Skills Checklist - Telemetry

15849 N. 71st Street . Suite 100 - Scottsdale, AZ 85254 Toll Free: (877) 280-2600 - Fax: (877) 280-5200

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For the skills listed below please check if you are:
(E) Expert - serves as resource
(P) Proficient - performs daily or weekly
(L) Limited - less than 6 times a year
(N) No Experience - observed only

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Name Date Email

Age Specific
Practice Critera

Newborn (birth -30 Days)		Middle (36-64 years)
Adolescent (12-15years)		Preschooler (3-5 Years
Infant (1month-1year)		Elderly (64 + years )
Young Adults (18-35 years)		School Age Children (5-12) Years
Toddler (1-3 Years)

Cardiovascular

Assessment
	E	P	L	N
Auscultation
Heart sounds / Murmurs
Pulses / circulation checks
Interpretation of Lab Results
Cardiac enzymes/Isoenzymes
Coagulation Studies

Equipment & Procedures Monitoring Telemetry
	E	P	L	N
Arrhythmia Interpretation
Basic 12 Lead Interpretations
Lead Placement: 5 electrodes Tele
Lead Placement: I, III, V-leads
Lead Placement: II, and MCL1

Pacemaker
	E	P	L	N
Permanent
Temporary epicedial wires
Temporary external pacing
Temporary Tran venous

Assist with
	E	P	L	N
Arterial Line insertion
Central Line insertion

Hemodynamic Monitoring
	E	P	L	N
A-line Radial
CVP Monitoring
Femoral artery sheath removal
Swan-Ganz

Perform
	E	P	L	N
Controlled cardioversion
Emergency defibrillation

Care of Patients with:
	E	P	L	N
Abdominal aortic bypass
Aneurism
Angina
Cardiac Arrest
Cardiomyothapy
Carotid endarterectomy
Congestive Heart Failure CHF
Femoral-popliteal bypass
Post acute MI(24-48 hrs)
Post Angioplasty
Post Arthrectomy(DCA)
Post CABG (24 hrs)
Post cardiac cath
Post stint replacement

Medications
	E	P	L	N
Atropine
Bretylium (Bretylol)
Cardizem (Diltiazem hydrochloride)
Digoxin (lanoxin)
Dobutamine(Dobutrex)
Dopamine (Intropin)
Epinephrine (Adrenalin)
Heparin
Lidocaine (Xylocaine)
Nipride (nitroprusside)
Nitroglycerine (Tridil)
Oral Anticoagulants
Oral and IVP antihypertensive
Oral and topical Nitrates
Vorapamil (Calan,Isoptin,Veralan)

Gastrointestinal

Assessment
	E	P	L	N
Abdominal /bowel sounds
Fluid Balance
Nutritional
Interpretation of blood chemistry

Equipment and Procedures
	E	P	L	N
Administration of tube feeding
Feeding Pump
Gravity Feeding
Flexible Feeding tube (i.e. Corpak, Dobhoff)
Placement of nasogastric tube
Salem sump to suction
Saline Lavage

Management of
	E	P	L	N
Gastronomy tube
Jejunostomy tube
PPN (peripheral parenternal nutrition)
TPN and Lipids administration
T-Tube

Care of Patients with
	E	P	L	N
Bowel Obstruction
Colostomy
ERCP
Esophageal bleeding
GI Bleeding
Hepatitis
Ileostomy
Inflammatory bowel disease
Liver Failure
Liver Transplant
Pancreatitis
Paralytic ileus
Whipple Procedure

Genitourinary / Renal

Assessment
	E	P	L	N
A-V fistula shunt
Fluid and electrolyte balance
Interpretation of BUN and creatine

Equipment and Procedures
Insertion and care of straight and Foley catheters	E	P	L	N
Male
Female
Supra-Pubic
Bladder Irrigation
Continuous
Intermittent
Specimen collection
Routine
24-hour
Nephrostomy tube care
Manual CAPD administration
Peritoneal dialysis via Automatic cycle

Care of patients with:
	E	P	L	N
Hemodyalisis
Nephrectomy
Peritoneal disease
Renal failure
Renal transplant
TURP

Metabolic

Assessment
	E	P	L	N
S/S diabetic ketoacidosis
S/S insulin shock

Interpretation of lab Results'
	E	P	L	N
Blood glucose
Thyroid levels

Equipment and Procedures
	E	P	L	N
Blood glucose measuring device
Insulin administration IV drip
Visual blood glucose strips

Care of Patients with:
	E	P	L	N
Gushings syndrome
Diabetes insipidus
Diabetes mellitus
Diabetic ketoacidosis
Disorders of adrenal gland (Addisons disease)
Drug Overdose
Hyperthyroidism
Hypothyroidism
Pheochromocytoma
Post adrenalectomy
Post hypophysectomy
Post Thyroidectomy
Medications
Hydrocortisone
IM vasopressin (pitressin)
Insulin
Prednisone
Radioactive iodine

Neurological

Assessment
	E	P	L	N
Cerebella functions
Cranial Nerves
Glasgow coma scale
Level of consciousness
Pathologic reflexes

Equipment and Procedures
	E	P	L	N
Assist with lumbar puncture
Halo traction
Nerve stimulator
Rotation bed
Seizure Precautions
Use of hypo/hyperthermia blanket

Care of patients with:
	E	P	L	N
Aneurysm Precautions
Basal skull fracture
Closed head injury
Coma
CVA
DTs
Encephilitis
Externalized VP shunts
Meningitis
Multiple sclerosis
Neuromuscular disease
Post craniotomy
Seizures
Spinal Cord injury

Medications
	E	P	L	N
Carbamazepine (Tegretol)
Carbidopa-Levodopa (Sinemet)
Clonazepam (Klonopin)
Decadron (Dexamethasone)
Dilantin (Phenytoin)
Lorazepam (Ativan)
Methylprednisolone (Solu-Medrol)
Phenobarbital
Valium (Diazepam)

Pain Management
	E	P	L	N
Assessment of pain level/ tolerance

Care of patients with
	E	P	L	N
Anesthesia / analgesia
IV conscious sedation
Narcotic analgesia
Patient controlled analgesia (PCA Pump)

Pulmonary

Assessment
	E	P	L	N
Breath Sounds
Breathing Patterns

Interpretation of lab results
	E	P	L	N
Arterial blood gases
Blood chemistry

Assessment and Procedures
	E	P	L	N
Assist with Intubations
Assist with Thoracentesis

Care of airway management devices/suctioning
	E	P	L	N
Endotracheal tube /suctioning
Nasal Airway /suctioning
Oropharyngeal /suctioning
Oximetry
Sputum specimen Collection
Tracheotomy/suctioning

Care of patients on ventilator
	E	P	L	N
Extubation
Weaning Modes

Care of Patients with a chest tube
	E	P	L	N
Assist with Set-up and Insertion
Mediastinal tube removal
Pleural tube removal
Use of Pleurevac or Thoraclex
Use of water seal drainage system
Chest Physiotherapy
Establishing an airway
Incentive spirometry

O2 Therapy and medications delivery
	E	P	L	N
Ambu bag and mask
ET tube
External CPAP
Face masks
Inhalers
Nasal cannula
Portable O2 tank
Tracheostomy
Transtracheal cannulation
Oral Airway insertion

Care of Patients with:
	E	P	L	N
AIDS
Bronchoscopy
COPD
Fresh Tracheostomy
Lobetomy
Pneumonectomy
Pneumonia
Pulmonary edema
Pulmonary embolism
Status asthmaticus
Thoractomy
Tuberculosis

Medications
	E	P	L	N
Aupent (Metaproterenol sulfate)
Aminophylline (Theophylline)
Bronkosol (Isoetharine hydrochloride)
Corticosteroids
Ventolin (albuterol)

Phlebotomy /IV Therapy / Renal

Equipment and Procedures
	E	P	L	N
Drawing blood from central line
Drawing venous blood

Starting IVs
	E	P	L	N
Angiocath
Butterfly
Heparin Lock

Administration of blood /blood products
	E	P	L	N
Albumin /plasma
Cryoprecipitate
Packed red blood cells
Whole blood

Care of Patients with:
	E	P	L	N
Peripheral line / dressing

Central line / Catheter/ dressing
	E	P	L	N
Broviac
Groshong
Hickman
Portacath
Quinton

Wound Management

Assessment
	E	P	L	N
Skin for impending breakdown
Stasis ulcers
Surgical wound healing

Equipment and Procedures
	E	P	L	N
Air-fluidized, low air loss beds
Sterile dressing changes
Wound care / irrigations

Care of Patients with:
	E	P	L	N
Burns
Pressure sores
Staged decubitis ulcers
Surgical wounds with drains
Traumatic wounds

Performance
Evaluation

Certifications		Expiration Date
ACLS
BCLS
Computerized Charting System
Medication Administration System

Signature Date