Clinic / Urgent Care RN / Primary Care Checklist

WORK EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Advanced directives
Patient/family teaching
National Patient Safety Goals
Awareness of HCAHPS scores
Automated Medication Dispensing System (Pyxis, Omnicell etc)
Triage
Lift/transfer devices
Bar Coding for medication administration
Computerized Charting
AMA Procedures
Electronic Medical Record
Accurate Patient identification
Interpretation of lab values
Labeling of lab specimens
Reconciliation
Monitoring Conscious Sedation
Universal Precautions
Isolation
Fall Risks
Wound care
Prevention of pressure ulcers
Wound vacs

IV THERAPY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Starting & Maintaining peripheral IVs
Blood Draw: venous
Blood Draw: ABG’s
Care & Management of Port
Care & Management of PICC, Groshong, Hickman
TPN Lipids
Starting & maintaining peripheral IVs
Starting & maintaining peripheral IVs

CARDIAC MONITORING & EMERGENCY CARE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Obtain 12 lead EKG
Interpretation of rhythm strips
Treatment of dysrhythmias
Interpretation of (cardiac enzymes, Troponin, BNP)
Cardiac arrest/CPR/AED
Oxygen therapy and delivery
Pulse oximetry
Use of doppler
Defibrillation
External Pacer

CARDIOVASCULAR ASSESSMENT:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Auscultation/Irregular Heart Sounds
Peripheral Edema
PQRST Assessment

CARE OF THE PATIENT WITH:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Aneurysm
Angina
Angioplasty (pre/post)
Arrhythmias
Chest Tubes
CHF
Carotid Endarterectomy
Post MI
Pre/Post heart catherization
Pre/Post cardiac surgery

USE & ADMINISTRATION OF THE FOLLOWING:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Anti-arrhythmic
Antihypertensives
Beta Blocker
Diuretics
Fibrinolytics
Heparin
Nitroglycerin
Nitrates
Morphine
Epinephrine, Atropine, Anti-Arrhythmic
Bronchodilators
Diuretics
Expectorants
Steroids
Antiepileptics
Steroids
Spine immobilization
Cervical collar
Seizure precautions
Assist with lumbar puncture
Activated charcoal
Antiemetics
Antispasmodics
Anticholinergics
IV fluids
Ipecac
laxatives
POC Blood glucose monitoring
Dextrose
Insulin short acting
Oral Hypoglycemic medications
Insulin Long acting

RESPIRATORY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Assessment of abnormal breath sounds (wheezing, stridor, crackles)
Abnormal breathing patterns (rapid, labored,)
Oral suctioning
Nasotracheal suctioning
Interpretation of labs/tests (abg’s, pulse oximetry)
Tracheostomy care

CARE OF PATIENT WITH:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Aspiration
Asthma/Reactive Airway Disease
COPD
Pneumonia
Pulmonary Embolism
Pulmonary Edema
Oxygen therapy
Manual resuscitation (AMBU bag, MRB)
Metered Dose inhaler (MDI)
Nebulizers
Pneumothorax
Inhalation injuries
Tuberculosis
Emphysema
Thyroidectomy
Ostomy/colostomy
diarrhea
Management of PEG tube/tube feeds
Constipation/impaction
Hepatitis
Insertion of Ng tube
pancreatitis
enemas
Nausea/vomiting
Paralytic ileus
Obstruction
Kidney stones
Renal trauma
Pyelonephritis/UTI
Priapism
Testicular torsion
Urine retention

GYNECOLOGY KNOWLEDGE GENERAL SKILLS/CARE OF PATIEN

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Abnormal uterine bleeding
Assist with cultures
Doppler/ Fetal Heart Tones
Ectopic Pregnancy
endometriosis
Gyn exam/ pap
Pelvic Inflammatory Disease
Pregnancy Induced Hypertension
Post hysterectomy care
Hemorrhage
Vaginal bleeding
Pelvic Tray

NEUROLOGY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
CVA
Altered level of consciousness
Glasgow coma scale
overdose
Traumatic brain injury
Delirium tremors
Neuromuscular diseases
TIA
Head Injury
Meningitis
Spinal Cord Injury
Seizure Disorders

GASTROINTESTINAL EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Assessment of bowel sounds/distention
Nutritional state
Interpretation of labs and electrolyte balance

GENITOURINARY/RENAL EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Catheter insertion/exchange
GU irrigation
Suprapubic tube maintenance
Kidney failure (acute/chronic)
Fluid status

ORTHOPEDIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Assessment of Range of Motion
Assessment of color, warmth, movement, sensation
Assist in reduction of dislocation
Cast Care
Fracture
Splints
Traction
Amputation
Ortho Trauma
Sprain/Strain
Immobilization

METABOLIC/ENDOCRINE EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Interpretation of labs
Hyperglycemia
Hypoglycemia
Blood glucose
Ketones in urine
Diabetic ketoacidosis
Hyperosmolar Hyperglycemia

EENT EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Visual Acuity
Hearing Acuity
Epistaxis
Enlarged tonsils
Ear irrigation
Eye irrigation
Nasal foreign body
Eye foreign body
Ears foreign body

PSYCHIATRIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Mental Status/Behavior
Anxiety/Depression
De-escalation techniques for violent behavior
ETOH withdrawal
Substance abuse over dose
Suicide ideation
Restraints
Antipsychotics
Psychiatric Hold
Antidepressants

INFECTIOUS/COMMUNICABLE DISEASE EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Infectious Disease
Isolation Precautions
Use of PPE
Handwashing
Immunosuppression/Neutropenic

OTHER EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Acts of violence
Hazardous exposure
Disaster management
bites
Burn care
lacerations
Assist w/ Sutures/staples

WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Hospital
Clinic
Urgent care

AGE-SPECIFIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)