Telemetry/Stepdown

Information

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 *
  • ✔ CHF *
  • ✔ Angina Hypertension *
  • ✔ Cardiomyopathy *
  • ✔ Cardiopulmonary Arrest *
  • ✔ Abdominal Aortic Aneurysm *
  • ✔ Carotid Endarterectomy *
  • ✔ Femoral Popliteal Bypass *
  • ✔ Pre & Post Cardiac Surgery *
  • ✔ Pre & Post Cardiac Cath *
  • ✔ Pre & Post PTCA *
  • ✔ Permanent Pacemaker *
  • ✔ Temporary Pacemaker *
  • ✔ External Pacemaker *
  • ✔ Cardiac Lab Interpretation *
  • ✔ Cardiac Patient/Family Teaching *

Respiratory Care of Patient

  • ✔ Respiratory Assessment *
  • ✔ Assess Lung Sounds *
  • ✔ Chest Percussion *
  • ✔ Establish/Protect Airway *
  • ✔ Chest Tubes/Pleurevac *
  • ✔ Oxygen Therapy *
  • ✔ Drawing ABGs *
  • ✔ Interpretation of ABGs *
  • ✔ Incentive Spirometry *
  • ✔ Suctioning: Oral, Nasotracheal, Endotracheal Tube, Tracheostomy Tube *
  • ✔ Oxygen Equipment Set Up and Maintenance: Nasal Cannula, Non-Rebreather Mask, Venti-Mask, ET *
  • ✔ Intubation/Extubation *
  • ✔ Ambu Bag Pulse Oximetry *
  • ✔ Care of patient with: COPD tracheostomy pulmonary edema ARDS ventilator (A/C, IMV, PEEP) pre/post-op thoracis surgery pneumonia chest tubes asthma emphysema *

Neurology Care of Patient

  • ✔ Neurological Assessment *
  • ✔ Seizure Precautions *
  • ✔ Assessment and Management of Seizure Activity *
  • ✔ Assisting with Lumbar Puncture *
  • ✔ Signs/Symptoms of Increasing ICP *
  • ✔ Glasgow Coma Scale *
  • ✔ Crutchfield Tongs *
  • ✔ Circo-electric Bed *
  • ✔ Halo Traction *
  • ✔ Stryker Frame *
  • ✔ Care of patient with: seizures CNS infection overdose DTs spinal cord injury acute head injury CVA/TIA neuromuscular disease pre/post neuro surgery *

Gastrointestinal Care of Patient

  • ✔ G.I. Assessment *
  • ✔ Bowel Sounds *
  • ✔ Inserting N-G Tubes *
  • ✔ Colostomy Care *
  • ✔ Measurement of I & O *
  • ✔ Administration of Tube Feedings *
  • ✔ Care of patients with: GI bleed NG tube G-tube J-tube abdominal wounds/surgeries inflammatory bowel disease bowel obstruction *

Renal/Genitourinary Care of Patient

  • ✔ Insertion and Care of (Straight Cath, Indwelling Urinary Cath: Male, Female, 3-Way) *
  • ✔ Bucks Extension *
  • ✔ Cast Care *
  • ✔ Crutch Walking *
  • ✔ K-Wires *
  • ✔ Spica Casts *
  • ✔ Balanced Suspension Traction *
  • ✔ Circulation Checks *
  • ✔ Care of Patient with (Amputation, Rheumatic/Arthritic Disease, Multiple Trauma, Paraplegia, External Fixation, Post Arthroplasty) *

Untitled Section

  • ✔ Care of Patient with (Bladder Irrigation, Suprapubic Tube, Nephrostomy Tube, Renal Transplant, Nephrectomy, Renal Transplant, BPH, Pre/Post TURP) *

Orthopedic Care of Patient

  • ✔ Total Knee Replacement *
  • ✔ Dressing Changes *
  • ✔ Universal Precautions *
  • ✔ Isolation *
  • ✔ Discharge Planning *
  • ✔ Care of Patient with (Diabetes, Pressure Sores, Sickle Cell Anemia, Cancer, Alzheimer's Disease, HIV/AIDS) *

General Care of Patient

  • ✔ Blood Glucose Monitoring *
  • ✔ Dosage Calculation *
  • ✔ Pouring from Stock Medication *
  • ✔ Administration of Code Cart Emergency Drugs *
  • ✔ Aminophylline *
  • ✔ Ativan *
  • ✔ Atropine *
  • ✔ Chemotherapy Agents *
  • ✔ Corticosteroids *
  • ✔ Decadron *
  • ✔ Digoxin *
  • ✔ Dilantin *
  • ✔ Dobutamine *
  • ✔ Dopamine *
  • ✔ Heparin *
  • ✔ Inhalers *
  • ✔ Lidocaine *
  • ✔ Lopressor *
  • ✔ Magnesium Sulfate *
  • ✔ Nipride *
  • ✔ Nitroglycerin *
  • ✔ Phenobarbital *
  • ✔ Thrombolytic Agents *
  • ✔ Valium *
  • ✔ Verapamil *

Medications Administered

  • ✔ Unit Dose *
  • ✔ Mixing IV Solutions *
  • ✔ Heparin Locks *
  • ✔ TPN/Hyperalimentation *
  • ✔ IV Push *
  • ✔ IV Drip *
  • ✔ Infusion Pumps *
  • ✔ Syringe Pumps *
  • ✔ Continuous Subcutaneous Infusion Pumps *
  • ✔ PCA Pumps *
  • ✔ Ultrasonic Doppler *
  • ✔ CVP Lines/Measurement of CVP *
  • ✔ Central Line Dressing Change *
  • ✔ Blood/Blood Products Administration *
  • ✔ Ordering/Obtaining from Blood Bank *
  • ✔ Identification/Intercession for Adverse Reaction *
  • ✔ Multi-lumen Central Venous Catheters *
  • ✔ Implanted CVC (Port-a-Cath) *
  • ✔ Assessment of IV Insertion Site *
  • ✔ Assist with Insertion of Central Line *
  • ✔ X-ray/Assessment After Insertion *
  • ✔ Care of Patient with Central Line *
  • ✔ Charge Nurse Experience? *
  • ✔ CPR Certified? *
  • ✔ BCLS Certified? *
  • ✔ ACLS Certified? *
  • ✔ Knowledge of Normal Values? *
  • ✔ Have You Had a Dysrhythmia Course? *

IV Therapy

  • ✔ Inserting IVs *
  • ✔ Preschooler (Ages 2-5 Years) *
  • ✔ Childhood (Ages 6-12 Years) *
  • ✔ Adolescents (Ages 13-21 Years) *
  • ✔ Young Adults (Ages 22-39 Years) *
  • ✔ Adults (Ages 40-64 Years) *
  • ✔ Older Adults (Ages 65-79 Years) *
  • ✔ Elderly (Ages 80+ Years) *

Age Specific Competencies

  • ✔ Infant (Birth - 1 Year) *