Urgent care

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

✔ Auscultation/Irregular Heart Sounds *
★ ★ ★ ★ ★
✔ Peripheral Edema *
★ ★ ★ ★ ★
✔ PQRST Assessment *
★ ★ ★ ★ ★
✔ EKG *
★ ★ ★ ★ ★
✔ Lab Tests (Cardiac Enzymes, Troponin, BNP) *
★ ★ ★ ★ ★
✔ Arrhythmia Interpretation *
★ ★ ★ ★ ★
✔ 12-Lead Set Up *
★ ★ ★ ★ ★
✔ 12-Lead Basic Interpretation *
★ ★ ★ ★ ★
✔ Defibrillation *
★ ★ ★ ★ ★
✔ External Pacer *
★ ★ ★ ★ ★
✔ Chest Pain/ACS *
★ ★ ★ ★ ★
✔ Arrhythmias *
★ ★ ★ ★ ★
✔ CHF *
★ ★ ★ ★ ★
✔ AED *
★ ★ ★ ★ ★
✔ Cardiac Arrest/CPR *
★ ★ ★ ★ ★
✔ Nitroglycerin *
★ ★ ★ ★ ★
✔ Morphine *
★ ★ ★ ★ ★
✔ Heparin *
★ ★ ★ ★ ★
✔ ALS (Epinephrine, Atropine, Anti-Arrhythmics) *
★ ★ ★ ★ ★

Pulmonary Care of Patient

✔ Abnormal Breath Sounds (Wheezing, Stridor, Crackles) *
★ ★ ★ ★ ★
✔ Abnormal Breathing Pattern (Rapid, Labored, Slow) *
★ ★ ★ ★ ★
✔ Pulse Oximetry *
★ ★ ★ ★ ★
✔ ABGs *
★ ★ ★ ★ ★
✔ Oxygen Therapy (Nasal Cannula, Face Mask) *
★ ★ ★ ★ ★
✔ Manual Resuscitation Bag (MRB, Ambu Bag) *
★ ★ ★ ★ ★
✔ Metered-Dose Inhaler (MDI) *
★ ★ ★ ★ ★
✔ Nebulizers *
★ ★ ★ ★ ★
✔ Aspiration *
★ ★ ★ ★ ★
✔ Asthma/Reactive Airway Disease *
★ ★ ★ ★ ★
✔ COPD *
★ ★ ★ ★ ★
✔ Pneumonia *
★ ★ ★ ★ ★
✔ Pulmonary Edema *
★ ★ ★ ★ ★
✔ Pulmonary Embolism *
★ ★ ★ ★ ★
✔ Bronchodilators *
★ ★ ★ ★ ★
✔ Steroids *
★ ★ ★ ★ ★
✔ Diuretics *
★ ★ ★ ★ ★

Neurological Care of Patient

✔ Signs & Symptoms of Stroke *
★ ★ ★ ★ ★
✔ Altered LOC *
★ ★ ★ ★ ★
✔ Assist with Lumbar Puncture *
★ ★ ★ ★ ★
✔ Cervical Collar *
★ ★ ★ ★ ★
✔ Spinal Immobilization *
★ ★ ★ ★ ★
✔ Head Injury *
★ ★ ★ ★ ★
✔ Migraine *
★ ★ ★ ★ ★
✔ Seizures *
★ ★ ★ ★ ★
✔ TIA/Stroke *
★ ★ ★ ★ ★
✔ Imitrex (Sumatriptan Succinate) *
★ ★ ★ ★ ★
✔ Phenobarbital *
★ ★ ★ ★ ★
✔ Dilantin (Phenytoin) *
★ ★ ★ ★ ★
✔ Depakote *
★ ★ ★ ★ ★
✔ Analgesics *
★ ★ ★ ★ ★

Orthopedic Care of Patient

✔ Range of Motion *
★ ★ ★ ★ ★
✔ Color, Warmth, Movement, Sensation *
★ ★ ★ ★ ★
✔ Fracture/Dislocation *
★ ★ ★ ★ ★
✔ Apply Splints *
★ ★ ★ ★ ★
✔ Assist with Casting *
★ ★ ★ ★ ★
✔ Assist with Reduction of Dislocation *
★ ★ ★ ★ ★
✔ Spinal Immobilization *
★ ★ ★ ★ ★
✔ Transfer Boards *
★ ★ ★ ★ ★
✔ Cast/Splint *
★ ★ ★ ★ ★
✔ Dislocation *
★ ★ ★ ★ ★
✔ External Appliance *
★ ★ ★ ★ ★
✔ Sprain/Fracture *
★ ★ ★ ★ ★
✔ Analgesia/Sedation *
★ ★ ★ ★ ★

Gastrointestinal Care of Patient

✔ Bowel Sounds *
★ ★ ★ ★ ★
✔ Distention *
★ ★ ★ ★ ★
✔ Fluid Balance *
★ ★ ★ ★ ★
✔ Nutritional Status *
★ ★ ★ ★ ★
✔ Enemas *
★ ★ ★ ★ ★
✔ Gastric Lavage *
★ ★ ★ ★ ★
✔ G-Tubes *
★ ★ ★ ★ ★
✔ NG Tubes *
★ ★ ★ ★ ★
✔ Colostomy *
★ ★ ★ ★ ★
✔ Constipation/Impaction *
★ ★ ★ ★ ★
✔ Diarrhea *
★ ★ ★ ★ ★
✔ G-Tube (Reinsertion/Replacement) *
★ ★ ★ ★ ★
✔ Nausea/Vomiting *
★ ★ ★ ★ ★
✔ Ipecac *
★ ★ ★ ★ ★
✔ Charcoal *
★ ★ ★ ★ ★
✔ Antiemetics *
★ ★ ★ ★ ★
✔ Antispasmodics *
★ ★ ★ ★ ★

Renal/Genitourinary Care of Patient

✔ Fluid Status *
★ ★ ★ ★ ★
✔ Shunt/Fistula (Thrill/Bruit) *
★ ★ ★ ★ ★
✔ BUN/Creatinine/Electrolytes *
★ ★ ★ ★ ★
✔ Urine Dipstick/C&S *
★ ★ ★ ★ ★
✔ Placement & Management of Bladder Catheters *
★ ★ ★ ★ ★
✔ Pyelonephritis/UTI *
★ ★ ★ ★ ★
✔ Obstruction *
★ ★ ★ ★ ★
✔ Renal Calculi *
★ ★ ★ ★ ★
✔ Renal Trauma *
★ ★ ★ ★ ★
✔ Testicular Torsion *
★ ★ ★ ★ ★
✔ Priapism *
★ ★ ★ ★ ★
✔ Antibiotics *
★ ★ ★ ★ ★
✔ Priapism *
★ ★ ★ ★ ★

Endocrine/Metabolic Care of Patient

✔ Hypo/Hyperglycemia *
★ ★ ★ ★ ★
✔ Blood Glucose *
★ ★ ★ ★ ★
✔ Urine Ketones *
★ ★ ★ ★ ★
✔ Bedside Blood Glucose Monitoring *
★ ★ ★ ★ ★
✔ Hypoglycemia/Insulin Shock *
★ ★ ★ ★ ★
✔ Hyperglycemia/DKA *
★ ★ ★ ★ ★
✔ Dextrose *
★ ★ ★ ★ ★
✔ Insulin *
★ ★ ★ ★ ★
✔ Oral Hypoglycemics *
★ ★ ★ ★ ★

EENT Care of Patient

✔ Visual Acuity *
★ ★ ★ ★ ★
✔ Foreign Body *
★ ★ ★ ★ ★
✔ Enlarged Tonsils *
★ ★ ★ ★ ★
✔ Ear Irrigation/Removal Foreign Body *
★ ★ ★ ★ ★
✔ Eye Injury/Foreign Body/Detached Retina *
★ ★ ★ ★ ★
✔ Assist with Removal of Nasal Foreign Body *
★ ★ ★ ★ ★
✔ Epistaxis *
★ ★ ★ ★ ★
✔ Set Up/Assist Cautery *
★ ★ ★ ★ ★
✔ Set Up Slit Lamp *
★ ★ ★ ★ ★
✔ Silver Nitrate *
★ ★ ★ ★ ★
✔ Liquid Cocaine *
★ ★ ★ ★ ★
✔ Anti-Hypertensives *
★ ★ ★ ★ ★

Infectious Disease Care of Patient

✔ Communicable Disease *
★ ★ ★ ★ ★
✔ Interpret Culture Results *
★ ★ ★ ★ ★
✔ Obtain Cultures *
★ ★ ★ ★ ★
✔ Fever Management *
★ ★ ★ ★ ★
✔ Isolation *
★ ★ ★ ★ ★
✔ Reverse Isolation/Hepa Filter *
★ ★ ★ ★ ★
✔ Use of Personal Protective Equipment *
★ ★ ★ ★ ★
✔ Communicable Disease *
★ ★ ★ ★ ★
✔ Immunosuppression/Neutropenia *
★ ★ ★ ★ ★
✔ Antibiotics *
★ ★ ★ ★ ★
✔ Antivirals *
★ ★ ★ ★ ★

Wound Management Care of Patient

✔ Burn Care *
★ ★ ★ ★ ★
✔ Dressing Change *
★ ★ ★ ★ ★
✔ Ostomy Care *
★ ★ ★ ★ ★
✔ Wound Repair (Staples/Sutures, etc.) *
★ ★ ★ ★ ★

Pain Management Care of Patient

✔ Assessment of Pain Level/Use of Pain Scale *
★ ★ ★ ★ ★
✔ Assessment of Response to Pain Management Interventions *
★ ★ ★ ★ ★
✔ Monitoring of Patients after Pain Medication *
★ ★ ★ ★ ★
✔ Comfort Care *
★ ★ ★ ★ ★
✔ Moderate Sedation *
★ ★ ★ ★ ★

Psychiatric Care of Patient

✔ Behavior *
★ ★ ★ ★ ★
✔ Drug/ETOH *
★ ★ ★ ★ ★
✔ Risk for Violence *
★ ★ ★ ★ ★
✔ Managing Threatening/Violent Behavior *
★ ★ ★ ★ ★
✔ Psychiatric Hold *
★ ★ ★ ★ ★
✔ Drug OD *
★ ★ ★ ★ ★
✔ ETOH OD *
★ ★ ★ ★ ★
✔ Depression/Anxiety *
★ ★ ★ ★ ★
✔ Restraints *
★ ★ ★ ★ ★
✔ Suicide Risk *
★ ★ ★ ★ ★
✔ Antipsychotics/Antidepressants *
★ ★ ★ ★ ★
✔ Reversal Agents *
★ ★ ★ ★ ★

Women’s Health Care of Patient

✔ Vaginal Bleeding *
★ ★ ★ ★ ★
✔ Doppler/Fetal Heart Tones *
★ ★ ★ ★ ★
✔ Ectopic Pregnancy *
★ ★ ★ ★ ★
✔ Obtain Cultures *
★ ★ ★ ★ ★
✔ Pelvic Tray *
★ ★ ★ ★ ★
✔ Hemorrhage *
★ ★ ★ ★ ★
✔ Pelvic Inflammatory Disease *
★ ★ ★ ★ ★
✔ Placenta Abruptio/Previa *
★ ★ ★ ★ ★
✔ Precipitous Delivery *
★ ★ ★ ★ ★
✔ Pregnancy-Induced Hypertension *
★ ★ ★ ★ ★
✔ Spontaneous Abortion *
★ ★ ★ ★ ★

Pediatrics Care of Patient

✔ Child Abuse Recognition/Reporting *
★ ★ ★ ★ ★
✔ Shaken Baby Syndrome *
★ ★ ★ ★ ★
✔ Obtaining Consent to Treat *
★ ★ ★ ★ ★
✔ Normal VS for Age Groups *
★ ★ ★ ★ ★
✔ Use of Dynamap/Doppler Leg Cuffs for B/P *
★ ★ ★ ★ ★
✔ Failure to Thrive *
★ ★ ★ ★ ★
✔ Assist with Fracture Stabilization *
★ ★ ★ ★ ★
✔ Cooling/Warming Measures *
★ ★ ★ ★ ★
✔ Draw Labs (Venous/Butterfly) *
★ ★ ★ ★ ★
✔ Ear Care - Assist with Cleaning/Wash, Insert Ear Drops *
★ ★ ★ ★ ★
✔ IM/SQ Medications in Pediatric Patients *
★ ★ ★ ★ ★
✔ Obtain RSV Culture *
★ ★ ★ ★ ★
✔ Obtain Urine Culture (Cath/Bag) *
★ ★ ★ ★ ★
✔ Lumbar Puncture *
★ ★ ★ ★ ★
✔ Papoose Board/Therapeutic Hold *
★ ★ ★ ★ ★
✔ Start IV in Pediatric Patient *
★ ★ ★ ★ ★
✔ Abdominal Pain *
★ ★ ★ ★ ★
✔ Aspiration *
★ ★ ★ ★ ★
✔ Asthma/Reactive Airway Disease *
★ ★ ★ ★ ★
✔ Burns *
★ ★ ★ ★ ★
✔ Dehydration *
★ ★ ★ ★ ★
✔ Epiglottitis *
★ ★ ★ ★ ★
✔ Fever *
★ ★ ★ ★ ★
✔ Foreign Object *
★ ★ ★ ★ ★
✔ Fracture *
★ ★ ★ ★ ★
✔ Head Injury *
★ ★ ★ ★ ★
✔ Hypo/Hyperglycemia *
★ ★ ★ ★ ★
✔ Hypo/Hyperthermia *
★ ★ ★ ★ ★
✔ Lacerations *
★ ★ ★ ★ ★
✔ Near Drowning *
★ ★ ★ ★ ★
✔ Nursemaid's Elbow *
★ ★ ★ ★ ★
✔ Ipecac/Charcoal *
★ ★ ★ ★ ★
✔ Bronchodilators/Nebulizers *
★ ★ ★ ★ ★
✔ Fluid Replacement *
★ ★ ★ ★ ★

Age Specific Competencies

✔ Infant (Birth - 1 year) *
★ ★ ★ ★ ★
✔ 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) *
★ ★ ★ ★ ★
✔ Elderly (ages 80+ years) *
★ ★ ★ ★ ★

Miscellaneous Assessments

✔ Intake and Triage *
★ ★ ★ ★ ★
✔ National Patient Safety Goals *
★ ★ ★ ★ ★
✔ AMA Procedures *
★ ★ ★ ★ ★
✔ Disaster Management *
★ ★ ★ ★ ★
✔ Computerized Charting *
★ ★ ★ ★ ★
✔ Bites *
★ ★ ★ ★ ★
✔ Hazardous Materials Exposure *
★ ★ ★ ★ ★
✔ Victims of Acts of Violence *
★ ★ ★ ★ ★