Intermediate Care / Telemetry Skills Checklist (TELE)
Printed Name:
Please indicate your level of expertise according to the legend outlined below:
» Answer Key
1 = No Experience
2 = Minimal Experience (less than one year)
3 = One Year Consistent Experience
4 = Two or More Years of Consistent Experience
5 = Able to Teach and Supervise
» CARDIOVASCULAR
I. Assessment
A. Auscultation (rate, rhythm)
B. Heart sounds / murmurs
C. Pulses / circulation checks
II. Interpretation of lab results
A. Cardiac enzymes / isoenzymes
B. Coagulation studies
III. Equipment and procedures
A. Monitoring / telemetry
1. Arrhythmia interpretation
2. Basic 12 lead interpretation
3. Lead placement: 5 electrode tele
4. Lead placement: I, III, V-leads
5. Lead placement: Lead II and MCL
B. Pacemaker
1. Permanent
2. Temporary epicardial wires
3. Temporary external pacing
4. Temporary transvenous
C. Assist with:
1. Arterial line insertion
2. Central line insertion
D. Hemodynamic monitoring
1. A-line (radial)
2. CVP monitoring
3. Femoral artery sheath removal
4. Swan-Ganz
E. Perform
1. Controlled cardioversion
2. Emergency defibrillation
IV. Care of the patient with:
A. Abdominal aortic bypass
B. Aneurysm
C. Angina
D. Cardiac arrest
E. Cardiomyopathy
F. Carotid endarterectomy
G. Congestive heart failure
H. Femoral-popliteal bypass
I. Post acute MI (24-48 hours)
J. Post angioplasty
K. Post arthrectomy
L. Post CABG (24 hours)
M. Post cardiac cath
N. Post stent placement
V. Medications
A. Atropine
B. Bretylium (Bretylol)
C. Cardizem (Diltiazem hydrochloride)
D. Digoxin (Lanoxin)
E. Dobutamine (Dobutrex)
F. Dopamine (Intropin)
G. Epinephrine (Adrenalin)
H. Heparin
I. Lidocaine (Xylocaine)
J. Nipride (Nitroprusside)
K. Nitroglycerine (Tridil)
L. Oral anticoagulants
M. Oral & IVP antihypertensives
N. Oral & tropical nitrates
O. Verapamil (Calan, Isoptin, Veralan)
» PULMONARY
I. Assessment
A. Breath sounds
B. Breathing patterns
II. Interpretation of lab results
A. Arterial blood gases
B. Blood chemistry
III. Equipment and procedures
A. Assist with intubation
B. Assist with thoracentesis
C. Care of airway management devices / suctioning
1. Endotracheal tube / suctioning
2. Nasal airway / suctioning
3. Oropharyngeal / suctioning
4. Oximetry
5. Sputum specimen collection
6. Tracheostomy / suctioning
D. Care of patient on ventilator
1. Extubation
2. Weaning modes
E. Care of patient with chest tube
1. Assist with set-up and insertion
2. Mediastinal tube removal
3. Pleural tube removal
4. Use of Pleurevac or Thoraclex
5. Use of water seal drainage system
F. Chest physiotherapy
G. Establishing an airway
H. Incentive spirometry
I. O2 therapy & medication delivery systems
1. Ambu bag and mask
2. ET tube
3. External CPAP
4. Face masks
5. Inhalers
6. Nasal cannula
7. Portable O2 tank
8. Tracheostomy
9. Transtracheal cannulation
J. Oral airway insertion
IV. Care of the patient with:
A. ARDS
B. Bronchoscopy
C. COPD
D. Fresh tracheostomy
E. Lobectomy
F. Pneumonectomy
G. Pneumonia
H. Pulmonary edema
I. Pulmonary edema
J. Status asthmaticus
K. Thoracotomy
L. Tuberculosis
V. Medications
A. Alupent (Metaproterenol sulfate)
B. Aminophylline (Theophylline)
C. Bronkosol (Isotharine hydrochloride)
D. Corticosteroids
E. Ventolin (Albuterol)
» NEUROLOGICAL
I. Assessment
A. Cerebellar function
B. Cranial nerves
C. Glasgow coma scale
D. Level of consciousness
E. Pathologic reflexes
II. Equipment and procedures
A. Assist with lumbar puncture
B. Halo traction
C. Nerve stimulator
D. Rotation bed
E. Seizure precautions
F. Use of hyper / hypothermia blankets
III. Care of the patient with:
A. Aneurysm precautions
B. Basal head fracture
C. Closed head injury
D. Coma
E. CVA
F. DT's
G. Encephalitis
H. Externalized VP shunts
I. Meningitis
J. Multiple Sclerosis
K. Neuromuscular disease
L. Post craniotomy
M. Seizures
N. Spinal cord injury
IV. Medications
A. Carbamazepine (Tegretol)
B. Carbidopa-Levodopa (Sinemeto
C. Clonazepam (Klonopin)
D. Decadron (Dexamethasone)
E. Dilantin (Phenytoin)
F. Lorazepam (Ativan)
G. Methylprednisolone (Solu-Medrol)
H. Phenobarbital
I. Valium (Diazepam)
» GASTROINTESTINAL
I. Assessment
A. Abdominal / bowel sounds
B. Fluid balance
C. Nutritional
II. Interpretation of blood chemistry
III. Equipment and procedures
A. Administration of tube feeding
1. Feeding pump
2. Gravity feeding
B. Flexible feeding tube (i.e., Corpak, Dobhoff)
C. Placement of nasogastric tube
D. Salem sump to suction
E. Saline lavage
IV. Management of:
A. Gastrostomy tube
B. Jejunostomy tube
C. PPN (peripheral parenteral nutrition)
D. TPN and lipids administration
E. T-tube
V. Care of the patient with:
A. Bowel obstruction
B. Colostomy
C. ERCP
D. Esophageal bleeding
E. GI bleeding
F. GI surgery
G. Hepatitis
H. Ileostomy
I. Inflammatory bowel disease
J. Liver failure
K. Liver transplant
L. Liver transplant
M. Paralytic ileus
N. Whipple procedure
» RENAL / GENITOURINARY
I. Assessment
A. A-V Fistula / shunt
B. Fluid and electrolyte balance
II. Interpretation of BUN and creatinine
III. Equipment and procedures
A. Insertion and care of straight and Foley catheter
1. Female
2. Male
3. Supra-pubic
B. Bladder irrigation
1. Continuous
2. Intermittent
C. Specimen collection
1. Routine
2. 24-hour
D. Nephrostomy tube care
E. Manual CAPD administration
F. Peritoneal dialysis via Automatic cycler
IV. Care of the patient with:
A. Hemodialysis
B. Nephrectomy
C. Peritoneal dialysis
D. Renal failure
E. Renal transplant
F. TURP
» METABOLIC
I. Assessment
A. S/S diabetic ketoacidosis
B. S/S insulin shock
II. Interpretation of lab results
A. Blood glucose
B. Thyroid levels
III. Equipment and Procedures
A. Blood glucose monitoring
Type(s):
2. Insulin administration
3. Visual blood glucose drips
IV. Care of the patient with:
A. Cushing's syndrome
B. Diabetes insipidus
C. Diabetes mellitus
D. Diabetic ketoacidosis
E. Disorders of the adrenal gland (Addison's disease)
F. Drug overdose
G. Hyperthyroidism
G. Hyperthyroidism
I. Pheochromocytoma
J. Post adrenalectomy
K. Post hypophysectomy
L. Post thyroidectomy
V. Medications
A. Hydrocortisone
B. IM vasopressin (Pitressin)
C. Insulin
D. Prednisone
E. Radioactive iodine
» WOUND MANAGEMENT
I. Assessment
A. Skin for impending breakdown
B. Stasis ulcers
C. Surgical wound healing
II. Equipment and procedures
A. Air fluidized, low airloss beds
B. Sterile dressing changes
C. Wound care / irrigations
III. Care of the patient with:
A. Burns
B. Pressure sores
C. Staged decubitus ulcers
D. Surgical wounds with drain(s)
E. Traumatic wounds
» PHLEBOTOMY / IV THERAPY
I. Equipment and procedures
A. Drawing blood from central line
B. Drawing venous blood
C. Staring IV's
1. Angiocath
2. Butterfly
3. Heparin lock
D. Administration of blood / blood products
1. Albumin / plasma
2. Cryoprecipitate
3. Packed red blood cells
4. Whole blood
II. Care of the patient with:
A. Central line / catheter / dressing
1. Broviac
2. Groshong
3. Hickman
4. Portacath
5. Quinton
B. Peripheral line / dressing
» PAIN MANAGEMENT
I. Assessment of pain level / tolerance
II. Care of the patient with:
A. Anesthesia / analgesia
B. IV conscious sedation
C. Narcotic analgesia
D. Patient controlled analgesia (PCA pump)
The information contained in this skills checklist is true and correct to the best of my knowledge.
Signature:
Date:
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