Administrative Registered Nurse Skills Checklist

Interventional Radiology RN Skills Checklist

Fill Out and Submit your Skills Checklist

(Interventional Radiology RN)

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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

GENERAL

Admit patient to pre-procedure holding:

★★★★

Complete assessments, obtain family history & risk factors:

★★★★

Start peripheral IV:

★★★★

Complete pre-procedure checklist:

★★★★

Transport pre-procedure patient to the Lab.:

★★★★

Transport post-procedure patient to in-hospital units:

★★★★

PROCEDURES

Cerebral Angiogram – Prepare:

★★★★

Cerebral Angiogram – Assist:

★★★★

Lower Extremity Angiogram – Prepare:

★★★★

Lower Extremity Angiogram – Assist:

★★★★

Upper Extremity Angiogram – Prepare:

★★★★

Upper Extremity Angiogram – Assist:

★★★★

Ultrasound Guided Biopsy – Prepare:

★★★★

Ultrasound Guided Biopsy – Assist:

★★★★

CT Scan Guided Biopsy – Prepare:

★★★★

CT Scan Guided Biopsy – Assist:

★★★★

Liver Biopsy and Embolization – Prepare:

★★★★

Liver Biopsy and Embolization – Assist:

★★★★

Prepare and Assist with Line Placement – Broviac:

★★★★

Prepare and Assist with Line Placement – Groshong:

★★★★

Prepare and Assist with Line Placement – Hickman:

★★★★

Prepare and Assist with Line Placement – PICC:

★★★★

Prepare and Assist with Line Placement – PortaCath:

★★★★

Uterine Fibroid Embolization – Prepare:

★★★★

Uterine Fibroid Embolization – Assist:

★★★★

Temporary Hemodialysis Shunt Placement – Prepare:

★★★★

Temporary Hemodialysis Shunt Placement – Assist:

★★★★

Permanent Hemodialysis Shunt Placement – Prepare:

★★★★

Permanent Hemodialysis Shunt Placement – Assist:

★★★★

AV Fistula/Shunt Declotting – Prepare:

★★★★

AV Fistula/Shunt Declotting – Assist:

★★★★

Vertebroplasty – Prepare:

★★★★

Vertebroplasty – Assist:

★★★★

Lumbar Puncture – Prepare:

★★★★

Lumbar Puncture – Assist:

★★★★

Myelogram – Prepare:

★★★★

Myelogram – Assist:

★★★★

Other Procedures (please list):

★★★★

Provide care for the post-procedure patient:

★★★★

CARDIOVASCULAR

Assess heart sounds and peripheral pulses:

★★★★

Interpret arrhythmias:

★★★★

Perform CPR:

★★★★

Perform defibrillation:

★★★★

Participate as a team member in resuscitation:

★★★★

PULMONARY

Assess lung sounds:

★★★★

Set up oxygen devices:

★★★★

Obtain pulse oximetry reading:

★★★★

Interpret ABG:

★★★★

Use Ambu bag:

★★★★

Assist with intubation:

★★★★

Assist with chest tube insertion:

★★★★

Provide care for the patient with mechanical ventilation:

★★★★

MEDICATIONS

Titrate vasoactive drugs:

★★★★

Calculate mcg/min and mcg/kg/min:

★★★★

Use IV infusion pump to calculate drug doses:

★★★★

Administer IV dopamine:

★★★★

Administer IV nitroglycerine:

★★★★

Administer IV dobutamine (Dobutrex):

★★★★

Administer IV lidocaine:

★★★★

Administer IV diltiazem (Cardizem):

★★★★

Administer IV epinephrine:

★★★★

Administer IV atropine:

★★★★

Administer IV heparin:

★★★★

Administer IV benzodiazepines (Valium, Versed, Ativan):

★★★★

Administer IV propofol (Diprivan):

★★★★

Administer IV neuromuscular blocking agents (Pavulon, Norcuron):

★★★★

Administer IV narcotics (morphine, fentanyl):

★★★★

PAIN/WOUND MANAGEMENT

Assess pain level/tolerance:

★★★★

Care of patient with anesthesia/analgesia:

★★★★

Care of patient with IV conscious sedation:

★★★★

Care of patient with narcotic analgesia:

★★★★

Care of patient with patient controlled analgesia (PCA pump):

★★★★

Assess surgical wound status with/without drain(s):

★★★★

Care of patient with sterile dressing changes:

★★★★

Care of patient with FemoStop device:

★★★★

Assessment of VasoSeal, AngioSeal, PerClose success:

★★★★

AGE SPECIFIC PRACTICE CRITERIA

Pediatric (1-18years):

★★★★

Adolescents (12 - 18 years):

★★★★

Adult (19 - 65 years):

★★★★

Older adults (Older than 65years):

★★★★

EXPERIENCE WITH AGE GROUPS

Calculate body weight to verify correct dosing of medication:

★★★★

Assess immunization status for pediatric, and adolescent:

★★★★

Set age-appropriate short-term and long-term goals in care planning:

★★★★

Provide age-appropriate education, considering possible vision and hearing impairment for Older than 65years:

★★★★

Certifications

ACLS

Expiry Date:

BCLS

Expiry Date:

Other: Specify

Expiry Date:

Interventional Radiology RN Skills Checklist

Fill Out and Submit your Skills Checklist

(Interventional Radiology RN)

Proficiency Scale:

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