Berean Healthcare Staffing - Travel Nursing Medical/Surgical Care Skills Checklist

Medical/Surgical Skills Checklist

This profile is for use by Medical/Surgical nurses with more than one year's experience in their discipline and specialty.

After completing your skills checklist, click "Submit".

"*" Indicates required field.

First Name:*
Last Name:*
Current Job Title:
Email Address:*
Phone Number:*
Date:

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. Blood pressure/non-invasive		A B C D
		c. Doppler		A B C D
		d. Heart sounds/murmurs		A B C D
		e. Pulses/circulation checks		A B C D
	2. Equipment & procedures
		a. Telemetry
			(1) Basic 12 lead interpretation	A B C D
			(2) Basic Arrhythmia interpretation	A B C D
			(3) Lead placement	A B C D
		b. Pacemaker
			(1) Permanent	A B C D
			(2) Temporary	A B C D
	3. 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. Myocarditis		A B C D
		j. Post Acute MI (24-48 hours)		A B C D
		k. Post Angioplasty		A B C D
		l. Post Cardiac Cath		A B C D
		m. Post Cardiac Surgery		A B C D
		n. Thrombophlebitis		A B C D
	4. Medications
		a. Heparin drip		A B C D
		b. Oral anticoagulants		A B C D
		c. Oral & IVP antihypertensives		A B C D
		d. Oral & topical nitrates		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. Blood chemistry		A B C D
		b. 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 intubation		A B C D
		c. Assist with thoracentesis		A B C D
		d. Care of the patient on a ventilator		A B C D
		e. Care of the patient with a chest tube
			(1) Assist with set-up & insertion	A B C D
			(2) Measuring and emptying	A B C D
			(3) Removal	A B C D
		f. Chest physiotherapy		A B C D
		g. Incentive spirometry		A B C D
		h. O₂ therapy & medication delivery systems
			(1) Bag and mask	A B C D
			(2) External CPAP	A B C D
			(3) Face masks	A B C D
			(4) Inhalers	A B C D
			(5) Nasal cannula	A B C D
			(6) Portable O₂ tank	A B C D
			(7) Trach collar	A B C D
		i. Oximetry		A B C D
	4. Care of the patient with:
		a. Bronchoscopy		A B C D
		b. COPD		A B C D
		c. Fresh tracheostomy		A B C D
		d. Lobectomy		A B C D
		e. Pneumonectomy		A B C D
		f. Pneumonia		A B C D
		g. Pulmonary embolism		A B C D
		h. Thoracotomy		A B C D
		i. Tuberculosis		A B C D


C. NEUROLOGICAL

	1. Assessment
		a. Glasgow coma scale	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. 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. Neuromuscular disease	A B C D
		k. Post craniotomy	A B C D
		l. Seizures	A B C D
		m. Spinal cord injury	A B C D
	4. Administration of anticonvulsants		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. Continuous passive motion devices		A B C D
		b. Support devices
			(1) Cane	A B C D
			(2) Cervical collar	A B C D
			(3) Gait belt	A B C D
			(4) Prosthetic	A B C D
			(5) Sling	A B C D
			(6) Transfer boards	A B C D
			(7) Walker	A B C D
			(8) Wheelchair	A B C D
		c. Traction		A B C D
	3. Care of the patient with:
		a. Amputation		A B C D
		b. Arthroscopic surgery		A B C D
		c. Cast		A B C D
		d. Osteoporosis		A B C D
		e. Pinned fractures		A B C D
		f. Rheumatic/arthritic disease		A B C D
		g. Total hip replacement		A B C D
		h. Total knee replacement		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		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
			(3) Saline lavage	A B C D
		b. Flexible feeding tube (i.e., Corpak, Dobhoff)		A B C D
		c. Management of
			(1) Gastrostomy tube	A B C D
			(2) Jejunostomy tube	A B C D
			(3) T-tube	A B C D
		d. Placement of nasogastric tube		A B C D
		e. Salem sump to suction		A B C D
	4. Care of the patient with:
		a. Bowel obstruction		A B C D
		b. Colostomy/ileostomy		A B C D
		c. GI bleeding		A B C D
		d. GI surgery		A B C D
		e. Hepatitis		A B C D
		f. Inflammatory bowel disease		A B C D
		g. Invasive diagnostic testing		A B C D
		h. Liver failure		A B C D
		i. Paralytic ileus		A B C D


F. RENAL/GENITOURINARY

	1. Assessment
		a. Arterio venous fistula/shunt		A B C D
		b. 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. Catheter care
			(1) 3-way Foley	A B C D
			(2) Supra-pubic	A B C D
		c. Bladder irrigations
			(1) Continuous	A B C D
			(2) Intermittent	A B C D
		d. Specimen collection
			(1) Routine	A B C D
			(2) 24 hour	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
		g. Urinary diversion/ileal conduit nephrostomy		A B C D
		h. 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) Visual blood glucose strips	A B C D
		b. Indwelling insulin pump		A B C D
	3. Care of the patient with:
		a. Diabetes mellitus		A B C D
		b. Disorders of adrenal gland (Addison's disease)		A B C D
		c. Disorders of pituitary gland (Diabetes insipidus)		A B C D
		d. Hyperthyroidism (Grave's disease)		A B C D
		e. Hypothyroidism		A B C D
		f. Thyroidectomy		A B C D
	4. Medications (administration and teaching)
		a. Insulin		A B C D
		b. Oral hypoglycemics		A B C D
		c. Steroids		A B C D
		d. Thyroid		A B C D


H. 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


I. ONCOLOGY

	1. Assessment
		a. Nutritional status	A B C D
		b. Pain control	A B C D
	2. Interpretation of lab results
		a. Blood chemistry	A B C D
		b. Blood counts	A B C D
	3. Equipment & procedures
		a. Reverse isolation	A B C D
	4. Care of the patient with:
		a. Bone marrow transplant	A B C D
		b. Fresh oncologic surgery	A B C D
		c. Inpatient chemotherapy	A B C D
		d. Inpatient hospice	A B C D
		e. Leukemia	A B C D
		f. Radiation implant	A B C D
	5. Medications: Chemotherapy certification?		Yes No


J. INFECTIOUS DISEASES

	1. Interpretation of lab results:
		a. Blood count	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:
		a. AIDS	A B C D
		b. Hepatitis	A B C D
		c. Lyme disease	A B C D


K. PHLEBOTOMY / IV THERAPY

	1. Equipment & procedures
		a. Administration of blood/blood products
			(1) Albumin	A B C D
			(2) Cryoprecipitate	A B C D
			(3) Packed red blood cells	A B C D
			(4) Plasma	A B C D
			(5) Whole blood	A B C D
		b. Drawing blood from central line		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. 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
L. 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
		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.)
	Medical	year(s)	Neurology	year(s)
	Surgical	year(s)	Pediatric	year(s)
	Telemetry	year(s)	OB/GYN	year(s)
	Orthopedics	year(s)	Psychiatry	year(s)
	Oncology	year(s)	Rehabilitation	year(s)
	Other (specify)			year(s)

Certification: (mo/day/yr)
	BCLS Exp. date:
	Other (type):	Exp. date:
	Computerized charting system:	date:
	Medication administration system:	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 Medical/Surgical Skills Checklist to Client facilities of Berean Healthcare Staffing in relation to consideration of my employment with those facilities.

Enjoy Your Career with Travel Nursing Jobs from BHS.