VisionQwest Healthcare Group Emergency Room – Skills Checklist
Name: ______________________________Date:__________
Years of Experience: _________________________________ Directions for completing skills checklist: The following is a list of equipment and/or procedures performed in rendering care to patients. Please indicate your level of experience/proficiency with each area and, where applicable, the types of equipment and/or systems you are familiar with. Use the following key as a guideline: A) Theory Only/No Experience--Didactic instruction only, no hands on experience B) Limited Experience--Knows procedure/has used equipment, but has done so infrequently or not within the last six months. C) Moderate Experience--Able to demonstrate equipment/procedure, performs the task/skill independently with only resource assistance needed. D) Proficient/Competent--Able to demonstrate/perform the task/skill proficiently without any assistance and can instruct/teach. A. CARDIOVASCULAR
c. Interpretation of waveforms & values
A. CARDIOVASCULAR B. PULMONARY
1. Assessment B. PULMONARY 3. Equipment & procedures
f. Care of the patient with a chest tube
i. O2 therapy & medication delivery systems
k. Trouble shooting high pressure alarms
B. PULMONARY
b. Bronkosol (Isoetharine hydrochloride)
d. Isuprel (Isoproterenol hydrochloride)
C. NEUROLOGICAL
1. Assessment
C. NEUROLOGICAL
e. Solu-Medrol (Methylprednisolone sodium succinate)
D. ORTHOPEDICS
1. Assessment
D. ORTHOPEDICS E. GASTROINTESTINAL
1. Assessment F. RENAL/GENITOURINARY
F. RENAL/GENITOURINARY
a. Insertion & care of straight and Foley catheter
G. ENDOCRINE/METABOLIC
1. Assessment H. WOUND MANAGEMENT/SURGICAL
1. Equipment & procedures J. TRAUMA/SHOCK
1. Assessment J. TRAUMA/SHOCK K. INFECTIOUS DISEASES
1. Interpretation of lab values - CBC, SMA 7
L. PHLEBOTOMY/IV THERAPY/INVASIVE PROCEDURES
1. Equipment & procedures
a. Administration of blood/blood products
M. PAIN MANAGEMENT N. PEDIATRICS
1. Equipment & procedures O. WOMEN'S HEALTH P. MISCELLANEOUS
AGE SPECIFIC PRACTICE
A. Newborn/Neonate (birth - 30 days) B. Infant (30 days - 1 year) C.Toddler (1 - 3 years) D. Preschooler (3 - 5 years) E. School age children (5 - 12 years) F. Adolescents (12 - 18 years) G. Young adults (18 - 39 years) H. Middle adults (39 - 64 years) I. Older adults (64+) EXPERIENCE WITH AGE GROUPS A B C D E F G H I
Able to adapt care to incorporate normal growth
Able to adapt method and terminology of patient instructions to
their age, comprehension and maturity level.
Can ensure a safe environment reflecting specific needs of
various age groups. My experience is primarily in: (Please indicate number of years) ○ Medical year(s)
The information I have given is true and accurate to the best of my knowledge. I hereby authorize VisionQwest Healthcare Group to release Emergency Room Skills Checklist to client facilities of VQHG in relations to consideration of employment as a Per Diem with hose facilities. Signature Date:
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