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Skills

NAME:_________________________
RN
SS#____________________________
P.O. Box 3597 • Peoria, IL 61612 • 800.836.7633 • FAX 309.691.8328 SKILL SHEETS - EMERGENCY ROOM
PLEASE TYPE OR PRINT NEATLY
LEVEL OF EXPERIENCE (please place an "x" in the appropriate box):
1. No contact with equipment or this patient situation. No knowledge of procedure.
2. Understand procedure and patient situation, but never performed task.
3. Have performed this task infrequently and would need supervision.
4. Have performed this task frequently and can perform independently.
TRAUMA/SHOCK
1 2 3 4 LENGTH OF EXPERIENCE
Assessment: Champion trauma score Poison index TriageEquipment & Procedures: Air transport of trauma patient Application of mast suit Ground transportCare of the patient with: Bites, animal Bites, human Bites, venomous snake Bites, venomous spider Burns, rule of nines Burns, first degree Burns, second degree Burns, third degree Dehydration Electrocution Gunshot/stab wounds Hazardous material exposure Heat exhaustion/stroke Hypothermia Major trauma Minor trauma Radiation exposure Shock: Anaphylactic - Cardiogenic- Hypovolemic- Neurogenic- Septic Traumatic amputation
INFECTIOUS DISEASES
Interpretation of lab values – CBC, SMA 7
Equipment & Procedures:
Fever management
Isolation
Care of the patient with AIDS
PAIN MANAGEMENT
Assessment of pain level/tolerance
Care of the patient with:
Epidural anesthesia/analgesia
IV Conscious sedation
CARDIOVASCULAR
1 2 3 4 LENGTH OF EXPERIENCE
Assessment Auscultation (rate/rhythm) Doppler Heart sounds/murmursEquipment and Procedures: Assist with the insertion and set up of - Arterial line- Central venous line- PA catheter/Swan-ganz insertion- Pacemaker Cardioversion Interpretation of waveforms & values - Basic 12 lead interpretation- Basic arrhythmia interpretation Care of the patient with:
Acute MI
Aneurysm
Angina
Cardiac arrest
Congestive heart failure (CHF)
Myocarditis
MEDICATIONS
ACLS Drugs: Atropine
Bretylium (Bretylol)
Epinephrine (Adrenalin)
Lidocaine (Xylocaine)
Procainamide (Pronestyl)
Sodium bicarbonate
Adenosine (Adenocard)
Amiodarone (Cordarone)
Digoxin (Lanoxin)
Diltiazem (Cardizem)
Dobuamine (Dobutrex)
Dopamine (Intropin)
Esmolol (Brevibloc)
Lasix (Furosemide)
Nitroglycerin (Tridil)
Nitroprusside (Nipride)
Thrombolytic therapy
PULMONARY
Assessment:
Adventitious breath sounds
Rate and work of breathing
Interpretation of Lab Results: Arterial blood gases
Equipment & Procedures:
Airway management devices/suctioning
Endotracheal tube/suctioningNasal airway/suctioningOropharyngeal/suctioningSputum specimen collectionTracheostomy/suctioning Assist with extubation Assist with intubation Assist with thoracentesis Care of the patient on a ventilator PULMONARY (cont.)
1 2 3 4 LENGTH OF EXPERIENCE
Assist with set up & insertionMeasuringRemoval Measure peak flow Obtaining arterial blood gases Oxygen therapy & medication delivery systems Bag and maskET tubeExternal CPAPFace masksInhalersNasal cannula Oxygen therapy & medication delivery systems NebulizerPortable O2 tankT-pieceTrach collar Pulse oximetry
Trouble shooting high-pressure alarms
Trouble shooting low-pressure alarms
Care of the patient with:
Aspiration
COPD
Hemopneumothorax
Laryngospasm
Pneumonia
Pneumothorax
Pulmonary edema
Pulmonary embolism
Tension pneumothorax
Tuberculosis
Medications:
Aminophylline (Theophylline)
Bronkosol (Isoetharine hydrochloride)
Epinephrine (Adrenalin)
Isuprel (Isoproterenol hydrochloride)
Steroids
Terbutaline
NEUROLOGICAL
Assessment:
Advanced neuro assessment
Glasgow coma scaleReflex/motor deficitsVisual or communication deficits Level of consciousnessEquipment & Procedures: Assist with lumbar puncture Increased ICP management MedicationsPositioningRegulation of ICPTemperature controlVentilation Intracranial pressure monitoringCare of the patient with: Basal skull fracture NEUROLOGICAL (cont.)
1 2 3 4 LENGTH OF EXPERIENCE
Closed head injury
CVA
DTs
Encephalitis
Externalized VP shunts
Meningitis
Neuromuscular disease
Overdose
Seizures
Spinal cord injury
Medications:
Decadron (Dexamethasone)
Dilantin (Phenytoin)
Mannitol (Osmitrol)
Solu-Medrol
Phenobarbital
ORTHOPEDICS
Assessment:
Circulation checks
Gait
Range of motion
Skin
Equipment & Procedures
Assist with placement of cast
Support devices
Cane/crutchCervical collarSlingTransfer boards Care of the patient with:
Ankle brace
Ankle splint
Cast
Knee immobilizer
Pinned fractures
Amputation
Wrist splint
GASTROINTESTINAL
Assessment:
Abdominal/bowel sounds
Fluid balance
Nutritional status
Interpretation of blood chemistry
Equipment & Procedures:
Placement of nasogastric tube
Salem sump to suction
Saline lavage
Care of the patient with:
Abdominal trauma
Bowel obstruction
GI bleeding
Hepatitis
Liver failure
Medications:
Antiemetics
Antispasmodic
Charcoal
Ipecac
MISCELLANEOUS
AMA procedures
Suicide precautions
PHELBOTOMY/IV THERAPY
1 2 3 4 LENGTH OF EXPERIENCE
Equipment & Procedures: Administration of blood/blood products - Autotransfusion- Cryoprecipitate- Packed red blood cells- Plasma/albumin- Whole blood Assist with cut down Drawing venous blood Starting IVs Care of the patient with: Angiography Central line/catheter/dressing - Broviac/Hickman- Groshong- PICC- Portacath Pericardiocentesis
RENAL/GENITOURINARY
Assessment: Fluid balance
Interpretation of lab results:
BUN & creatinine
Electrolytes
Equipment & Procedures:
Insertion & care of straight and Foley cathater
Urine specimen collection
Care of the patient with:
Acute renal failure
Peritoneal lavage
Renal trauma
Urinary tract infection
ENDOCRINE/METABOLIC
Assessment:
S/S diabetic coma
S/S insulin reaction
Equipment & Procedures:
Blood glucose measuring device:
Blood glucose monitoring
Performing finger stick
Care of the patient with:
Diabetes ketoacidosis
Medications:
Insulin
Oral hypoglycemics
EENT
Assessment:
Set up fluorescent/Woods lamp exam
Visual acuity
Equipment & Procedures:
Application of eye patch
Ear irrigation
Eye irrigation
Morgan lens irrigation
Nasal packing
Removal of contact lens
WOUND MANAGEMENT/SURGERY
1 2 3 4 LENGTH OF EXPERIENCE
Equipment & Procedures:
Application of Steristrips
Assist with staples
Assist with sutures
Culdocentesis tray
Set up suture tray
Staple removal
Suture removal
PEDIATRICS
Equipment & Procedures:
Child abuse/recognition/reporting
Obtaining consent to treat
Pediatric arrest
Care of the patient with:
Epiglottitis
Near drowning
Overdose/poison ingestion
Status asthmaticus
Statue epilepticus
WOMEN'S HEALTH
Assessment – Assist with pelvic exam
Equipment & Procedures:
Pelvic tray
Rape kit
Reporting acts of violence
Care of the patient with:
Abruptio placenta
DIC
Hemorrhage
Placenta previa
Precipitous delivery
Preeclampsia/eclampsia
Spontaneous abortion
ASSIGNMENTS WILLING AND QUALIFIED TO PERFORM:
LICENSE AND CERTIFICATION INFORMATION:
State/License #___________________________Expiration Date:____________________________ State/License #___________________________Expiration Date:____________________________ State/License #___________________________Expiration Date:____________________________ Expiration Date__________________________________ A___ I____ P____Expiration Date___________________ Expiration Date__________________________________ Expiration Date__________________________________ Fixed Wing Aircraft_____ Mobile Intensive Care _____ ❑ Yes ❑ No Specify__________________________________ Has your license ever been under investigation? ❑ Yes ❑ No If yes, explain______________________________________________________________________________________________ SHIFT PREFERENCE: 1st choice_______________________ 2nd choice_____________________________
The statements made in this application are true to the best of my knowledge. I understand that any falsification will be basis for disqualification of employment or
termination of services. Falsification of professional documents by ommission or false statements is an offense reportable to the state board(s).
SIGNATURE___________________________________________DATE_________________________________

Source: http://www.fidelityoncall.com/PDF/skillser.pdf

Policy name

FIRST AID AND MEDICAL POLICY Contents 1. General 1.1. Introduction 1.2. School Responsibilities 1.3. Parent Responsibilities 3.1. Aims 3.2. Strategies 3.3. Asthma Management Procedure 3.4. Anaphylaxis Management Procedure 4. Administration of prescribed & other medicines 9.1 Non-oral medication 9.2 Oral medication 5. Communicable Diseases Attachments A: Asthma Information

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