subject_line
Intermediate Care/PCU/Stepdown/Telemetry Skills Checklists
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
CARDIAC
1
2
3
4
Acute Coronary Syndrome
1
2
3
4
Congestive Heart Failure
1
2
3
4
Post Open Heart (12-24 hours)
1
2
3
4
Carotid Endarterectomy
1
2
3
4
Post Vascular Surgery
1
2
3
4
Heart Transplant
1
2
3
4
Pacemaker - Temporary/Permanent
1
2
3
4
Pacemaker - Epicardial
1
2
3
4
Sheath Removal
1
2
3
4
Heart Sounds
1
2
3
4
PULMONARY
1
2
3
4
Pneumonia
1
2
3
4
Respiratory Distress
1
2
3
4
COPD
1
2
3
4
Breath Sounds
1
2
3
4
Post Thoracic Surgery
1
2
3
4
Chest Tube Placement & Management
1
2
3
4
Trach Management
1
2
3
4
Modes of Ventilation (AC/PC/SIMV/CPAP)
1
2
3
4
Intubation/Extubation
1
2
3
4
External CPAP/BiPAP
1
2
3
4
Interpretation of Arterial Blood Gases
1
2
3
4
NEUROLOGICAL & PSYCHIATRIC
1
2
3
4
Stroke Scale Assessment
1
2
3
4
CVA
1
2
3
4
Brain Injury
1
2
3
4
Post Craniotomy
1
2
3
4
Spinal Cord Injury
1
2
3
4
Seizure Disorders
1
2
3
4
ETOH/Drug Withdrawal
1
2
3
4
GASTROINTESTINAL
1
2
3
4
GI Bleeding
1
2
3
4
GI Surgery
1
2
3
4
Liver Failure
1
2
3
4
Pancreatitis
1
2
3
4
Liver Transplant
1
2
3
4
Pancreas Transplant
1
2
3
4
RENAL/GENITOURINARY
1
2
3
4
Renal Failure
1
2
3
4
Renal Surgery
1
2
3
4
Renal Transplant
1
2
3
4
Arteriovenous Fistula/Shunt
1
2
3
4
Nephrostomy Tubes
1
2
3
4
Peritoneal Dialysis
1
2
3
4
ENDOCRINE METABOLIC
1
2
3
4
Diabetes - Hypo/Hyperglycemic Crisis
1
2
3
4
Pituitary Disorders
1
2
3
4
IV Insulin Protocols
1
2
3
4
Indwelling Insulin Pumps
1
2
3
4
MEDICATIONS
1
2
3
4
Anti-Arrhythmics
1
2
3
4
Anticoagulants (IV, oral, & injection)
1
2
3
4
Anti-Hypertensives
1
2
3
4
Anti-Psychotics
1
2
3
4
Anti-Seizure Medications
1
2
3
4
Benzodiazepines
1
2
3
4
Procedural Sedation
1
2
3
4
Diuretics
1
2
3
4
Emergency Medications
1
2
3
4
Inhaled Medications
1
2
3
4
Insulin
1
2
3
4
Titrate Vasoactive Drips
1
2
3
4
Manage Vasoactive Drips - No Titration
1
2
3
4
Narcotics/Opioid Analgesics (IV, oral, & injection)
1
2
3
4
Nitrates (Oral & Topical)
1
2
3
4
Non-Opioid Analgesics (IV, Oral, & Injection)
1
2
3
4
Reversal Agents
1
2
3
4
Steroids (IV, Oral, Inhaled)
1
2
3
4
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
1
2
3
4
IV THERAPY
1
2
3
4
Starting IVs
1
2
3
4
Central Line Blood Draws
1
2
3
4
Central Line/Implanted Line Care
1
2
3
4
Arterial Line Management
1
2
3
4
TPN & Lipids
1
2
3
4
Blood Product Administration
1
2
3
4
Administration of Chemotherapy
1
2
3
4
CARDIAC MONITORING & EMERG. RESPONSE
1
2
3
4
Dysrhythmia Interpretation
1
2
3
4
Dysrhythmia Management
1
2
3
4
Obtain 12 Lead EKG
1
2
3
4
Interpret 12 Lead EKG
1
2
3
4
Cardioversion
1
2
3
4
Defibrillation
1
2
3
4
Malignant Hyperthermia
1
2
3
4
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
National Patient Safety Goals/Core Measures
1
2
3
4
Fall Risk Assessment/Prevention
1
2
3
4
Pressure Ulcer Risk Assessment/Prevention
1
2
3
4
Restraints/Use of Least Restrictive Device
1
2
3
4
Patient/Family Teaching
1
2
3
4
Age Specific/Population-Based Care
1
2
3
4
Isolation Precautions
1
2
3
4
Infection Prevention
1
2
3
4
Pain Assessment & Management
1
2
3
4
Charge Experience
1
2
3
4
Interpretation and Communication of Lab Values
1
2
3
4
Specialty Beds
1
2
3
4
COMPUTERIZED CHARTING
1
2
3
4
Epic
1
2
3
4
Cerner
1
2
3
4
Eclipsys
1
2
3
4
McKesson
1
2
3
4
Meditech
1
2
3
4
Other Computerized System
1
2
3
4
Computerized Physician Order Entry
1
2
3
4
Bar Coding for Medication Administration
1
2
3
4
Yes
No
EMR Conversion
Yes
No
First Name
*
Last Name
*
Phone Number
*
Last 4 of Social Security Number
*
Email Address
*
Date Completed:
*
+
By checking the "Agree" box and clicking “Submit” below you certify and acknowledge the information provided on this checklist is accurate to the best of your knowledge and an accurate representation of your abilities.
*
Agree