Telemetry Medication Administration IV Therapy Administration of blood and products

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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 line insertion PICC line discontinue PICC line care Broviac Portacath Groshong Hickman Quinton IVAC pumps IMED pumps Syringe pumps Drawing blood from central line Drawing venous blood TPN PPN (peripheral parental nutrition) Lipids Administration of blood and products Autotransfusion Cryoprecipitate Page 1 of 11

2 Packed red blood cells Plasma/Albumin Whole blood Cardiovascular 12 lead EKG interpretation Assessment Auscultation (rate, rhythm, volume) Interpretation of cardiac enzymes/isoenzymes Interpretation of coagulation studies Heart sounds/murmurs Pulses/circulation checks Arrhythmia interpretation Lead placement 5 electrode Lead placement: I, III, V-leads Lead placement: Lead II and MCL 1 CVP readings Cardioversion - assist Cardioversion - perform Defibrillation - assist Defibrillation - perform Doppler Cardiovascular - Care of Patient Acute MI - post hours Aneurysm Angina Cardiac arrest Cardiomyopathy Carotid endarterectomy Congestive Heart Failure Femerol-popliteal bypass Post angioplasty Post CABG (24 hours) Pre cardiac cath Post cardiac cath Pre stent placement Post stent placement Cardiovascular - Equipment and Procedures Page 2 of 11

3 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 Assist with temporary transvenous pacing Cardiovascular - Hemodynamic monitoring A-line radial Swan-Ganz monitoring Femoral artey sheath removal Cardiovascular - Medications Adenosine (Adenocard) Amiodarone (Cordarone) Atropine Bretylium (Bretylol) Digoxin (Lanoxin) Diltiazem (Cardizem) Dobutamine (Dobutrex) Dopamine (Intropin) Epinephrine (Adrenalin) Heparin sc, IV drip Lidocaine (Xylocaine) Nipride (Nitroprusside) Nitroglycerin (Tridil) Oral and IVP antihypertensives Oral and topical nitrates Thrombolytic therapy Verapamil (Calan, Isoptin, Verelan) Respiratory Chest exam and auscultation Inspiratory/expiratory evaluation Respiratory - Care of Patient Page 3 of 11

4 Assist with intubation Airway - establish Assist with extubation Chest physiotherapy Chest tubes - insertion/setup Chest tubes - measuring output Chest tubes - removal Aspiration Collection of sputum specimen ARDS Asthma Bronchoscopy COPD Fresh tracheostomy Lobectomy Pneumonectomy Pneumonia Pneumothorax Pulmonary edema Pulmonary embolism Status asthmaticus Thoracentesis - Assist Thoracotomy Tracheostomy care Tuberculosis Respiratory - Suctioning Suction - endotracheal Suction-nasopharyngeal Suction-oropharyngeal Suction-tracheostomy Respiratory - Ventilator care Monitoring and maintenance Weaning modes Respiratory - Oxygen Therapy Ambu bag and mask ET Tube Page 4 of 11

5 Face mask Inhalers Incentive spirometry Nasal cannula Nebulizer Non-rebreather mask Oximetry Portable oxygen tanks T-piece Trach collar Respiratory - Blood Gases Obtaining from Aline Obtaining from femoral artery Obtaining from radial artery Interpretation of gases Respiratory - Blood Chemistry Interpretation of results Respiratory - Medications Alupent (Metaproterenol sulfate) Aminophylline(Theophylline) Bronkosol (Isoetharine hydrochloride) Epinephrine (Adrenaline) Steriods Ventolin (Albuterol) Neurological Assessment Neurological status Cerebellar function Cranial nerves Glasgow coma scale Level of consciousness Reflex/motor deficits Visual or communications deficits Neurological Assessment - Equipment and Procedures 906 CHG Management, Inc Page 5 of 11

6 Assist with Lumbar puncture Halo traction Nerve stimulator Rotation bed Seizure precautions Use of hyper/hypothermia blanket Neurological Assessment - Care of Patient Aneurysm Basal skull fracture Closed head injury Coma Cranial hemorrhage CVA/TIA DT's Encephalitis Enternalized VP shunts Meningitis Multiple sclerosis Neuromusclar disease Neuro surgery pre and post op Overdose Post craniotomy Seizures Spinal cord injury Neurological Assessment - Medications Carbamazepine (Tegretol) Carbidopa-Levodopa (Sinemet) Clonazepam (Klonopin) Decadron (Dexamethasone) Dilantin (Phenytoin) Phenobarbital Solu-Medrol (Methylprednisolone) Valium (Diazepam) Gastrointestinal Assessment-abdominal/bowel sounds Page 6 of 11

7 Fluid balance Nutritional status Gastrointestinal - Equipment and Procedures Insertion of nasogastric tube Administration of tube feeding - gravity Administration of tube feeding - pump Flexible feeding tube (i.e. Dobhoff) Salem sump to suction Saline lavage Gastrointestinal - Management of: Gastrostomy tube Jejunostomy tube T-tube Gastrointestinal - Care of Patient Bowel obstruction Colostomy ERCP Esophageal bleeding GI surgery GI bleeding Hepatitis Ileostomy Inflammatory bowel disease Liver failure Liver transplant Pancreatitis Paralytic ileus Whipple procedure Gastrointestinal - Medications Antiemetics Antispasmodic Renal/Genitourinary 906 CHG Management, Inc Page 7 of 11

8 Assessment of fluid and electrolyte balance Assessment of A-V fistula/shunt Interpretation of lab results Interpretation of BUN and creatinine Renal/Genitourinary - Equipment and Procedures Bladder irrigation - continous Bladder irrigation - intermittent Collection of urine specimens, routine, 24 hr Insertion and care of foley catheter - female Insertion and care of foley catheter - male Manual CAPD administration Nephrostomy tube care Peritonel dialysis via automatic cycler Supra-pubic catheter Renal/Genitourinary - Care of Patient Hemodialysis Peritoneal dialysis Renal failure Renal transplant TURP Metabolic/Endocrine Signs and symptoms of diabetic coma Signs and symptoms of insulin reaction Metabolic/Endocrine - Blood glucose monitoring Insulin administration - IV drip Interpretation of lab results - glucose Interpretation of lab results - thyroid levels Performing finger stick Visual blood glucose strips Metabolic/Endocrine - Care of Patient Addison's disease Cushing's syndrome Page 8 of 11

9 Diabetes insipidus Diabetes mellitus Diabetic ketoacidosis Drug overdose Hyperthyoidism (Grave's disease) Hypothyroidism Pancreatitis Pheochromocytoma Post adrenalectomy Post hypophysectomy Post thyroidectomy Metabolic/Endocrine - Medications Hydrocortisone IM Vasopressin (Pitressin) Insulin Prednisone Radioactive iodine Wound and Skin Management Assessment - skin for impending breakdown Assessment - stasis ulcers Assessment - surgical wound healing Wound and Skin Management - Equipment and Procedures Air fluidized, low airloss beds Sterile dressing changes Wound care/irrigations Wound and Skin Management - Care of Patient Burns Pressure sores Staged decubitus ulcers Surgical wounds with drain(s) Traumatic wounds Pain Management Page 9 of 11

10 Anesthesia/analgesia Assessment of pain level IV conscious sedation Narcotic analgesia Patient controlled analgesia (PCA) Miscellaneous Delirium Tremens (DT's) 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 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) Page 10 of 11

11 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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