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.
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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. 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. O
2
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 O
2
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)
