Telemetry/Stepdown Skills Checklist

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(Telemetry/Stepdown)

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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

CARDIOVASCULAR Care of Patient with

Acute MI:

★★★★

CHF:

★★★★

Angina Hypertension:

★★★★

Cardiomyopathy Cardiopulmonary Arrest:

★★★★

Abdominal Aortic Aneurysm:

★★★★

Carotid Endarterectomy:

★★★★

Femoral Popliteal Bypass:

★★★★

Pre & Post Cardiac Surgery:

★★★★

Pre & Post Cardiac Cath:

★★★★

Pre & Post PTCA:

★★★★

Permanent Pacemaker Temporary PacemakerExternal Pacemaker:

★★★★

Cardiac Lab Interpretation:

★★★★

Cardiac Patient/Family Teaching:

★★★★

RESPIRATORY

Respiratory assessment:

★★★★

Assess Lung sounds:

★★★★

Chest percussion:

★★★★

Establish/Protect Airway:

★★★★

Chest tubes/Pleurevac:

★★★★

Oxygen therapy:

★★★★

Drawing ABGs:

★★★★

Interpretation of ABGs:

★★★★

Incentive Spirometry:

★★★★

Suctioning: oral nasotracheal endotracheal tube tracheostomy tube:

★★★★

Oxygen Equipment Set Up and Maintenance: nasal canula non-rebreather mask venti-mask ET:

★★★★

Intubation/extubation ambu bag pulse oximetry:

★★★★

Care of patient with: COPD tracheostomy pulmonary edema ARDS ventilator (A/C, IMV, PEEP) pre/post-op thoracic surgery pneumonia chest tubes asthma emphysema:

★★★★

NEUROLOGY

Neurological assessment:

★★★★

Seizure precautions:

★★★★

Assessment and Management of Seizure Activity:

★★★★

Assisting with lumbar puncture:

★★★★

Signs/Symptoms of increasing ICP:

★★★★

Glascow Coma Scale:

★★★★

Crutchfield tongs:

★★★★

Circo-electric bed Halo traction:

★★★★

Stryker frame:

★★★★

Care of patient with: seizures CNS infection overdose DTs spinal cord injury acute head injury CVA/TIA neuromuscular disease pre/post neuro surgery:

★★★★

GASTROINTESTINAL

G.I. assessment:

★★★★

Bowel sounds:

★★★★

Inserting N-G tubes:

★★★★

Colostomy care:

★★★★

Measurement of I & O:

★★★★

Administration of tube feedings:

★★★★

Care of patients with: GI bleed NG tube G- tube J-tube abdominal wounds/surgeries inflammatory bowel disease bowel obstruction:

★★★★

RENAL/GENITOURINARY

Insertion and care of: straight cath Indwelling urinary cath: male female 3-way:

★★★★

Care of Patient with: Bladder Irrigation Suprapubic Tube Nephrostomy Tube Renal Transplant Nephrectomy Renal Transplant BPH Pre/post Turp:

★★★★

ORTHOPEDIC

Total Knee Replacement:

★★★★

Bucks Extension:

★★★★

Cast Care:

★★★★

Crutch Walking:

★★★★

K-Wires:

★★★★

Spica Casts:

★★★★

Balanced Suspension Traction:

★★★★

Circulation Checks:

★★★★

Care of Patient with: Amputation Rheumatic/Arthritic Disease Multiple Trauma Paraplegia External Fixation Post Arthroplasty:

★★★★

GENERAL

Blood Glucose Monitoring:

★★★★

Dressing Changes:

★★★★

Universal Precautions:

★★★★

Isolation:

★★★★

Discharge Planning:

★★★★

Care of Patient with: Diabetes Pressure Sores Sickle Cell Anemia Cancer Alzheimer's Disease HIV/AIDS:

★★★★

MEDICATIONS

Unit Dose:

★★★★

Dosage Calculation:

★★★★

Pouring from stock medication:

★★★★

Administration of Code Cart Emergency Drugs:

★★★★

Administration of:

Aminophylline:

★★★★

Ativan:

★★★★

Atropine:

★★★★

Chemotherapy Agents:

★★★★

Corticosteroids:

★★★★

Decadron:

★★★★

Digoxin:

★★★★

Dilantin:

★★★★

Dobutamine:

★★★★

Dopamine:

★★★★

Heparin Inhalers:

★★★★

Lidocaine:

★★★★

Lopressor:

★★★★

Magnesium Sulfate:

★★★★

Nipride:

★★★★

Nitroglycerin:

★★★★

Phenobarbital:

★★★★

Thrombolytic Agents:

★★★★

Valium:

★★★★

Verapamil:

★★★★

IV THERAPY

Inserting IVs Mixing IV solutions:

★★★★

Heparin locks:

★★★★

TPN/Hyperalimentation:

★★★★

IV push IV drip Infusion pumps Syringe pumps:

★★★★

Continuous Subcutaneous Infusion Pumps:

★★★★

PCA Pumps:

★★★★

Ultrasonic Doppler:

★★★★

CVP lines/measurement of CVP:

★★★★

Central line dressing change:

★★★★

Blood/Blood products administration ordering/obtaining from blood bank identification/intercession for adverse reaction:

★★★★

Multi-lumen central venous catheters Implanted CVC (port-a-cath):

★★★★

Assessment of IV insertion site:

★★★★

Assist with insertion of central line:

★★★★

X-ray/assessment after insertion:

★★★★

Care of patient with Central Line:

★★★★

Charge Nurse Experience?:

★★★★

CPR certified?:

★★★★

BCLS certified?:

★★★★

ACLS certified?:

★★★★

Knowledge of normal values?:

★★★★

Have you had a dysrhythmia course?:

★★★★

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):

★★★★