Emergency Room RN Skills Checklist Personal InformationName(Required) First Middle Last Last 4 Digits of Social Security NumberEmail(Required) Date MM slash DD slash YYYY Key To Competency Levels0 – Theory, no practice 1 – Limited 2 – Confident 3 – Very ConfidentTraumaTransport of trauma patient 0 1 2 3 Care of patient with minor/major trauma 0 1 2 3 BurnsCare of patient with burns 0 1 2 3 Care of patient with electrocution 0 1 2 3 Care of patient with hazardous materials exposure 0 1 2 3 RespiratoryCare of patient with pulmonary edema 0 1 2 3 Care of patient with COPD 0 1 2 3 Care of patient with Pneumothorax 0 1 2 3 Assist with intubation and extubation 0 1 2 3 Care of patient with ventilator 0 1 2 3 Set up for insertion of arterial line 0 1 2 3 Obtain arterial blood gases from arterial line 0 1 2 3 Care of patient with oxygen 0 1 2 3 Use of Ambu bag 0 1 2 3 Assist with chest tube insertion 0 1 2 3 Use of Pleura vac drainage system 0 1 2 3 Gastrointestinal/RenalCare of the patient with GI bleed 0 1 2 3 Care of the patient with abdominal wounds 0 1 2 3 Care of the patient with GI tubes 0 1 2 3 Care of the patient with acute abdominal disorders 0 1 2 3 Insertion of nasogastric tube 0 1 2 3 Assist with gastric lavage 0 1 2 3 Care of the patient with acute renal failure 0 1 2 3 Care of the patient with chronic renal failure 0 1 2 3 OrthopedicSet up for cast application 0 1 2 3 Check CMS 0 1 2 3 Set up for OCL splinting 0 1 2 3 Set up for insertion of Steinman Pin/K-wires 0 1 2 3 Assist with closed fracture/dislocation reduction 0 1 2 3 Application of orthopedic appliances 0 1 2 3 Fent DisordersSet up for fluorescein/Woods Lamp exam 0 1 2 3 Use of Morgan Lens irrigation 0 1 2 3 Ear and Eye irrigation 0 1 2 3 Nasal packing 0 1 2 3 Remove contact lens 0 1 2 3 Assess visual acuity 0 1 2 3 LacerationsAssist with sutures and removal 0 1 2 3 Assist with staples and removal 0 1 2 3 Apply steri strips 0 1 2 3 PediatricsCalculate medication dosages 0 1 2 3 Care of the patient with epiglottitis 0 1 2 3 Care of the patient with overdose/poison ingestion 0 1 2 3 Care of the patient with near drowning 0 1 2 3 Care of the patient with child abuse 0 1 2 3 Obstetrics / GynecologyCare of the patient with spontaneous abortion 0 1 2 3 Care of the patient with hemorrhage 0 1 2 3 Care of the patient with placenta previa 0 1 2 3 Care of the patient with abruptio placenta 0 1 2 3 Care of the patient with pre-eclampsia/eclampsia 0 1 2 3 Care of the patient with emergency delivery 0 1 2 3 Care of the patient with communicable disease 0 1 2 3 PsychiatricCrisis intervention 0 1 2 3 Upholding patients rights 0 1 2 3 Care of the suicidal patient 0 1 2 3 Care of the patient with overdose 0 1 2 3 Care of the patient in restraints 0 1 2 3 NeurologicalNeuro assessment 0 1 2 3 Use of Glasgow Coma Scale 0 1 2 3 Care of the patient with acute head injury 0 1 2 3 Care of the patient with acute TIA/CVA 0 1 2 3 Care of the patient with acute spinal cord injury 0 1 2 3 Seizure precautions 0 1 2 3 Transport the patient with spinal cord injury 0 1 2 3 Assist with lumbar puncture 0 1 2 3 Knowledge and use of dilantin 0 1 2 3 Knowledge and use of phénobarbital 0 1 2 3 Knowledge and use of Decadron 0 1 2 3 Knowledge and use of mannitol 0 1 2 3 Knowledge and use of Solu-Medrol 0 1 2 3 CardiovascularCare of the patient with acute MI 0 1 2 3 Care of the patient with CHF 0 1 2 3 Care of the patient with abdominal aortic aneurysm 0 1 2 3 Recognize arrhythmias 0 1 2 3 Obtain 12 Lead ECG 0 1 2 3 Care of the patient with cardioversion 0 1 2 3 Defibrillation 0 1 2 3 Assist with insertion of temporary pacemaker 0 1 2 3 Set up and use of CVP 0 1 2 3 Thrombolytic therapy 0 1 2 3 Care of the patient with shocks 0 1 2 3 Administration of blood an blood products 0 1 2 3 Preparation and calculation of lidocaine 0 1 2 3 Preparation and calculation of Nipride 0 1 2 3 Preparation and calculation of dopamine 0 1 2 3 Preparation and calculation of Isuprel 0 1 2 3 Preparation and calculation of digitalis 0 1 2 3 Preparation and calculation of sodium bicarbonate 0 1 2 3 Preparation and calculation of atropine 0 1 2 3 Preparation and calculation of epinephrine 0 1 2 3 Preparation and calculation of Dobutrex 0 1 2 3 Preparation and calculation of nitroglycerine 0 1 2 3 Sexual Assult / Child AbuseRape kit 0 1 2 3 Reporting procedures for acts of violence 0 1 2 3 EnvironmentalCare of the patient with with hypothermia 0 1 2 3 Care of the patient with heat stroke/exhaustion 0 1 2 3 Care of the patient with snake/animal bite 0 1 2 3 Administration of antivenom 0 1 2 3 Additional SkillsIsolation procedures 0 1 2 3 Triage procedures 0 1 2 3 Care of the patient with AIDS 0 1 2 3 Procedure for signing AMA 0 1 2 3 Consent for treatment of minor 0 1 2 3 Disaster protocols 0 1 2 3 Start adult IV 0 1 2 3 Start pediatric IV 0 1 2 3 Age Specific Practice CriteriaAge Specific Practice CriteriaPlease check the box corresponding to each age group for which you have expertise in providing age-appropriate nursing care. Newborn/Neonate (birth-30 days) Infant (30 days-1year) Toddler (1-3 years) Preschooler (3-5 years) School age children (5-12 years) Adolescents (12-18 years) Young adults (18-39 years) Middle adults (39-64 years) Older adults (64+) Experience With Age GroupsCalculate body weight to verify correct dosing of medication 0 1 2 3 Assess immunization status for pediatric, and adolescent 0 1 2 3 Set age-appropriate short-term and long-term goals in care planning 0 1 2 3 Provide age-appropriate education, considering possible vision and hearing impairment for Older than 65years 0 1 2 3 CertificationsBCLS Yes Completion DateTNCC Yes Completion DateACLS Yes Completion DateOther Yes List Type(s) and Completion Date(s)AuthorizationsSignature(Required)The information I have given is true and accurate to the best of my knowledge. I hereby authorize Hired by Matrix, Inc. to release this Emergency Room RN Skills Checklist to Client facilities of Hired by Matrix, Inc. in consideration of my assignment to work at those facilities.
