Skills Checklist - Tele PCU Stepdown RN

Skills Checklist - Tele, PCU, Stepdown RN

Name
First Last
Phone
Email

GENERAL SKILLS*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Standard Precautions
Isolation Precautions
Pediatric Respiratory/ Cardiac Arrest
Adult Respiratory/ Cardiac Arrest
Crash Carts
Defibrillators
Care of Patient in Restraints
Pain Management
Care Planning and Discharge Planning
Patient/ Family Education
Patient Head to Toe Assessment
Dressing Changes
Knowledge of Normal Serum Lab Values
Obtaining Cultures (Blood, Sputum, Swab, Urine)
Administration of Blood and Blood Products
PCA Pumps
Infusion Pumps
Calculate mcg/min and mcg/kg/min
Titrating Medications
Moderate/Conscious Sedation & Reversal Agents
Automated Med Dispensing System
Electronic Documentation

GENERAL SKILLS - TYPES OF AUTOMATED MED DISPENSING SYSTEMS:
(if applicable)
GENERAL SKILLS - TYPES OF ELECTRONIC DOCUMENTATION:
(if applicable)

IV THERAPY*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
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*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Assessment of Neuro Signs
Glasgow Coma Scale
Seizure Precautions
Assist With Lumbar Puncture
Halo Traction
NEURO - Care of Patients with:*
Rarely Some Experience Proficient Trainer / Preceptor N/A
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*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Decadron
Dilantin
Magnesium Sulfate.
Phenobarbital
Steroids
Valium
Versed.

CARDIAC GENERAL SKILLS*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Auscultation of Cardiac Sounds
Dopplers
Interpretation of 12 lead 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*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Angina
CHF
Post MI
Pre/Post Cardiac Cath
Pre/Post Cardiac Surgery
Open Sternal Wound (Debridement)
Heart Transplant

MEDICATION KNOWLEDGE AND USE OF:*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Atropine
Diuretics
Digoxin
Dopamine
Dobutrex
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*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Establishing an 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*
Rarely Some Experience Proficient Trainer / Preceptor N/A
COPD
ARDS
Pre/Post Thoracic Surgery
Pulmonary embolism
Pulmonary Edema
Pneumothorax
Pneumonia
Inhalation Injuries
Emphysema
Asthma
Lung Transplant
MEDICATION KNOWLEDGE AND USE OF:*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Aminophylline
Corticosteroids
Bronchodilators
GASTROINTESTINAL GENERAL SKILLS*
Rarely Some Experience Proficient Trainer / Preceptor N/A
NG Tube Insertion, Care and Maintenance
Gastrostomy Tube
Jejunostomy Tube
Enterostomal Care
Tube Feedings
GASTROINTESTINAL- CARE OF PATIENTS WITH:*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Pancreatitis
G.I. Bleed
Esophageal Bleeding
Bowel Obstruction
Whipple Procedure
Liver Transplant
Paralytic Ileus
E.R.C.P.
MEDICATION KNOWLEDGE AND USE OF:*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Antiemetics
TPN/Hyperalimentation
GENITOURINARY/ RENAL GENERAL SKILLS*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Peritoneal Dialysis
Hemodialysis
Foley/Straight Catheter Insertion
GU Irrigations
Nephrostomy Tube
Suprapubic Tube
Electrolyte Imbalance/ Replacement
GENITOURINARY/ RENAL- CARE OF PATIENTS WITH:*
Rarely Some Experience Proficient Trainer / Preceptor N/A
T.U.R.P.
Shunts and Fistulas
Nephrectomy
Renal Transplant
Renal Trauma
Chronic/Acute Renal Failure
GYNECOLOGY GENERAL SKILLS*
Rarely Some Experience Proficient Trainer / Preceptor N/A
GYN Exam Prep
GYNECOLOGY- CARE OF PATIENTS WITH:*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Ectopic Pregnancy/Ruptured Ectopic Pregnancy
Hysterectomy
Repair of Cystocele/ Rectocele
ORTHOPEDIC GENERAL SKILLS*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Assessment of C/M/S
K-Wises/Steinman Pins
Removal of Hardware
ORTHOPEDIC- CARE OF PATIENT WITH:*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Total Joint Replacement
Spica Cast/Body Cast
Amputation
Traction
Ortho Trauma
Laminectomy
ENDOCRINE GENERAL SKILLS*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Diabetic Teaching
Blood Glucose Monitoring
ENDOCRINE - Care of Patients With:*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Hyper/Hypoglycemia
MEDICATION KNOWLEDGE AND USE OF.*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Insulin (IV, SQ)
D50

PHLEBOTOMY/ IV THERAPY*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
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*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Heparin Drip (Precautions and Maintenance)
Care of Oncology Patient
Chemotherapy Administration
Care of Patient with Burns
Care of Patient with HIV/AIDS
Hyperbaric Oxygenation
Suicide Precautions
Post Mortem Cares

CARDIAC MONITORS*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Hewlett- Packard
Spacelab
Siemens.
Marquette
Mennen
Lifecare
Nihon-Koder
Other Cardiac Monitors (Please List):
(if applicable)
VENTILATORS*
Rarely Some Experience Proficient Trainer / Preceptor N/A
Bear
Bennett 7200
CPAP
Emerson
Engstrom/ Erica
EMV
MA-I
MA-II
Monihan
Ohio 560
PEEP
Pressure Pre-Set
Servo
Siemens
Other Ventilators (Please List):
(if applicable)

Age Group Experience*

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Newborn (birth - 30 days)
Infant (30 days - 1 year)
Toddler (1 - 3 years)
Preschooler (3 - 5 years)
School Age (5 - 12 years)
Adolescents (12 - 18 years)
Young Adults (18 - 39 years)
Middle Adults (39-64 years)
Older Adults (64+ years)

Do you speak any languages other than English?*
- No
If yes, enter languages above, separated by commas.
Confirmation*
- I attest that the information I have given is both true and, to the best of my knowledge, represents an accurate self assessment of my professional skills and/or education.
Signature
Date
MM slash DD slash YYYY

Skills Checklist - Tele, PCU, Stepdown RN

Origin Travel Nurses has earned the Joint Commission's Gold Seal of Approval

© 2023 Origin Travel Nurses. All Rights Reserved.

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Assessment of Neuro Signs
Glasgow Coma Scale
Seizure Precautions
Assist With Lumbar Puncture
Halo Traction

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
CVA
Seizure Activity
Overdose
Neuro/Head Injury/ Trauma
Pre/Post Neuro Surgery
Cranial Hemorrhage
Multiple Sclerosis
Post-Op AV Shunt

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
Angina
CHF
Post MI
Pre/Post Cardiac Cath
Pre/Post Cardiac Surgery
Open Sternal Wound (Debridement)
Heart Transplant

	Rarely	Some Experience	Proficient	Trainer / Preceptor	N/A
COPD
ARDS
Pre/Post Thoracic Surgery
Pulmonary embolism
Pulmonary Edema
Pneumothorax
Pneumonia
Inhalation Injuries
Emphysema
Asthma
Lung Transplant