All health staffing

Intermediate Care / Telemetry
Skills Checklist

Printed name: ____________________________________________
Please indicate your level of expertise according to the legend outlined below: 1) No 2) Minimal Experience (less than one year)
3) One Year Consistent Experience
4) Two or More Years of Consistent Experience
5) Able to Teach and Supervise
1. Assessment
A. Auscultation (rate, rhythm)
2. Interpretation of lab results A. Cardiac enzymes / isoenzymes 3. Equipment and procedures A. Monitoring / telemetry 1. Arrhythmia interpretation C. Assist with: 1. Arterial line insertion D. Hemodynamic monitoring 1. A-line (radial) CARDIOVASCULAR (cont.)

IV. Care of the patient with:
A. Abdominal aortic bypass

I. Assessment
A. Breath sounds
II. Interpretation of lab results A. Arterial blood gases III. Equipment and procedures A. Assist with intubation C. Care of airway management devices / suctioning 1. Endotracheal tube / suctioning PULMONARY (cont.)
6. Tracheostomy / suctioning
D. Care of patient on ventilator 1. Extubation E. Care of patient with chest tube 1. Assist with set-up and insertion I. O2 therapy & medication delivery systems V. Medications A. Alupent (Metaproterenol sulfate)
I. Assessment
A. Cerebellar function
D. Level of consciousness
II. Equipment and procedures A. Assist with lumbar puncture III. Care of the patient with: A. Aneurysm precautions IV. Medications A. Carbamazepine (Tegretol)
I. Assessment
A. Abdominal / bowel sounds
A. Administration of tube feeding 1. Feeding pump B. Flexible feeding tube (i.e., Corpak, Dobhoff) GASTROINTESTINAL (cont.)
IV. Management of:
A. Gastrostomy tube
C. PPN (peripheral parenteral nutrition) V. Care of the patient with: A. Bowel obstruction
I. Assessment
A. A-V Fistula / shunt
II. Interpretation of BUN and creatinine III. Equipment and procedures A. Insertion and care of straight and Foley catheter 1. Female F. Peritoneal dialysis via Automatic cycler METABOLIC
I. Assessment
A. S/S diabetic ketoacidosis
II. Interpretation of lab results A. Blood glucose 1. Blood glucose measuring device Type(s): ________________________________________ IV. Care of the patient with: A. Cushing’s syndrome E. Disorders of the adrenal gland (Addison’s disease)
I. Assessment
A. Skin for impending breakdown
I. Equipment and procedures
A. Drawing blood from central line
D. Administration of blood / blood products II. Care of the patient with: A. Central line / catheter / dressing 1. Broviac
I. Assessment of pain level / tolerance
II. Care of the patient with: A. Anesthesia / analgesia D. Patient controlled analgesia (PCA pump) The information contained in this skills checklist is true and correct to the best of my knowledge. Signature: _________________________________________________ Date: ______________________________


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