EMERGENCY ROOM SKILLS CHECKLIST

Nurse:______

Date: ______

CHECK PROFICIENCY / 1 / 2 / 3 / 4

TRAUMA/SHOCK

1. Assessment
Champion trauma score
Poison index
Triage
2. Equipment & procedures
Air transport trauma patient
Application of mast suit
Ground transport
3. Care of patient with:
Bites:
Animal
Human
Venomous snake
Venomous spider
Burns:
Rule of nines
1st degree
2nd degree
3rd degree
Dehydration
Electrocution
Gunshot Wounds
Hazardous material exposure
Heat exhaustion/stroke
Hypothermia
Major trauma
Minor trauma
Radiation exposure
Shock:
Anaphylactic
Cardiogenic
Hypovelmic
Trauma/shock (continued)
Neurogenic
Septic
Stab wounds
Traumatic Amputation

WOMEN’S HEALTH

1. Assessment
Assist with pelvic exam
2. Equipment and Procedures
Pelvic tray
Rape kit
Reporting acts of violence
3. Care of patient with:
Abruption placenta
DIC
Hemorrhage
Placenta previa
Preeclampsia/eclampsia
Spontaneous abortion

PHLEBOTOMY/IV THERAPY/INVASIVE PROCEDURE

1. Equipment & procedures
Administration of blood/blood products:
Auto transfusion
Cryoprecipate
Packed red blood cells
Whole Blood
Assist with cutdown
Drawing venous blood
Starting IV’s:
Angiocath
Butterfly
Heparin lock
2. Care of the patient with:
Angiography
Central line/catheter/dressing:
Broviac
Groshong
Hickman
PICC
Portacath
Pericardocentesis
OTHOPEDICS
1. Assessment
Circulation checks
Gait
Range of motion
Skin
2. Equipment & procedures
Assist with placement of cast
Support devices:
Cane/crutch
Cervical collar
Sling
Transfer boards
3. Care of the patient with:
Ankle brace
Ankle sprint
Cast
Knee immobilizer
Pinned fractures
Wrist Splint

WOUND MANAGEMENT

1. Equipment & Procedures
Application of Steristrips
Assist with Staples/sutures
Culdocentesis tray
Set up Suture Tray
Staple/Suture Removal

CARDIOVASCULAR

1. Assessment
Auscultation (rate, rhythm)
Doppler
Heart sounds/murmurs
2. Equipment & Procedures
Assist with insertion and set up:
Arterial line
Central line
PA Catheter/Swan Ganz Insertion
Pacemaker
Interpretation of wave forms and values:
A-line
CVP
Cardioversion
Monitoring:
Basic 12 lead interpretation
Basic arrhythmia interpretation
3. Care of patient with:
Acute MI
Aneurysm
Angina
Cardiac arrest
Congestive heart failure (CHF)
Myocarditis
4. Medications
ACLS drugs:
Atropine
Bretylium (Bretylol)
Epinephrine (Adrenalin)
Lidocaine (Xylocaine)
Procainamide (Pronestyl)
Sodium Bicarbonate
Other Drugs:
Adenosine (Adenocard)
Amiodarone (Cordarone)
Digoxin (Lanoxin)
Diltiazem (Cardizem)
Dobutamine (Dobutrex)
Dopamine (Intropin)
Esmolol (Brevibloc)
Lasix (Furosemide)
Nitroglycerine (Tridil)
Nipride (Nitroprusside)
Thrombolytic therapy

INFECTIOUS DISEASES

1. Interpretation of lab values
CBC, SMA 7
2. Equipment & Procedures
Fever management
Isolation
3. Care of patients with AIDS
PULMONARY
1. Assessment
Breath sounds
Rate and work of breathing
2. Interpretation of lab results
Arterial blood gases
PULMONARY (continued)
3. Equipment & Procedures
Airway management devices/suctioning:
Endotracheal tube/suctioning
Nasal airway/suctioning
Oropharyngeal/suctioning
Sputum specimen collection
Assist with extubation
Assist with intubation
Assist with Thoracentesis
Care of patient on a ventilator
Care of patient with a chest tube:
Assist with setup and Insertion
Measuring
Removal
Measuring peak flow
Obtaining blood gasses:
Arterial line
Femoral artery
Radial artery
Oxygen therapy & delivery systems:
Bag & mask
ET Tube
CPAP (external)
Face Masks
Inhalers
Nasal cannula
Nebulizer
Portable oxygen
T-piece
Trach collar
Pulse oximetry
Trouble shooting high pressure alarms
Trouble shooting low pressure alarms
4. Care of patient with:
Aspiration
COPD
Hemopneumothorax
Laryngospasm
Pneumonia
Pneumothorax
Pulmonary edema
Pulmonary embolism
Tension pneumothorax
Tuberculosis
5. Medications
Epinephrine (Adrenalin)
Aminophylline (Theophylline)
Bronkosol (Isoetharine hydrochloride)
Isuprel (Isoproterenol hydrochloride)
Steroids
Terbutaline
NEUROLOGICAL
1. Assessment
Advanced neuro assessment:
Glasgow coma scale
Reflex/motor deficits
Visual or communication deficits
Level of consciousness
2. Equipment & procedures
Assist with lumber puncture
Insertion & care of:
Medications
Positioning
Regulations of ICP
Temperature control
Ventilation
3. Care of patient with:
Basal skull fracture
Closed head injury
CVA
DTs
Encephalitis
Externalized VP shunts
Meningitis
Neuromuscular disease
Overdose
Seizures
Spinal cord injury
4. Medication:
Decadron (Dexamethasone)
Dilantin (Phenytoin)
Mannitol (Osmitrol)
Phenobarbital
RENAL/GENITOURINARY
1. Assessment – fluid balance
2. Interpretation of lab results
BUN & creatinine
Electrolytes
3. Equipment & procedures
Insertion & care of straight & Foley:
Female
Male
Urine specimen collection
4. Care of the patient with:
Acute renal failure
Peritoneal lavage
Renal trauma
Urinary tract infection
EENT
1. Assessment
Set up florescent/Woods lamp exam
Visual acuity
2. Equipment & Procedures
Application of eye patch
Ear irrigation
Eye irrigation
Morgan lens irrigation
Nasal packing
Removal of contact lens
ENDORINE/METABOLIC
1. Assessment
S/S diabetic coma
S/S insulin reaction
2. Equipment & procedures
Blood glucose monitoring
Electronic measuring device (specify)______
Performing finger stick
3. Care of patient with:
Diabetic ketoacidosis
4. Medication
Insulin
Oral hypoglycemics
GASTROINTESTINAL
1. Assessment
Abdominal/bowel sounds
Fluid balance
Nutritional status
2. Interpretation of blood chemistry
3. Equipment & procedures
Placement of nasogastric tube
Salem sump to suction
Saline lavage
4. Care of the patient with:
Abdominal trauma
Bowel obstruction
GI bleeding
Hepatitis
Liver Failure
5. Medications
Antimetica
Antispasmodic
Charcoal
Ipecac
IV conscious sedation
PEDIATRICS
1. Equipment & procedures
Child Abuse:
Recognition
Reporting
Obtaining consent to treat
Pediatric arrest
2. Care of patient with:
Epiglottitis
Near drowning
Overdose
Poison ingestion
Status Asthmaticus
Status epilepticus

EMERGENCY ROOM SKILLS CHECKLIST

Total Number of Years in Emergency Room: ______

YEARS OF EXPERIENCE BY FIELD IN EMERGENCY ROOM SPECIALTIES

Field / Years
TraumaCenter (Level 1)
TraumaCenter (Level II)
Community ER (Level II)
Rural ER

YEARS OF EXPERIENCE BY AGE GROUP

Age Group / Years
Newborns (birth – 30 days)
Infants (30 days – 1 year)
Toddler (1-3 years)
Preschooler (3-5 years)
School Children (5-12 years)
Adolescents (12-18 years)
Young Adults (18-39 years)
Middle aged adults (39-64 years)
Senior Adults (64+ years)

The information I have provided is true and accurate to the best of my knowledge. I authorize Northwest Nurse Staffing. to release this Skills Checklist to client hospitals as needed in relation to my employment.

Print name:

Signature: ______

Date: ______