MedRP International
Nurse: ___________________________________
Date: ____________________________________
|CHECK PROFICIENCY |1 |2 |3 |4 |
|TRAUMA/SHOCK |
|1. Assessment |
|Champion trauma score | | | | |
|Poison index | | | | |
|Triage | | | | |
|2. Equipment & procedures |
|Air transport trauma patient | | | | |
|Application of mast suit | | | | |
|Ground transport | | | | |
|3. Care of patient with: |
|Bites: |
| Animal | | | | |
| Human | | | | |
| Venomous snake | | | | |
| Venomous spider | | | | |
|Burns: |
| Rule of nines | | | | |
| 1st degree | | | | |
| 2nd degree | | | | |
| 3rd degree | | | | |
|Dehydration | | | | |
|Electrocution | | | | |
|Gunshot Wounds | | | | |
|Hazardous material exposure | | | | |
|Heat exhaustion/stroke | | | | |
|Hypothermia | | | | |
|Major trauma | | | | |
|Minor trauma | | | | |
|Radiation exposure | | | | |
|Shock: |
| Anaphylactic | | | | |
| Cardiogenic | | | | |
| Hypovelmic | | | | |
| | | | | |
|Trauma/shock (continued) |
| Neurogenic | | | | |
| Septic | | | | |
|Stab wounds | | | | |
|Traumatic Amputation | | | | |
|WOMEN’S HEALTH |
|1. Assessment |
|Assist with pelvic exam | | | | |
|2. Equipment and Procedures |
|Pelvic tray | | | | |
|Rape kit | | | | |
|Reporting acts of violence | | | | |
|3. Care of patient with: |
|Abruption placenta | | | | |
|DIC | | | | |
|Hemorrhage | | | | |
|Placenta previa | | | | |
|Preeclampsia/eclampsia | | | | |
|Spontaneous abortion | | | | |
|PHLEBOTOMY/IV THERAPY/INVASIVE PROCEDURE |
|1. Equipment & procedures |
|Administration of blood/blood products: |
| Auto transfusion | | | | |
| Cryoprecipate | | | | |
| Packed red blood cells | | | | |
| Whole Blood | | | | |
|Assist with cutdown | | | | |
|Drawing venous blood | | | | |
|Starting IV’s: |
| Angiocath | | | | |
| Butterfly | | | | |
| Heparin lock | | | | |
|2. Care of the patient with: |
|Angiography | | | | |
|Central line/catheter/dressing: |
| Broviac | | | | |
| Groshong | | | | |
| Hickman | | | | |
| PICC | | | | |
| Portacath | | | | |
|Pericardocentesis | | | | |
| | | | | |
| | | | | |
|OTHOPEDICS |
|1. Assessment |
|Circulation checks | | | | |
|Gait | | | | |
|Range of motion | | | | |
|Skin | | | | |
|2. Equipment & procedures |
|Assist with placement of cast | | | | |
|Support devices: |
| Cane/crutch | | | | |
| Cervical collar | | | | |
| Sling | | | | |
| Transfer boards | | | | |
|3. Care of the patient with: |
|Ankle brace | | | | |
|Ankle sprint | | | | |
|Cast | | | | |
|Knee immobilizer | | | | |
|Pinned fractures | | | | |
|Wrist Splint | | | | |
|WOUND MANAGEMENT |
|1. Equipment & Procedures |
|Application of Steristrips | | | | |
|Assist with Staples/sutures | | | | |
|Culdocentesis tray | | | | |
|Set up Suture Tray | | | | |
|Staple/Suture Removal | | | | |
|CARDIOVASCULAR |
|1. Assessment |
|Auscultation (rate, rhythm) | | | | |
|Doppler | | | | |
|Heart sounds/murmurs | | | | |
|2. Equipment & Procedures |
|Assist with insertion and set up: |
| Arterial line | | | | |
| Central line | | | | |
| PA Catheter/Swan Ganz Insertion | | | | |
| Pacemaker | | | | |
|Interpretation of wave forms and values: |
| A-line | | | | |
| CVP | | | | |
|Cardioversion | | | | |
|Monitoring: |
| Basic 12 lead interpretation | | | | |
| Basic arrhythmia interpretation | | | | |
|3. Care of patient with: |
|Acute MI | | | | |
|Aneurysm | | | | |
|Angina | | | | |
|Cardiac arrest | | | | |
|Congestive heart failure (CHF) | | | | |
|Myocarditis | | | | |
|4. Medications |
|ACLS drugs: |
| Atropine | | | | |
| Bretylium (Bretylol) | | | | |
| Epinephrine (Adrenalin) | | | | |
| Lidocaine (Xylocaine) | | | | |
| Procainamide (Pronestyl) | | | | |
| Sodium Bicarbonate | | | | |
|Other Drugs: |
| Adenosine (Adenocard) | | | | |
| Amiodarone (Cordarone) | | | | |
| Digoxin (Lanoxin) | | | | |
| Diltiazem (Cardizem) | | | | |
| Dobutamine (Dobutrex) | | | | |
| Dopamine (Intropin) | | | | |
| Esmolol (Brevibloc) | | | | |
| Lasix (Furosemide) | | | | |
| Nitroglycerine (Tridil) | | | | |
| Nipride (Nitroprusside) | | | | |
| Thrombolytic therapy | | | | |
|INFECTIOUS DISEASES |
|1. Interpretation of lab values |
|CBC, SMA 7 | | | | |
|2. Equipment & Procedures |
|Fever management | | | | |
|Isolation | | | | |
|3. Care of patients with AIDS | | | | |
|PULMONARY |
|1. Assessment |
|Breath sounds | | | | |
|Rate and work of breathing | | | | |
|2. Interpretation of lab results |
|Arterial blood gases | | | | |
| | | | | |
|PULMONARY (continued) |
|3. Equipment & Procedures |
|Airway management devices/suctioning: |
| Endotracheal tube/suctioning | | | | |
| Nasal airway/suctioning | | | | |
| Oropharyngeal/suctioning | | | | |
| Sputum specimen collection | | | | |
|Assist with extubation | | | | |
|Assist with intubation | | | | |
|Assist with Thoracentesis | | | | |
|Care of patient on a ventilator | | | | |
|Care of patient with a chest tube: |
| Assist with setup and Insertion | | | | |
| Measuring | | | | |
| Removal | | | | |
|Measuring peak flow | | | | |
|Obtaining blood gasses: |
| Arterial line | | | | |
| Femoral artery | | | | |
| Radial artery | | | | |
|Oxygen therapy & delivery systems: |
| Bag & mask | | | | |
| ET Tube | | | | |
| CPAP (external) | | | | |
| Face Masks | | | | |
| Inhalers | | | | |
| Nasal cannula | | | | |
| Nebulizer | | | | |
| Portable oxygen | | | | |
| T-piece | | | | |
| Trach collar | | | | |
|Pulse oximetry | | | | |
|Trouble shooting high pressure alarms | | | | |
|Trouble shooting low pressure alarms | | | | |
|4. Care of patient with: |
|Aspiration | | | | |
|COPD | | | | |
|Hemopneumothorax | | | | |
|Laryngospasm | | | | |
|Pneumonia | | | | |
|Pneumothorax | | | | |
|Pulmonary edema | | | | |
|Pulmonary embolism | | | | |
|Tension pneumothorax | | | | |
|Tuberculosis | | | | |
|5. Medications |
|Epinephrine (Adrenalin) | | | | |
|Aminophylline (Theophylline) | | | | |
|Bronkosol (Isoetharine hydrochloride) | | | | |
|Isuprel (Isoproterenol hydrochloride) | | | | |
|Steroids | | | | |
|Terbutaline | | | | |
|NEUROLOGICAL |
|1. Assessment |
|Advanced neuro assessment: |
| Glasgow coma scale | | | | |
| Reflex/motor deficits | | | | |
| Visual or communication deficits | | | | |
|Level of consciousness | | | | |
|2. Equipment & procedures |
|Assist with lumber puncture | | | | |
|Insertion & care of: |
| Medications | | | | |
| Positioning | | | | |
| Regulations of ICP | | | | |
| Temperature control | | | | |
| Ventilation | | | | |
|3. Care of patient with: |
|Basal skull fracture | | | | |
|Closed head injury | | | | |
|CVA | | | | |
|DTs | | | | |
|Encephalitis | | | | |
|Externalized VP shunts | | | | |
|Meningitis | | | | |
|Neuromuscular disease | | | | |
|Overdose | | | | |
|Seizures | | | | |
|Spinal cord injury | | | | |
|4. Medication: |
|Decadron (Dexamethasone) | | | | |
|Dilantin (Phenytoin) | | | | |
|Mannitol (Osmitrol) | | | | |
|Phenobarbital | | | | |
|RENAL/GENITOURINARY |
|1. Assessment – fluid balance | | | | |
|2. Interpretation of lab results |
|BUN & creatinine | | | | |
|Electrolytes | | | | |
|3. Equipment & procedures |
|Insertion & care of straight & Foley: |
| Female | | | | |
| Male | | | | |
|Urine specimen collection | | | | |
|4. Care of the patient with: |
|Acute renal failure | | | | |
|Peritoneal lavage | | | | |
|Renal trauma | | | | |
|Urinary tract infection | | | | |
|EENT |
|1. Assessment |
|Set up florescent/Woods lamp exam | | | | |
|Visual acuity | | | | |
|2. Equipment & Procedures |
|Application of eye patch | | | | |
|Ear irrigation | | | | |
|Eye irrigation | | | | |
|Morgan lens irrigation | | | | |
|Nasal packing | | | | |
|Removal of contact lens | | | | |
|ENDORINE/METABOLIC |
|1. Assessment |
|S/S diabetic coma | | | | |
|S/S insulin reaction | | | | |
|2. Equipment & procedures |
|Blood glucose monitoring | | | | |
|Electronic measuring device (specify)_______________ |
|Performing finger stick | | | | |
|3. Care of patient with: |
|Diabetic ketoacidosis | | | | |
|4. Medication |
|Insulin | | | | |
|Oral hypoglycemics | | | | |
| | | | | |
|GASTROINTESTINAL |
|1. Assessment |
|Abdominal/bowel sounds | | | | |
|Fluid balance | | | | |
|Nutritional status | | | | |
|2. Interpretation of blood chemistry | | | | |
|3. Equipment & procedures |
|Placement of nasogastric tube | | | | |
|Salem sump to suction | | | | |
|Saline lavage | | | | |
|4. Care of the patient with: |
|Abdominal trauma | | | | |
|Bowel obstruction | | | | |
|GI bleeding | | | | |
|Hepatitis | | | | |
|Liver Failure | | | | |
|5. Medications |
|Antimetica | | | | |
|Antispasmodic | | | | |
|Charcoal | | | | |
|Ipecac | | | | |
|IV conscious sedation | | | | |
|PEDIATRICS |
|1. Equipment & procedures |
|Child Abuse: |
| Recognition | | | | |
| Reporting | | | | |
|Obtaining consent to treat | | | | |
|Pediatric arrest | | | | |
|2. Care of patient with: |
|Epiglottitis | | | | |
|Near drowning | | | | |
|Overdose | | | | |
|Poison ingestion | | | | |
|Status Asthmaticus | | | | |
|Status epilepticus | | | | |
Total Number of Years in Emergency Room: __________________
|YEARS OF EXPERIENCE BY FIELD IN EMERGENCY ROOM SPECIALTIES |
|Field |Years |
|Trauma Center (Level 1) | |
|Trauma Center (Level II) | |
|Community ER (Level II) | |
|Rural ER | |
|YEARS OF EXPERIENCE BY AGE GROUP |
|Age Group |Years |
|Newborns (birth – 30 days) | |
|Infants (30 days – 1 year) | |
|Toddler (1-3 years) | |
|Preschooler (3-5 years) | |
|School Children (5-12 years) | |
|Adolescents (12-18 years) | |
|Young Adults (18-39 years) | |
|Middle aged adults (39-64 years) | |
|Senior Adults (64+ years) | |
The information I have provided is true and accurate to the best of my knowledge. I authorize Northwest Nurse Staffing. to release this Skills Checklist to client hospitals as needed in relation to my employment.
Print name:
Signature: _________________________________
Date: _____________________________________
-----------------------
Key: 1 = No Experience
2 = Little Experience
3 = Moderate Experience
4 = Extensive Experienced
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- international education management inema
- the role of international business
- the role of international customs
- role of international finance
- roles of international law
- best international schools in dubai
- why is international travel important
- why international travel is important
- international education group llc
- journal of international economics
- international delight caramel macchiato
- international waxes smethport pa