GENERAL INFORMATION

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This profile is for use by healthcare professionals in the Intermediate Care/PCU/Stepdown/Telemetry discipline and specialty. It will not be a determining factor for the program.

CHECKLIST INSTRUCTIONS

Please mark your level of experience      1. No theory and/or experience      2. Limited experience/need supervision and/or support      3. Experienced/minimal support needed to perform      4. Proficient/can perform independently

Cardiac

1

2

3

4

Acute Coronary Syndrome

Congestive Heart Failure

Post Open Heart (12-24 hours)

Carotid Endarterectomy

Post Vascular Surgery

Heart Transplant

Pacemaker - Temporary/Permanent

Pacemaker - Epicardial

Sheath Removal

Heart Sounds

PULMONARY

1

2

3

4

Pneumonia

Respiratory Distress

COPD

Breath Sounds

Post Thoracic Surgery

Chest Tube Placement & Management

Trach Management

Modes of Ventilation (AC/PC/SIMV/CPAP)

Intubation/Extubation

External CPAP/BiPAP

Interpretation of Arterial Blood Gases

Neurologic & Psychiatric

1

2

3

4

Stroke Scale Assessment

CVA

Brain Injury

Post Craniotomy

Spinal Cord Injury

Seizure Disorders

ETOH/Drug Withdrawal

GASTROINTESTINAL

1

2

3

4

GI Bleeding

GI Surgery

Liver Failure

Pancreatitis

Liver Transplant

Pancreas Transplant

RENAL/GENITOURINARY

1

2

3

4

Renal Failure

Renal Surgery

Renal Transplant

Arteriovenous Fistula/Shunt

Nephrostomy Tubes

Peritoneal Dialysis

Endocrine Metabolic

1

2

3

4

Diabetes - Hypo/Hyperglycemic Crisis

Pituitary Disorders

IV Insulin Protocols

Indwelling Insulin Pumps

MEDICATIONS

1

2

3

4

Anti-Arrhythmics

Anticoagulants (IV, oral, & injection)

Anti-Hypertensives

Anti-Psychotics

Anti-Seizure Medications

Benzodiazepines

Procedural Sedation

Diuretics

Emergency Medications

Inhaled Medications

Insulin

Titrate Vasoactive Drips

Manage Vasoactive Drips - No Titration

Narcotics/Opioid Analgesics (IV, oral, & injection)

Nitrates (Oral & Topical)

Non-Opioid Analgesics (IV, Oral, & Injection)

Reversal Agents

Steroids (IV, Oral, Inhaled)

Automated Medication Dispensing (i.e. Pyxis, Omnicell)

IV THERAPY

1

2

3

4

Starting IVs

Central Line Blood Draws

Central Line/Implanted Line Care

Arterial Line Management

TPN & Lipids

Blood Product Administration

Administration of Chemotherapy

CARDIAC MONITORING & EMERG. RESPONSE

1

2

3

4

Dysrhythmia Interpretation

Dysrhythmia Management

Obtain 12 Lead EKG

Interpret 12 Lead EKG

Cardioversion

Defibrillation

Malignant Hyperthermia

PROFESSIONAL KNOWLEDGE AND SKILLS

1

2

3

4

National Patient Safety Goals/Core Measures

Fall Risk Assessment/Prevention

Pressure Ulcer Risk Assessment/Prevention

Restraints/Use of Least Restrictive Device

Patient/Family Teaching

Age Specific/Population-Based Care

Isolation Precautions

Infection Prevention

Pain Assessment & Management

Charge Experience

Interpretation and Communication of Lab Values

Specialty Beds

EMR

1

2

3

4

Epic

Cerner

Eclipsys

McKesson

Meditech

Other Computerized System

Computerized Physician Order Entry

Bar Coding for Medication Administration

EMR Conversion (5)

Yes

No

CERTIFICATIONS

BLS

ACLS

PALS

PCCN

CCRN

Critical Care Course

Telemetry Certificate/Course

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