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.

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Please indicate your level of experience
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. O2 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 O2 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  
    a. S/S diabetic coma A B C D
    b. S/S insulin reaction A B C D
  2. Equipment & procedures
    a. Blood glucose monitoring
      (1) Electronic measuring device: type
      (2) Performing finger stick A B C D
  3. Care of the patient with:
    a. Diabetic ketoacidosis A B C D
  4. Medications
    a. Insulin A B C D
    b. Oral hypoglycemics A B C D

H. WOUND MANAGEMENT/SURGICAL
  1. Equipment & procedures  
    a. Application of Steristrips A B C D
    b. Assist with staples A B C D
    c. Assist with sutures A B C D
    d. Culdocentesis tray A B C D
    e. Set up suture tray A B C D
    f. Staple removal A B C D
    g. Suture removal A B C D

I. EENT
  1. Assessment  
    a. Set up fluorescent/Woods lamp exam A B C D
    b. Visual acuity A B C D
  2. Equipment & procedures
    a. Application of eye patch A B C D
    b. Ear irrigation A B C D
    c. Eye irrigation A B C D
    d. Morgan lens irrigation A B C D
    e. Nasal packing A B C D
    f. Removal of contact lens A B C D

J. TRAUMA/SHOCK
  1. Assessment  
    a. Champion trauma score A B C D
    b. Poison index A B C D
    c. Triage A B C D
  2. Equipment & procedures
    a. Air transport of trauma patient A B C D
    b. Application of mast suit A B C D
    c. Ground transport A B C D
  3. Care of the patient with:
    a. Bites, animal A B C D
    b. Bites, human A B C D
    c. Bites, venomous snake A B C D
    d. Bites, venomous spider A B C D
    e. Burns
      (1) Rule of nines A B C D
      (2) First degree A B C D
      (3) Second degree A B C D
      (4) Third degree A B C D
    f. Dehydration A B C D
    g. Electrocution A B C D
    h. Gunshot/stab wound A B C D
    i. Hazardous material exposure A B C D
    j. Heat exhaustion/stroke A B C D
    k. Hypothermia A B C D
    l. Major trauma A B C D
    m. Minor trauma A B C D
    n. Radiation exposure A B C D
    o. Shock
      (1) Anaphylactic A B C D
      (2) Cardiogenic A B C D
      (3) Hypovolemic A B C D
      (4) Neurogenic A B C D
      (5) Septic A B C D
    p. Traumatic amputation A B C D

K. INFECTIOUS DISEASES
  1. Interpretation of lab values - CBC, SMA 7 A B C D
  2. Equipment & procedures
    a. Fever management A B C D
    b. Isolation A B C D
  3. Care of the patient with AIDS A B C D

L. PHLEBOTOMY/IV THERAPY/INVASIVE PROCEDURES
  1. Equipment & procedures (PHLEBOTOMY/IV THERAPY/INVASIVE PROCEDURES)  
    a. Administration of blood/blood products  
      (1) Autotransfusion A B C D
      (2) Cryoprecipitate A B C D
      (3) Packed red blood cells A B C D
      (4) Plasma/albumin A B C D
      (5) Whole blood A B C D
    b. Assist with cutdown A B C D
    c. Drawing venous blood A B C D
    d. Starting IVs
      (1) Angiocath A B C D
      (2) Butterfly A B C D
      (3) Heparin lock A B C D
  2. Care of the patient with:
    a. Angiography A B C D
    b. Central line/catheter/dressing
      (1) Broviac/Hickman A B C D
      (2) Groshong A B C D
      (3) PICC A B C D
      (4) Portacath A B C D
    c. Pericardiocentesis A B C D

M. PAIN MANAGEMENT
  1. Assessment of pain level/tolerance A B C D
  2. Care of the patient with:
    a. Epidural anesthesia/analgesia A B C D
    b. IV conscious sedation A B C D

N. PEDIATRICS
    1. Equipment & procedures  
      a. Child abuse/recognition/reporting A B C D
      b. Obtaining consent to treat A B C D
      c. Pediatric arrest A B C D
    2. Care of the patient with:
      a. Epiglottitis A B C D
      b. Near drowning A B C D
      c. Overdose/poison ingestion A B C D
      d. Status asthmaticus A B C D
      e. Status epilepticus A B C D

O. WOMEN'S HEALTH
  1. Assessment - Assist with pelvic exam A B C D
  2. Equipment & procedures
    a. Pelvic tray A B C D
    b. Rape kit A B C D
    c. Reporting acts of violence A B C D
  3. Care of the patient with:
    a. Abruptio placenta A B C D
    b. DIC A B C D
    c. Hemorrhage A B C D
    d. Placenta previa A B C D
    e. Precipitous delivery A B C D
    f. Preeclampsia/eclampsia A B C D
    g. Spontaneous abortion A B C D

P. MISCELLANEOUS
1. AMA procedures A B C D
2. Suicide precautions A B C D

AGE SPECIFIC PRACTICE CRITERIA
Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.

A. Newborn/Neonate (birth - 30 days)
F. Adolescents (12 - 18 years)
B. Infant (30 days - 1 year) G. Young adults (18 - 39 years)
C. Toddler (1 - 3 years) H. Middle adults (39 - 64 years)
D. Preschooler (3 - 5 years) I. Older adults (64+)
E. School age children (5 - 12 years)  


EXPERIENCE WITH AGE GROUPS: A B C D E F G H I
Able to adapt care to incorporate normal growth and development.
Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level.
Can ensure a safe environment reflecting specific needs of various age groups.


My experience is primarily in: (Please indicate number of years.)
Trauma Referral Center (Level I ER) year(s)
Community ER (Level II ER) year(s)
Rural ER year(s)

Certification: (mo/day/yr)
Computerized charting system:
Medication administration system:
ACLS Exp. date:      
BCLS Exp. date:      
CCRN Exp. date:      
TNCC Exp. date:      
Other (type): Exp. date:
 

The information I have given is true and accurate to the best of my knowledge. I hereby authorize Berean Healthcare Staffing to release this Emergency Room Skills Checklist to Client facilities of Berean Healthcare Staffing in relation to consideration of my employment with those facilities.



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