175 E. Olive Avenue Suite 101, Burbank, CA TEL: FAX: Review Information. Guidelines. Neurological.

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1 Emergency Room Clinical Competency Assessment 175 E. Olive Avenue Suite 101, Burbank, CA TEL: FAX: Your Name: Date: Review Information Guidelines Complete this review, using the following scale: 0 = No experience 1 = Infrequent experience 2 = 1 Year consistent experience 3 = 2 years consistent experience 4 = Able to teach and supervise Please check the column that best describes your level of experience with each skill. Neurological CVA/TIA Open and Closed Head Injuries Seizures Monitoring Intracranial Pressure Neuro Assessments: Burr Holes Glasgow Coma Scale Immobilization Spinal Cord Injuries Transport of Cervical/Spinal Injury Pulmonary Airway Management: Assist w/ Intubation/Extubation Endotracheal Suctioning Nasotracheal Oropharyngeal Arterial Blood Gases: Interpretation of Values Breath Sounds: Recognition & Cause Bronchoscopy Page 1 of 8

2 Care of Patients With: AIDS ARDS Carbon Monoxide Poisoning Chest Trauma: Near Drowning Chest Tubes (Drains, Suction) O2 Administration Tracheal Suctioning Pneumothorax: Pulmonary Edema Pulmonary Emboli Status Asthmaticus Thoracentesis Ventilator Management Cardiovascular Angiography Arrhythmia Recognition Automate BP Monitor Cardiac Monitoring Equipment: Lead Placement of Electrodes Management of Bedside Monitor Management of Central Station Cardiac Pacing Catheter Cardiopulmonary Resuscitation: Administration of Emergency Medicines Perform Defibrillation Ambu Bag Cardioversion: Interpretation of Monitor Preparation Test Synchronization Shock: Anaphylactic Cardiogenic Hypovolemic Neurogenic Septic Doppler EKG: Ability to Run 12 Lead Identify Changes on 12 Lead Heart Sounds: Recognition and Causes Mast Suit: Indications for Use Management Page 2 of 8

3 Cardiovascular (continued) Open Chest Heart Massage Pacer Insertion Protocol: External Pacemaker Temporary Transvenous Transthoracic Pericardiocentesis: Indications Knowledge of Procedure Peripheral Pulses Recognition/Management of Dehydration Rotation of Tourniquets Tissue Plaminogen Activator Activator: Indication Patient Management Trauma Cardiovascular Burn Patients Blunt Trauma to Chest/Abdomen Flail Chest Gunshot/Stab Wound Traumatic Amputation Chest Tube Insertion ED Thoracotomy ICP Monitor Insertion Administration of Osmotics Principles of ICP Control IV Line Insertion w/ 16 Gauge or Larger C-Spine Immobilization Backboard KEDS Jacket Philadelphia Collar Principles of Fluid Resuscitation Rapid Infuser/Pressure Infuser MAST Pants: Application of: Contraindications for Use Trauma Assessment: Primary Survey Secondary Survey Trauma Score Page 3 of 8

4 Invasive Assist With: Arterial Line Insertion Central Line Insertion Cut Down Auto Transfusion Blood Transfusion Hickman, Groshong, and Portacath IV Pump Management Lipids Lumbar Puncture Tracheostomy Venipuncture General Emergency Skills Blood Glucose Monitoring Device Abusive Behavior Overdose Suicidal Behavior Use of Restraints Champion Trauma Score EENT: Ear Irrigations Eye Irrigations Eye Patch Application Nasal Packing Remove Contact Lens Visual Activity Hemodialysis Insertion of Catheters: Foley Suprapubic Isolation Procedures Kidney Stones Triage Lab Values Perioneal Dialysis Poison Index Psycho/Social Intervention: Child Abuse Exam Crisis Intervention Rape Examination Venomous Bites Management of Diabetic Patient Renal Failure Shunts/Fistulas Page 4 of 8

5 Medications Ace Wrap Cast Cutter Cervical Collar Clavicle Strap Finger Splint Forearm Splint Hare Traction Ice Bag Knee Immobilizer Philadelphia Collar Ring Cutter Sand Bags Sling Steri Straps Normal ROM of Each Joint Casts: Fiberglass Plaster Wounds: Cast Crutch Walking Wounds Cardiovascular: ACLS Drugs IV Digoxin Inderal Infusion of Chemo Insertion PICC Line Lasix Morphine Nitroprusside IV NTG Pain Management Streptokinase IV TPA IV Verapamil Care of Patient With: Amputations Burns Fracture Lacerations Drug Calculations: Mcg/min Mcg/kg/min Mg/min Page 5 of 8

6 Medications (continued) GI: Antacids Antiemetic Anti-Spasmodic Charcoal Glucogen Insulin Ipecac Integumentary: Local Anesthetics Ointments Tetanus Musculoskeletal/Neuro: Dilantin Mannitol Phenobarbital Robaxin Valium Pin Insertion Pulmonary: Aminophyllin Bronkosol, Isuprel, Inhalers Epinephrine Steroids Terbutaline Integumentary Burn Assessment: Electrocution Rule of Nines First Degree Second Degree Third Degree Chemical Exposure Fiberglass Exposure Radiation Exposure Wound Assessment and Dressing Wound Irrigation Wound Swab Cultures Obstetric Abruptio Placenta Assessment of Labor Care of Newborn Page 6 of 8

7 Obstetrics (continued) Delivery Ectopic Pregnancy Fetoscope/Doppler Knowledge of FHR Patterns Hemorrhage Malpresentations PID Placenta Previa Premature Labor Spontaneous Abortion Trauma Equipment Set Up for: A-Line Chest Tray Chest Tube Cut Down CVP Depridement Intubation Lumbar Puncture NG Tube Insertion Pacemaker Pelvic Tray Procto Set Suture Tray Trach Tray Pediatrics Assessment of Respiratory Status Care of the Febrile Pediatric Patient General Principles of Normal Growth and Development Legal Principles Involved w/ Suspected Child Abuse/Neglect Cases Normal Values Per Age for Vital Signs Nursing History of Pediatric Patient Gastrointestinal Abdominal Assessment Bowel Sounds Abdominal Trouble Page 7 of 8

8 Gastrointestinal (continued) Abdominal Wound GI Bleed Nasogastric Tube: Insertion Irrigation Lavage Medication Suction Miscellaneous Advanced Directives AMA Answering Information Calls Consent for Treatment of Minor Disaster Protocols Reporting Acts of Violence: Adult Abuse Child Abuse Contagious Disease Universal Precautions Signature: Date: Page 8 of 8

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