Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
CARDIOVASCULAR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Auscultation/Irregular Heart Sounds |
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Peripheral Edema |
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PQRST Assessment |
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EKG |
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Lab Tests (Cardiac Enzymes, Troponin, BNP) |
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Arrhythmia Interpretation |
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12-Lead Set Up |
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12-Lead Basic Interpretation |
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Defibrillation |
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External Pacer |
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Chest Pain/ACS |
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Arrhythmias |
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CHF |
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AED |
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Cardiac Arrest/CPR |
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Nitroglycerin |
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Morphine |
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Heparin |
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ALS (Epinephrine, Atropine, Anti-Arrhythmics) |
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PULMONARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Abnormal Breath Sounds (Wheezing, Stridor, Crackles) |
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Abnormal Breathing Pattern (Rapid, Labored, Slow) |
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Pulse Oximetry |
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ABGs |
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Oxygen Therapy (Nasal Cannula, Face Mask) |
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Manual Resuscitation Bag (MRB, Ambu Bag) |
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Metered-Dose Inhaler (MDI) |
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Nebulizers |
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Aspiration |
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Asthma/Reactive Airway Disease |
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COPD |
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Pneumonia |
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Pulmonary Edema |
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Pulmonary Embolism |
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Bronchodilators |
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Steroids |
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Diuretics |
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NEUROLOGICAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Signs & Symptoms of Stroke |
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Altered LOC |
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Assist with Lumbar Puncture |
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Cervical Collar |
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Spinal Immobilization |
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Head Injury |
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Meningitis |
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Migraine |
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Seizures |
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TIA/Stroke |
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Imitrex (Sumatriptan Succinate) |
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Phenobarbitol |
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Dilantin (Phenytoin) |
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Depakote |
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Analgesics |
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ORTHOPEDICS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Range of Motion |
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Color, Warmth, Movement, Sensation |
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Fracture/Dislocation |
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Apply Splints |
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Assist with Casting |
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Assist with Reduction of Dislocation |
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Spinal Immobilization |
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Transfer Boards |
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Cast/Splint |
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Dislocation |
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External Appliance |
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Sprain/Fracture |
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Analgesia/Sedation |
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GASTROINTESTINAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Bowel Sounds |
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Distention |
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Fluid Balance |
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Nutritional Status |
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Enemas |
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Gastric Lavage |
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G-Tubes |
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NG Tubes |
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Colostomy |
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Constipation/Impaction |
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Diarrhea |
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G-Tube (Reinsertion/Replacement) |
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Nausea/Vomiting |
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Ipecac |
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Charcoal |
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Antiemetics |
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Antispasmodics |
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RENAL/GENITOURINARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Fluid Status |
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Shunt/Fistula (Thrill/Bruit) |
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BUN/Creatinine/Electrolytes |
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Urine Dipstick/C&S |
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Placement & Management of Bladder Catheters |
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Pyelonephritis/UTI |
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Obstruction |
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Renal Calculi |
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Renal Trauma |
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Testicular Torsion |
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Priapism |
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Antibiotics |
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ENDOCRINE/METABOLIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Hypo/Hyperglycemia |
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Blood Glucose |
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Urine Ketones |
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Bedside Blood Glucose Monitoring |
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Hypoglycemia/Insulin Shock |
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Hyperglycemia/DKA |
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Dextrose |
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Insulin |
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Oral Hypoglycemics |
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EENT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Visual Acuity |
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Foreign Body |
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Enlarged Tonsils |
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Ear Irrigation/Removal Foreign Body |
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Eye Injury/Foreign Body/Detached Retina |
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Assist with Removal of Nasal Foreign Body |
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Epistaxis |
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Set Up/Assist Cautery |
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Set Up Slit Lamp |
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Silver Nitrate |
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Liquid Cocaine |
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Anti-Hypertensives |
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INFECTIOUS DISEASE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Communicable Disease |
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Interpret Culture Results |
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Obtain Cultures |
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Fever Management |
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Isolation |
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Reverse Isolation/Hepa Filter |
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Use of Personal Protective Equipment |
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Communicable Disease |
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Infectious Disease |
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Immunosuppression/Neutropenia |
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Antibiotics |
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Antivirals |
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WOUND MANAGEMENT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Burn Care |
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Dressing Change |
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Ostomy Care |
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Wound Repair (Staples/Sutures, etc.) |
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PAIN MANAGEMENT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Assessment of Pain Level/Use of Pain Scale |
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Assessment of Response to Pain Management Interventions |
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Monitoring of Patients after Pain Medication |
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Comfort Care |
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Moderate Sedation |
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PSYCHIATRIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Behavior |
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Drug/ETOH |
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Risk for Violence |
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Managing Threatening/Violent Behavior |
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Psychiatric Hold |
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Drug OD |
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ETOH OD |
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Depression/Anxiety |
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Restraints |
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Suicide Risk |
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Antipsychotics/Antidepressants |
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Reversal Agents |
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WOMENS HEALTH | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Vaginal Bleeding |
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Doppler/Fetal Heart Tones |
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Ectopic Pregnancy |
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Obtain Cultures |
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Pelvic Tray |
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Ectopic Pregnancy |
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Hemorrhage |
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Pelvic Inflammatory Disease |
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Placenta Abruptio/Previa |
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Precipitous Delivery |
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Pregnancy-Induced Hypertension |
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Spontaneous Abortion |
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PEDIATRICS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Child Abuse Recognition/Reporting |
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Shaken Baby Syndrome |
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Obtaining Consent to Treat |
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Normal VS for age groups |
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Use of Dynamap/Doppler Leg Cuffs for B/P |
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Failure to Thrive |
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Assist with Fracture Stabilization |
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Cooling/Warming Measures |
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Draw Labs (Venous/Butterfly) |
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Ear Care-Assist with Cleaning/Wash, Insert Ear Drops |
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IM/SQ Medications in Pediatric Patients |
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Obtain RSV Culture |
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Obtain Urine Culture (Cath/Bag) |
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Lumbar Puncture |
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Papoose Board/Therapeutic Hold |
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Start IV in Pediatric Patient |
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Abdominal Pain |
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Aspiration |
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Asthma/Reactive Airway Disease |
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Burns |
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Dehydration |
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Epiglottitis |
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Fever |
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Foreign Object |
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Fracture |
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Head Injury |
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Hypo/Hyperglycemia |
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Hypo/Hyperthermia |
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Lacerations |
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Near Drowning |
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Nursemaid's Elbow |
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Ipecac/Charcoal |
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Bronchodilators/Nebulizers |
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Fluid Replacement |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infant (Birth - 1 year) |
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Preschooler (ages 2-5 years) |
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Childhood (ages 6-12 years) |
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Adolescents (ages 13-21 years) |
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Young Adults (ages 22-39 years) |
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Adults (ages 40-64 years) |
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Adults (ages 40-64 years) |
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Elderly (ages 80+ years) |
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MISCELLANEOUS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Intake and Triage |
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National Patient Safety Goals |
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AMA procedures |
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Disaster Management |
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Computerized Charting |
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Bites |
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Hazardous Materials Exposure |
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Victims of Acts of Violence |
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