Urgent Care & Clinic Skills Checklist

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Urgent Care & Clinic 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 (Assessment)

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Auscultation/Irregular Heart Sounds
Peripheral Edema
PQRST Assessment( Interpretation of Labs/Tests )
EKG (Interpretation of Labs/Tests)
Lab Tests (Cardiac Enzymes, Troponin, BNP) (Interpretation of Labs/Tests)
Arrhythmia Interpretation (Equipment & Procedures)
12-Lead Set Up (Equipment & Procedures)
12-Lead Basic Interpretation (Equipment & Procedures)
Defibrillation (Equipment & Procedures)
External Pacer (Equipment & Procedures)
Chest Pain/ACS (Care of the Patient with )
Arrhythmias (Care of the Patient with )
CHF (Care of the Patient with )
AED (Care of the Patient with )
Cardiac Arrest/CPR (Care of the Patient with )
Nitroglycerin (Medications)
Morphine (Medications)
Heparin (Medications)
ALS (Epinephrine, Atropine, Anti-Arrhythmics) (Medications)
PULMONARY

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Abnormal Breath Sounds (Wheezing, Stridor, Crackles) (Assessment)
Abnormal Breathing Pattern (Rapid, Labored, Slow) (Assessment)
Pulse Oximetry (Interpretation of Lab/Tests)
ABGs (Interpretation of Lab/Tests)
Oxygen Therapy (Nasal Cannula, Face Mask) (Equipment & Procedures)
Manual Resuscitation Bag (MRB, Ambu Bag) (Equipment & Procedures)
Metered-Dose Inhaler (MDI) (Equipment & Procedures)
Nebulizers (Equipment & Procedures)
Aspiration (Care of the Patient with)
Asthma/Reactive Airway Disease (Care of the Patient with)
COPD (Care of the Patient with)
Pneumonia (Care of the Patient with)
Pulmonary Edema (Care of the Patient with)
Pulmonary Embolism (Care of the Patient with)
Bronchodilators (Medications)
Steroids (Medications)
Diuretics (Medications)
NEUROLOGICAL

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Signs & Symptoms of Stroke (Assessment)
Altered LOC (Assessment)
Assist with Lumbar Puncture ( Equipment & Procedures )
Cervical Collar ( Equipment & Procedures )
Spinal Immobilization ( Equipment & Procedures )
Head Injury ( Care of the Patient with )
Meningitis ( Care of the Patient with )
Migraine ( Care of the Patient with )
Seizures ( Care of the Patient with )
TIA/Stroke ( Care of the Patient with )
Imitrex (Sumatriptan Succinate) (Medications)
Phenobarbitol (Medications)
Dilantin (Phenytoin) (Medications)
Depakote (Medications)
Analgesics (Medications)
ORTHOPEDICS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Range of Motion (Assessment)
Color, Warmth, Movement, Sensation (Assessment)
Fracture/Dislocation (Assessment)
Apply Splints ( Equipment & Procedures )
Assist with Casting ( Equipment & Procedures )
Assist with Reduction of Dislocation ( Equipment & Procedures )
Spinal Immobilization ( Equipment & Procedures )
Transfer Boards ( Equipment & Procedures )
Cast/Splint ( Care of the Patient with )
Dislocation ( Care of the Patient with )
External Appliance ( Care of the Patient with )
Sprain/Fracture ( Care of the Patient with )
Analgesia/Sedation (Medications)
GASTROINTESTINAL

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Bowel Sounds (Assessment)
Distention (Assessment)
Fluid Balance (Assessment)
Nutritional Status (Assessment)
Enemas ( Equipment & Procedures )
Gastric Lavage ( Equipment & Procedures )
G-Tubes ( Equipment & Procedures )
NG Tubes ( Equipment & Procedures )
Colostomy ( Care of the Patient with )
Constipation/Impaction ( Care of the Patient with )
Diarrhea ( Care of the Patient with )
G-Tube (Reinsertion/Replacement) ( Care of the Patient with )
Nausea/Vomiting ( Care of the Patient with )
Ipecac (Medications)
Charcoal (Medications)
Antiemetics (Medications)
Antispasmodics (Medications)
RENAL/GENITOURINARY

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Fluid Status (Assessment)
Shunt/Fistula (Thrill/Bruit) (Assessment)
BUN/Creatinine/Electrolytes ( Interpretation of Labs )
Urine Dipstick/C&S (Equipment & Procedures)
Placement & Management of Bladder Catheters (Equipment & Procedures)
Pyelonephritis/UTI ( Care of the Patient with )
Obstruction ( Care of the Patient with )
Renal Calculi ( Care of the Patient with )
Renal Trauma ( Care of the Patient with )
Testicular Torsion ( Care of the Patient with )
Priapism ( Care of the Patient with )
Antibiotics (Medications)
ENDOCRINE/METABOLIC

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Hypo/Hyperglycemia (Assessment)
Blood Glucose ( Interpretation of Labs )
Urine Ketones ( Interpretation of Labs )
Bedside Blood Glucose Monitoring ( Equipment & Procedures )
Hypoglycemia/Insulin Shock ( Care of the Patient with )
Hyperglycemia/DKA ( Care of the Patient with )
Dextrose (Medications)
Insulin (Medications)
Oral Hypoglycemics (Medications)
EENT

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Visual Acuity (Assessment)
Foreign Body (Assessment)
Enlarged Tonsils (Assessment)
Ear Irrigation/Removal Foreign Body ( Equipment & Procedures )
Eye Injury/Foreign Body/Detached Retina ( Equipment & Procedures )
Assist with Removal of Nasal Foreign Body ( Equipment & Procedures )
Epistaxis ( Equipment & Procedures )
Set Up/Assist Cautery ( Equipment & Procedures )
Set Up Slit Lamp ( Equipment & Procedures )
Silver Nitrate (Medications)
Liquid Cocaine (Medications)
Anti-Hypertensives (Medications)
INFECTIOUS DISEASE

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Communicable Disease (Assessment)
Interpret Culture Results (Assessment)
Obtain Cultures ( Equipment & Procedures )
Fever Management ( Equipment & Procedures )
Isolation ( Equipment & Procedures )
Reverse Isolation/Hepa Filter ( Equipment & Procedures )
Use of Personal Protective Equipment ( Equipment & Procedures )
Communicable Disease ( Care of the Patient with )
Infectious Disease ( Care of the Patient with )
Immunosuppression/Neutropenia ( Care of the Patient with )
Antibiotics (Medications)
Antivirals (Medications)
WOUND MANAGEMENT

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Burn Care
Dressing Change
Ostomy Care
Wound Repair (Staples/Sutures, etc.)
PAIN MANAGEMENT

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment of Pain Level/Use of Pain Scale
Assessment of Response to Pain Management Interventions
Monitoring of Patients after Pain Medication
Comfort Care
Moderate Sedation
PSYCHIATRIC

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Behavior (Assessment)
Drug/ETOH (Assessment)
Risk for Violence (Assessment)
Managing Threatening/Violent Behavior (Equipment & Procedures)
Psychiatric Hold (Equipment & Procedures)
Drug OD (Care of the Patient with)
ETOH OD (Care of the Patient with)
Depression/Anxiety (Care of the Patient with)
Restraints (Care of the Patient with)
Suicide Risk (Care of the Patient with)
Antipsychotics/Antidepressants (Medications)
Reversal Agents (Medications)
WOMEN’S HEALTH

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Vaginal Bleeding (Assessment)
Doppler/Fetal Heart Tones (Assessment)
Ectopic Pregnancy (Assessment)
Obtain Cultures (Equipment & Procedures)
Pelvic Tray (Equipment & Procedures)
Ectopic Pregnancy (Care of the Patient with)
Hemorrhage Pregnancy (Care of the Patient with)
Pelvic Inflammatory Disease Pregnancy (Care of the Patient with)
Placenta Abruptio/Previa Pregnancy (Care of the Patient with)
Precipitous Delivery Pregnancy (Care of the Patient with)
Pregnancy-Induced Hypertension (Care of the Patient with)
Spontaneous Abortion (Care of the Patient with)
PEDIATRICS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Child Abuse Recognition/Reporting
Shaken Baby Syndrome
Obtaining Consent to Treat
Normal VS for age groups (Assessment)
Use of Dynamap/Doppler Leg Cuffs for B/P (Assessment)
Failure to Thrive (Assessment)
Assist with Fracture Stabilization (Equipment & Procedures)
Cooling/Warming Measures (Equipment & Procedures)
Draw Labs (Venous/Butterfly) (Equipment & Procedures)
Ear Care-Assist with Cleaning/Wash, Insert Ear Drops (Equipment & Procedures)
IM/SQ Medications in Pediatric Patients (Equipment & Procedures)
Obtain RSV Culture (Equipment & Procedures)
Obtain Urine Culture (Cath/Bag) (Equipment & Procedures)
Lumbar Puncture (Equipment & Procedures)
Papoose Board/Therapeutic Hold (Equipment & Procedures)
Start IV in Pediatric Patient (Equipment & Procedures)
Abdominal Pain (Care of the Pediatric Patient with)
Aspiration (Care of the Pediatric Patient with)
Asthma/Reactive Airway Disease (Care of the Pediatric Patient with)
Burns (Care of the Pediatric Patient with)
Dehydration (Care of the Pediatric Patient with)
Epiglottitis (Care of the Pediatric Patient with)
Fever (Care of the Pediatric Patient with)
Foreign Object (Care of the Pediatric Patient with)
Fracture (Care of the Pediatric Patient with)
Head Injury (Care of the Pediatric Patient with)
Hypo/Hyperglycemia (Care of the Pediatric Patient with)
Hypo/Hyperthermia (Care of the Pediatric Patient with)
Lacerations (Care of the Pediatric Patient with)
Near Drowning (Care of the Pediatric Patient with)
Nursemaid’s Elbow (Care of the Pediatric Patient with)
Ipecac/Charcoal (Medications (Others in System Specific Areas))
Bronchodilators/Nebulizers (Medications (Others in System Specific Areas))
Fluid Replacement (Medications (Others in System Specific Areas))
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)
MISCELLANEOUS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Intake and Triage
National Patient Safety Goals
AMA procedures
Disaster Management
Computerized Charting
Bites (Care of the Patient with)
Hazardous Materials Exposure (Care of the Patient with)
Victims of Acts of Violence (Care of the Patient with)
My experience is primarily in the following settings (Adults)

Year/No of Days
Physician’s Office
Clinic
Urgent Care
Emergency Dept – Yrs:
Pediatrics

Year/No of Days
Physician’s Office
Clinic
Urgent Care
Emergency Dept – Yrs:
CERTIFICATIONS

Expiry Date :
BLS
ACLS
PALS
Other: Specify

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.