Intermediate Care/Telemetry Skills Checklist

This profile is for use by IMC/Telemetry 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. Heart sounds/murmurs A B C D
    c. Pulses/circulation checks A B C D
  2. Interpretation of lab results
    a. Cardiac enzymes/isoenzymes A B C D
    b. Coagulation studies A B C D
  3. Equipment & procedures
    a. Monitoring/telemetry  
      (1) Arrhythmia interpretation A B C D
      (2) Basic 12 lead interpretation A B C D
      (3) Lead placement: 5 electrode tele A B C D
      (4) Lead placement: I, III, V-leads A B C D
      (5) Lead placement: Lead II and MCL1 A B C D
    b. Pacemaker
      (1) Permanent A B C D
      (2) Temporary epicardial wires A B C D
      (3) Temporary external pacing A B C D
      (4) Temporary transvenous A B C D
    c. Assist with
      (1) Arterial line insertion A B C D
      (2) Central line insertion A B C D
    d. Hemodynamic monitoring
      (1) A-line (radial) A B C D
      (2) CVP monitoring A B C D
      (3) Femoral artery sheath removal A B C D
      (4) Swan-Ganz A B C D
    e. Perform
      (1) Controlled cardioversion A B C D
      (2) Emergency defibrillation A B C D
  4. Care of the patient with:
    a. Abdominal aortic bypass A B C D
    b. Aneurysm A B C D
    c. Angina A B C D
    d. Cardiac arrest A B C D
    e. Cardiomyopathy A B C D
    f. Carotid endarterectomy A B C D
    g. Congestive heart failure (CHF) A B C D
    h. Femoral-popliteal bypass A B C D
    i. Post acute MI (24-48 hours) A B C D
    j. Post angioplasty A B C D
    k. Post arthrectomy (DCA) A B C D
    l. Post CABG (24 hours) A B C D
    m. Post cardiac cath A B C D
    n. Post stent placement A B C D
  5. Medications
    a. Atropine A B C D
    b. Bretylium (Bretylol) A B C D
    c. Cardizem (Diltiazem hydrochloride) A B C D
    d. Digoxin (Lanoxin) A B C D
    e. Dobutamine (Dobutrex) A B C D
    f. Dopamine (Intropin) A B C D
    g. Epinephrine (Adrenalin) A B C D
    h. Heparin A B C D
    i. Lidocaine (Xylocaine) A B C D
    j. Nipride (Nitroprusside) A B C D
    k. Nitroglycerine (Tridil) A B C D
    l. Oral anticoagulants A B C D
    m. Oral & IVP antihypertensives A B C D
    n. Oral & topical nitrates A B C D
    o. Verapamil (Calan, Isoptin, Verelan) A B C D

B. PULMONARY
  1. Assessment
    a. Breath sounds A B C D
    b. Breathing patterns A B C D
  2. Interpretation of lab results
    a. Arterial blood gases A B C D
    b. Blood chemistry A B C D
  3. Equipment & procedures
    a. Assist with intubation A B C D
    b. Assist with thoracentesis A B C D
    c. Care of 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) Oximetry A B C D
      (5) Sputum specimen collection A B C D
      (6) Tracheostomy/suctioning A B C D
    d. Care of patient on ventilator
      (1) Extubation A B C D
      (2) Weaning modes A B C D
    e. Care of patient with chest tube
      (1) Assist with set-up & insertion A B C D
      (2) Mediastinal tube removal A B C D
      (3) Pleural tube removal A B C D
      (4) Use of Pleurevac or Thoraclex A B C D
      (5) Use of water seal drainage system A B C D
    f. Chest physiotherapy A B C D
    g. Establishing an airway A B C D
    h. Incentive spirometry A B C D
    i. O2 therapy & medication delivery systems
      (1) Ambu 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) Portable O2 tank A B C D
      (8) Tracheostomy A B C D
      (9) Transtracheal cannulation A B C D
    j. Oral airway insertion A B C D
  4. Care of the patient with:
    a. ARDS A B C D
    b. Bronchoscopy A B C D
    c. COPD A B C D
    d. Fresh tracheostomy A B C D
    e. Lobectomy A B C D
    f. Pneumonectomy A B C D
    g. Pneumonia A B C D
    h. Pulmonary edema A B C D
    i. Pulmonary embolism A B C D
    j. Status asthmaticus A B C D
    k. Thoracotomy A B C D
    l. Tuberculosis A B C D
  5. Medications
    a. Alupent (Metaproterenol sulfate) A B C D
    b. Aminophylline (Theophylline) A B C D
    c. Bronkosol (Isoetharine hydrochloride) A B C D
    d. Corticosteroids A B C D
    e. Ventolin (Albuterol) A B C D

C. NEUROLOGICAL
  1. Assessment  
    a. Cerebellar function A B C D
    b. Cranial nerves A B C D
    c. Glasgow coma scale A B C D
    d. Level of consciousness A B C D
    e. Pathologic reflexes A B C D
  2. Equipment & procedures
    a. Assist with lumbar puncture A B C D
    b. Halo traction A B C D
    c. Nerve stimulator A B C D
    d. Rotation bed A B C D
    e. Seizure precautions A B C D
    f. Use of hyper/hypothermia blanket A B C D
  3. Care of the patient with:
    a. Aneurysm precautions A B C D
    b. Basal skull fracture A B C D
    c. Closed head injury A B C D
    d. Coma A B C D
    e. CVA A B C D
    f. DTs A B C D
    g. Encephalitis A B C D
    h. Externalized VP shunts A B C D
    i. Meningitis A B C D
    j. Multiple sclerosis A B C D
    k. Neuromuscular disease A B C D
    l. Post craniotomy A B C D
    m. Seizures A B C D
    n. Spinal cord injury A B C D
  4. Medications
    a. Carbamazepine (Tegretol) A B C D
    b. Carbidopa-Levodopa (Sinemet) A B C D
    c. Clonazepam (Klonopin) A B C D
    d. Decadron (Dexamethasone) A B C D
    e. Dilantin (Phenytoin) A B C D
    f. Lorazepam (Ativan) A B C D
    g. Methylprednisolone (Solu-Medrol) A B C D
    h. Phenobarbital A B C D
    i. Valium (Diazepam) A B C D

D. GASTROINTESTINAL
  1. Assessment
    a. Abdominal/bowel sounds A B C D
    b. Fluid balance A B C D
    c. Nutritional A B C D
  2. Interpretation of blood chemistry A B C D
  3. Equipment & procedures
    a. Administration of tube feeding
      (1) Feeding pump A B C D
      (2) Gravity feeding A B C D
    b. Flexible feeding tube (i.e., Corpak, Dobhoff) A B C D
    c. Placement of nasogastric tube A B C D
    d. Salem sump to suction A B C D
    e. Saline lavage A B C D
  4. Management of
    a. Gastrostomy tube A B C D
    b. Jejunostomy tube A B C D
    c. PPN (peripheral parenteral nutrition) A B C D
    d. TPN and lipids administration A B C D
    e. T-tube A B C D
  5. Care of the patient with:
    a. Bowel obstruction A B C D
    b. Colostomy A B C D
    c. ERCP A B C D
    d. Esophageal bleeding A B C D
    e. GI bleeding A B C D
    f. GI surgery A B C D
    g. Hepatitis A B C D
    h. Ileostomy A B C D
    i. Inflammatory bowel disease A B C D
    j. Liver failure A B C