Last Name First name Middle name Previous Surname Screening Questions Please select your preferred Classification/ fields of experience   RN (med/surg) Cardiac Care Unit Cardiac Cath IMCU Surgical ICU Neurology 1CU Operating Room Recovery Room Oncology Mother/Baby Pediatric Pediatric ICU Telemetry Burn ICU Emergency Room Trauma   Skills Checklist     Cardiac   Proficient Some Experience Inexperience Principles of 12 Leads EKG Interpretation of Arrhythmias Telemetry/Stepdown Pacemaker – Permanent U Cardiac Arrest CVP readings Defibrillation U Cardioversion A-Line Swan Ganz Catheter Interpret Hemodynamic readings Balloon pumps U Cardiovascular Recovery Acute MI Pre/Post cardiac cath/PTCA Cardiac Cath Lab Li Fem-pop Bypass CHF Carotidendarectomy Cardigenic/Hypovolemic Shock         CARDIAC MEDS         Proficient Some Experience Inexperience Atropine Nipride Dobutamine U Calcium Anesthetic 8c reversal agent U Streptokinase/TPA Bretyl ium Digoxin Dopamine Propranolol Isuprel Lidocaine Nitroglycerin 0 Pronestyl Inocor U Quinidine Preparation of Emergency Drugs Cardiogenic drips KCL                 RESPIRATORY         Proficient Some Experience Inexperience Principles of Chest Auscultation Establishing an Airway Ambuing Techniques Chest Tubes IPPB Use of Nasal Canula 02 Administration – Face Mask ET intubation/extubation Ventilators ABG – Drawing Blood Sample ABG - Interpretation Administer paralytic Medicines                 RESPIIWTORY PATIENT CARE         Proficient Some Experience Inexperience CHF Pulmonary Edema U COPD COPD ARDS Near Drowning Pneumothorax Tracheostomy Pulmonary Emboli                 NEUROLOGY Proficient Some Experience Inexperience Glascow Coma Scale Assessment of Neuro Signs Seizure Precaution Assist with Lumbar Puncture 0 ICP monitoring Crutchfield Tongs Elalo Traction Stryker Frame Balkan Frame Circo-electric Bed                 NEUROLOGY PATIENT CARE         Proficient Some Experience Inexperience Depression Suicidal Patients Detox patients U Seizure Activity Overdose Spinal Cord Injury Craniotomy Neuro Trauma CVA Pre/Post Neuro Surgery Conscious Sedation                 VASCULAR         Proficient Some Experience Inexperience Normal serum lab values Heparin/saline locks IV starts Maintaining IV’s l3 PICC Lines PCA pumps Administer Blood k Blood Use of IV pumps Administer TPN/Hyperals Forceps Vaginal Delivery Circulate – Caesarean Section Scrub – Caesarean Section Assist with Intrauterine Pressure Cath Internal monitor connection/calibrate Assist -Fetal Scalp Blood sampling Labor assessment Vaginal Exams Use of Fetoscope/Doppler Ascultate Fetal heart rhythm/pattern High Risk Deliveries                 INTRAPARTUM PATIENT CARE         Proficient Some Experience Inexperience Pregnancy induced hypertension Preeclampsia Abrupto Placenta Placenta Previa Malpresentation Diabetes Mellitus Sickle Cell Anemia Rh incompatibles Infectious Diseases                 POSTPARTUM ASSESSMENT         Proficient Some Experience Inexperience Fungus Consistency Lochia Bladder Distention Episiotomy/Incision for Caesarean                 IMMEDIATE NEONATE CARE         Proficient Some Experience Inexperience Assign APGAR score Suction Eye Prophylaxis Collect Cord Blood Samples NICU I NICU II NICU 111 Neonate Resuscitation                 PEDIATRICS         Proficient Some Experience Inexperience Calculation of Peds Meds Starting IV Therapy Scalp Veins Apnea Monitor Cardiac Monitor CPR - Infant/Child Preparation of Emergency Drugs Tracheostomy Care 8c Suctioning Assist with Lumbar Puncture Use of Oxygen Use of Croup Tent Use of Ventilator                 PEDIATRICS PATIENT CARE         Proficient Some Experience Inexperience Asthma Jaundice Cystic Fibrosis Sickle Cell Anemia Spina Bifida Diabetes Mellitus Leukemia Meningitis Reye's Syndrome Overdose/poison ingestion Near Drowning PDA ligation Cardiac Surgery CHF Failure to Thrive Epiglottiditis RDS Broncho-Pulmonary Dysplasia Bone Marrow Transplant                 MATERNAL CHILD NURSING         Proficient Some Experience Inexperience Labor Suppressants Oxytocin Induction Magnesium Sulfate infusion Assist with Vaginal Delivery                 GASTROINTESTINAL         Proficient Some Experience Inexperience NG tube/Gastric Lavage Tube Feedings. Gastrostomy Tube Blakemoore Sengstaken T-Tube G.I. Bleed Jejunostomy Tube Miller- Abbott/ Cantor Colostomy Dehiscence Salem Sump                 GENITOURINARY/ RENAL         Proficient Some Experience Inexperience Peritoneal Dialysis Hemodialysis Foley Catheter Insertion Illeostomy G.U. Irrigation Nephrostomy Tube Suprapubic Tube Tidal Drainage                 GENITOURINARY/RENAL PATIENT CARE         Proficient Some Experience Inexperience Shunts and Fistulas Acute Renal Failure Renal Transplant Nephrectomy                 ORTHOPEDIC         Proficient Some Experience Inexperience Total Knee Replacements Total Hip Replacements Bucks Traction Crutch Walking K- wires Spika/Body Cast Arthroscopy/Arthrotomy                 ADDITIONAL NURSING SKILLS         Proficient Some Experience Inexperience Air transport HIV Infection Organ Harvest Autotransfusiom system Trauma Oncology Chemo Terapy Diabetic Teaching Isolation Techniques Burn Patients Team Nursing Primary Nursing Cardiac Surgery Developing Care Plans Focus Charting

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