Skills Checklist:
RN - Med Surg/ Telemetry

Skills Checklist – RN - Med Surg/Telemetry

This self-evaluation is for assessing your experience in specific clinical areas. This self-evaluation will not be a determining factor in accepting your application to become an employee of Connected Health Care.

0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced

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Newborn/Neonatal (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)*
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Standard Precautions*
Isolation Precautions*
Discontinue PIV*
Initiate Peripheral IV*
Lift/ Transfer Devices*
Pediatric Respiratory/Cardiac Arrest*
Adult Respiratory/Cardiac Arrest*
Crash Carts*
Defibrillators*
Care of Patients in Restraints*
Pain Managements*
Automated Med Dispensing System*
Care Planning & Discharge Planning*
Patient/Family Education*
Electronic Documentation*
Patient Head to Toe Assessment*
Knowledge of Normal Serum Lab Values*
Obtaining Cultures (Blood, Sputum, Swab, Urine)*
Calculate mcg/min and mcg/Kg/min*
Titrating Medications*
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Overdose/ Withdrawl*
Suicidal Precautions*
Manic Disorder/ Behavior*
De-escalation techniques*
Depression*
Topical*
Otic*
Rectal*
Vaginal*
Ophthalmic*
Continuous Subcutaneous Infusion Pumps*
Total Parental Nutrition (TPN)*
Peripheral Parental Nutrition*
Patient Controlled Analgesia (PCA)*
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Anti-depressants*
Anti-anxiety Medications*
Psych Medications*
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Anticoagulants*
Narcotics*
PCA for Pain Control*
Epidural for Pain Control*
Non-narcotic Analgesics*
Topical Medications*
IM Medications*
SQ Medications*
Oral Medications*
IV Push Medications*
IV Drip Medications*
Antibiotics*
Chemotherapy*
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Assessing Levels of Consciousness*
Pupil Checks*
Seizure Precautions*
Aneurysm Precautions*
Assisting with Lumbar Puncture*
Use of Hyper/Hypothermia Blanket*
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Stroke*
Spinal Cord Injury - Acute*
Spinal Cord Injury – Long Term*
Neuromuscular Disease*
Alzheimer's Disease*
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Anticonvulsants*
IV Drip Steroids*
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Cardiac Monitors*
Auscultation of Cardiac Sounds*
EKG- Lead*
Recognizing Basic & Life-Threatening Dysrhythmias*
Cardioversion/ Defibrillation*
Pulse Checks*
Interpretation of Cardiac Enzymes*
Use of Doppler*
Use of Automatic BP Cuff (ie Dinamap)*
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Angina*
CHF*
Chest Pain*
Post MI*
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Nitrates (Oral, Topical)*
Antiarrhythmics (Oral)*
Antihypertensives (Oral)*
Heparin Drip*
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O Cannulas/Masks*
Nebulizer Set-up/Use*
Incentive Spirometry*
Chest PT*
Pulse Oximetry*
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Oral*
Tracheostomy Tube*
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SOB*
Pulmonary Embolism*
Tracheostomy Tube*
COPD*
Asthma Exacerbation*
Pneumonia*
Pre/Post Thoracic Surgery*
Chest Tubes*
Tuberculosis*
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O Therapy*
Bronchodilators*
Oral Steroids*
IV Steroids*
Inhaler*

GASTROINTESTINAL GENERAL SKILLS

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Nasointestinal Tubes (ie Cantor, Miller-Abbot)*
Jejunostomy, Gastrostomy, Cecostomy Tubes*
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by Gravity Infusion*
by Feeding Pump*
Collection of Stool Specimens*
Bowel Preparation & Cleansing Procedures*
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Stoma*
Bowel Obstruction*
Pancreatitis*
Post Abdominal Surgery*
Ileostomy*
Colostomy*
Inflammatory Bowel Disease*
Obstruction*
Hepatitis*
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Total Parenteral Nutrition (TPN)*
Peripheral Parenteral Nutrition (PPN)*
Antiemetics*
Proton Pump Inhibitors*
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Insertion of Catheter Straight*
Insertion of Catheter Foley*
Bladder Irrigation Continuous*
Bladder Irrigation Intermittent*
Peritoneal Dialysis*
Automatic Cycler Machine*
Collection of Urine Specimens*
Hemodialysis*
A-V Fistula/Shunt Care*
Pre- & Post- Dialysis Care*
Suprapubic Catheter*
Nephrostomy Tube*
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Urinary Tract Infection*
Pyelonephritis*
Renal Calculi*
Urinary Retention/Incontinence*
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Performing Fingersticks*
Use of Blood Glucose Meter Device*
Use of Visual Blood Glucose Strips*
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Hyper/Hypoglycemia*
DKA*
Thyroid Disorders*
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Single Type*
CMS Checks*
Dextrose*
Mixed Insulins*
Insulin Infusion*
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Cast Care*
CMS Checks*
Traction- Skin*
Traction- Skeletal*
Range of Motion*
Use of Assistive Devices*
Application of Splints of Extremities*
Continuous Passive Motion Machine (CPM)*
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Total Joint Replacement*
Rheumatic/Arthritic Disease*
Amputation*
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Dressing Changes*
Air Fluidized, Low Airloss Beds*
Pressure Relief Mattress/Seat Cushion*
Pressure Sores*
Leg Ulcers*
Burns*
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Hemovacs*
Jackson-Pratt Tubes*
Penrose Drains*
T-Tubes*
Surgical Wound Irrigations & Dressings*
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Discontinue PICC*
Care of Patient with DVT*
Draw Blood from Arterial Line*
Draw Blood from Central Line*
Peripheral IV Insertion, Care & Maintenance*
Discontinue Peripheral IV*
IV Infusion Pumps*
CVP Lines – Measurement of CVP*
Central Line Care & Maintenance (including dressing changes)*
Blood/Blood Product Administration*
Multi-Lumen Central Catheters*
Port-A-Caths (Infusa-Ports)*
Continuous Subcutaneous Infusion Pumps*
Name
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By Signing this, I am authorizing that the information I have given is true and accurate to the best of my knowledge. I hereby authorize Connected Health Care to release this Skills Checklist to staffing clients of Connected Health Care. Submit this skills evaluation with your initial application.
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