Emergency Room Skills Checklist
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- Maurice Bryan
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1 Emergency Room Skills Checklist Name: Date: This tool will assist us to identify nursing opportunities that match your skills and nursing experience. Please indicate your level of experience: A: No theory or clinical D: 1 2 years experience B: Theory only, no experience E: >2 years experience C: Less than 1 year s experience A. CARDIOVASCULAR a. Auscultation (rate, rhythm) A B C D E b. Doppler A B C D E c. Heart sounds/murmurs A B C D E a. Assist with insertion and set-up:: (1) Arterial line A B C D E (2) Central venous line A B C D E (3) PA catheter/swan-ganz insertion A B C D E (4) Pacemaker A B C D E b. Cardioversion A B C D E c. Interpretation of waveforms and values (1) A-line A B C D E (2) CVP A B C D E d. Monitoring (1) Basic 12 lead interpretation A B C D E (2) Basic arrhythmia interpretation A B C D E 1/11
2 a. Acute MI A B C D E b. Aneurysm A B C D E c. Angina A B C D E d. Cardiac arrest A B C D E e. Congestive heart failure (CHF) A B C D E f. Myocarditis A B C D E 4. Medications a. ACLS drugs (1) Atropine A B C D E (2) Bretylium A B C D E (3) Epinephrine A B C D E (4) Lidocaine A B C D E (5) Procainamide A B C D E (6) Sodium bicarbonate A B C D E b. Other (1) Adenosin A B C D E (2) Amiodarone A B C D E (3) Digoxin A B C D E (4) Diltiazem A B C D E (5) Dobutamine A B C D E (6) Dopamine A B C D E (7) Esmolol A B C D E (8) Furosemide A B C D E (9) Nitroglycerin A B C D E (10) Nitroprusside A B C D E (11) Thrombolytic therapy A B C D E B. PULMONARY a. Breath sounds A B C D E b. Rate and quality of breathing A B C D E 2. Interpretation of lab results a. Arterial blood gases A B C D E 3. Equipment & Procedures a. Airway management device/suctioning A B C D E (1) Endotracheal tube/suctioning A B C D E 2/11
3 (2) Nasal airway/suctioning A B C D E (3) Oropharyngeal/suctioning A B C D E (4) Sputum specimen collection A B C D E (5) Tracheostomy A B C D E b. Assist with extubation A B C D E c. Assist with intubation A B C D E d. Assist with thoracentesis A B C D E e. Care of the patient on a ventilator A B C D E f. Care of the patient with a chest tube (1) Assist with set-up and insertion A B C D E (2) Measuring A B C D E (3) Removal A B C D E g. Measure peak flow A B C D E h. Obtaining arterial blood gasses (1) Arterial line A B C D E (2) Femoral artery A B C D E (3) Radial artery A B C D E i. O 2 therapy & medication delivery systems (1) Bag and mask A B C D E (2) ET tube A B C D E (3) External CPAP A B C D E (4) Face masks A B C D E (5) Inhalers A B C D E (6) Nasal cannula A B C D E (7) Nebulizer A B C D E (8) Portable O 2 tank A B C D E (9) T-piece A B C D E (10) Trach collar A B C D E j. Pulse oximetry A B C D E k. Trouble shooting high-pressure alarms A B C D E l. Trouble shooting low-pressure alarms A B C D E 4. Care of the patient with: a. Aspiration A B C D E b. COPD A B C D E 3/11
4 c. Hemopneumothorax A B C D E d. Laryngospasm A B C D E e. Pneumonia A B C D E f. Pneumothorax A B C D E g. Pulmonary edema A B C D E h. Pulmonary embolism A B C D E i. Tension pneumothorax A B C D E j. Penetrating Trauma 5. Medications a. Aminophylline A B C D E b. Isoetharine hydrochloride A B C D E c. Epinephrine A B C D E d. Isoproterenol hydrochloride A B C D E e. Steroids A B C D E f. Terbutaline A B C D E C. NEUROLOGICAL a. Advanced neuro-assesment A B C D E (1) Glasgow coma scale A B C D E (2) Reflex/motor deficits A B C D E (3) Visual or communications deficits A B C D E b. Level of consciousness A B C D E a. Assist with lumbar puncture A B C D E b. Increased ICP management (1) Medications A B C D E (2) Positioning A B C D E (3) Regulation of ICP A B C D E (4) Temperature control A B C D E (5) Ventilation A B C D E c. Intracranial pressure monitoring A B C D E a. Basal skull fracture A B C D E b. Closed head injury A B C D E c. CVA A B C D E 4/11
5 d. DTs A B C D E e. Encephalitis A B C D E f. Externalized VP shunts A B C D E g. Meningitis A B C D E h. Neuromuscular disease A B C D E i. Overdose A B C D E j. Seizures A B C D E k. Spinal cord injury A B C D E 4. Medications a. Dexamethasone A B C D E b. Phenytoin A B C D E c. Mannitol A B C D E d. Phenobarbital A B C D E e. Methylprednisolone sodium succinate A B C D E D. ORTHOPEDICS a. Circulation checks A B C D E b. Gait A B C D E c. Range of motion A B C D E d. Skin A B C D E a. Assist with placement of cast A B C D E b. Support devices (1) Cane/crutch A B C D E (2) Cervical collar A B C D E (3) Sling A B C D E (4) Transfer boards A B C D E a. Ankle brace A B C D E b. Ankle splint A B C D E c. Cast A B C D E d. Knee immobilizer A B C D E e. Pinned fractures A B C D E f. Wrist splint A B C D E 5/11
6 E. GASTROINTESTINAL a. Abdominal/bowel sounds A B C D E b. Fluid balance A B C D E c. Nutritional status A B C D E 2. Interpretation of blood chemistry A B C D E 3. Equipment & Procedures a. Placement of nasogastric tube A B C D E b. Salem sump to suction A B C D E c. Saline lavage A B C D E 4. Care of the patient with: a. Abdominal trauma A B C D E b. Bowel obstruction A B C D E c. GI bleeding A B C D E d. Hepatitis A B C D E e. Liver failure A B C D E 5. Medications a. Antiemetics A B C D E b. Antispasmodic A B C D E c. Charcoal A B C D E d. Ipecac A B C D E F. RENAL/GENROURINARY fluid balance A B C D E 2. Interpretation of lab results a. BUN and creatinine A B C D E b. Electrolytes A B C D E 3. Equipment & Procedures a. Insertion and care of straight & Foley catheter (1) Female A B C D E (2) Male A B C D E b. Urine specimen collection A B C D E 4. Care of the patient with: a. Acute renal failure A B C D E b. Peritoneal lavage A B C D E c. Renal trauma A B C D E d. Urinary tract infection A B C D E 6/11
7 G. ENDOCRINE/METABOLIC a. S/S diabetic coma A B C D E b. S/S insulin reaction A B C D E a. Blood glucose monitoring A B C D E b. Electronic measuring device type: c. Performing finger stick A B C D E a. Diabetic ketoacidosis A B C D E 4. Medications a. Insulin A B C D E b. Oral hypoglycemics A B C D E H. WOUND MANAGEMENT/SURGICAL 1. Equipment & Procedures a. Application of Steristrips A B C D E b. Assist with staples A B C D E c. Assist with sutures A B C D E d. Set up suture tray A B C D E e. Staple removal A B C D E f. Suture removal A B C D E I. EENT a. Set up fluorescent/woods lamp exam A B C D E b. Visual acuity A B C D E a. Application of eye patch A B C D E b. Ear irrigation A B C D E c. Eye irrigation A B C D E d. Morgan lens irrigation A B C D E e. Nasal packing A B C D E 7/11
8 f. Removal of contact lens A B C D E J. TRAUMA/SHOCK a. Champion trauma score A B C D E b. Poison index A B C D E c. Triage A B C D E a. Air transport of trauma patient A B C D E b. Application of mast suit A B C D E c. Ground transport A B C D E a. Bites, animal A B C D E b. Bites, human A B C D E c. Bites, venomous snake A B C D E d. Bites, venomous spider A B C D E e. Burns (1) Rule of nines A B C D E (2) First degree A B C D E (3) Second degree A B C D E (4) Third degree A B C D E f. Dehydration A B C D E g. Electrocution A B C D E h. Gunshot/stab wound A B C D E i. Hazardous material exposure A B C D E j. Heat exhaustion/stroke A B C D E k. Hypothermia A B C D E l. Major trauma A B C D E m. Minor trauma A B C D E n. Radiation exposure A B C D E o. Shock (1) Anaphylactic A B C D E (2) Cardiogenic A B C D E (3) Hypovolemic A B C D E (4) Neurogenic A B C D E (5) Septic A B C D E p. Traumatic amputation A B C D E 8/11
9 K. INFECTIOUS DISEASES 1. Interpretation of lab values CBC, SMA 7 A B C D E a. Fever management A B C D E b. Isolation A B C D E 3. Care of the patient with AIDS A B C D E L. PHLEBOTOMY/IV THERAPY/INVASIVE PROCEDURES 1. Equipment & Procedures a. Administration of blood/blood products (1) Autotransfusion A B C D E (2) Cryoprecipitate A B C D E (3) Packed red blood cells A B C D E (4) Plasma/albumin A B C D E (5) Whole blood A B C D E b. Assist with cutdown A B C D E c. Drawing venous blood sample A B C D E d. Starting IVs (1) Angiocath A B C D E (2) Butterfly A B C D E (3) Heparin lock A B C D E 2. Care of the patient with: a. Angiography A B C D E b. Central line/catheter/dressing (1) Broviac/Hickman A B C D E (2) Groshong A B C D E (3) PICC A B C D E (4) Portacath A B C D E c. Pericardiocentesis M. PAIN MANAGEMENT of pain level/tolerance A B C D E 2. Care of the patient with: a. Epidural anesthesia/analgesia A B C D E b. IV conscious sedation A B C D E 9/11
10 N. PAEDIATRICS 1. Equipment & Procedures a. Child abuse/recognition/reporting A B C D E b. Obtaining consent to treat A B C D E c. Paediatric arrest A B C D E 2. Care of the patient with: a. Epiglottitis A B C D E b. Near drowning A B C D E c. Overdose/poison ingestion A B C D E d. Status asthmaticus A B C D E e. Status epilepticus A B C D E O. WOMEN S HEALTH assist with pelvic exam A B C D E a. Pelvic tray A B C D E b. Rape kit A B C D E c. Reporting acts of violence A B C D E a. Abruptio placenta A B C D E b. DIC A B C D E c. Hemmorrhage A B C D E d. Placenta previa A B C D E e. Precipitous delivery A B C D E f. Preeclampsia/eclampsia A B C D E g. Spontaneous abortion A B C D E P. MISCELLANEOUS 1. Against Medical Advice procedures A B C D E 2. Suicide precautions A B C D E 10/11
11 AGE SPECIFIC PRACTICE CRITERIA Please indicate which age groups you have expertise in providing age-appropriate nursing care A Newborn/Neonate (Birth 30 days) F Adolescents (12 18 years) B Infant (30 days 1 year) G Young adults (18 39 years) C Toddler (1 3 years) H Middle adults (39 64 years) D Preschooler (3 5 years) I Older adults (64+) E School age children (5 12 years) Able to adapt care to incorporate normal growth A B C D E F G H I & development Able to adapt method & terminology of patient A B C D E F G H I instructions to their age, comprehension & maturity level. Can ensure a safe environment reflecting specific A B C D E F G H I needs of various age groups. My experience is primarily in: (Please indicate number of years) Trauma Referral Centre (Level I ER) Community ER (Level II ER) Rural ER year(s) year(s) year(s) CERTIFICATION ACLS expiry date: BCLS expiry date: CCRN expiry date: PALS expiry date: NALS expiry date: TNCC expiry date: M/D/YR The information I have given is true and accurate, to the best of my knowledge I hereby authorize Health Match BC to release this Emergency Room Skills Checklist to accompany my resume in relation to consideration of employment. AGREE DISAGREE Name: Date: 11/11
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