TRAVELER SKILLS CHECKLIST. Medical Surgical. 0 = No Knowledge / 1 = Limited Knowledge / 2 = Proficient
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1 Medication Administration PO Sub q Rectal Topical Drops (i.e. eye, nose, ear) IM IV Push IV Drip Calculation of dosages Emergency drug actions and reactions IV Therapy Start peripheral IV - angio cath Start peripheral IV - butterfly Assist with cutdown Mixing IV's Rate calculation Central Lines Drawing blood from central line PICC line insertion PICC line discontinue PICC line care Broviac lines Groshong Hickman Portacath Quinton IVAC pumps IMED pumps Syringe pumps Drawing venous blood Lipids TPN PPN (peripheral parental nutrition) Administration of blood and products Autotransfusion Cryoprecipitate Page 1 of 12
2 Packed red blood cells Plasma/Albumin Whole blood Cardiovascular Assessment (rate, rhythm) Doppler Heart sounds/murmurs Interpretation of coagulation studies Pulse/circulation checks Cardiovascular - Care of Patient Abdominal aortic bypass Aneurysm Angina Cardiac arrest Cardiomyopathy Carotid endarterectomy Congestive heart failure Femerol-popliteal bypass Myocarditis Open sternal wound Post acute MI (24-48 hours) Post angioplasty Post cardiac cath Post cardiac surgery Pre cardiac cath Sickle cell anemia Thrombophlebitis Cardiovascular - Medications Oral and IVP antihypertensives Oral and topical nitrates Oral anticoagulants Atropine Digoxin Heparin sc, IV drip Inderal NTG Page 2 of 12
3 Pronestyl Respiratory Assessment Chest exam and auscultation Chest pain Cough/secretions/hemoptysis Inspiratory/expiratory evaluation Skin - color Respiratory - Suctioning Endotracheal Nasopharyngeal Oropharyngeal Tracheostomy Respiratory - Oxygen Therapy Ambu bag and mask External CPAP Face mask Incentive spirometry Inhalers Nasal cannula Oximetry Portable oxygen tanks Trach collar Respiratory - Blood Gases Interpretation of results Respiratory - Blood Chemistry Interpretation of results Respiratory - Care of Patient Airway - establish ARDS Aspiration Page 3 of 12
4 Assist with intubation Asthma Bronchoscopy Chest physiotherapy Chest tubes - insertion/setup Chest tubes - measuring output Chest tubes - removal Collection of sputum specimen COPD Emphysema Inhalation injuries IPPB Lobectomy Pneumonectomy Pneumonia Pneumothorax Pulmonary edema Pulmonary embolism Thoracentesis - Assist Post-op Thoracotomy Tracheostomy - care/maintenance Tracheostomy - fresh Tuberculosis Respiratory - Medications Alupent (Metaproterenol sulfate) Aminophylline (Theophylline) Bronchial inhalers Bronkosol (Isoetharine hydrochloride) Steriods Ventolin (Albuterol) Neurological Assessment Glasgow coma scale Level of consciousness Motor function/rom/strength Neurological status Pupil checks Visual or communications deficits Neurological Assessment - Equipment and Procedures Page 4 of 12
5 Assist with Lumbar puncture Rotation bed Seizure precautions Use of hyper/hypothermia blanket Neurological Assessment - Care of Patient Alzheimer's disease Aneurysm Closed head injury Coma Cranial hemorrhage CVA/TIA DT's Encephalitis Head injury/head trauma Meningitis Multiple sclerosis Neuro injury/trauma Neuro surgery pre and post op Neuromusclar disease Overdose Post craniotomy Post-op AV shunt Seizures Spinal cord injury Neurological Assessment - Medications Antidepressants Carbamazepine (Tegretol) Clonazepam (Klonopin) Decadron (Dexamethasone) Dilantin (Phenytoin) Nonopiod analgesic Opiods Phenobarbital Solu-Medrol (Methylprednisolone) Valium (Diazepam) Versed Page 5 of 12
6 Gastrointestinal Assessment Abdominal/bowel sounds Fluid balance Nutritional status Gastrointestinal - Equipment and Procedures Administration of tube feeding - gravity Administration of tube feeding - pump Flexible feeding tube (i.e. Dobhoff) Guaiac test Insertion of nasogastric tube Lavage Measuring abdominal girth Salem sump to suction Throat swab T-tubes, drains Gastrointestinal - Management of: Gastrostomy tube Jejunostomy tube T-tube Gastrointestinal - Care of Patient Bowel obstruction Colostomy ERCP Esophageal bleeding GI bleeding GI surgery Hepatitis Ileostomy Inflammatory bowel disease Liver failure Liver transplant Ostomy appliances Ostomy irrigation Pancreatitis Paralytic ileus Page 6 of 12
7 Whipple procedure Wound dehiscence Gastrointestinal - Medications Antiemetics Antispasmodic Renal/Genitourinary Assessment Fluid and electrolyte balance A-V fistula/shunt Interpretation of chemistries Interpretation of lab results Urination Renal/Genitourinary - Equipment and Procedures 3-way catheter Bladder irrigation - continuous Bladder irrigation - intermittent Collection of urine specimens, routine, 24 hr Insertion and care of foley catheter - female Insertion and care of foley catheter - male Nephrostomy tube care Supra-pubic catheter Renal/Genitourinary - Care of Patient Cystoscopy Hemodialysis Nephrectomy Peritoneal dialysis Renal failure Renal transplant Renal trauma Shunts and fistulas TURP Urinary diversion/ileal conduit Urinary tract infection Metabolic/Endocrine Assessment Page 7 of 12
8 Signs and symptoms of diabetic coma Signs and symptoms of insulin reaction Glucometers Metabolic/Endocrine - Blood glucose monitoring Interpretation of lab results - glucose Insulin pumps Performing finger stick Visual blood glucose strips Metabolic/Endocrine - Care of Patient Addison's disease Diabetes insipidus Diabetes mellitus Hyperthyoidism (Grave's disease) Hypothyroidism Pancreatitis Post thyroidectomy Metabolic/Endocrine - Medications Antihyperglycemics Hormone preparations IM Vasopressin (Pitressin) Insulin Steriods - adrenocorticosteriods Gynecology Assessment Gynecology system Gynecology - Procedures and Equipment Gyn exam/pap Self breast exam Gynecology - Care of Patient Page 8 of 12
9 Ectopic pregnancy Endometriosis Hysterectomy Mastectomy Repair of cyctocle/rectocele Tubal ligation Orthopedics - Assessment Circulation checks Joints - inspection/palpation Mobility/gait Positioning Posture Transfers Orthopedics - Equipment and Procedures Continuous passive machine Crutches - use Gait training K-pad Prosthetics Range of motion Splints/immobilizers Use of assistive devices Orthopedics - Traction Bryants Bucks Halo Skin/skeletal Tongs Orthopedics - Care of Patient Amputation Arthoscopic surgery Cast Cast removal Cervical collar Page 9 of 12
10 Laminectomy Lumbar brace Ortho trauma Osteoporosis Pinned fractures Removal of hardware Rheumatic/arthritic disease Spika/body cast Total hip replacement Total knee replacement Infectious Diseases Assessment Effect on body systems Infectious Diseases - Equipment and Procedures Isolation/standard precautions Obtaining blood cultures Obtaining CSF cultures Obtaining wound cultures Infectious Diseases - Care of Patient Abscesses Bacteremia/septic shock HIV MRSA Parasitic infection Systemic fungal/richettsial diseases Viral infection VRE Infectious Diseases - Medications Antibacterial drugs Antiviral drugs/hiv drugs Immunizations Immunoglobulin/antitoxins Wound and Skin Management Assessment Page 10 of 12
11 Skin for impending breakdown Stasis ulcers Surgical wound healing Wound and Skin Mgt - Equipment and Procedures Air fluidized, low airloss beds Pressure relief boots/devices Skin care Sterile dressing changes Wound care/irrigations Wound culture - obtaining Wound and Skin Mgt - Care of Patient Burns Necrotizing fasciatis Pressure sores Shingles Staged decubitus ulcers Surgical wounds with drain(s) Traumatic wounds Pain Management Anesthesia/analgesia Assessment of pain level Epidural anesthesia/analgesia IV conscious sedation Narcotic analgesia Patient controlled analgesia (PCA) Miscellaneous Bone marrow transplant Chemotherapy Diabetic teaching Obtaining consents Oncology Patient in restraints Plastic surgery - post-op Radiation implants Page 11 of 12
12 Radiation therapy Suture/staple removal Able to assure a safe environment for the specific needs of various age groups A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Able to communicate and/or instruct patients according to their age, maturity, comprehension A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Evaluate age-appropriate behavior, motor skills and physiological norms A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Page 12 of 12
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