Berean Healthcare Staffing - Travel Nursing Intermediate Care/Telemetry RN Skills Checklist

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 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 D
		k. Liver transplant		A B C D
		l. Pancreatitis		A B C D
		m. Paralytic ileus		A B C D
		n. Whipple procedure		A B C D


E. RENAL/GENITOURINARY

	1. Assessment
		a. A-V fistula/shunt		A B C D
		b. Fluid & electrolyte balance		A B C D
	2. Interpretation of BUN & creatinine			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
			(3) Supra-pubic	A B C D
		b. Bladder irrigation
			(1) Continuous	A B C D
			(2) Intermittent	A B C D
		c. Specimen collection
			(1) Routine	A B C D
			(2) 24 hour	A B C D
		d. Nephrostomy tube care		A B C D
		e. Manual CAPD administration		A B C D
		f. Peritoneal dialysis via Automatic cycler		A B C D
	4. Care of the patient with:
		a. Hemodialysis		A B C D
		b. Nephrectomy		A B C D
		c. Peritoneal dialysis		A B C D
		d. Renal failure		A B C D
		e. Renal transplant		A B C D
		f. TURP		A B C D


F. METABOLIC

	1. Assessment
		a. S/S diabetic ketoacidosis		A B C D
		b. S/S insulin shock		A B C D
	2. Interpretation of lab results
		a. Blood glucose		A B C D
		b. Thyroid levels		A B C D
	3. Equipment & procedures
		a. Blood glucose monitoring
			(1) Blood glucose measuring device: type
			(2) Insulin administration - IV drip	A B C D
			(3) Visual blood glucose strips	A B C D
	4. Care of the patient with:
		a. Cushing's syndrome		A B C D
		b. Diabetes insipidus		A B C D
		c. Diabetes mellitus		A B C D
		d. Diabetic ketoacidosis		A B C D
		e. Disorders of adrenal gland (Addison's disease)		A B C D
		f. Drug overdose		A B C D
		g. Hyperthyroidism (Grave's disease)		A B C D
		h. Hypothyroidism		A B C D
		i. Pheochromocytoma		A B C D
		j. Post adrenalectomy		A B C D
		k. Post hypophysectomy		A B C D
		l. Post thyroidectomy		A B C D
	5. Medications
		a. Hydrocortisone		A B C D
		b. IM vasopressin (Pitressin)		A B C D
		c. Insulin		A B C D
		d. Prednisone		A B C D
		e. Radioactive iodine		A B C D


G. WOUND MANAGEMENT

	1. Assessment
		a. Skin for impending breakdown		A B C D
		b. Stasis ulcers		A B C D
		c. Surgical wound healing		A B C D
	2. Equipment & procedures
		a. Air fluidized, low airloss beds		A B C D
		b. Sterile dressing changes		A B C D
		c. Wound care/irrigations		A B C D
	3. Care of the patient with:
		a. Burns		A B C D
		b. Pressure sores		A B C D
		c. Staged decubitus ulcers		A B C D
		d. Surgical wounds with drain(s)		A B C D
		e. Traumatic wounds		A B C D
H. PHLEBOTOMY/IV THERAPY

	1. Equipment & procedures
		a. Drawing blood from central line		A B C D
		b. Drawing venous blood		A B C D
		c. Starting IVs
			(1) Angiocath	A B C D
			(2) Butterfly	A B C D
			(3) Heparin lock	A B C D
		d. Administration of blood/blood products
			(1) Albumin/plasma	A B C D
			(2) Cryoprecipitate	A B C D
			(3) Packed red blood cells	A B C D
			(4) Whole blood	A B C D
	2. Care of the patient with:
		a. Central line/catheter/dressing
			(1) Broviac	A B C D
			(2) Groshong	A B C D
			(3) Hickman	A B C D
			(4) Portacath	A B C D
			(5) Quinton	A B C D
		b. Peripheral line/dressing		A B C D


I. PAIN MANAGEMENT

	1. Assessment of pain level/tolerance		A B C D
	2. Care of the patient with:
		a. Anesthesia/analgesia	A B C D
		b. IV conscious sedation	A B C D
		c. Narcotic analgesia	A B C D
		d. Patient controlled analgesia (PCA pump)	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.)
	Cardiac	year(s)	Neuro	year(s)
	Trauma	year(s)	Telemetry	year(s)
	Cardiac Surgical	year(s)
	Other (specify)			year(s)

Certification: (mo/day/yr)
	Arrhythmia course date:
	Critical care course date:
	Computerized charting system:	date:
	Medication administration system:	date:
	ACLS Exp. date:
	BCLS 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 IMC/Telemetry Skills Checklist to Client facilities of Berean Healthcare Staffing in relation to consideration of my employment with those facilities.

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