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Med-Surg
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Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
Assessment Section
Cardiac
✔ Angina
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✔ Post Acute MI
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✔ Congestive Heart Failure
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✔ Post Cardiac Cath
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✔ Post Cardiac Surgery
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✔ Aneurysm
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★
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✔ Carotid Endarterectomy
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✔ Post Vascular Surgery
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✔ Post Cardiac Transplant
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★
★
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Pulmonary
✔ Pneumonia
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★
★
★
★
★
✔ COPD
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★
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✔ Tuberculosis
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✔ Pulmonary Embolism
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✔ Tracheostomy Management
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✔ CPAP/BiPAP
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✔ Interpretation of Arterial Blood Gases
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✔ Post Lung Transplant
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Neurological & Psychiatric
✔ Stroke Scale Assessment
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✔ Traumatic Brain Injury
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✔ CVA
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✔ Post Craniotomy
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✔ Seizure Disorders
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✔ Spinal Cord Injuries
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✔ Mood Disorders
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✔ Substance Withdrawal
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Orthopedics
✔ Circulation/Skin Checks
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✔ Continuous Passive Motion Devices
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✔ Ambulation Assistive Devices
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✔ Prosthetics
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✔ Cast Care
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✔ Pin Care
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✔ Traction
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✔ Total Joint Replacement
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✔ Amputation
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Endocrine Metabolic
✔ Diabetes Type I
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✔ Diabetes Type II
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✔ Blood Glucose Monitoring
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✔ IV Insulin Protocols
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✔ Management of Hypoglycemia
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✔ Indwelling Insulin Pumps
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✔ Pituitary Disorders
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Oncology
✔ Chemotherapy Administration
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✔ Radiation Therapy
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✔ Medical Oncology
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✔ Surgical Oncology
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✔ Radiation Implants
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✔ Bone Marrow Transplant
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Medications
✔ Antiarrhythmics
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✔ Anticoagulants (IV, oral, & injection)
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✔ Anti-Depressants
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✔ Anti-Hypertensives
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✔ Anti-Psychotics
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✔ Benzodiazepines
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✔ Emergency Medications
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✔ Epidural Analgesia
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✔ Inhaled Medications
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✔ Insulin
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✔ Narcotics/Opioid Analgesics (IV, oral, & injection)
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✔ Nitrates (Oral & Topical)
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✔ Non-Opioid Analgesics (IV, Oral, & Injection)
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✔ Oral Hypoglycemics
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✔ Patient Controlled Analgesia
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✔ Procedural Sedation Administration
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✔ Reversal Agents
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✔ Steroids (IV, Oral, Inhaled)
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✔ Automated Medication Dispensing (i.e. Pyxis, Omnicell)
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IV Therapy
✔ Starting IVs
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✔ Central Line Blood Draws
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✔ Central Line/Implanted Line Care
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✔ TPN & Lipids
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✔ Blood Product Administration
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✔ Administration of Chemotherapy
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Cardiac Monitoring & Emergency Response
✔ Placement of Telemetry Leads
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✔ Rhythm Interpretation
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✔ Dysrhythmia Management
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✔ Obtain 12 Lead EKG
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✔ Use of Rapid Response Teams
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Professional Knowledge and Skills
✔ National Patient Safety Goals/Core Measures
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✔ Fall Risk Assessment/Prevention
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✔ Pressure Ulcer Risk Assessment/Prevention
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✔ Restraints/Use of Least Restrictive Device
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✔ Patient/Family Teaching
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✔ Age Specific/Population-Based Care
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✔ Isolation Precautions
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✔ Infection Prevention
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✔ Pain Assessment & Management
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✔ Charge Experience
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✔ Interpretation and Communication of Lab Values
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✔ Wound Care /Wound Vac
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✔ Specialty Beds
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EMR
✔ Epic
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✔ Cerner
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✔ Eclipsys
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✔ McKesson
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✔ Meditech
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✔ Other Computerized System
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✔ Computerized Physician Order Entry
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✔ Bar Coding for Medication Administration
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✔ EMR Conversion
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