3765-B Government Blvd.
Mobile, AL 36693
SKILLS CHECKLIST
MEDICAL/SURGICAL
Toll Free: 866.661.7070
Fax: 866.661.7090
Email: info@bridgestaffing.com
Name:
Please indicate using the following rankings:
[1] None
Proficiency (column 1):
[1] Observed Only
Frequency (column 2):
UNIT / SKILLS
Premature/Newborn/Neonate (birth - 30 days)
Infant (30 days – 1 year)
Toddler (1 - 3 years)
Preschooler (3 - 5 years)
School Age (5 - 12 years)
Adolescents (12 - 18 years)
Assess level of consciousness
Assess sensory-motor function extremities
Assess cranial nerves
Assist with lumbar puncture
Halo Traction
Pre/Post OP Neuro Surgical Care
Seizure precautions
Care of patients with:
Acute head injury
Aphasia
Autonomic Dysreflexia
Cancer of the brain
Craniotomy
CVA
Head Trauma
Impending D.T.'s
Assess heart sounds (normal vs. abnormal)
Basic EKG interpretation
Initiation of arrest procedure
Administration of med during arrest procedure
Care of patients with:
Aneurysm
Acute CHF
Acute MI
Blood lymph disease
Ambu techniques
Apnea monitor usage
Assess lung sound (knowledge of abnormal
& adventitious breath sounds)
Chest tube maintenance and care
Incentive spirometer
IPPB Machine
Oxygen Therapy
(1) Nasal cannula
(2) Face mask
(3) Precautions
(4) Use of portable oxygen tank
Pulmonary Hygiene
(1) Oral suctioning
(2) Tracheotomy suctioning
(3) Chest Physiotherapy (CPT)
(4) Determining proper catheter size
[2] Intermittent
[2] Less than 6 times/year
[3] Experienced
[3] Twice a Month
1-Prof
UNIT / SKILLS
2-Freq
[4] Supervise/Teach
[4] Daily - Weekly
Young Adults (18 - 39)
Middle Adults (39 - 64)
Older Adults (64+)
Growth/Developmental Parameters
Family Intervention Skills
Death/Dying
NEUROLOGICAL SYSTEM
Documentation of seizures
Shunts (i.e. ventriculoperitoneal)
Use Glascow Coma Scale
Use of anticonvulsants
(1) Oral
(2) IM
(3) IV
Multiple Sclerosis
Parkinson's
Quadriplegia
Seizure disorders
Spinal Cord injury
Ability to perform a 1 person rescue
(1) CPR - Infant/Child
(2) Adult
CV/CIRCULATORY
Set up/run 12 lead EKG
Use of cardiac monitor
Use of Doppler
Cardiac Surgeries
SVA
Femoral bypass/vascular procedure
Pacemakers
Transplant/cardiac
RESPIRATORY
Thoracentesis
Tracheotomy
(1) Cleaning of inner cannula
(2) Changing trach or tube
(3) Emergency management of S&S infection
(4) Skin care
(5) Dressing Changes
Ventilators
(1) Pressure pre-set
(2) Volume pre-set
(3) CPAP
(4) PEEP
Portables
List types of ventilators:
1)
2)
3)
1-Prof
2-Freq
MEDICAL/SURGICAL SKILLS CHECKLIST (continued)
UNIT / SKILLS
UNIT / SKILLS
1-Prof 2-Freq
RESPIRATORY (continued)
Care of patients with:
AIDS
Asthma/Wheezing
CA of lung
COpD
Abdominal drains
(1) Care and maintenance of
Assess GI status
Bowel Training
Enemas (fleet or soapsuds)
Gastrostomy tube care:
(1) G-tube feedings
(2) G-tube change
(3) N-G tube insertion/reinsertion
(4) N-G tube feedings
(5) B-G tubes (i.e.: Levine, Salem, Sump)
Nasal intestinal tubes (i.e.: Miller-Abbot, Cantor)
Ostomy/Stoma care
Care of patients with:
Anorexia
Bowel disease
Cancer of colon
Cancer of esophagus
Cancer of rectum
Bladder irrigations
Emphysema
Pneumonia
TB
Transplant/Pulmonary
GI/NURRITIONAL
Ostomy irrigations
(1) Education to new patients
Paracentesis
Parental feedings
(1) Complications of
Routes of administration
Verification of fluid and caloric requirements
Removal of fecal impaction
Use of pumps for enteral feeding (list type of pumps)
1)
2)
3)
GI bleeds
Hepatic Encephalopathy
Hepatitis
Inflammatory bowel disease
Liver failure
Liver transplant
GI/ENDOCRINE
Bladder training
Care, maintenance and removal of:
(1) Indwelling catheter
(2) 3-way catheter
(3) Suprapubic catheter
Dialysis:
(1) Hemo
(2) Peritoneal
GYN Exam/PAP procedures
Ileostomy care
Intermittent catheterization
S&S of UTI
Urinary diversions (ilio-conduit)
Catheter insertion:
(1) Female
(2) Male
Diabetic care:
(1) ADA diet
(2) Blood glucose testing
(3) Foot Care
(4) Infection prevention
(5) Insulin site rotation and education
(6) Skin care
(7) S&S hypo/hyperglycemic
(8) Urine glucose testing
(9) Use of blood test meters
Care of patients with:
AV shunt/fistula
Bladder disease
Cancer of kidney
Cancer of prostate
Female reproductive organ cancer
Hysterectomy
Hypo/hyperthyroidism
Mastectomy
Nephrectomy
Renal Failure
Transurethral resection
1-Prof 2-Freq
MEDICAL/SURGICAL SKILLS CHECKLIST (continued)
UNIT / SKILLS
1-Prof 2-Freq
UNIT / SKILLS
INTEGUMENTARY/ORTHOPEDIC
Amputation/Stump care
Assist in use of prosthetic devices
Cast care
Cast/Splint application and removal
Traction
(1) Skin
(2) Skeletal
Circo-electric bed
Range of motion
Spika cast
Stryker frame
TENS
(1)
(2)
(3)
(4)
(5)
(6)
*Done by Doctor – Familiar With
Care of patients with:
Amputation
Arthritic disease
Burns
Decubitus ulcers
Gun shot
Bone marrow transplant
Counseling for:
(1) Altered image
(2) Grieving process
(3) Imagery
(4) Relaxation techniques
Oral
Rectal
Vaginal
Eye drops
IV Assessment
IV Site Care
Ear drops
S.Q.
I.M.
Z-track
Documentation on MAR
Verifies narcotic wastage
PCA/CADD
Unit/Dose
Venipuncture
Transfers
Documentation of wounds
Preventative skin care
Sterile dressing changes
Use of Braden Scale
Wound enzyme debriders
Wound irrigations
Hip replacement
Incisions
Knee replacement
Laminectomy
Skin cancer
Stab wounds
ONCOLOGY
Assessing analgesic effectiveness
Morphine pumps
Narcotics via continuous infusion
Radiation therapy
Radium implants
MEDICATION ADMINISTRATION
I.V. piggy back/push
Heparin
Insulin
Topical
Nasal
Parenteral
Intradermal
Intramuscular
Subcutaneous
Sublingual
Injections
(1) Preparation of meds/syringe
(2) Record keeping
(3) Site prep, rotation, and selection
1-Prof 2-Freq
MEDICAL/SURGICAL SKILLS CHECKLIST (continued)
UNIT / SKILLS
1-Prof
UNIT / SKILLS
2-Freq
IV THERAPY
Administration of chemotherapy
Administration/Mixing IV Meds
Blood/Blood Products administration
Calculate dosages
Calculate rates
Care of central lines
(1) Infusion procedures
(2) Care of insertion site
(3) Dressing changes
(4) S&S of complications
(5) Record keepings
(6) Pump operations
(7) IVAC
(8) IMED
(9) Other
(10) Start IV
(11) Hanging IV Piggybacks
(12) S&S of infection
(13) S&S infiltration
Insertion of peripheral line:
(1) Adult
(2) Child
(3) Elderly
Calculates IV flow rate:
(1) With pump
(2) Without pump
Nursing care, maintenance of:
(1) Borviac catheter
(2) Buretois
(3) Heparin Lock
Insertion of:
(1) Hickman catheter *Not done by RN/LPN
(2) Peripheral lines
(3) Porta-cath
*Not done by RN/LPN
(4) Triple lumen catheter *Not done by R/L
ADDITIONAL NURSING RESPONSIBILITIES
Admission procedure/initial assessment
Discharge planning/teaching
Universal isolation procedures/precautions
Specimen collection
Knowledge of unit doses
*Arterial blood gas draw interpretation
Lab value interpretation
*Capillary draw
Pre/Post OP teaching
*Heel stick
Problem oriented medical records
*Sputum
SOAP Charting
*Stool
Use of restraints
*Clean Catch Urine
Charge Nurse responsibilities
*24 hour urine
Primary Nurse responsibilities
*Wound Culture
Team Leading
Signature:
Date:
Please sign above verifying that the information above is true and accurate to the best of your
knowledge and authorizing Bridge Staffing, Inc. to release this skills checklist to
facilities/clients of Bridge Staffing, Inc. in relation to consideration of your employment with
those facilities/clients.
1-Prof
2-Freq