Tele, PCU, Stepdown RN - Skills Checklist

Age of Patients Cared For

Newborn/Neonate (birth - 30 days)*

Infant (30 days - 1 year)*

Toddler (1 - 3 years)*

Preschooler (3 - 5 years)*

School Age Child (5 - 12 years)*

Adolescents (12 - 18 years)*

Young Adults (18 - 39 years)*

Middle Adults (39 - 64 years)*

Older Adults (64 - 79 years)*

Elderly Adults (over 79+ years)*

General Skills

Standard Precautions*

Isolation Precautions*

Pediatric Respiratory/Cardiac Arrest*

Adult Respiratory/Cardiac Arrest*

Crash Carts*

Defibrillators*

Care of patient in Restraints*

Pain Management*

Automated Med Dispensing System*

Automated Med Dispensing System - List Types*

Care Planning and Discharge Planning*

Patient/Family Education*

Electronic Documentation*

Electronic Documentation - List Types*

Patient Head to Toe Assessment*

Dressing Changes*

Knowledge of Normal Serum Lab Values*

Obtaining Cultures (Blood, Sputum, Swab, Urine)*

PCA Pumps*

Infusion Pumps*

Calculate mcg/min and mcg/kg/min*

Titrating Medications*

Moderate/Conscious Sedation & Reversal Agents*

IV Therapy

Initiate Peripheral IV*

Discontinue Peripheral IV*

Central Line Blood Draw*

Central Line Care & Maintenance*

PICC Line Blood Draw*

PICC Line Care & Maintenance*

Neuro General Skills

Assessment of Neuro Signs*

Glasgow Coma Scale*

Seizure Precautions*

Assist With Lumbar Puncture*

Halo Traction*

NEURO - Care of Patients With

CVA*

Seizure Activity*

Overdose*

Neuro/Head Injury/Trauma*

Pre/Post Neuro Surgery*

Cranial Hemorrhage*

Multiple Sclerosis*

Post-Op AV Shunt*

Medication Knowledge and Use Of

Decadron*

Dilantin*

Magnesium Sulfate*

Phenobarbital*

Steroids*

Valium*

Versed*

Cardiac General Skills

Auscultation of Cardiac Sounds*

Interpretation of 12 led EKG*

Interpretation of Arrhythmias*

Defibrillation/Cardioversion*

Permanent Pacemaker*

Temporary Pacemaker*

AICD*

Art-Line (transducer set-up, D/C)*

Sheath Removal*

Interpretation of Cardiac Enzymes*

Cardiac - Care of Patients With

Angina*

CHF*

Post MI*

Pre/Post Cardiac Cath*

Pre/Post Cardiac Surgery*

Open Sternal Wound (Debridement)*

Heart Transplant*

Medication Knowledge and Use Of

Atropine*

Diuretics*

Digoxin*

Dopamine*

Dbutrex*

Heparin Drip (Precautions & Maintenance)*

Inderal*

Inocor*

Isuprel*

Lidocaine*

Nipride*

Nitroglycerin*

Pronestyl*

Morphine*

Thrombolytic Agents*

Magnesium Sulfate*

Versed*

Prep/Titration of Emergency Drugs*

Respiratory General Skills

Establishing and Airway*

Ambuing Techniques*

Administration of O2*

Chest Tubes*

Pulse Oximetry*

Interpretation of ABG*

Use of IPPB*

Incentive Spirometer*

Oral Suctioning*

Nasotracheal Suctioning*

ET Suctioning*

Respiratory Care of Patients With

COPD*

ARDS*

Pre/Post Thracic Surgery*

Pulmonary Embolism*

Pulmonary Edema*

Pneumothorax*

Pneumonia*

Inhalation Injuries*

Emphysema*

Asthma*

Lung Transplant*

Medication Knowledge and Use Of

Aminophylline*

Corticosteroids*

Bronchodilators*

Gastrointestinal General Skills

NG Tube Insertion, Care and Maintenance*

Gastrostomy Tube*

Jejunostomy Tube*

Enterostomal Care*

Tube Feedings*

Gastrointestinal - Care of Patients With

Pancreatitis*

G.I. Bleed*

Esophageal Bleeding*

Bowel Obstruction*

Whipple Procedure*

Liver Transplant*

Paralytic Ileus*

E.R.C.P.*

Medication Knowledge and Use Of

Antiemetics*

TPN/Hyperalimentation*

Genitourinary/Renal General Skills

Peritoneal Dialysis*

Hemodialysis*

Foley/Straight Catheter Insertion*

GU Irrigations*

Nephrostomy Tube*

Suprapubic Tube*

Electrolyte Imbalance/Replacement*

Genitourinary/Renal - Care of Patients With

T.U.R.P.*

Shunts and Fistulas*

Nephrectomy*

Renal Transplant*

Chronic/Acute Renal Failure*

Gynecology General Skills

GYN Exam Prep*

Gynecology - Care of Patients With

Ectopic Pregnancy/Ruptured Ectopic Pregnancy*

Hysterectomy*

Repair of Cystocele/Rectocele*

Orthopedic General Skills

Assessment of C/M/S*

K-Wises/Steinman Pins*

Removal of Hardware*

Orthopedic - Care of Patient With

Total Joint Replacement*

Spica Cast/Cody Cast*

Amputation*

Traction*

Ortho Trauma*

Laminectomy*

Endocrine General Skills

Diabetic Teaching*

Blood Glucose Monitoring*

Endocrine - Care of Patients With

Hyper/Hypoglycemia*

Medication Knowledge and Use of

Insulin (IV, SQ)*

D50*

Phlebotomy/IV Therapy

Peripheral IV Insertion, Care and Maintenance*

Assisting with Insertion of Central Lines*

Care and Maintenance of Central Lines*

Assisting with Insertion of PICC Lines*

Care and Maintenance of PICC Lines*

Assist with IC Cutdown*

Phlebitis*

Other

Heparin Drip (Precautions and Maintenance)*

Care of oncology Patient*

Chemotherpay Administration*

Care of Patient with Burns*

Care of Patient with HIV/AIDS*

Hyperbaric Oxygenation*

Suicide Precautions*

Post Mortem Cares*

Cardiac Monitors

Hewlett - Packard*

Spacelab*

Siemens*

Marquette*

Mennen*

Lifecare*

Nihon-Koder*

Other Cardiac Monitors Please List:*

Ventilators

Bear*

Bennett 7200*

CPAP*

Emerson*

Engstrom/Erica*

EMV*

MA-I*

MA-II*

Monihan*

Ohio 560*

PEEP*

Pressure Pre-Set*

Servo*

Siemens*

Information & Agreement

Application ID*

Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.

Applicant Name*

First Last

Applicant Email*

Applicant Phone*

I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.*

I agree to the terms below.

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.

Signature*

Tele, PCU, Stepdown RN – Skills Checklist

Age of Patients Cared For

General Skills

IV Therapy

Neuro General Skills

NEURO - Care of Patients With

Medication Knowledge and Use Of

Cardiac General Skills

Cardiac - Care of Patients With

Medication Knowledge and Use Of

Respiratory General Skills

Respiratory Care of Patients With

Medication Knowledge and Use Of

Gastrointestinal General Skills

Gastrointestinal - Care of Patients With

Medication Knowledge and Use Of

Genitourinary/Renal General Skills

Genitourinary/Renal - Care of Patients With

Gynecology General Skills

Gynecology - Care of Patients With

Orthopedic General Skills

Orthopedic - Care of Patient With

Endocrine General Skills

Endocrine - Care of Patients With

Medication Knowledge and Use of

Phlebotomy/IV Therapy

Other

Cardiac Monitors

Ventilators

Information & Agreement