Telemetry/Stepdown
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Cardiovascular Care of Patient | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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) |
| General Patient Care | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Care of Patient with (Bladder Irrigation, Suprapubic Tube, Nephrostomy Tube, Renal Transplant, Nephrectomy, Renal Transplant, BPH, Pre/Post TURP) |
| Orthopedic Care of Patient | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Infant (Birth - 1 Year) |