Med-Surg

Information

Proficiency Scale

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

Assessment Section

Cardiac

  • ✔ Angina *
  • ✔ Post Acute MI *
  • ✔ Congestive Heart Failure *
  • ✔ Post Cardiac Cath *
  • ✔ Post Cardiac Surgery *
  • ✔ Aneurysm *
  • ✔ Carotid Endarterectomy *
  • ✔ Post Vascular Surgery *
  • ✔ Post Cardiac Transplant *

Pulmonary

  • ✔ Pneumonia *
  • ✔ COPD *
  • ✔ Tuberculosis *
  • ✔ Pulmonary Embolism *
  • ✔ Tracheostomy Management *
  • ✔ CPAP/BiPAP *
  • ✔ Interpretation of Arterial Blood Gases *
  • ✔ Post Lung Transplant *

Neurological & Psychiatric

  • ✔ Stroke Scale Assessment *
  • ✔ Traumatic Brain Injury *
  • ✔ CVA *
  • ✔ Post Craniotomy *
  • ✔ Seizure Disorders *
  • ✔ Spinal Cord Injuries *
  • ✔ Mood Disorders *
  • ✔ Substance Withdrawal *

Orthopedics

  • ✔ Circulation/Skin Checks *
  • ✔ Continuous Passive Motion Devices *
  • ✔ Ambulation Assistive Devices *
  • ✔ Prosthetics *
  • ✔ Cast Care *
  • ✔ Pin Care *
  • ✔ Traction *
  • ✔ Total Joint Replacement *
  • ✔ Amputation *

Endocrine Metabolic

  • ✔ Diabetes Type I *
  • ✔ Diabetes Type II *
  • ✔ Blood Glucose Monitoring *
  • ✔ IV Insulin Protocols *
  • ✔ Management of Hypoglycemia *
  • ✔ Indwelling Insulin Pumps *
  • ✔ Pituitary Disorders *

Oncology

  • ✔ Chemotherapy Administration *
  • ✔ Radiation Therapy *
  • ✔ Medical Oncology *
  • ✔ Surgical Oncology *
  • ✔ Radiation Implants *
  • ✔ Bone Marrow Transplant *

Medications

  • ✔ Antiarrhythmics *
  • ✔ Anticoagulants (IV, oral, & injection) *
  • ✔ Anti-Depressants *
  • ✔ Anti-Hypertensives *
  • ✔ Anti-Psychotics *
  • ✔ Benzodiazepines *
  • ✔ Emergency Medications *
  • ✔ Epidural Analgesia *
  • ✔ Inhaled Medications *
  • ✔ Insulin *
  • ✔ Narcotics/Opioid Analgesics (IV, oral, & injection) *
  • ✔ Nitrates (Oral & Topical) *
  • ✔ Non-Opioid Analgesics (IV, Oral, & Injection) *
  • ✔ Oral Hypoglycemics *
  • ✔ Patient Controlled Analgesia *
  • ✔ Procedural Sedation Administration *
  • ✔ Reversal Agents *
  • ✔ Steroids (IV, Oral, Inhaled) *
  • ✔ Automated Medication Dispensing (i.e. Pyxis, Omnicell) *

IV Therapy

  • ✔ Starting IVs *
  • ✔ Central Line Blood Draws *
  • ✔ Central Line/Implanted Line Care *
  • ✔ TPN & Lipids *
  • ✔ Blood Product Administration *
  • ✔ Administration of Chemotherapy *

Cardiac Monitoring & Emergency Response

  • ✔ Placement of Telemetry Leads *
  • ✔ Rhythm Interpretation *
  • ✔ Dysrhythmia Management *
  • ✔ Obtain 12 Lead EKG *
  • ✔ Use of Rapid Response Teams *

Professional Knowledge and Skills

  • ✔ 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 *
  • ✔ Charge Experience *
  • ✔ Interpretation and Communication of Lab Values *
  • ✔ Wound Care /Wound Vac *
  • ✔ Specialty Beds *

EMR

  • ✔ Epic *
  • ✔ Cerner *
  • ✔ Eclipsys *
  • ✔ McKesson *
  • ✔ Meditech *
  • ✔ Other Computerized System *
  • ✔ Computerized Physician Order Entry *
  • ✔ Bar Coding for Medication Administration *
  • ✔ EMR Conversion *