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Hospital Competency Checklist

The document is a competency checklist for defibrillator setup and use. It lists the key steps an employee must demonstrate competency in, including gathering supplies, operating the defibrillator in automatic and manual modes, performing synchronized cardioversion, and operating the pacer function. The evaluator rates the employee's performance of each step on a scale of 1 to 3 and determines their overall competency level. If below a 2, reassessment is required within 30 days.

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Izzuddin Rabbani
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753 views2 pages

Hospital Competency Checklist

The document is a competency checklist for defibrillator setup and use. It lists the key steps an employee must demonstrate competency in, including gathering supplies, operating the defibrillator in automatic and manual modes, performing synchronized cardioversion, and operating the pacer function. The evaluator rates the employee's performance of each step on a scale of 1 to 3 and determines their overall competency level. If below a 2, reassessment is required within 30 days.

Uploaded by

Izzuddin Rabbani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Competency Checklist Overview
  • Indicators of Performance Level Summary
  • Competency Goals

Competency Checklist

Date:
Employee Name:
Preceptor/Evaluator’s Name
Competency: Defibrillator setup and Use

INDICATORS OF PERFORMANCE LEVEL SUMMARY

How Met Level of Competency


O Direct Observation/Return Demonstration 1 Below expected standards
V Verbalization/Discussion 2 Fully meets standards
T Test 3 Well above standards. May precept peers
NA Not applicable

If overall performance or competency is rated below the minimum competency level of 2, that performance or competency
must be reassessed within 30 days of this review.

How Level of Evaluated


The employee demonstrates skills and competence in the following: Met Competency by:
1 2 3
Goal:
A. Gather Equipment/Supplies:
- Defibrillator
- Quick Combo
- ECG Electrodes
- Gloves
B. Defibrillator Use on Automatic Mode
1. Press the “ON” button on right upper corner of equipment
2. Apply quick combo pads to patient bare skin
3. Maintain the door closed
4. Push Analyze and stand clear
5. If “Shock” advised announce a “clear” message
6. Press the “Shock” button to deliver a shock to the patient
C. Defibrillator Use on Manual Mode
1. Press the “ON” button on right upper corner of equipment
2. Apply quick combo pads to patient bare skin
3. Open compartment door. Defibrillator will automatically switch to manual
mode. If door not present press “Energy Select” to switch the defibrillator to
manual mode.
4. Clear patient for healthcare provider to analyze rhythm
5. Once determined that a Shock is needed:
6. Press the up or down arrows on “Energy Select” button to adjust the amount
of Joules as needed
7. Press the charge button
8. Announce a “clear” message
9. Press the “Shock” button to deliver the shock
D. Synchronized Cardioversion
1. Press the “ON” button on right upper corner of equipment
2. Apply ECG cable and apply ECG electrodes
1
3. Apply Quick-Combo therapy electrodes
4. Open door to switch defibrillator to manual mode
5. Select lead with greatest QRS
6. Press “Sync” button and confirm placement of triangle sense marker is on R
wave
7. Press the up or down arrows on “Energy Select” button to adjust the amount
of Joules as needed
8. Press the “Charge” button
9. Announce a “clear” message
10. Press and hold the “Shock” button until energy is delivered
E. Pacing Operation
1. Press the “ON” button on right upper corner of equipment
2. Apply ECG cable and apply ECG electrodes
3. Apply Quick-Combo therapy electrodes
4. Open door to switch defibrillator to manual mode
5. Press “Pacer” button
6. Press “Rate” button to adjust up or down as needed
7. Press “Current” button and increase until electrical capture is achieved
8. Confirm mechanical capture
9. As needed press “Pause” and hold to confirm underlying rhythm

o Employee is competent to perform the above tasks independently and without supervision

o Employee’s level of competence is below 2. Reassess competency on:_______________________________________

Employee’s Signature
Evaluator’s Signature

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