Family Teaching:

★★★★

Age Specific/Population-Based Care:

★★★★

Isolation Precautions:

★★★★

Infection Prevention:

★★★★

Pain Assessment & Management:

★★★★

Charge Experience:

★★★★

Interpretation and Communication of Lab Values:

★★★★

Specialty Beds:

★★★★

EMR

Epic:

★★★★

Cerner:

★★★★

Eclipsys:

★★★★

McKesson:

★★★★

Meditech:

★★★★

Other Computerized System:

★★★★

Computerized Physician Order Entry:

★★★★

Bar Coding for Medication Administration:

★★★★

Age Specific Competencies

Infant (Birth - 1 year):

★★★★

Preschooler (ages 2-5 years):

★★★★

Childhood (ages 6-12 years):

★★★★

Adolescents (ages 13-21 years):

★★★★

Young Adults (ages 22-39 years):

★★★★

Adults (ages 40-64 years):

★★★★

Older Adults (ages 65-79 years):

★★★★

Elderly (ages 80+ years):

★★★★