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PCU Stepdown Skills Checklist

PCU Stepdown Skills Checklist

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Published by: northweststaffing on Aug 03, 2010
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NAME:       ID #:       DATE:       This Skills Checklist is for use by nurses with more than one year experience in their discipline and specialty. Please be accurate with your assessment. DESCRIPTION 1 2 3 4 PHLEBOTOMY/IV THERAPY 1. Draw Blood a. Venous Stick b. Central Line c. Arterial Line 2. IV Push 3. IV Drip: a. Calculations b. Titration 4. Obtain IV Access 5. Mix IV Medications 6. Regulate IV’s 7. IV Infusion Pumps 8. Central Line Dressing Changes 9. Chemotherapy Administration 10. Blood/Blood Product Administration 11. TPN/PPN Administration 12. Multi-Lumen Central Catheters 13. Continuous Subcutaneous Infusion Pumps 14. PCA Pumps (Patient Controlled Analgesia) CARDIOVASCULAR 1. Cardiac Monitors 2. Rhythm Strip Measurements 3. Recognize & Interpret Dysrhythmias 4. Obtain 12 Lead EKG’s 5. CPR 6. Cardioversion/Defibrillation 7. Pulse Checks 8. Use of Doppler 9. Automatic BP Cuff 10. Care of the Patient with: 1 | Page a. Acute MI DIRECTIONS: Please indicate your level of experience by placing a check (√) in the box. Experience level: 1 NO EXPERIENCE 2 MINIMAL EXPERIENCE-requires

3 4

MODERATELY EXPERIENCED-requires initial review, then performs independently VERY EXPERIENCED- proficient

DESCRIPTION 1 2 3 4 b. CHF c. Angina d. Hypertension e. Cardiomyopathy f. Cardiopulmonary Arrest g. Abdominal Aortic Aneurysm h. Pre/Post Cardiac Surgery i. Carotid Endarterectomy j. Femoral Popliteal Bypass k. Permanent Pacemaker l. Temporary Pacemaker m. External Pacemaker n. Pre/Post Cardiac Cath o. Pre/Post PTCA 11.Cardiac Lab Interpretation(CPK, Iso Enzymes) 12. Cardiac Rehab/Patient Teaching 13. Use and Administration of: a. Atropine b. Digoxin c. Dopamine d. Dobutamine e. Heparin f. Verapamil g. Lopressor h. Lidocaine i. Nitroglycerine j. Nipride k. Thrombolytic Agents l. Code art/ Emergency Drugs RESPIRATORY

1. O2 Masks/Cannulas 2. Ambu Bag 3. Chest PT

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NAME:       ID #:       DATE:       DESCRIPTION 1 2 3 4 RESPIRATORY (CONT) 4. Incentive Spirometry 5. Instruction of Coughing/Deep Breathing 6. Nebulizer Set Up 7. Suctioning: a. Oral b. Tracheostomy Tube c. Endotracheal Tube 8. Use of Pleurevac 9. Interpret ABG’s 10. Arterial Line Maintenance 11. Sputum Specimen Collection 12. Pulse Oximetry 13. Care of the Patient with: a. Pulmonary Edema b. COPD c. ARDS d. Ventilator e. Tracheostomy f. Pre/Post Thoracic Surgery g. Pneumonia h. Chest Tubes i. Asthma j. Emphysema 14. Assist with Intubation/Extubation 15. Weaning Patient Off Ventilator 16. Use and Administration of: a. Aminophylline b. Coricosteroids c. Inhalers NEUROLOGICAL 1. Neuro Assessment 2. Glasgow Coma Scale 3. Seizure Precautions 4. Assist with Lumbar Puncture 5. Care of the Patient with: a.Acute Head Injury b. CVA/TIA 3 | Page DESCRIPTION 1 2 3 4 c. DT’s d. Spinal Cord Injury e. Pre/Post Neuro Surgery f. Halo Traction g. Multiple Sclerosis h. Overdose 6. Use and Administration of: a. Decadron b. Dilantin c. Phenobarbitol d. Magnesium Sulfate e. Valium f. Ativan GASTROINTESTINAL 1. NG Tube Care and Maintenance 2. NG Tube Insertion 3. Bowel Preparation 4. Enterostomal Care 5. Care of the Patient with: a. Tube Feedings b. Ileostomy c. Colostomy d. Pancreatitis e. GI Bleed f. Bowel Obstruction g. Whipple Procedure h. Liver Transplant i. Abdominal Wounds/Surgeries j. Hemovac k. Gastrostomy Tube/Jejunostomy Tube GENITOURINARY/RENAL 1. Urinary Catheter Insertion 2. Bladder Irrigations: a. Continuous b. Intermittent 3. Electrolyte Imbalance/ Replacement 4. Care of the Patient with: a. Peritoneal Dialysis b. Hemodialysis c. T.U.R.P. d. Shunts & Fistulas e. Nephrectomy f. Supra-Pubic Catheter

g. Nephrostomy Tube

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NAME:       ID #:       DATE:       ORTHOPEDICS 1. Cast Care 2. Tractions a. Skin b. Skeletal 3. ROM 4. Use of Assistive Devices 5. Care of the Patient with: a. Total Joint Replacement b. Amputation MISCELLANEOUS 1. F.S. Glucose Monitoring 2. Dressing Changes 3. Use of Air Fluidized Beds 4. Normal Serum Lab Values 5. Universal Precautions Isolation 6. Care of Patient with: a. Pressure Sores b. Sickle Cell Anemia c. Cancer d. Alzheimer’s Disease e. HIV/AIDS f. Diabetes 7. Discharge Planning AGE OF PATIENTS CARED FOR 1. Infants & Toddlers (ages 0-3 years) 2. Young Children (ages 4-6 years) 3. Older Children (ages 7-12 years) 4. Adolescent (ages 13-20 years) 5. Young Adults (ages 21-39 years) 6. Middle Adults (ages 40-64 years) 7. Older Adults (ages 65-79 years) 8. Older Adults (ages 80 + years) COMPUTERIZED CHARTING 1. Cerner 5 | Page 2. 3. 4. 5. 6. Eclipsys Epic McKesson Meditech Other:

Name:       Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care. A. Newborn/Neonatal (birth – 30 days) B. Infant (30 days – 1 year) C. Toddler (1 – 3 years) D. Preschool (3 – 5 years) E. School Age Children (5 – 12 years) F. Adolescent (12 – 18 years) G. Young Adults (18 – 39 years) H. Middle Adults (40 – 64 years) I. Older Adults (64 + years) EXPERIENCE WITH AGE GROUPS: 1. Able to assess age appropriate behavior, motor skills and physiological norms. A B C D E F G H I

MY EXPERIENCE IS PRIMARILY IN: NEUROLOGY PULMONARY SURGICAL MEDICAL CARDIAC CARE TELEMETRY                                     years years years years years years

I HAVE CURRENT CERTIFICATIONS FOR: TYPE DATE (MM/DD/YY) ARRHYTHMIA CRITICAL CARE ACLS BLS TNCC NRP PALS NALS Other       Other       Other       Other       EXPIRATION                                                                        

2. Able to adapt care according to normal growth and development. A B C D E F G H I

The information I have provided in this knowledge and skills checklist it true and accurate to the best of my knowledge.       Signature

3. Able to communicate and instruct patient according to their age, maturity and comprehension ability. A B C D E F G H I


ID #:       This skills checklist has been reviewed and approved by Nicole Bloxham, RN.       Signature       Date

4. Able to provide a safe environment according to the specific needs of various age groups. A B C D E F G H I


ID #:      
Please return to: Company, PA Northwest Nurse Staffing

6 | Page

ATTN: Records Dept. Fax: (866) 352-4338 Email: records@nns-ic.com

7 | Page

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