Emergency Room Skills Checklist
This profile is for use by Emergency Room nurses with more than one year's experience in their discipline and specialty.
After completing your skills checklist, click "Submit".
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A. Theory, no practice
C. One - two years experience
B. Intermittent experience
D. Two plus years experience
A. CARDIOVASCULAR
1. Assessment
a. Auscultation (rate, rhythm)
A
B
C
D
b. Doppler
A
B
C
D
c. Heart sounds/murmurs
A
B
C
D
2. Equipment & procedures
a. Assist with insertion and set up
(1) Arterial line
A
B
C
D
(2) Central venous line
A
B
C
D
(3) PA catheter/Swan-Ganz insertion
A
B
C
D
(4) Pacemaker
A
B
C
D
b. Cardioversion
A
B
C
D
c. Interpretation of waveforms & values
(1) A-line
A
B
C
D
(2) CVP
A
B
C
D
d. Monitoring
(1) Basic 12 lead interpretation
A
B
C
D
(2) Basic arrhythmia interpretation
A
B
C
D
3. Care of the patient with:
a. Acute MI
A
B
C
D
b. Aneurysm
A
B
C
D
c. Angina
A
B
C
D
d. Cardiac arrest
A
B
C
D
e. Congestive heart failure (CHF)
A
B
C
D
f. Myocarditis
A
B
C
D
4. Medications
a. ACLS drugs
(1) Atropine
A
B
C
D
(2) Bretylium (Bretylol)
A
B
C
D
(3) Epinephrine (Adrenalin)
A
B
C
D
(4) Lidocaine (Xylocaine)
A
B
C
D
(5) Procainamide (Pronestyl)
A
B
C
D
(6) Sodium bicarbonate
A
B
C
D
b. Other
(1) Adenosine (Adenocard)
A
B
C
D
(2) Amiodarone (Cordarone)
A
B
C
D
(3) Digoxin (Lanoxin)
A
B
C
D
(4) Diltiazem (Cardizem)
A
B
C
D
(5) Dobutamine (Dobutex)
A
B
C
D
(6) Dopamine (Intropin)
A
B
C
D
(7) Esmolol (Brevibloc)
A
B
C
D
(8) Lasix (Furosemide)
A
B
C
D
(9) Nitroglycerin (Tridil)
A
B
C
D
(10) Nitroprusside (Nipride)
A
B
C
D
(11) Thrombolytic therapy
A
B
C
D
B. PULMONARY
1. Assessment
a. Breath sounds
A
B
C
D
b. Rate and work of breathing
A
B
C
D
2. Interpretation of lab results
a. Arterial blood gases
A
B
C
D
3. Equipment & procedures
a. Airway management devices/suctioning
(1) Endotracheal tube/suctioning
A
B
C
D
(2) Nasal airway/suctioning
A
B
C
D
(3) Oropharyngeal/suctioning
A
B
C
D
(4) Sputum specimen collection
A
B
C
D
(5) Tracheostomy/suctioning
A
B
C
D
b. Assist with extubation
A
B
C
D
c. Assist with intubation
A
B
C
D
d. Assist with thoracentesis
A
B
C
D
e. Care of the patient on a ventilator
A
B
C
D
f. Care of the patient with a chest tube
(1) Assist with set-up & insertion
A
B
C
D
(2) Measuring
A
B
C
D
(3) Removal
A
B
C
D
g. Measure peak flow
A
B
C
D
h. Obtaining arterial blood gases
(1) Arterial line
A
B
C
D
(2) Femoral artery
A
B
C
D
(3) Radial artery
A
B
C
D
i. O
2
therapy & medication delivery systems
(1) Bag and mask
A
B
C
D
(2) ET tube
A
B
C
D
(3) External CPAP
A
B
C
D
(4) Face masks
A
B
C
D
(5) Inhalers
A
B
C
D
(6) Nasal cannula
A
B
C
D
(7) Nebulizer
A
B
C
D
(8) Portable O
2
tank
A
B
C
D
(9) T-piece
A
B
C
D
(10) Trach collar
A
B
C
D
j. Pulse oximetry
A
B
C
D
k. Trouble shooting high pressure alarms
A
B
C
D
l. Trouble shooting low pressure alarms
A
B
C
D
4. Care of the patient with:
a. Aspiration
A
B
C
D
b. COPD
A
B
C
D
c. Hemopneumothorax
A
B
C
D
d. Laryngospasm
A
B
C
D
e. Pneumonia
A
B
C
D
f. Pneumothorax
A
B
C
D
g. Pulmonary edema
A
B
C
D
h. Pulmonary embolism
A
B
C
D
i. Tension pneumothorax
A
B
C
D
j. Tuberculosis
A
B
C
D
5. Medications
a. Aminophylline (Theophylline)
A
B
C
D
b. Bronkosol (Isoetharine hydrochloride)
A
B
C
D
c. Epinephrine (Adrenalin)
A
B
C
D
d. Isuprel (Isoproterenol hydrochloride)
A
B
C
D
e. Steroids
A
B
C
D
f. Terbutaline
A
B
C
D
C. NEUROLOGICAL
1. Assessment
a. Advanced neuro assessment
A
B
C
D
(1) Glasgow coma scale
A
B
C
D
(2) Reflex/motor deficits
A
B
C
D
(3) Visual or communications deficits
A
B
C
D
b. Level of consciousness
A
B
C
D
2. Equipment & procedures
a. Assist with lumbar puncture
A
B
C
D
b. Increased ICP management
(1) Medications
A
B
C
D
(2) Positioning
A
B
C
D
(3) Regulation of ICP
A
B
C
D
(4) Temperature control
A
B
C
D
(5) Ventilation
A
B
C
D
c. Intracranial pressure monitoring
A
B
C
D
3. Care of the patient with:
a. Basal skull fracture
A
B
C
D
b. Closed head injury
A
B
C
D
c. CVA
A
B
C
D
d. DTs
A
B
C
D
e. Encephalitis
A
B
C
D
f. Externalized VP shunts
A
B
C
D
g. Meningitis
A
B
C
D
h. Neuromuscular disease
A
B
C
D
i. Overdose
A
B
C
D
j. Seizures
A
B
C
D
k. Spinal cord injury
A
B
C
D
4. Medications
a. Decadron (Dexamethasone)
A
B
C
D
b. Dilantin (Phenytoin)
A
B
C
D
c. Mannitol (Osmitrol)
A
B
C
D
d. Phenobarbital
A
B
C
D
e.Solu-Medrol (Methylprednisolone sodium succinate)
A
B
C
D
D. ORTHOPEDICS
1. Assessment
a. Circulation checks
A
B
C
D
b. Gait
A
B
C
D
c. Range of motion
A
B
C
D
d. Skin
A
B
C
D
2. Equipment & procedures
a. Assist with placement of cast
A
B
C
D
b. Support devices
(1) Cane/crutch
A
B
C
D
(2) Cervical collar
A
B
C
D
(3) Sling
A
B
C
D
(4) Transfer boards
A
B
C
D
3. Care of the patient with:
a. Ankle brace
A
B
C
D
b. Ankle splint
A
B
C
D
c. Cast
A
B
C
D
d. Knee immobilizer
A
B
C
D
e. Pinned fractures
A
B
C
D
f. Wrist splint
A
B
C
D
E. GASTROINTESTINAL
1. Assessment
a. Abdominal/bowel sounds
A
B
C
D
b. Fluid balance
A
B
C
D
c. Nutritional status
A
B
C
D
2. Interpretation of blood chemistry
A
B
C
D
3. Equipment & procedures
a. Placement of nasogastric tube
A
B
C
D
b. Salem sump to suction
A
B
C
D
c. Saline lavage
A
B
C
D
4. Care of the patient with:
a. Abdominal trauma
A
B
C
D
b. Bowel obstruction
A
B
C
D
c. GI bleeding
A
B
C
D
d. Hepatitis
A
B
C
D
e. Liver failure
A
B
C
D
5. Medications
a. Antiemetics
A
B
C
D
b. Antispasmodic
A
B
C
D
c. Charcoal
A
B
C
D
d. Ipecac
A
B
C
D
F. RENAL/GENITOURINARY
1. Assessment - Fluid balance
A
B
C
D
2. Interpretation of lab results
a. BUN & creatinine
A
B
C
D
b. Electrolytes
A
B
C
D
3. Equipment & procedures
a. Insertion & care of straight and Foley catheter
(1) Female
A
B
C
D
(2) Male
A
B
C
D
b. Urine specimen collection
A
B
C
D
4. Care of the patient with:
a. Acute renal failure
A
B
C
D
b. Peritoneal lavage
A
B
C
D
c. Renal trauma
A
B
C
D
d. Urinary tract infection
A
B
C
D
G. ENDOCRINE/METABOLIC
1. Assessment
