Telemetry/Stepdown Skills Checklist

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Telemetry/Stepdown Skills Checklist

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.

CARDIOVASCULAR Care of Patient with

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Respiratory assessment
Assess Lung sounds
Chest percussion
Chest percussion
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Total Knee Replacement
Bucks Extension
Cast Care
Crutch Walking
K-Wires
Spica Casts
Balanced Suspension Traction
Balanced Suspension Traction
Care of Patient with: Amputation Rheumatic/Arthritic Disease Multiple Trauma Paraplegia External Fixation
Post Arthroplasty
GENERAL

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Unit Dose
Dosage Calculation
Pouring from stock medication
Administration of Code Cart Emergency Drugs
Aminophylline (Administration of )
Ativan (Administration of)
Atropine (Administration of )
Chemotherapy Agents (Administration of )
Corticosteroids (Administration of )
Decadron (Administration of )
Digoxin (Administration of )
Dilantin (Administration of )
Dobutamine (Administration of )
Dopamine (Administration of )
Heparin Inhalers (Administration of )
Lidocaine (Administration of )
Lopressor (Administration of )
Magenesium Sulfate (Administration of )
Nipride Nitroglycerin (Administration of )
Phenobarbital (Administration of )
Thrombolytic Agents (Administration of )
Valium (Administration of )
Verapamil (Administration of )
IV THERAPY

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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)

I hereby certify that ALL information I have provided on this skills checklist, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.