PCU - Progressive Care Unit

Information

Proficiency Scale

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

Assessment Section

General Patient Care

  • ✔ Admission *
  • ✔ Advanced Directives *
  • ✔ Charge Nurse Experience *
  • ✔ Collect Appropriate Data *
  • ✔ Discharge Teaching *
  • ✔ Organ/Tissue Donation *
  • ✔ Patient and Family Teaching *
  • ✔ Preoperative Teaching *
  • ✔ Computerized Documentation *

Cardiac

  • ✔ Abnormal Heart Sounds/Murmurs *
  • ✔ Apical Pulse *
  • ✔ Auscultation (Rate/Rhythm) *
  • ✔ Capillary Refill *
  • ✔ Color *
  • ✔ Pulses/Circulation Checks *
  • ✔ Abdominal Aortic Aneurysm *
  • ✔ Acute MI *
  • ✔ Angina *
  • ✔ Cardiac Tamponade *
  • ✔ Cardiac Teaching *
  • ✔ Cardiomyopathy *
  • ✔ Cardiopulmonary Arrest *
  • ✔ Carotid Endarterectomy *
  • ✔ Congestive Heart Failure *
  • ✔ Endocarditis *
  • ✔ EP Study & Ablation *
  • ✔ Femoral Popliteal Bypass *
  • ✔ Heart Transplant *
  • ✔ Hypertension *
  • ✔ Hypovolemic Shock *
  • ✔ Multi-System Organ Failure *
  • ✔ Myocardial Contusion *
  • ✔ Pacemaker-External *
  • ✔ Pacemaker-Permanent *
  • ✔ Pacemaker-Temporary *
  • ✔ Pacemaker-Transthoracic (Epicardial) *
  • ✔ Pericarditis *
  • ✔ Post AICD Insertion *
  • ✔ Pre/Post Cardiac Cath *
  • ✔ Pre/Post Cardiac Surgery *
  • ✔ Pre/Post PTCA/Stents *
  • ✔ Valve Replacement *
  • ✔ Monitoring *
  • ✔ Ventricular Assist Device (RVAD or LVAD) *

Neurological

  • ✔ Glasgow Coma Scale *
  • ✔ Level of Consciousness *
  • ✔ Reflex/Motor Deficits *
  • ✔ Visual/Communication Deficits *
  • ✔ Acute Head Injury *
  • ✔ Alzheimer’s Disease *
  • ✔ CNS Infection *
  • ✔ Coma *
  • ✔ CVA *
  • ✔ DTS *
  • ✔ Encephalitis *
  • ✔ Halo Traction/Cervical Tongs *
  • ✔ Increased ICP *
  • ✔ Intracranial Hemorrhage *
  • ✔ Laminectomy *
  • ✔ Meningitis *
  • ✔ Metastatic Tumor *
  • ✔ Multiple Sclerosis *
  • ✔ Neuromuscular Disease *
  • ✔ Pre/Post Neuro Surgery *
  • ✔ Seizure Disorder *
  • ✔ Spinal Cord Injury *
  • ✔ TIAs *
  • ✔ Tumor Resection *
  • ✔ Ventriculostomy *

Renal/Genitourinary

  • ✔ Skin Tugor *
  • ✔ Acute Renal Failure *
  • ✔ End Stage Renal Disease *
  • ✔ Hemodialysis *
  • ✔ Nephrectomy *
  • ✔ Nephrostomy Tube *
  • ✔ Peritoneal Dialysis *
  • ✔ Renal Transplant *
  • ✔ Suprapubic Cath *
  • ✔ V Fistula/Shunt *
  • ✔ Fluid Balance Monitoring *
  • ✔ Measurement I & O Monitoring *
  • ✔ BUN & Creatinine Lab *
  • ✔ Serum Electrolytes Lab *

Endocrine/Metabolic

  • ✔ Diabetic *
  • ✔ Diabetic Ketoacidosis *
  • ✔ Drug Overdose *
  • ✔ Insulin Shock *
  • ✔ Blood Glucose Lab *
  • ✔ Thyroid Studies Lab *

Musculoskeletal

  • ✔ Cast Care *
  • ✔ Circulation/Pulse Checks *
  • ✔ Amputation *
  • ✔ External Fixation *
  • ✔ Joint Replacements *
  • ✔ Multiple Trauma *
  • ✔ Paraplegia *
  • ✔ Rheumatoid Arthritic Disease *

Wounds/Integument

  • ✔ S/S Infection Assessment *
  • ✔ Skin Assessment *
  • ✔ Burns *
  • ✔ Staged Decubitus Ulcers *
  • ✔ Stasis Ulcers *
  • ✔ Surgical Wounds with Drains *
  • ✔ Skin Breakdown Monitoring *

IV Therapy

  • ✔ Assess/Maintain IV Insertion Site *
  • ✔ PICC Lines *
  • ✔ Inserting IVs *
  • ✔ Multi-Lumen Central Venous Catheters *

Blood

  • ✔ Administer Blood/Blood Products *
  • ✔ Albumin *

Oxygen Administration

  • ✔ Ambu-Bag *
  • ✔ Nasal Cannula *
  • ✔ Nebulizer Treatments *
  • ✔ Non-Rebreather Mask *
  • ✔ Portable Oxygen *
  • ✔ Tracheostomy Tube *
  • ✔ Venti Mask *

Pain Management

  • ✔ Assess Pain Level/Tolerance *
  • ✔ Epidural Anesthesia/Analgesia *
  • ✔ Moderate Sedation *
  • ✔ Patient Controlled Analgesia *
  • ✔ Ramsey Scale *

Assisting with

  • ✔ 1. Bedside Invasive Procedures *
  • ✔ 2. Bronchoscopy *
  • ✔ 3. Cardioversion/Defibrillation *
  • ✔ 4. Central Line Insertion *
  • ✔ 5. Chest Tube Insertion *
  • ✔ 6. Chest Tube Removal *
  • ✔ 7. Emergency Tracheostomy *
  • ✔ 8. ET Intubation and Extubation *
  • ✔ 9. Lumbar Puncture *
  • ✔ 10. Open Chest Emergency *
  • ✔ 11. Pericardiocentesis *
  • ✔ 12. Paracentesis *
  • ✔ 13. Temporary Pacemaker Insertion *
  • ✔ 14. Thoracentesis *
  • ✔ 15. Transesophogeal Echocardiogram *

EMR Systems

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