Download Telemetry Stepdown HDU Skills Checklist

TELEMETRY/STEPDOWN (HDU) SKILLS CHECKLIST
DATE:
Applicant’s Name: Type your name here:
(First)
(Middle)
(Last)
To IITR Professionals:
The purpose of the following checklist is to assist in matching your skills and interests with available assignments, thus meeting your needs and the needs
of our clients as much as possible. Your employment is not dependant upon responses given in this checklist.
**Please make sure this Skills checklist is signed and dated. We will accept the form on email with your name typed in place of signature
The information I have given is true and accurate to the best of my knowledge.
Signature:
Date
To IITR:
IITR has developed unique skills checklist for each nursing specialty. This checklist is not necessarily a valid indicator of clinical skills and should not be
utilized as the sole measure of the ability of an individual to perform the duties of a registered nurse or therapist in your facility. It is intended to be used
only as a guide in your screening procedures and in orientation to procedure within your institution.
PLEASE MARK YOUR LEVEL OF EXPERIENCE X
Self-Assessed Experience Rating Scale
Limited Experience
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Very Experienced
A. Phlebotomy/IV Therapy
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Draw Blood:
a. Venous Stick
b. Central Line
IV Therapy:
a. Obtain IV Access
b. Calculate IV Drips
c. Mix IV Medications
d. Regulate IV’s
e. Use IV Infusion Pumps
f. Perform Central Line Dressing Changes
g. Administer Chemotherapy
h. Administer Blood/Blood Products
i. Administer TPN/PPN
j. Maintain Multi-Lumen Central Catheters
k. Use Continuous Subcutaneous Infusion
Pumps
l. Monitor PCA Pumps (Patient Controlled
Analgesia)
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Care of the patient with:
a. CHF
b. Angina
c. Hypertension
d. Cardiomyopathy
e. Cardiopulmonary Arrest
f. Abdominal Aortic Aneurysm
h. Carotid Endarterectomy
i. Femoral Popliteal Bypass
j. Permanent Pacemaker
k. Temporary Pacemaker
l. External Pacemaker
m. Pre/Post Cardiac Cath
n. Pre/Post PTCA
Cardiac Lab Interpretation(CPK, Iso
Enzymes)
Cardiac Rehab/Patient Teaching
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Use and Administration of:
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Cardiac Monitors
Rhythm Strip Measurements
Recognize and Interpret Dysrhythmias
Obtain 12 Lead EKG’s
a. Digoxin
b. Dopamine
c. Dobutamine
d. Heparin
e. Verapamil
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Perform CPR
f. Lopressor
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Cardioversion/Defibrillation
g. Lidocaine
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Pulse Checks
h. Nitroglycerine
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Use of Dopplers
i. Code Cart/ Emergency Drugs
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Automatic BP Cuff
B.
Cardiovascular
Telemetry/ Stepdown Checklist Page 1 of 3
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Applicants Name:
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a. Tube Feedings
b. ILeostomy
c. Colostomy
d. Pancreatitis
e. Bowel Obstruction
f. Abdominal Wounds/ Surgery
g. Hemovac
h. Gastrostomy Tube/ Jejunostomy
Respiratory
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D.
O2 Masks/Cannulas
Ambu Bags
Chest PT
Incentive Spirometry
Instruction of Coughing/Deep Breathing
Nebulizer Set-up
Suctioning
a. Oral
b. Tracheostomy
c. Endotracheal
Use of Pleurevac (chest drain)
Sputum Specimen Collection
Pulse Oximetry
Care of the Patient with:
a. COPD
b. Tracheostomy
c. Pre/Post Thoracic Surgery
d. Pneumonia
e. Chest Tubes
f. Asthma
g. Emphysema
Use and Administration of:
a. Aminophylline
b. Corticosteroids
c. inhalers
F.
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G.
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Neuro Assessment
Glasgow Coma Scale
Seizure Precautions
Assist with Lumbar Puncture
Care of the Patients with:
a. Acute Head Injury
b. CVA/TIA
c. DT’s
d. Spinal Cord Injury
e. Pre/Post Neuro Surgery
f. Halo Traction
g. Multiple Sclerosis
h. Overdose
Use and Administration of:
a. Decadron
b. Dilantin
c. Phenobarbitol
d. Magnesium Sulfate
e. Valium
Urinary Catheter Insertion
Bladder Irrigations
a. Continuous
b. Intermittent
Electrolyte Imbalance/Replacement
Care of the Patient with:
a. Hemodialysis
b. T.U.R.P
c. Shunts and Fistulas
d. Nephrectomy
e. Supra-Pubic Catheter
f. Nephrostomy Tube
Orthopedics
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Neurological
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Genitourinary/Renal
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H.
Cast Care
Tractions
a. skin
b. Skeletal
ROM
Use of Assistive devices: walkers etc
Care of the Patient with:
a. Total Joint Replacement
b. Amputation
Miscellaneous
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7.
List types
Dressing Changes
Use of Air Fluidized Beds
Normal Serum Lab Values
Universal Precautions-Isolation
Care of Patients with:
a. Pressure Sores
b. Sickle Cell Anemia
c. Cancer
d. Alzheimer’s Disease
e. HIV/AIDS
f. Diabetes
Discharge Planning
Blood Glucose Monitor Types:
1.
2.
f. Ativan
E.
Gastrointestinal
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NG Tube Care and Maintenance
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NG Tube Insertion
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Bowel Preparation
Enterostomal Care
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Care of Patients with:
Telemetry/ Stepdown Checklist Page 2 of 3
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List types
OSHA TB Fit Test Mask Type:
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2.
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List types
Computer Charting Type:
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2.
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Applicants Name:
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I.
Age of Patients Cared For
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Infants and Toddlers (ages 0-3)
Young Children(ages 4-6)
Older Children(ages 7-12)
Adolescents (ages 13-20)
Young Adults (ages 21-39)
Middle Adults (ages 40-64)
Older Adults (ages 65-79)
Adults (ages > 80)
STEPDOWN SKILLS
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This section to be completed
by those with PCU/Stepdown
experience
ONLY!
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Maintain Arterial Line
Draw Blood from Arterial Line
Administer IV Push Medications
Titrate IV drip Medications
Care of Patients with:
a. Acute MI
b. Pulmonary Edema
c. ARDS
d. GI Bleed
e. Liver Transplant
f. Peritoneal
Use and Administration of:
a. Atropine
b. Nipride
c. Thrombolytic Agents
Interpret ABG’s
Ventilator Management
a. Assist with Intubation/Extubation
b. Wean Patient of Ventilator
Maintain Arterial Line
Draw Blood from Arterial Line
Administer IV Push Medications
Titrate IV drip Medications
Telemetry/ Stepdown Checklist Page 3 of 3
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