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Telemetry/Stepdown
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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
Cardiovascular Care of Patient
✔ Acute MI
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✔ CHF
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✔ Angina Hypertension
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✔ Cardiomyopathy
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✔ Cardiopulmonary Arrest
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✔ Abdominal Aortic Aneurysm
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✔ Carotid Endarterectomy
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✔ Femoral Popliteal Bypass
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✔ Pre & Post Cardiac Surgery
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✔ Pre & Post Cardiac Cath
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✔ Pre & Post PTCA
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✔ Permanent Pacemaker
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✔ Temporary Pacemaker
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✔ External Pacemaker
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✔ Cardiac Lab Interpretation
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✔ Cardiac Patient/Family Teaching
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Respiratory Care of Patient
✔ Respiratory Assessment
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✔ Assess Lung Sounds
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✔ Chest Percussion
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✔ Establish/Protect Airway
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✔ Chest Tubes/Pleurevac
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✔ Oxygen Therapy
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✔ Drawing ABGs
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✔ Interpretation of ABGs
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✔ Incentive Spirometry
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✔ Suctioning: Oral, Nasotracheal, Endotracheal Tube, Tracheostomy Tube
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✔ Oxygen Equipment Set Up and Maintenance: Nasal Cannula, Non-Rebreather Mask, Venti-Mask, ET
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✔ Intubation/Extubation
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✔ Ambu Bag Pulse Oximetry
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✔ Care of patient with: COPD tracheostomy pulmonary edema ARDS ventilator (A/C, IMV, PEEP) pre/post-op thoracis surgery pneumonia chest tubes asthma emphysema
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Neurology Care of Patient
✔ Neurological Assessment
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✔ Seizure Precautions
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✔ Assessment and Management of Seizure Activity
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✔ Assisting with Lumbar Puncture
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✔ Signs/Symptoms of Increasing ICP
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✔ Glasgow Coma Scale
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✔ Crutchfield Tongs
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✔ Circo-electric Bed
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✔ Halo Traction
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✔ Stryker Frame
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✔ Care of patient with: seizures CNS infection overdose DTs spinal cord injury acute head injury CVA/TIA neuromuscular disease pre/post neuro surgery
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Gastrointestinal Care of Patient
✔ G.I. Assessment
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✔ Bowel Sounds
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✔ Inserting N-G Tubes
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✔ Colostomy Care
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✔ Measurement of I & O
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✔ Administration of Tube Feedings
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✔ Care of patients with: GI bleed NG tube G-tube J-tube abdominal wounds/surgeries inflammatory bowel disease bowel obstruction
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Renal/Genitourinary Care of Patient
✔ Insertion and Care of (Straight Cath, Indwelling Urinary Cath: Male, Female, 3-Way)
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✔ Bucks Extension
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✔ Cast Care
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✔ Crutch Walking
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✔ K-Wires
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✔ Spica Casts
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✔ Balanced Suspension Traction
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✔ Circulation Checks
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✔ Care of Patient with (Amputation, Rheumatic/Arthritic Disease, Multiple Trauma, Paraplegia, External Fixation, Post Arthroplasty)
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Untitled Section
✔ Care of Patient with (Bladder Irrigation, Suprapubic Tube, Nephrostomy Tube, Renal Transplant, Nephrectomy, Renal Transplant, BPH, Pre/Post TURP)
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Orthopedic Care of Patient
✔ Total Knee Replacement
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✔ Dressing Changes
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✔ Universal Precautions
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✔ Isolation
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✔ Discharge Planning
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✔ Care of Patient with (Diabetes, Pressure Sores, Sickle Cell Anemia, Cancer, Alzheimer's Disease, HIV/AIDS)
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General Care of Patient
✔ Blood Glucose Monitoring
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✔ Dosage Calculation
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✔ Pouring from Stock Medication
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✔ Administration of Code Cart Emergency Drugs
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✔ Aminophylline
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✔ Ativan
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✔ Atropine
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✔ Chemotherapy Agents
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✔ Corticosteroids
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✔ Decadron
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✔ Digoxin
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✔ Dilantin
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✔ Dobutamine
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✔ Dopamine
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✔ Heparin
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✔ Inhalers
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✔ Lidocaine
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✔ Lopressor
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✔ Magnesium Sulfate
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✔ Nipride
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✔ Nitroglycerin
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✔ Phenobarbital
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✔ Thrombolytic Agents
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✔ Valium
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✔ Verapamil
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Medications Administered
✔ Unit Dose
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✔ Mixing IV Solutions
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✔ Heparin Locks
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✔ TPN/Hyperalimentation
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✔ IV Push
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✔ IV Drip
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✔ Infusion Pumps
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✔ Syringe Pumps
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✔ Continuous Subcutaneous Infusion Pumps
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✔ PCA Pumps
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✔ Ultrasonic Doppler
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✔ CVP Lines/Measurement of CVP
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✔ Central Line Dressing Change
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✔ Blood/Blood Products Administration
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✔ Ordering/Obtaining from Blood Bank
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✔ Identification/Intercession for Adverse Reaction
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✔ Multi-lumen Central Venous Catheters
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✔ Implanted CVC (Port-a-Cath)
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✔ Assessment of IV Insertion Site
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✔ Assist with Insertion of Central Line
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✔ X-ray/Assessment After Insertion
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✔ Care of Patient with Central Line
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✔ Charge Nurse Experience?
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✔ CPR Certified?
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✔ BCLS Certified?
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✔ ACLS Certified?
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✔ Knowledge of Normal Values?
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✔ Have You Had a Dysrhythmia Course?
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IV Therapy
✔ Inserting IVs
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✔ Preschooler (Ages 2-5 Years)
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✔ Childhood (Ages 6-12 Years)
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✔ Adolescents (Ages 13-21 Years)
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✔ Young Adults (Ages 22-39 Years)
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✔ Adults (Ages 40-64 Years)
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✔ Older Adults (Ages 65-79 Years)
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✔ Elderly (Ages 80+ Years)
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Age Specific Competencies
✔ Infant (Birth - 1 Year)
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