Skills Checklist – RN – ER – Connected Health Care, LLC

Skills Checklist – RN - ER

Care of Patients with Cancer*

Care of Patients with HIV/ AIDS*

Care of Patients with Hepatitis*

Care of Patients with TB*

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

	0	1	2	3	4	5
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)*
Elderly Adults (over 79+ years)*

	0	1	2	3	4	5
Isolation Precautions*
Pediatric Respiratory/Cardiac Arrest*
Adult Respiratory/Cardiac Arrest*
Crash Carts*
Defibrillators*
Care of Patients in Restraints*
Pain Management*
Automated Med Dispensing System*
Care Planning & Discharge Planning*
Patient/Family Education*
Electronic Documentation*
Patient Head to Toe Assessment*
Peripheral IV Insertion, Care and Maintenance*
Triage Procedures*
Lab Values*
Procedure for Patient Signing AMA*
Consent for Treatment of Minor*
Disaster Protocols*
Crisis Intervention*
Upholding Patient’s Rights*
Reporting Procedures for Acts of Violence*
Care of Patients with Infectious Diseases*
Care of Patient with Central Line*

	0	1	2	3	4	5
Set-up for Lamp Exam*
Use of Morgan Lens Irrigation*
Ear Irrigations*
Eye Irrigations*
Eye Patch Application*
Epistaxis/Nasal Packing*
Visual Acuity*

	0	1	2	3	4	5
Pulmonary Edema*
Pulmonary Embolism*
ARDS*
Trach*
C.O.P.D*
Aspiration*
Tuberculosis*
Pneumothorax*
Intubation/Extubation*
T-Piece*
Obtaining Arterial Blood Gases*
Setting Up of Arterial Line*
Ventilator*
O Mask and Cannula*
O Cylinders*
Nebulizer Set-Up*
Oropharyngeal Suction*
Nasotracheal Suction*
Endotracheal Suction*
Assisting with Chest Tube Insertion*
Use of Pleuravac Drainage System*
Use of Emerson Drainage System*
End Tidal CO Monitoring*

	0	1	2	3	4	5
Acute MI, Angina*
CHF*
Abdominal Aortic Aneurysm*
Cardiac Monitoring*
Recognizing Arrhythmias*
Obtaining Lead EKG’s*
Cardioversion*
Open Chest Heart Massage*
Assist with Insertion of Pacemakers (Temp/Perm)*
Set-up & Use of CVP*
Interpretation of CVP Readings*
Interpretation of Swan-Ganz Readings*
Thrombolytic Therapy*
Anaphylactic Shock*
Cardiogenic Shock*
Septic Shock*
Hypovolemic Shock*
Administration of Blood and Blood Products*

	0	1	2	3	4	5
Heparin*
Sodium Bicarbonate*
Lidocaine*
Bretylium*
Nipride*
Dopamine*
Isuprel*
Digitalis*
Sodium Bicarbonate*
Atropine*
Epinephrine*
Dobutrex*
Tridil/Nitroglycerine*

	0	1	2	3	4	5
Spinal Precautions*
Neuro Assessment*
Use of Glascow Coma Scale*
Acute Head Injury*
Acute T.I.A./C.V.A*
Acute Spinal Cord Injury*
Seizure Precautions*
Observing for Increased Intracranial Pressure*
Assist with Lumbar Puncture*

	0	1	2	3	4	5
Narcan*
Dilantin*
Phenobarbital*
Decadron*
Mannitol*
Solu-Medrol*

	0	1	2	3	4	5
HELLP Syndrome*
Spontaneous Abortion*
Hemorrhage*
Placenta Previa*
Placental Abruption*
Pre-eclampsia/Eclampsia*
Emergency Delivery*
Fetal Heart Tones*
Sexually Transmitted Disease*

	0	1	2	3	4	5
Traction*
Cast Application*
Checking C/M/S*
OCL Splinting*
Pins/Wires*
Closed Fracture/Dislocation Reduction*
Moderate Sedation*
Richmond Agitation and Sedation Scale (RASS)*
Application of Orthopedic Appliances*

	0	1	2	3	4	5
Pitocin*
Magnesium Sulfate*

	0	1	2	3	4	5
Sexual Assault*
Signs of Abuse*

	0	1	2	3	4	5
First Degree*
Second Degree*
Third Degree*
Electrocution*
Hazardous Materials Exposure*
Radiation Exposure*

	0	1	2	3	4	5
Hypothermia*
Heat Stroke/Exhaustion*
Snake Bite*
Administration of Antivenim*
Animal Bite*
Poison Index*

	0	1	2	3	4	5
Antibiotics*
Analgesics*
Antiemetics*
Sedatives*
Medication Titration and Calculations*
Reversal Agents*
Charcoal*

	0	1	2	3	4	5
Pelvic Tray*
Cut Down Tray*
Procto Tray*
CVP Tray*
Trach Tray*
Culdocentesis Tray*
Thoracentesis Tray*