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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