Skills Checklist

Emergency Room Checklist

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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 *

Inpatient Acute Care Facility
Trauma Center
Academic/Teaching Facility
Outpatient Care Facility
Long term care/Skilled Nursing
Clinic/Ambulatory
Home Health Setting

GENERAL SKILLS:

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
HIPAA
Patient/family teaching
Restrictive devices (restraints)
Lift/transfer devices
Specialty beds
End of life care/palliative care
Post mortem care
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication administration
Triage
Organ donor protocols
Consent for treatment of a minor
Procedure for a patient signing out AMA
Knowledge of cobra criteria/transfer patients
Disaster protocols
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Labeling
Anticoagulation therapy
Medication reconciliation
Monitoring conscious sedation
Pain assessment & management
Infection control
Universal precautions
Isolation
Minimize risk for falls
Awareness of HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Prevention of pressure ulcers
Wound care
Suture tray set up

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 *

Obtains 12 lead EKG
Interpretation of rhythm strips
Treatment of dysrythmias
Use of rapid response teams
Cardiac arrest/CPR
Code cart set up and shift checks
O2 therapy & delivery
Pulse oximetry
Use of doppler

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
Central line care
Blood draw: central line
Care & management of ports
Care & management of PICC /Groshong / Hickman
Administration of blood / blood products
Diabetes mellitus
Blood Glucose Monitoring (BGM)
Insulin administration

BURN 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 *

First degree
Second degree
Third degree
Electrocution
Hazardous material exposure / contamination
Calculation of total Body Surface Area (BSA)

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 *

Pulmonary edema
C.O.P.D.
Pulmonary emboli
Near drowning
Asthma
Nebulizer
Pneumonia
ABG interpretation

AIRWAY MANAGEMENT, CARE & MAINTENANCE OF

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 *

Oral / NT / ET airway
Tracheostomy
Obtaining ABG blood sample/arterial line
Pulse Oximetry
Capnography

VENTILATOR MANAGEMENT

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 *

BiPAP (Bi-level Positive Airway Pressure)
Oscillation / high-frequency ventilation
Nitric
Interpretation of weaning parameters

VASCULAR ACCESS 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 *

Assist with intraosseous needle insertion
Assisting with a cut-down
Assist with central line insertion
Assist with arterial line insertion

ASSIST WITH INSERTION & or MANAGEMENT OF

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 *

Manage Care of CVC (Central Venous Catheter)
Manage Care of Arterial line

CARDIOVASCULAR 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 *

Acute MI
Unstable angina
Aneurysm (thoracic or abdominal)
CHF
Cardioversion
Defibrillation
Assist with insertion of a temporary pacemaker
Application of an external pacemaker
Cardiogenic shock

NEUROLOGICAL 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 *

Neuro assessment / monitoring
Use of Glasgow Coma Scale
Traumatic Brain Injury (TBI)
Acute T.I.A. / C.V.A.
Acute spinal injury
Migraine headache
Seizure precautions / status epilepticus
Assist with lumbar puncture
Transport of a patient with spinal cord injuries/cervical spine precautions
Observing for increased intracranial pressure

GASTROINTESTINAL EXPERIENCE - 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 *

GI and GU Bleed
Abdominal pain
NGT insertion
G-tube
J-tube
Bowel obstruction
Acute pancreatitis
Testicular torsion

OBSTETRICS/GYNECOLOGY 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 *

Assist with pelvic exams / obtaining cultures
Spontaneous abortion / hemorrhage
Ectopic pregnancy
Emergency delivery
Placenta previa
Preeclampsia / eclampsia
Doppler FHT (Fetal Heart Tones)

PEDIATRICS 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 *

Pediatric arrest / resuscitation
Use of Broslow resuscitation system
Overdose / poison ingestion
Child abuse
Sepsis management
Sickle cell anemia
Peds IV periph starts
Pediatric assessment/VS

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 *

Acute renal failure
Chronic renal failure
Peritoneal dialysis
Fluid management / electrolyte replacement
Renal calculi
Foley cath / straight cath / clean cath urine

ORTHOPEDICS 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 *

Set up for cast application
Set up for OCL splinting
Assist with closed fracture / dislocation reductions
Instruction of application of orthopedic appliances
Assess extremity vascular circulation

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 *

Drug/ETOH withdrawal
Care of overdose patient / gastric lavage
Care of a suicidal patient
Crisis intervention / management & assaultive behavior
Sexual assault
Rape kit
Reporting procedures for acts of violence

ENVIRONMENT 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 *

Hypothermia
Heat stroke / exhaustion
Human / animal bite
Snake bite
Anaphylaxis

EENT DISORDERS 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 *

Set up for fluorescein / woods lamp
Use of Morgan Lens / eye irrigation
Ear irrigations / FB removal
Assist with nasal packing
Visual acuity
Epiglottitis
Nose bleed / packing
Removal of nasal FB

EMERGENCY MEDICATIONS 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 *

Emergency ACLS medication prepare & administer
Tridil / nitroglycerin
Sodium bicarb
Heparin
Dilantin / cerebrex
Narcan
Decadron
Mannitol
Solumedrol
Phenobarbital
Fibrinolytics / IIb IIIa inhibitor
Nipride / cardene
Inotropics (i.e. digoxin, dopamine, epinephrine)
Rapid sequence intubation protocol & meds
Diprivan
Cardizem
Vasopressin
Romazicon
Levophed
Insulin / insulin GTT

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)