ER - Emergency Department
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Work Settings | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Level I Trauma Center | |||||
| Level II Trauma Center | |||||
| Non-Trauma Center Emergency Department | |||||
| Pediatric Emergency Department | |||||
| Emergency Department - Combined Adult/Pediatric | |||||
| Critical Care Transport |
| Cardiac | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Acute Coronary Syndrome | |||||
| Congestive Heart Failure/Pulmonary Edema | |||||
| Aneurysm | |||||
| Cardioversion | |||||
| Transcutaneous Pacemaker | |||||
| Heart Sound |
| Pulmonary | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Respiratory Failure | |||||
| COPD/Asthma | |||||
| Aspiration | |||||
| Pneumonia | |||||
| Pneumo/Hemothorax | |||||
| Chest Tube Insertion/Management | |||||
| Pulmonary Embolism | |||||
| Tuberculosis | |||||
| External CPAP/BiPAP | |||||
| Intubation | |||||
| Ventilated Patients | |||||
| ABG Interpretation |
| Neurological | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| CVA | |||||
| Stroke Scale | |||||
| Brain Injury | |||||
| Glascow Coma Scale | |||||
| Spinal Cord Injury | |||||
| Meningitis | |||||
| Seizures |
| Orthopedics | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Fractures/Casting | |||||
| Open/Complex Fractures | |||||
| Apply/Manage Splints | |||||
| Circulation Checks |
| Gastrointestinal | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| GI Bleeding | |||||
| Liver Disease | |||||
| GI Obstruction | |||||
| Abdominal Pain/Distress | |||||
| Gastric Tubes |
| Renal/GU | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Acute Renal Failure | |||||
| Renal Calculi | |||||
| Renal Trauma | |||||
| Testicular Torsion |
| Endocrine | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Hypoglycemia | |||||
| Hyperglycemia | |||||
| DKA |
| Wound Management | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Skin Integrity Assessment | |||||
| Injury Severity Score | |||||
| Trauma Code | |||||
| Trauma Team Member | |||||
| Major Trauma | |||||
| Traumatic Amputation | |||||
| Peritoneal Lavage | |||||
| Hypovolemic Shock | |||||
| Neurogenic Shock | |||||
| Anaphylactic Shock | |||||
| Septic Shock | |||||
| Cardiogenic Shock | |||||
| Burns - 2nd Degree | |||||
| Burns - 3rd Degree |
| General Patient Care | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Wound Repair |
| Shock/Trauma | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Some items are covered in system specific areas. | |||||
| Isolation | |||||
| Neutropenia/Reverse Isolation |
| Infectious Disease/Immunosuppressed Patients | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Contagious/Infectious Patients | |||||
| Precipitous Delivery | |||||
| Pregnancy Induced Hypertension | |||||
| Fetal Heart Tones | |||||
| Sexual Assault | |||||
| Reporting Acts of Violence |
| Women's Health | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Placenta Abruptio/Previa | |||||
| Identification/Reporting Abuse | |||||
| Abdominal Pain | |||||
| Epiglottitis | |||||
| Asthma/Reactive Airway Disease | |||||
| Fractures | |||||
| Head/Spinal Injury | |||||
| Poison Ingestion | |||||
| Seizures | |||||
| Sickle Cell Crisis |
| Pediatrics | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Management of Pediatric Emergency Patients | |||||
| Managing Violent Behavior | |||||
| Drug /ETOH Overdose/Withdrawal | |||||
| Psychiatric Hold | |||||
| Suicidal Patient |
| Psychiatric | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Acute Psychotic Patient | |||||
| Hazardous Material Exposure | |||||
| Heat Exhaustion/Stroke | |||||
| Drowning |
| Miscellaneous | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Bites - Animal/Snake/Human | |||||
| Central Line Placement | |||||
| Intraosseous Infusion | |||||
| Blood Product Administration |
| IV Therapy | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Starting IVs | |||||
| Anticoagulants (IV, oral, & injection) | |||||
| Anti-Hypertensives | |||||
| Anti-Psychotics | |||||
| Anti-Seizure Medications | |||||
| Benzodiazepines | |||||
| Continuous IV Paralytics | |||||
| Continuous IV Sedation | |||||
| Procedural Sedation - Administration | |||||
| Emergency Medications | |||||
| Inhaled Medications | |||||
| Insulin | |||||
| IV Vasopressors | |||||
| Narcotics/Opioid Analgesics (IV, oral, & injection) | |||||
| Nitrates (Oral & Topical) | |||||
| Non-Opioid Analgesics (IV, Oral, & Injection) | |||||
| Reversal Agents | |||||
| Thrombolytic Therapy | |||||
| Steroids (IV, Oral, Inhaled) | |||||
| Automated Medication Dispensing (i.e. Pyxis, Omnicell) |
| Medications | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Anti-Arrhythmics | |||||
| Dysrhythmia Management | |||||
| Obtain 12 Lead EKG | |||||
| Interpret 12 Lead EKG | |||||
| Management of Cardiac Arrest |
| Cardiac Monitoring & Emergency Response | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Dysrhythmia Interpretation | |||||
| Charge Experience | |||||
| AMA procedures | |||||
| EMTALA | |||||
| National Patient Safety Goals/Core Measures | |||||
| Fall Risk Assessment/Prevention | |||||
| Pressure Ulcer Risk Assessment/Prevention | |||||
| Restraints/Use of Least Restrictive Device | |||||
| Patient/Family Teaching | |||||
| Age Specific/Population-Based Care | |||||
| Isolation Precautions | |||||
| Infection Prevention | |||||
| Pain Assessment & Management | |||||
| Interpretation and Communication of Lab Values |
| Triage | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Ambulance/Paramedic Radio | |||||
| Cerner | |||||
| Eclipsys | |||||
| McKesson | |||||
| Meditech | |||||
| Allscripts | |||||
| Other Computerized System | |||||
| Computerized Physician Order Entry | |||||
| Bar Coding for Medication Administration |
| EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Epic |