Telemetry Step-down Skills Checklist

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Phlebotomy - Draw Blood Not Performed Minimal Experience Proficient
Venous Stick
Central Line
IV Therapy Not Performed Minimal Experience Proficient
Obtaining IV Access
Calculate IV Drips
Mix IV Medications
Regulate IV's
Use of IV Infusion Pumps
Perform Central Line Dressing Changes
Administer Chemotherapy
Administer Blood/Blood Products
Administer TPN/PPN
Maintain Multi-Lumen Central Catheters
Use Continuous Subcutaneous Infusion Pumps
Monitor PCA Pumps (Patient Controlled Analgesia)
Respiratory Not Performed Minimal Experience Proficient
02 Masks/Cannulas
Ambu Bag
Chest PT
Incentive Spirometry
Instruction of Coughing/Deep Breathing
Nebulizer Set-up
Suctioning Not Performed Minimal Experience Proficient
Oral
Tracheostomy Tube
Endotracheal Tube
Use of Pleurevac
Sputum Specimen Collection
Pulse Oximetry
Care of Patient with: Not Performed Minimal Experience Proficient
COPD
Tracheostomy
Pre/Post Thoracic Surgery
Pneumonia
Chest Tubes
Asthma
Emphysema
Use and Administration of: Not Performed Minimal Experience Proficient
Aminophylline
Corticosteriods
Inhalers
Cardiovascular Not Performed Minimal Experience Proficient
Cardiac Monitors
Rhythm Strip Measurements
Recognize & Interpret Arrhythmias
Obtain 12 Lead EKG's
Perform CPR
Cardioversion/Defibrillation
Pulse Checks
Use of Doppler
Automatic BP Cuff
Care of Patient with: Not Performed Minimal Experience Proficient
CHF
Angina
Hypertension
Cardiomyopathy
Cardiopulmonary Arrest
Lopressor
Lidocaine
Nitroglycerine
Code Cart/Emergency Drugs
Genitourinary/Renal Not Performed Minimal Experience Proficient
Urinary Catheter Insertion
Electrolyte Imbalance/Replacement
Bladder Irrigations Not Performed Minimal Experience Proficient
Continuous
Intermittent
Care of Patient with: Not Performed Minimal Experience Proficient
Hemodialysis
T.U.R.P
Shunts and Fistulas
Nephrectomy
Supra-Pubic Catheter
Nephrostomy Tube
Neurological Not Performed Minimal Experience Proficient
Assessment of Neuro Signs
Glasgow Coma Scale
Seizure Precautions
Assist with Lumbar Puncture
Care of Patient with: Not Performed Minimal Experience Proficient
Acute Head Injury
CVA/TIA
DT's
Spinal Cord Injury
Pre/Post Neuro Surgery
Halo Traction
Multiple Sclerosis
Overdose
Use and Administration of: Not Performed Minimal Experience Proficient
Decadron
Dilantin
Phenobarbital
Magnesium Sulfate
Valium
Ativan
Gastrointestinal Not Performed Minimal Experience Proficient
NG Tube Care & Maintenance
NG Tube Insertion
Bowel Preparation
Enterostomal Care
Care of Patient with: Not Performed Minimal Experience Proficient
Tube Feedings
Ileostomy
Colostomy
Pancreatitis
Bowel Obstruction
Abdominal Wounds/Surgeries
Hemovac
Gastrostomy Tube/Jejunostomy Tube
Orthopedics Not Performed Minimal Experience Proficient
Cast Care
ROM
Use of Assistive Devises (Canes, Walkers)
Tractions Not Performed Minimal Experience Proficient
Skin
Skeletal
Care of Patient with: Not Performed Minimal Experience Proficient
Total Joint Replacement
Amputation
Pressure Sores
Sickle Cell Anemia
Cancer
Alzheimer's Disease
HIV/AIDS
Diabetes
Other Not Performed Minimal Experience Proficient
Dressing Changes
Use of Air Fluidized Beds
Normal Serum Lab Values
Universal Precautions-Isolation
Discharge Planning
Blood Glucose Monitor
OSHA TB Fit Test Mask
Computer Charting
Ages of Patients Cared for: Not Performed Minimal Experience Proficient
Infants and Toddlers - Ages 0-3 Years
Young Children - Ages 4-6 Years
Older Children - Ages 7-12 Years
Adolescents Ages 13-20 Years
Young Adults - Ages 21-39 Years
Middle Adults - Ages 40-64 Years
Older Adults - Ages 65-79 Years
Adults - Ages 80 Years +

The following section is to be completed by those with PCU/Step-Down experience only.


Step-Down Skills Not Performed Minimal Experience Proficient
Maintain Arterial Line
Draw Blood from Arterial Line
Administer IV Push Medications
Interpret ABG's
Care of Patient with: Not Performed Minimal Experience Proficient
Acute MI
Pulmonary Edema
ARDS
GI Bleed
Liver Transplant
Peritoneal Dialysis
Use and Administration of: Not Performed Minimal Experience Proficient
Atropine
Nipride
Thrombolytic Agents
Ventilator Management Not Performed Minimal Experience Proficient
Assist with Intubation/Extubation
Wean Patient off Ventilator

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