Med/Surg Skills Checklist
0= No Experience
1= Limited Experience
2= One to Three Years Experience
3= Able to Function Independently
4= Expert (Able to Teach and Supervise)
Your Name *
Last Name, First Name
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BCLS
Expiration Date
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PRECAUTIONS:
Isolation, regular
Isolation, reverse
Contact Isolation
Respiratory Isolation
Sterile Dressing Changes
MEDICATIONS:
Unit Dose
Pass Medications for 1-10 patients
Pass Medications for 10-20 patients
Pediatric Conversions
I. V. Additives and I.V. Piggybacks
IV THERAPY:
Heparin Locks
Initiating IV Line
CVP Lines and Dressing Changes
Infusion Pumps
Hanging Blood and Blood Products
Care of cutdown
Administration
Veni-puncture
Arterial blood gases (obtain sample)
Arterial blood gases interpretation
RESPIRATORY THERAPY:
Suctioning Oro-naso-pharnyx
Tracheostomy care
Oxygen Equipment (mask/cannulas)
Ventilators
Endotracheal tubes
Chest Tubes
G.I. TUBES:
Naso-Gastric
Miller-Abbott
Blakemore (Minnesota) (for bleeding varices)
G.U.
Catheters -- Foley Insertion (male & female)
3-way Foley
Suprapubic
ORTHOPEDICS:
Circo-Electric bed
Crutchfield traction
Balanced Traction
Cast Care
Neurological checks
ADDITIONAL NURSING SKILLS:
Arrhythmia Interpretation
Set up & run 12-lead EKG
Arrests -- Initial Resuscitation (CPR)
Arrests -- Administration of medications and assist with initiation
ONCOLOGY:
Care of Oncology Patient
Administration of TPN
Care of Hickman Catheter
Administration of IV Drip Chemotherapy
Administration of IV Push Chemotherapy
DIAGNOSIS OR PROBLEMS
Fresh MI
GI Bleed
Drug OD
Ca of Lung
Emphysema and Asthma
Renal Failure
Psychiatric disorders
Diabetes
Cirrhosis of Liver
Hepatic Encephalopathy
Femoral bypass (vascular) procedures
COPD
Hypothyroidism
Hyperthyroidism
Decubitus Ulcers
Ca with Brain Metastasis
Gun Shot Wounds
Stab Wounds
Impending DT's
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