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Medical Surgical/Telemetry

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Medical Surgical/Telemetry

Medical Surgical/Telemetry

WORK SETTING EXPERIENCE

Question 

Proficiency 

Frequency

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

GENERAL SKILLS

Advanced directives
Patient/family teaching
Restrictive devices (restraints)
Lift/transfer devices
Specialty beds
End of life care/palliative care
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication administration
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Labeling
Anticoagulation therapy
Reconciliation
Monitoring conscious sedation
Pain assessment & management
Use of PCA (IV, intrathecal, epidural)
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure ulcers
Wound care
Wound vacs
Awareness of HCAHPS

CARDIAC MONITORING & EMERGENCY CARE

Obtains 12 lead EKG
Interpretation of rhythm strips
Treatment of dysrhythmias
Use of rapid response teams
Cardiac arrest/CPR
O2 therapy & delivery
Pulse oximetry
Use of doppler
Automatic/manual blood pressure checks

IV THERAPY

Starting & maintaining peripheral IVs
Starting & maintaining peripheral IVs
Blood draw: venous
Care & management of ports
Care & management of PICC / Groshong / Hickman
TPN & lipids
Administration of blood / blood products
Administration of chemotherapy
Monitoring chemotherapy (does not initiate)
Management of IV Pumps ( Alaris , Baxter,)
Management of elastomeric infusion
Management of intrathecal pumps
Management of intrathecal pumps
Administration of blood / blood products
Administration of blood / blood products

OTHER EXPERIENCE

Diabetes mellitus
Blood Glucose Monitoring (BGM)
Insulin administration
Sepsis
External and temporary pacemakers
Management of permanent pacemaker/AICD

CARDIAC EXPERIENCE

Assessment of heart sounds
Pacemakers – permanent

CARE OF PATIENT WITH

Aneurysm
Angina
Acute MI
Angioplasty (pre/post)
CHF
Carotid endarterectomy
Post MI
Pre/post cardiac cath
Pre/post cardiac cath
Pre/post cardiac surgery (CABG & valves)
Pre/post vascular surgery (abdominal or thoracic AA, fem-pop, carotid)

USE & ADMINISTRATION OF THE FOLLOWING

Antiarrhythmic
Antihypertensives
Beta blockers
Diuretics
Nitrates
Fibrinolytics / IIb IIIa inhibitors
Preparation & administration of emergency (ACLS) meds
Antilipemic’s (Statins)
Inotropic’s (i.e. digoxin, dopamine. epinephrine)

RESPIRATORY EXPERIENCE

Assessment of breath sounds
Airway management/suctioning (ETT, oral,trach)
Chest tubes (Emerson / Pleuravac)
Interpretation of ABG
Incentive spirometer
Mechanical ventilation
Ambu Bag
Nasal Canula
Non-rebreather
Bronchoscopy
Venti Mask
Oral suctioning
Nasotracheal suctioning
Tracheostomy care
Heimlich Valve

CARE OF PATIENT WITH

COPD
Tracheostomy
Thyroidectomy
Pulmonary embolism
Pulmonary edema
Pneumothorax
Pneumonia
Inhalation injuries
Tuberculosis
Emphysema
Asthma
Thoracentesis/paracentesis
Lung Transplant

USE & ADMINISTRATION OF THE FOLLOWING

Bronchodilators
Steroids
Expectorants & Antitussives
Antihistamines
Use of nebulizer treatments

GYNECOLOGY/GYN MALIGNANCIES EXPERIENCE

Endometriosis
Gyn exam / pap
Self-breast exam
Tubal ligation
Ectopic pregnancy
Mastectomy / lumpectomy
Hysterectomy (vaginal or TAHBSO)
Repair of cystocele / rectocele
Pelvic inflammatory disease
Abnormal uterine bleeding
Management of D&C

EXPERIENCE WITH

Adenosine administration
Insertion
& management of arterial line
Chest tube insertion & management
Femoral hemostasis devices (femStop/vasoseal)
Ventilator management
Interpretation weaning parameters

DRUG DOSE CALCULATION FOR

Non-titrated IV vasoactive agents (Dobutrex/ dopamine)
Nitrates (IV nitroglycerine)
Platelet inhibitors (reopro)
Fibrinolytics/IIb IIIa inhibitors
Anti-arrhythmic agents (amiodarone/ Cardizem/lidocaine)
Patient Monitoring (Pre/Post Procedure)
Cardioversion
TEE
Cardiac catheterization
Bronchoscopy
EGD
PEG placement

NEUROLOGY EXPERIENCE

Glasgow coma scale
Seizure precautions
Halo traction
Assist with lumbar puncture
Comprehensive neuro assessment

CARE OF PATIENT WITH

CVA/TIA
Aspiration precautions
Overdose/DT’s
Spinal cord injury/trauma
TBI (Traumatic Brain Injury)
Pre/post neuro surgery
Cranial hemorrhage
Delirium tremors
Meningitis
Neuromuscular diseases
Degenerative neurological disorders
CMS Infection
Metastatic Tumor/ tumor resection
Encephalitis
Alzheimer’s
Laminectomy
Traumatic Brain Injury

USE & ADMINISTRATION OF THE FOLLOWING

Antiepileptics
Corticosteroids
Steroids
Anticonvulsants (Dilantin/Neurontin/phenobarbital)
Anti-depressants
Anti-Parkinson (Cogentin/levodopa/Sinemet)

GASTROINTESTINAL EXPERIENCE

NG tube insertion
Management of small-bore feeding tubes (Dobhoff, Keofeed)
Jejunostomy tube
PEG tube
Management of post-surgery drains

CARE OF PATIENT WITH

Pancreatitis
Hepatitis
G.I. bleed
Esophageal bleeding
Bowel obstruction
Bowel resection
Gastric bypass
Gastric banding
Whipple procedure
Transplants
Colostomy / ileostomy
Paralytic ileus
E.R.C.P.
Peritonitis
IBD(Crohn’s/Ulcerative Colitis
Electrolyte imbalance
Pancreatic cancer
Liver failure/cancer

USE & ADMINISTRATION OF THE FOLLOWING

Anticholinergics (antispam, Bentyl or Robinul)
Antiemetics
Antacids
Digestive enzymes
Cathartics

GENITOURINARY/RENAL EXPERIENCE

Catheter insertion
GU irrigations
Nephrostomy tube
Suprapubic tube
Fluid & electrolyte disturbance

CARE OF PATIENT WITH

Hemodialysis
T.U.R.P.
Shunts and fistulas
Nephrectomy
Peritoneal dialysis
Renal transplant
Chronic/acute renal failure
UTI
BPH
Prostate cancer
Ileoconduit

ORTHOPEDIC EXPERIENCE

Total joint replacement
Arthroscopic surgery
Bucks extension
Fasciotomy
Fractures
Spika cast/body cast
Splints
CPM
TENS unit
Cast care & removal
Amputation
Skeletal traction
Ortho trauma
Cervical fusion
Laminectomy

OTHER EXPERIENCE

Care of patient with sepsis
Oncology
Chemotherapy
Radiation therapy
Radiation implants
Inpatient hospice
Suicide precautions
Burn patients
Leadership skills (team leader or charge nurse)

AGE-SPECIFIC EXPERIENCE

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)

Rank each of the following sections on a scale

No experience

Little Experience

High Experience

Master

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