TELEMETRY RN SKILL CHECKLIST


This checklist was electronically signed on (Today’s date)
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.
Proficiency Scale:

  • 1 . No Experience

  • 2 . Need Training

  • 3 . Able to perform with supervision

  • 4 . Able to perform independently

CARDIAC

Acute Coronary Syndrome

Congestive Heart Failure

Post Open Heart (12-24 hours)

Carotid Endarterectomy

Post Vascular Surgery

Heart Transplant

Pacemaker - Temporary/Permanent

Pacemaker - Epicardial

Sheath Removal

Heart Sounds

PULMONARY

Pneumonia

Respiratory Distress

COPD

Breath Sounds

Post Thoracic Surgery

Chest Tube Placement And Management

Trach Management

Modes of Ventilation (AC/PC/SIMV/CPAP)

Intubation/Extubation

External CPAP/BiPAP

Interpretation of Arterial Blood Gases

NEUROLOGIC AND PSYCHIATRIC

Stroke Scale Assessment

CVA

Brain Injury

Post Craniotomy

Spinal Cord Injury

Seizure Disorders

ETOH/Drug Withdrawal

GASTROINTESTINAL

GI Bleeding

GI Surgery

Liver Failure

Pancreatitis

Liver Transplant

Pancreas Transplant

RENAL/GENITOURINARY

Renal Failure

Renal Surgery

Renal Transplant

Arteriovenous Fistula/Shunt

Nephrostomy Tubes

Peritoneal Dialysis

ENDOCRINE METABOLIC

Diabetes - Hypo/Hyperglycemic Crisis

Pituitary Disorders

IV Insulin Protocols

Indwelling Insulin Pumps

MEDICATIONS

Anti-Arrhythmics

Anticoagulants (IV, oral, & injection)

Anti-Hypertensives

Anti-Psychotics

Anti-Seizure Medications

Benzodiazepines

Procedural Sedation

Diuretics

Emergency Medications

Inhaled Medications

Insulin

Titrate Vasoactive Drips

Manage Vasoactive Drips - No Titration

Narcotics/Opioid Analgesics (IV, oral, & injection)

Nitrates (Oral & Topical)

Non-Opioid Analgesics (IV, Oral, & Injection)

Reversal Agents

Steroids (IV, Oral, Inhaled)

Automated Medication Dispensing (i.e. Pyxis,Omnicell)

IV THERAPY

Starting Ivs

Central Line Blood Draws

Central Line/Implanted Line Care

Arterial Line Management

TPN & Lipids

Blood Product Administration

Administration of Chemotherapy

CARDIAC MONITORING AND EMERG.RESPONSE

Dysrhythmia Interpretation

Dysrhythmia Management

Obtain 12 Lead EKG

Interpret 12 Lead EKG

Cardioversion

Defibrillation

Malignant Hyperthermia

PROFESSIONAL KNOWLEDGE AND SKILLS

National Patient Safety Goals/Core Measures

Fall Risk Assessment/Prevention

Pressure Ulcer Risk Assessment/Prevention

Restraints/Use of Least Restrictive Device

Patient/Family Teaching

Age Specific/Population-Based Care

Isolation Precautions

Infection Prevention

Pain Assessment & Management

Charge Experience

Interpretation and Communication of Lab Values

Specialty Beds

EMR

Epic

Cerner

Eclipsys

McKesson

Meditech

Other Computerized System

Computerized Physician Order Entry

Bar Coding for Medication Administration

EMR Conversion

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)

CERTIFICATIONS

BLS

  Yes

  No

PALS

  Yes

  No

ACLS

  Yes

  No

PEARS

  Yes

  No

ENPC

  Yes

  No

CEN

  Yes

  No

TNCC

  Yes

  No

Other: