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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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 MCL
1
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. O
2
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 O
2
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
