Telemetry/Stepdown Skills Checklist

Personal Information

Name(Required)
MM slash DD slash YYYY

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

Respiratiory

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
Inturbation/extubationambu bag pulse oximetry
Care of patient with: COPD tracheostomy pulmonary edema ARDS ventilator (A/C, IMV, PEEP) pre/post-op thoracis 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
Aminophylline
Ativan
Atropine
Chemotherapy Agents
Corticosteroids
Decadron
Digoxin
Dilantin
Dobutamine
Dopamine
Heparin Inhalers
Lidocaine
Lopressor
Magenesium 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)

Authorizations

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.
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