MEDICAL / SURGICAL TELEMETRY SKILLS CHECKLIST

Size: px
Start display at page:

Download "MEDICAL / SURGICAL TELEMETRY SKILLS CHECKLIST"

Transcription

1 MEDICAL / SURGICAL TELEMETRY SKILLS CHECKLIST NAME: PHONE: LEVEL OF PROFICIENCY Theory No Experience 1 Minimal Experience (0-12 Months) 2 Experienced/Competent (Greater than 12 Months) 3 Able to Teach/Supervise 4 SKILLS - MEDI CATION ADMINISTRATION IM Injections Intradermal Injections Subcutaneous Injections IV Push Medications IV Additives and Piggybacks Epidural Pumps PCA Pumps Infusion Pumps Respiratory Assessment of Breath Sounds Establishing an Airway Ambuing Techniques Oxygen Therapy Nasal Cannula Prongs Ventimask Rebreather/Non Rebreather Mask Pulse Oxymeter Sputum Collections Orally Sputum Trap Interpretation of ABG's Use of IPPB Incentive Spirometer Oral Suctioning Nasotracheal Suctioning Tracheal Suctioning Care of the Tracheostomy COPD ARDS Thoracic Surgery Asthma

2 Inhalation Injuries Pneumonia Pneumothorax Tuberculosis Pulmonary Edema Pulmonary Embolism Inhalation Therapies Cardiac Assessment of Heart Sounds Cardiac Arrest/CPR Administration of Emergency Medications Use of Defibrillator Use of Cardioversion Neurology Neuro Assessment Glascow Coma Scale Seizure Precautions Seizure Activity Assist with Lumbar Puncture Halo Traction CVA/TIA Overdose Head Injury/Trauma Spinal Cord Injury Paraplegia Quadraplegia Neuro Sugery Cranial Hemorrhage AV-Shunt Placement Multiple Sclerosis Gastrointestinal Assessment of Bowels Sounds NG Tube Insertion Gastrostomy Tube Insertion Jejunostomy Tube Care Enterostomal Care Jackson-Pratt Drain Penrose Drain Insertion/Verfication of Feeding Tube Continuous Feeding Pump Gravity Drainage

3 Appendicitis GI Bleed Pancreatitis Bowel Obstruction Paralytic Ileus Liver Failure Hepatitis Laparoscopic Abd Procedures Open Abd Procedures Renal Foley Catheter Insertion Male Foley Catheter Insertion Female GU Irrigation Suprepubic Catheters External Catheters Nephrostomy Tubes Electrolyte Imbalance/Replacement Chronic/Acute Renal Failure Renal Calculi Renal Trauma Nephrectomy TURP Radical Prostectomy Hemodialysis Peritoneal Dialysis Vascular Care of the Gortex Graft Care of the Ateriovenous Shunt TPN/Hyperalimentation Deep Vein Thrombosis Cellulitis Quinton/Permacaths Groshong Catheters Hickman/Broviac Catheters Maintence of Heparin/Saline Lock Assist with Insertion of Central Line Venipuncture Administration of Blood/Blood Products Peripheral Pulses Fluid Overload Ultrasonic Doppler Sickle Cell Anemia

4 Transfusion Reaction Anaphylaxis Septic Shock Anasarea Orthopedic Amputation Arthroscopic Surgery Total Joint Replacement Cast Care Orthopedic Trauma Urinary tract infection Vulvovaginitis Hydrocele Gonococcal infections Prostatitis Hypospadias Benign prostatic hypertrophy Skeletal Traction Bucks Traction Pin Site Care Laminectomy Passive ROM Exercises Gynecology Mastectomy Hysterectomy Tubal Ligation Ectopic Pregnancy Abdominoplasty Reconstructive Breast Surgery Thyroidectomy Assist/Perform GYN Exam/Pap Removal of Cysts Other Accuchecks Burn Patients Diabetic Teaching Isolation Techniques Chemotherapy Oncology Patient Teaching Nutritional Teaching Knowledge of Normal Lab Values Simple Dressing Changes

5 Complex Dressing Changes Skin Assessment Fall Assessment Soft Restraints Posey Restraints Informed Consent Delirium Tremors HIV Antibiotic Resistant Infection Telemetry Obtaining 12 Lead EKG's Interpretation of EKG Arrhythmia Interpretation Monitor Set-Up Lead Placement Pacemakers A Line (set-up and D/C) Sheath Removal-Femoral Care of Patient with Angina Aneurysm MI Hypertensive Crisis Open Heart Surgery (Pre & Post) CHF Cardiac Cath Fem/Pop Bypass Respiratory Chest Tubes Obtaining Blood Sample for ABG Artetial Puncture Vascular Care of the Gortex Graft Care of the AV Shunt Assist with Central Line Insertion MEDICATIONS Amiodarone Atropine Bretylium Cardizem Digoxin Dopamine

6 Epinephrine Heparin Inderal Lidocaine Morphine Vasopressin Nipride Nitroglycerin Quinidine Sodium Bircarbonate Verapamil Certification(s) BLS ACLS NRP PALS OTHER OTHER Expiration Date(s) Licensure(s) Number(s) State(s) Expiration Date(s) AREAS OF EXPERTISE MONTHS YEARS Management Duties Charge Duties Please enter information you feel is important or necessary to give further explanation for information provided above: By signing my name in the space provided below, I attest that I have completed the above form accurately and truthfully and have in no way misrepresented my skills or abilities. Employee Signature: Date: Completed By: Date: Title:

Stepdown Skills Checklist

Stepdown Skills Checklist Stepdown Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application

More information

175 E. Olive Ave. Suite 101 Burbank, CA TEL: FAX: Review Information. Guidelines. Charting.

175 E. Olive Ave. Suite 101 Burbank, CA TEL: FAX: Review Information. Guidelines. Charting. Telemetry Clinical Competency Assessment Your Name: Date: 175 E. Olive Ave. Suite 101 Burbank, CA 91502 TEL: 800-554-2230 FAX: 800-554-7501 Review Information Guidelines Complete this review, using the

More information

TELEMETRY/STEPDOWN UNIT SKILLS CHECKLIST

TELEMETRY/STEPDOWN UNIT SKILLS CHECKLIST TELEMETRY/STEPDOWN UNIT SKILLS CHECKLIST NAME: DATE: Please check the appropriate letter of proficiency for the following types of clinical situations and equipment. LEVEL OF PROFICIENCY A = Able to teach

More information

Name: Date: The Nurse Agency Medical/Surgical Skills Checklist

Name: Date: The Nurse Agency Medical/Surgical Skills Checklist Name: Date: The Nurse Agency Medical/Surgical Skills Checklist Please use the following key: A=Done Frequently; well skilled C=Rarely done; skill limited B=Occasionally done; moderately skilled D=Observed

More information

CRITICAL CARE/INTENSIVE CARE SKILLS CHECKLIST

CRITICAL CARE/INTENSIVE CARE SKILLS CHECKLIST CRITICAL CARE/INTENSIVE CARE SKILLS CHECKLIST NAME: DATE: Please check the appropriate letter of proficiency for the following types of clinical situations an equipment. MEDICATIONS Unit Dose Pouring from

More information

Telemetry/Progressive Care Self Assessment

Telemetry/Progressive Care Self Assessment Telemetry/Progressive Care Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm

More information

SHORE STAFFING, INC. Telemetry Nurse Competency Self-Checklist

SHORE STAFFING, INC. Telemetry Nurse Competency Self-Checklist Directions: Please circle a value for each question to provide us with an assessment of your clinical experience. These values confirm your strengths within your specialty. FREQUENCY EXPERIENCE 1. Observed

More information

LPN-LVN Checklist. Applicant Full Legal Name (please print):

LPN-LVN Checklist. Applicant Full Legal Name (please print): LPN-LVN Checklist Applicant Full Legal Name (please print): The following checklist is a profile used to assess your clinical efficiency and assist in matching your skills with available assignments. Your

More information

PEDIATRIC INTENSIVE CARE UNIT SKILLS CHECKLIST

PEDIATRIC INTENSIVE CARE UNIT SKILLS CHECKLIST PEDIATRIC INTENSIVE CARE UNIT SKILLS CHECKLIST Name: RN Date: Directions: Please complete this checklist as accurately as possible. Answer each and every one. A=Performs proficiently and independently

More information

Emergency Room Skills Checklist

Emergency Room Skills Checklist _ XXX-XX- Print Name Last 4 of SS # Date Completed Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values

More information

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

175 E. Olive Avenue Suite 101, Burbank, CA TEL: FAX: Review Information. Guidelines. Neurological. Medical/Surgical Clinical Competency Assessment 175 E. Olive Avenue Suite 101, Burbank, CA 91502 TEL: 800-554-2230 FAX: 800-554-7501 Your Name: Date: Review Information Guidelines Complete this review,

More information

ER Skills Checklist. Frequency Scale: 1 = Never Observed 2 = Less than 6 times a year 3 = 1 or 2 Times a Month 4 = Daily or Weekly

ER Skills Checklist. Frequency Scale: 1 = Never Observed 2 = Less than 6 times a year 3 = 1 or 2 Times a Month 4 = Daily or Weekly ER Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment

More information

Oncology Competency Self Assessment

Oncology Competency Self Assessment Oncology Competency Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm your

More information

Emergency Trauma Competency Self Assessment

Emergency Trauma Competency Self Assessment Emergency Trauma Competency Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm

More information

Psychiatric Nurse Skills Checklist. Applicant Full Legal Name (please print):

Psychiatric Nurse Skills Checklist. Applicant Full Legal Name (please print): Applicant Full Legal Name (please print): The following checklist is a profile used to assess your clinical efficiency and assist in matching your skills with available assignments. Your employment is

More information

Pediatrics Skills Checklist

Pediatrics Skills Checklist Pediatrics Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application

More information

Interventional Radiology Skills Checklist

Interventional Radiology Skills Checklist Interventional Radiology Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your

More information

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

175 E. Olive Avenue Suite 101, Burbank, CA TEL: FAX: Review Information. Guidelines. Neurological. Emergency Room Clinical Competency Assessment 175 E. Olive Avenue Suite 101, Burbank, CA 91502 TEL: 800-554-2230 FAX: 800-554-7501 Your Name: Date: Review Information Guidelines Complete this review, using

More information

Pediatric Intensive Care Unit Competency Self Assessment

Pediatric Intensive Care Unit Competency Self Assessment Pediatric Intensive Care Unit Competency Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These

More information

Oncology Skills Checklist

Oncology Skills Checklist Oncology Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application

More information

Neonatal ICU Skills Checklist. Applicant Full Legal Name (please print):

Neonatal ICU Skills Checklist. Applicant Full Legal Name (please print): Applicant Full Legal Name (please print): The following checklist is a profile used to assess your clinical efficiency and assist in matching your skills with available assignments. Your employment is

More information

Experience. Initials Medical Staffing Network Rev. 06/15 F01201 NNICU 2 of 5

Experience. Initials Medical Staffing Network Rev. 06/15 F01201 NNICU 2 of 5 Neonatal Intensive Care Unit Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values

More information

Neonatal Intensive Care Unit Skills Checklist

Neonatal Intensive Care Unit Skills Checklist _ XXX-XX- Print Name Last 4 of SS # Date Completed Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values

More information

TELEMETRY SKILLS CHECKLIST

TELEMETRY SKILLS CHECKLIST TELEMETRY SKILLS CHECKLIST 1111 North 3rd Street Instructions: Please complete this checklist to enable us to match your skills and interests with available assignments. Place an "X" in the appropriate

More information

Competency Log Professional Responder Courses

Competency Log Professional Responder Courses Competency Log Professional Responder Courses Check off each competency once successfully demonstrated. This log may be used as a support tool when teaching a Professional Responder course. Refer to the

More information

AACN Procedure Manual for Critical Care

AACN Procedure Manual for Critical Care AACN Procedure Manual for Critical Care Wiegand, Debra Lynn-McHale PhD, RN ISBN-13: 9781416062189 Table of Contents UNIT I Pulmonary System Section One Airway Management: Michael W. Day 1. Combitube Insertion

More information

NEONATAL INTENSIVE CARE SKILLS CHECKLIST

NEONATAL INTENSIVE CARE SKILLS CHECKLIST NEONATAL INTENSIVE CARE SKILLS CHECKLIST NAME: DATE: Please check the appropriate letter of proficiency for the following types of clinical situations and equipment. GENERAL Gestational assessment Physical

More information

Advanced Trauma Management Cardiovascular Care of Burn Patients

Advanced Trauma Management Cardiovascular Care of Burn Patients Applicant Full Legal Name (please print): The following checklist is a profile used to assess your clinical efficiency and assist in matching your skills with available assignments. Your employment is

More information

Emergency Care Progress Log

Emergency Care Progress Log Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All

More information

The Surgical Patient. Objectives:

The Surgical Patient. Objectives: The Surgical Patient Objectives: 1. Discuss the effect of surgery on the body systems. 2. Explain the etiological factors, nursing assessment, and management of potential problems during the postoperative

More information

Specific Basic Standards for Osteopathic Fellowship Training in Pulmonary / Critical Care Medicine

Specific Basic Standards for Osteopathic Fellowship Training in Pulmonary / Critical Care Medicine Specific Basic Standards for Osteopathic Fellowship Training in Pulmonary / Critical Care Medicine American Osteopathic Association and American College of Osteopathic Internists BOT Rev. 2/2011 These

More information

APR-DRG Description Ave Charge

APR-DRG Description Ave Charge Abdominal Pain 16,500.25 2.8 6,000.09 Acute & Subacute Endocarditis 15,339.30 3.0 5,113.10 Acute Myocardial Infarction 17,687.46 2.6 6,802.87 Alcohol Abuse & Dependence 19,126.64 4.2 4,553.96 Alcoholic

More information

NICU SKILLS CHECKLIST

NICU SKILLS CHECKLIST NICU SKILLS CHECKLIST 1111 North 3rd Street Instructions: Please complete this checklist to enable us to match your skills and interests with available assignments. Place an "X" in the appropriate column

More information

TRAVELER SKILLS CHECKLIST. Medical Surgical. 0 = No Knowledge / 1 = Limited Knowledge / 2 = Proficient

TRAVELER SKILLS CHECKLIST. Medical Surgical. 0 = No Knowledge / 1 = Limited Knowledge / 2 = Proficient 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

More information

Name: DOB: Sex: Male Female

Name: DOB: Sex: Male Female Today s Date: Name: DOB: Sex: Male Female What doctor are you seeing today? Referring Physician s name and phone number: Primary Care Physician s name: Primary Care Physician s Phone Number: Reason for

More information

Pediatric Intensive Care Unit Skills Checklist

Pediatric Intensive Care Unit Skills Checklist _ XXX-XX- Print Name Last 4 of SS # Date Completed Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values

More information

Telemetry Medication Administration IV Therapy Administration of blood and products

Telemetry Medication Administration IV Therapy Administration of blood and products 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

More information

NurseAchieve. CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NURSING SKILLS AND FUNDAMENTALS:

NurseAchieve.   CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NURSING SKILLS AND FUNDAMENTALS: NurseAchieve www.nurseachieve.com CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NCLEX TEST STRATEGIES: NCLEX EXAM OVERVIEW TEST TAKING STRATEGIES NURSING SKILLS AND FUNDAMENTALS: ADMINISTRATION

More information

PACU Skills Checklist

PACU Skills Checklist PACU Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for

More information

F: Respiratory Care. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 59

F: Respiratory Care. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 59 F: Respiratory Care College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 59 Competency: F-1 Airway Management F-1-1 F-1-2 F-1-3 F-1-4 F-1-5 Demonstrate knowledge and ability

More information

DESCRIPTIONS FOR MED 3 ROTATIONS Critical Care A2 ICU

DESCRIPTIONS FOR MED 3 ROTATIONS Critical Care A2 ICU Critical Care A2 ICU A. Neurological 1. Delirium Discuss the differential diagnosis and appropriate investigation for delirium. Provide non-pharmological and pharmological treatment options for delirium.

More information

H: Respiratory Care. Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 79

H: Respiratory Care. Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 79 H: Respiratory Care Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 79 Competency: H-1 Airway Management H-1-1 H-1-2 H-1-3 H-1-4 H-1-5 Demonstrate knowledge

More information

FRONTIER HEALTH CARE SERVICES

FRONTIER HEALTH CARE SERVICES 1 of 8 FRONTIER HEALTH CARE SERVICES Intermediate Care/Telemetry Skills Checklist * Denotes required field This profile is used for by IMC/Telemetry nurses with more than one year experience in their discipline

More information

Emergency Medicine Scope of Practice

Emergency Medicine Scope of Practice Emergency Medicine Scope of Practice All Physician Assistants working in Emergency Medicine will encounter a wide variety of non acute, urgent and emergent patient complaints and conditions. Given the

More information

CRITICAL CARE AND GRADUATE UNIVERSITY TOPICS NOVICE RESIDENCY PROGRAM CURRICULUM

CRITICAL CARE AND GRADUATE UNIVERSITY TOPICS NOVICE RESIDENCY PROGRAM CURRICULUM CRITICAL CARE AND GRADUATE UNIVERSITY TOPICS NOVICE RESIDENCY PROGRAM CURRICULUM 2011 through 2013 NURSING FOCUS Assessment Mental Health Basic ECG/Dysrhythmia Course RELATED LECTURES/SKILLS Specific lecture

More information

PACU/Recovery Room Competency Self Assessment

PACU/Recovery Room Competency Self Assessment PACU/Recovery Room Competency Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values

More information

PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL. Sample Home Health Agency

PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL. Sample Home Health Agency 2019 PEDIATRIC SKILLED NURSING POLICY AND PROCEDURE MANUAL Sample Home Health Agency Pediatric Nursing is a nursing specialty that is provided to children in their places of residence. Because of this

More information

Table of Contents: Unit I: Respiratory System

Table of Contents: Unit I: Respiratory System Table of Contents: Unit I: Respiratory System SECTION ONE: Airway 1. Cricothyroidotomy: Assist 2. Endotracheal Tube: Care and Suctioning 3. Endotracheal Tube: Taping 4. Extubation: Assist 5. Intubation:

More information

West Penn Allegheny Health System Forbes Regional Hospital

West Penn Allegheny Health System Forbes Regional Hospital Policy Name: Treatment of Anaphylactic Reaction In the Cath Lab Original Date: West Penn Allegheny Health System Forbes Regional Hospital Policy No. 16553 Page 1 of 6 Reviewed by : Mark Taylor, MD, Michael

More information

In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed.

In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed. Name: SS# In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed. Patient Medical, Surgical and Family History Review

More information

Frontline First Aid EMR Homework Supplement. Worksheet solutions found in Emergency Care Manual and Frontline EMR Student Supplement

Frontline First Aid EMR Homework Supplement. Worksheet solutions found in Emergency Care Manual and Frontline EMR Student Supplement Worksheet solutions found in Emergency Care Manual and Frontline EMR Student Supplement Reference your Course Layout to determine which assignments are due for each session Spinal Worksheet... 5 Medical

More information

Unit 11. Objectives. Indications for IV Therapy. Intravenous Access Devices & Common IV Fluids. 3 categories. Maintenance Replacement Restoration

Unit 11. Objectives. Indications for IV Therapy. Intravenous Access Devices & Common IV Fluids. 3 categories. Maintenance Replacement Restoration Unit 11 Fluids, Electrolytes and Acid Base Imbalances Intravenous Access Devices & Common IV Fluids Objectives Review the purpose and types of intravenous (IV) therapy. Recall the nursing care related

More information

Emergency Room Technician/EMT

Emergency Room Technician/EMT Emergency Room Technician/EMT Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm your strengths

More information

InterQual Level of Care 2018 Index

InterQual Level of Care 2018 Index InterQual Level of Care 2018 Index Long-Term Acute Care (LTAC) Criteria The Index is an alphabetical listing of conditions and/or diagnoses designed to guide the user to the criteria subset where a specific

More information

DEPARTMENT OF SURGERY DELINEATION OF PRIVILEGES FOR GENERAL SURGERY

DEPARTMENT OF SURGERY DELINEATION OF PRIVILEGES FOR GENERAL SURGERY DEPARTMENT OF SURGERY DELINEATION OF PRIVILEGES FOR GENERAL SURGERY NAME: DATE: Please check the box for each privilege requested. Applicants have the burden of producing information deemed adequate by

More information

Idaho EMSPC Scope of Practice OLD (ISC) Curriculum License Levels NEW 2011 IEC Curriculum License Levels

Idaho EMSPC Scope of Practice OLD (ISC) Curriculum License Levels NEW 2011 IEC Curriculum License Levels AIRWAY / VENTILATION / OXYGENATION Idaho EMSPC Scope of Practice - OLD (ISC) Curriculum License Levels NEW IEC Curriculum License Levels Effective July 1, 2016 1 View of All Levels Across EMR- 1-1-2012)

More information

C -001/ ½

C -001/ ½ Nursing Management in Critical Care Conditions Assignment I (Block 1-3) (Tutor Marked) Programme Code: DCCN Course Code: BNS - 032 Assignment Code: BNS 032 /TMA -001/2019 Date of submission: July30th,

More information

CSI Skills Lab #5: Arrhythmia Interpretation and Treatment

CSI Skills Lab #5: Arrhythmia Interpretation and Treatment CSI 202 - Skills Lab #5: Arrhythmia Interpretation and Treatment Origins of the ACLS Approach: CSI 202 - Skills Lab 5 Notes ACLS training originated in Nebraska in the early 1970 s. Its purpose was to

More information

Information Often Given to the Nurse at the Time of Admission to the Postanesthesia Care Unit

Information Often Given to the Nurse at the Time of Admission to the Postanesthesia Care Unit Information Often Given to the Nurse at the Time of Admission to the Postanesthesia Care Unit * Patient s name and age * Surgical procedure and type of anesthetic including drugs used * Other intraoperative

More information

(Page 1 of 5) Diagnosis: Procedure: Right Total Knee Replacement Unicompartmental Knee Left Total Hip Revision Total Shoulder

(Page 1 of 5) Diagnosis: Procedure: Right Total Knee Replacement Unicompartmental Knee Left Total Hip Revision Total Shoulder (Page 1 of 5) Allergies/Sensitivities/Reactions: Height: Inches cm Weight: Kg Pounds = Automatic = Physician s option, Check off to Order Diagnosis: Procedure: Right Total Knee Replacement Unicompartmental

More information

Mary Lou Garey MSN EMT-P MedFlight of Ohio

Mary Lou Garey MSN EMT-P MedFlight of Ohio Mary Lou Garey MSN EMT-P MedFlight of Ohio Function Prolonged and frequent access to venous circulation Allows for patient to carry on normal life; decrease number of needle sticks Medications, parenteral

More information

Product Catalog. Pediatric Learning Solutions. Listing of all current products (as of May, 2013) offered by Children's Hospital Association.

Product Catalog. Pediatric Learning Solutions. Listing of all current products (as of May, 2013) offered by Children's Hospital Association. Product Catalog Pediatric Learning Solutions Listing of all current products (as of May, 2013) offered by Children's Hospital Association. Acquired Heart Disease in Children WBT Acute Respiratory Distress

More information

Wise Medical Staffing, Inc

Wise Medical Staffing, Inc Wise Medical Staffing, Inc Clinical Skills Checklist Name Date Levels of Proficiency A = Perform Well (at least one year experience B = Limited Experience (6 months to one year C = Perform Infrequently

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual Subject Emergency Medical Services Administrative Policies and Procedures Table of Contents

More information

MASTER SYLLABUS

MASTER SYLLABUS A. Academic Division: Health Sciences B. Discipline: Respiratory Care MASTER SYLLABUS 2018-2019 C. Course Number and Title: RESP 2330 Advanced Life Support Procedures D. Course Coordinator: Tricia Winters,

More information

DRG Code DRG Description FY18 Average Charge

DRG Code DRG Description FY18 Average Charge DRG Code DRG Description FY18 Average Charge 3 ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O $ 665,511 4 TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $ 422,497 37 EXTRACRANIAL

More information

Yes No Unknown. Major Infection Information

Yes No Unknown. Major Infection Information Rehospitalization Intervention Check any that occurred during this hospitalization. Pacemaker without ICD ICD Atrial arrhythmia ablation Ventricular arrhythmia ablation Cardioversion CABG (coronary artery

More information

WASHINGTON UNIVERSITY SCHOOL OF MEDICINE. Cranial Health History Form

WASHINGTON UNIVERSITY SCHOOL OF MEDICINE. Cranial Health History Form WASHINGTON UNIVERSITY SCHOOL OF MEDICINE Cranial Health History Form Welcome to the Neurosurgery Department at Washington University. To help us treat you, please fill this form out completely. Your Name:

More information

New Patient Paperwork

New Patient Paperwork New Patient Paperwork Date: Phone: Patient: Last Name First Name Initial Street Address: City/State/Zip Code: Sex: M F Age: Birthdate: Single Married Widowed Separated Divorced Email: Newsletter? Y N Insured

More information

Resuscitation Patient Management Tool May 2015 MET Event

Resuscitation Patient Management Tool May 2015 MET Event OPTIONAL: Local Event ID: Date/Time MET was activated: Time Not Documented MET 2.1 Pre-Event Pre-Event Tab Was patient discharged from an Intensive Care Unit (ICU) at any point during this admission and

More information

NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE PROTOCOLS EPTIFIBATIDE (INTEGRILIN) PROTOCOL

NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE PROTOCOLS EPTIFIBATIDE (INTEGRILIN) PROTOCOL NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE S EPTIFIBATIDE (INTEGRILIN) I. PURPOSE: A. Integrilin (Eptifibatide) is a specific and potent inhibitor of the platelet receptor glycoprotein

More information

Average Gross Charges ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC ,254 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC - 280

Average Gross Charges ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC ,254 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC - 280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC - 281 15,254 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC - 280 24,827 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC - 282 11,575 AFTERCARE,

More information

UPMC For Reference Only PHYSICIAN ASSISTANT 2014

UPMC For Reference Only PHYSICIAN ASSISTANT 2014 Summary of Services and Availability (by location) UPMC Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each

More information

TRAVELER SKILLS CHECKLIST NICU. 0 = No Knowledge / 1 = Limited Knowledge / 2 = Proficient. Last Name First Name Social Security Number Discipline

TRAVELER SKILLS CHECKLIST NICU. 0 = No Knowledge / 1 = Limited Knowledge / 2 = Proficient. Last Name First Name Social Security Number Discipline Medication Administration PO Sub q Rectal Topical Drops (i.e. eye, nose, ear) Eye prophylaxis - Vitamin K IM Z track IV Push IV Drip Calculation of dosages Emergency drug actions and reactions Hyperalimentation

More information

Adenosine. poison/drug induced. flushing, chest pain, transient asystole. Precautions: tachycardia. fibrillation, atrial flutter. Indications: or VT

Adenosine. poison/drug induced. flushing, chest pain, transient asystole. Precautions: tachycardia. fibrillation, atrial flutter. Indications: or VT Adenosine Indications: 1. Narrow complex PSVT 2. Does not convert atrial fibrillation, atrial flutter or VT 1. Side effects include flushing, chest pain, transient asystole 2. May deteriorate widecomplex

More information

ISLAND MEDICAL DISTRIBUTORS PACIFIC

ISLAND MEDICAL DISTRIBUTORS PACIFIC A Adapters: Electrosurgical Adhesive strips: Butterfly Adhesive strips: General purpose Adhesive strips: Hypoallergenic Adhesive strips: Waterproof Aerators: Cabinet Air detectors, heart-lung bypass Airways:

More information

Critical Care Competency Self Assessment

Critical Care Competency Self Assessment Critical Care Competency Self Assessment Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm

More information

NEMSIS Version 3 - Procedure Label by. SNOMED CT Code Taking orthostatic vital signs Continuous physical assessment

NEMSIS Version 3 - Procedure Label by. SNOMED CT Code Taking orthostatic vital signs Continuous physical assessment NEMSIS Version 3 - Procedure Label by Category Assessment: Orthostatic Vital Signs Assessment: Patient Assessment SNOMED CT Description SNOMED CT Code Taking orthostatic vital signs 425058005 Continuous

More information

Online Supplementary Data. Country Number of centers Number of patients randomized

Online Supplementary Data. Country Number of centers Number of patients randomized A Randomized, Double-Blind, -Controlled, Phase-2B Study to Evaluate the Safety and Efficacy of Recombinant Human Soluble Thrombomodulin, ART-123, in Patients with Sepsis and Suspected Disseminated Intravascular

More information

4. Which survey program does your facility use to get your program designated by the state?

4. Which survey program does your facility use to get your program designated by the state? TRAUMA SURVEY Please complete one survey for each TCD designation you have in your facility. There would be a maximum of three surveys completed if your facility was designated as a trauma, stroke and

More information

Life Care Plan. Eric Henderson Potential Complications For Information Purposes Only. No Prediction of Frequency of Occurrence Available.

Life Care Plan. Eric Henderson Potential Complications For Information Purposes Only. No Prediction of Frequency of Occurrence Available. Cost of Potential s Arthritis Greater risk for developing arthritis due to orthopedic injuries. Arthroplasty $26,800 - $29,000 Replacement of hip joint due to bone disease. Autonomic Dysreflexia (exaggerated

More information

Patient Name: Date of Birth:

Patient Name: Date of Birth: Patient Name: Date of Birth: Marital Status: Single Married Divorced Widowed Height: Referring Doctor: Weight: Primary Care Dr.: Preferred Pharmacy:(name/address) ALLERGIES: Do you have any drug allergies?

More information

Documenting in the World of ICD-10 Capturing all your CCs and MCCs Crystal Coen, RN, MSN, FNP-BC NPSS Asheville, NC

Documenting in the World of ICD-10 Capturing all your CCs and MCCs Crystal Coen, RN, MSN, FNP-BC NPSS Asheville, NC Documenting in the World of ICD-10 Capturing all your CCs and MCCs Crystal Coen, RN, MSN, FNP-BC 2017 NPSS Asheville, NC Objectives Understand the importance of documenting to the highest specificity Understand

More information

Lakeland Health Simulation Training Center

Lakeland Health Simulation Training Center Lakeland Health Simulation Training Center www.lakelandhealth.org The Lakeland Health Simulation Training Center currently offers the following simulations for resident physicians, medical students, nurses,

More information

Lewis-Clark State College Workforce Training Paramedic Classroom Syllabus Pulmonary/Cardiology/Neurology/Endocrinology Module 4

Lewis-Clark State College Workforce Training Paramedic Classroom Syllabus Pulmonary/Cardiology/Neurology/Endocrinology Module 4 September 2016-February 2018 Class Meeting Location: Meriwether Lewis Hall, Lewis-Clark State College, Room 130 Class Meeting Dates: Monday/Wednesday, 6pm-9pm. Attendance is required. Reading assignments

More information

Prehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole

Prehospital Resuscitation for the 21 st Century Simulation Case. VF/Asystole Prehospital Resuscitation for the 21 st Century Simulation Case VF/Asystole Case History 1 (hypovolemic cardiac arrest secondary to massive upper GI bleed) 56 year-old male patient who fainted in the presence

More information

Nursing General Essential ALS Classic SimMom* Anne Nursing Airway features Essential ALS Classic SimMom Anne

Nursing General Essential ALS Classic SimMom* Anne Nursing Airway features Essential ALS Classic SimMom Anne General 3G Essential ALS Classic SimMom* Nursing Late free Simulated patient monitor Runs pre programmed LLEAP scenarios Adult Male Female genitalia Female breasts Pre recorded vocal sounds Live vocal

More information

CVICU EXAM. Mrs. Jennings is a 71-year-old post-op CABG x5 with an IABP in her left femoral artery

CVICU EXAM. Mrs. Jennings is a 71-year-old post-op CABG x5 with an IABP in her left femoral artery CVICU EXAM 1111 North 3rd Street Mrs. Jennings is a 71-year-old post-op CABG x5 with an IABP in her left femoral artery 1. Nursing standards for a patient on an IABP device include: a. Know results of

More information

Skills: Recall the incidence of seizures Recall the causes of seizures Describe types of seizures List signs and symptoms of seizure patients

Skills: Recall the incidence of seizures Recall the causes of seizures Describe types of seizures List signs and symptoms of seizure patients Medical 1 Resuscitation Describe the morbidity and mortality associated with sudden cardiac arrest List the chain of survival for sudden cardiac arrest as identified by the American Heart Association Discuss

More information

Arteriovenostomy for renal dialysis 39.27, 39.42

Arteriovenostomy for renal dialysis 39.27, 39.42 Surgery categories NHSN Surgery codes (Reference: NHSN Operative Procedure Category Mappings to ICD-9-CM Codes, October 2010 www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf) Operative aortic aneurysm

More information

PATIENT INFORMATION (Please Print) Patient First Middle Initial Last. Birthdate: / / Patient Financially Responsible Yes No

PATIENT INFORMATION (Please Print) Patient First Middle Initial Last. Birthdate: / / Patient Financially Responsible Yes No PATIENT INFORMATION (Please Print) Date: Patient First Middle Initial Last Birthdate: / / Patient Financially Responsible Yes No Marital Status: Address: City: State: Zip Code: Primary Phone: ( ) (Circle

More information

NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE PROTOCOLS. ACTIVASE (t-pa) INFUSION PROTOCOL FOR ACUTE MYOCARDIAL INFARCTION

NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE PROTOCOLS. ACTIVASE (t-pa) INFUSION PROTOCOL FOR ACUTE MYOCARDIAL INFARCTION NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE PROTOCOLS ACTIVASE (t-pa) FOR ACUTE MYOCARDIAL INFARCTION I. PURPOSE: A. To reduce the extent of myocardial infarction by lysing the clot in

More information

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY PS1070 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: CARDIOVASCULAR INTENSIVE Job Title of Reviewer: Director, CVICU EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY

More information

HERO POWERPLAN LIBRARY

HERO POWERPLAN LIBRARY HERO POWERPLAN LIBRARY General Content Medical Admissions Abdominal Pain Acute Acute Cholecystitis Admission Acute MI STEMI Medical Therapy* Acute MI STEMI Post Cath Acute Renal Failure Alcohol Withdrawal

More information

Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies)

Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies) SLO County Emergency Medical Services Agency Bulletin 2012-09 PLEASE POST Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies) July

More information

Emergency Department Suite

Emergency Department Suite Emergency Department Suite This suite of Pediatric Learning Solutions (PLS) online courseware and curriculums provides 24/7 access to the foundational knowledge and just-in-time job aids clinicians working

More information

1. What additional information needs to be collected to properly treat this client?

1. What additional information needs to be collected to properly treat this client? CASE 1 A 45-year-old male presents to the emergency department with a complaint of chest pain for the past two hours. 1. What additional information needs to be collected to properly treat this client?

More information

Episodes of Care Risk Adjustment

Episodes of Care Risk Adjustment Episodes of Care Risk Adjustment Episode Types Wave 1 Asthma Acute Exacerbation Perinatal Total Joint Replacement Wave 2 Acute Percutaneous Coronary Intervention COPD Acute Exacerbation Non-acute Percutaneous

More information

ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments

ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal SVT 1 st Dose 6 mg rapid IV 2 nd & 3 rd Doses 12 mg rapid IV push Follow each dose with rapid bolus of 20 ml NS May cause transient heart block or asystole. Side effects include chest

More information