TRAVELER SKILLS CHECKLIST. Emergency Room. 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 Rate calculation Mixing IV's Central Lines PICC lines Broviac lines Portacath Groshong Hickman IVAC pumps IMED pumps Syringe pumps Drawing blood from central line Drawing venous blood Administration of blood and products Autotransfusion Cryoprecipitate Packed red blood cells Plasma/Albumin Whole blood Cardiovascular Page 1 of 11
2 12 lead EKG interpretation Assessment Auscultation (rate, rhythm, volume) CVP readings Defibrillation/cardioversion Doppler EKG interpretation Heart sounds/murmurs Cardiovascular - Patient Care Acute MI Aneurysm Angina Cardiac arrest Congestive Heart Failure Hypovolemic shock Myocarditis Cardiovascular - Cardiac Equipment and Procedures Assist with insertion and set-up Arterial line Assist with insertion and set-up Central line Assist with insertion and set-up Pacemaker Assist with insertion and set-up Swan-Ganz Assist with pericardiocentesis Cardiovascular - Medications Adenosine (Adenocard) Amiodarone (Cordarone) Atropine Bretylium (Bretylol) Digoxin (Lanoxin) Diltiazem (Cardizem) Dobutamine (Dobutrex) Dopamine (Intropin) Epinephrine (Adrenalin) Esmolol (Brevibloc) Lasix (Furosemide) Lidocaine (Xylocaine) Nipride (Nitroprusside) 903 CHG Management, Inc Page 2 of 11
3 Nitroglycerin (Tridil) Procainamide (Pronestyl) Sodium bicarbonate Thrombolytic therapy Respiratory Chest exam and auscultation Inspiratory/expiratory evaluation Respiratory - Patient Care Assist with intubation Extubation Measure peak flow Chest tubes - measuring output Chest tubes - insertion/setup Chest tubes - removal Aspiration Collection of sputum specimen COPD Hemopneumothorax Laryngospasm Pneumonia Pulmonary edema Pulmonary embolism Tension pneumothorax Thoracentesis - Assist Tuberculosis Suction - endotracheal Suction-nasopharyngeal Suction-oropharyngeal Suction-tracheostomy Respiratory - Ventilator care Monitoring and maintance Pressure alarms Respiratory - Oxygen Therapy Ambu bag and mask Page 3 of 11
4 External CPAP Face mask Inhalers Nasal cannula Nebulizer Non-rebreather mask Portable oxygen tanks T-piece Trach collar Respiratory - Obtaining Blood Gases Arterial line Femoral artery Radial artery Interpretation of gases Pulse oximetry Respiratory - Medications Aminophylline(Theophylline) Bronkosol (Isoetharine hydrochloride) Epinephrine (Adrenaline) Isuprel (Isoproterenol hydrochloride) Steriods Terbutaline Neurological Assessment - Neurological Status Assist with Lumbar puncture Glasgow coma scale Level of consciousness Reflex/motor deficits Visual or communications deficits Neurological - Increased ICP management Intracranial monitoring Medications Positioning Regulation of ICP Page 4 of 11
5 Temperature control Ventilation Neurological - Patient Care Basal skull fracture Closed head injury CVA/TIA DT's Encephalitis Enternalized VP shunts Meningitis Neuromusclar disease Overdose Seizures Spinal cord injury Neurological - medications Decadron (Dexamethasone) Dilantin (Phenytoin) Mannitol (Osmitrol) Phenobarbital Solu-Medrol (Methylprednisolone sodium succinate) Gastrointestinal Assessment-abdominal/bowel sounds Fluid balance Nutritional status Interpretation of blood chemistry Gastrointestinal - Equipment and Procedures Insertion of nasogastric tube Salem sump to suction Saline lavage Gastrointestinal - Patient Care Abdominal trauma Bowel obstruction Page 5 of 11
6 GI bleeding Hepatitis Gastrointestinal - GI Medications Antiemetics Antispasmodic Charcoal Ipecac Renal/Genitourinary Assessment of fluid balance Interpretation of lab results Interpretation of BUN and creatinine Interpretation of electrolytes Collection of urine specimens Insertion and care of foley catheter - female Insertion and care of foley catheter - male Renal/Genitourinary - Patient Care Acute renal failure Peritoneal dialysis Renal trauma Urinary tract infection Metabolic/Endocrine Signs and symptoms of diabetic coma Signs and symptoms of insulin reaction Metabolic/Endocrine - Blood glucose monitoring Interpretation of lab results - glucose Electronic measuring devise Performing finger stick Metabolic/Endocrine - Patient Care Diabetic ketoacidosis Insulin Page 6 of 11
7 Oral hypoglycemics Orthopedics Circulation checks Gait Range of motion Skin Orthopedics - Equipment and procedures Assist with cast placement Support devices Cane/crutches Sling Transfer boards Orthopedics - Patient Care Ankle brace Ankle splint Assist with closed fracture/dislocation reduction Cast Knee immoblizer Pinned fractures Wrist splint Wound and Skin Management Application of steri strips Assist with staples Set-up and assist with sutures Culdocentesis tray Staple and suture removal EENT Set-up fluorescent/woods lamp exam Visual acuity EENT - Equipment and procedures Page 7 of 11
8 Application of eye patch Ear irrigation Eye irrigation Morgan lens irrigation Nasal packing Removal of contact lens Trauma/Shock Champion trauma score Poison index Triage Trauma/Shock - Equipment and procedures Air transport of trauma patient Application of mast suit Ground transport Trauma/Shock - Patient Care Bites, animal Bites, human Bites, venomous snake Bites, venomous spider Trauma/Shock - Burns Rule of nines First degree Second degree Third degree Dehydration Electrocution Gunshot/stab wound Hazardous material exposure Heat exhaustion/stroke Hypothermia Major trauma Minor trauma Radiation exposure Trauma/Shock - Shock treatment Page 8 of 11
9 Anaphylactic Cardiogenic Hypovolemic Neurogenic Septic Traumatic amputation Infectious Diseases Interpretation of lab values Fever management Isolation Care of the patient with AIDS Pain Management Assessment of pain level Epidural anesthesia/analgesia IV conscious sedation Pediatrics Child abuse/recognition/reporting Calculating emergency drug doses Obtain consent to treat Pediatric cardiopulmonary arrest Pediatrics - Patient Care Epiglottis Near drowning Overdose/poison ingestion Status asthmaticus Status epilepticus OB/GYN Assist with pelvic exam OB/GYN - Equipment and procedures Page 9 of 11
10 Pelvic tray Rape kit Reporting acts of violence OB/GYN - Patient Care Abruptio placenta DIC Hemorrhage Placenta previa Precipitous delivery Preeclampsia/eclampsia Spontaneous abortion Psychiatric Crisis intervention Upholding patient rights Suicidal patient Suicide precautions Miscellaneous AMA procedures Disaster protocols Patient in restraints 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 903 CHG Management, Inc Page 10 of 11
11 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 11 of 11
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Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials
Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials 1 1. A high-risk bodily fluid for spreading infection is blood. 2. Items that can reduce the spread of infection include masks, gloves, and
1. In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? A. Cervical B. Thoracic C. Lumbar D.
1. In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? A. Cervical B. Thoracic C. Lumbar D. Sacral-coccygeal 2. A 36-year-old male sustains blunt force thoracic
Head injuries. Severity of head injuries
Head injuries ED Teaching day 23 rd October Severity of head injuries Minor GCS 14-15 Must not have any of the following: Amnesia 10min Neurological sign or symptom Skull fracture (clinically or radiologically)