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.
WORK SETTINGS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Level I Trauma Center |
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Level II Trauma Center |
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Non-Trauma Center Emergency Department |
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Pediatric Emergency Department |
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Emergency Department - Combined Adult/Pediatric |
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Critical Care Transport |
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CARDIAC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acute Coronary Syndrome |
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Congestive Heart Failure/Pulmonary Edema |
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Aneurysm |
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Cardioversion |
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Transcutaneous Pacemaker |
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Heart Sound |
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PULMONARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Respiratory Failure |
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COPD/Asthma |
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Aspiration |
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Pneumonia |
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Pneumo/Hemothorax |
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Chest Tube Insertion/Management |
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Pulmonary Embolism |
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Tuberculosis |
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External CPAP/BiPAP |
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Intubation |
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Ventilated Patients |
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ABG Interpretation |
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NEUROLOGICAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
CVA |
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Stroke Scale |
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Brain Injury |
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Glascow Coma Scale |
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Spinal Cord Injury |
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Meningitis |
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Seizures |
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ORTHOPEDICS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Fractures/Casting |
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Open/Complex Fractures |
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Apply/Manage Splints |
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Circulation Checks |
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GASTROINTESTINAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
GI Bleeding |
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Liver Disease |
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GI Obstruction |
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Abdominal Pain/Distress |
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Gastric Tubes |
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RENAL/GU | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acute Renal Failure |
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Renal Calculi |
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Renal Trauma |
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Testicular Torsion |
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ENDOCRINE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Hypoglycemia |
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Hyperglycemia |
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DKA |
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WOUND MANAGEMENT | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Skin Integrity Assessment |
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Wound Repair |
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SHOCK/TRAUMA | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Some items are covered in system specific areas. |
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Injury Severity Score |
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Trauma Code |
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Trauma Team Member |
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Major Trauma |
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Traumatic Amputation |
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Peritoneal Lavage |
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Hypovolemic Shock |
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Neurogenic Shock |
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Anaphylactic Shock |
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Septic Shock |
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Cardiogenic Shock |
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Burns - 2nd Degree |
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Burns - 3rd Degree |
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INFECTIOUS DISEASE/IMMUNOSUPPRESSED PATIENTS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Contagious/Infectious Patients |
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Isolation |
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Neutropenia/Reverse Isolation |
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WOMEN'S HEALTH | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Placenta Abruptio/Previa |
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Precipitous Delivery |
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Pregnancy Induced Hypertension |
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Fetal Heart Tones |
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Sexual Assault |
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Reporting Acts of Violence |
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PEDIATRICS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Management of Pediatric Emergency Patients |
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Identification/Reporting Abuse |
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Abdominal Pain |
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Epiglottitis |
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Asthma/Reactive Airway Disease |
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Fractures |
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Head/Spinal Injury |
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Poison Ingestion |
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Seizures |
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Sickle Cell Crisis |
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PSYCHIATRIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Acute Psychotic Patient |
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Managing Violent Behavior |
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Drug /ETOH Overdose/Withdrawal |
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Psychiatric Hold |
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Suicidal Patient |
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MISCELLANEOUS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Bites- Animal/Snake/Human |
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Hazardous Material Exposure |
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Heat Exhaustion/Stroke |
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Drowning |
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IV THERAPY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Starting IVs |
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Central Line Placement |
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Intraosseous Infusion |
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Blood Product Administration |
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MEDICATIONS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Anti-Arrhythmics |
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Anticoagulants (IV, oral, & injection) |
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Anti-Hypertensives |
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Anti-Psychotics |
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Anti-Seizure Medications |
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Benzodiazepines |
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Continuous IV Paralytics |
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Continuous IV Sedation |
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Procedural Sedation - Administration |
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Emergency Medications |
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Inhaled Medications |
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Insulin |
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IV Vasopressors |
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Narcotics/Opioid Analgesics (IV, oral, & injection) |
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Nitrates (Oral & Topical) |
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Non-Opioid Analgesics (IV, Oral, & Injection) |
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Reversal Agents |
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Thrombolytic Therapy |
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Steroids (IV, Oral, Inhaled) |
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Automated Medication Dispensing (i.e. Pyxis, Omnicell) |
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CARDIAC MONITORING & EMERG. RESPONSE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Dysrhythmia Interpretation |
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Dysrhythmia Management |
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Obtain 12 Lead EKG |
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Interpret 12 Lead EKG |
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Management of Cardiac Arrest |
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PROFESSIONAL KNOWLEDGE AND SKILLS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Triage |
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Ambulance/Paramedic Radio |
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Charge Experience |
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AMA procedures |
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EMTALA |
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National Patient Safety Goals/Core Measures |
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Fall Risk Assessment/Prevention |
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Pressure Ulcer Risk Assessment/Prevention |
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Restraints/Use of Least Restrictive Device |
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Patient/Family Teaching |
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Age Specific/Population-Based Care |
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Isolation Precautions |
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Infection Prevention |
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Pain Assessment & Management |
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Interpretation and Communication of Lab Values |
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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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Older Adults (ages 65-79 years) |
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Elderly (ages 80+ years) |
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EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Epic |
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Cerner |
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Eclipsys |
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McKesson |
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Meditech |
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Allscripts |
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Other Computerized System |
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Computerized Physician Order Entry |
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Bar Coding for Medication Administration |
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