Medical/Surgical Skills List(MED/SURG) Applicant, please write the letter of your current level of Clinical Nursing competency using the following codes in the appropriate space provided: A-No experience B-Intermittent experience C-One year consistent experience D-Two years consistent experience E-Able to teach and supervise » CARDIOVASCULAR  Assessment of heart sounds  Interpretation of Arrhythmias  Basic 12 Lead ECG Interpretation  Defibrillation/cardioversion  Care of patient with temporary Pacemaker  Care of patient w/permanent Pacemaker  Care of open heart surgical patient  Care of patient 24-48 hours past Acute MI  Care of patient with congestive Heart failure  Obtain central venous pressure readings  Via manometer  Via infusion pump  Drawing blood  Venous  Swan-ganz catheter  Arterial lines  Triple Lumen Catheter  Arterial blood gases  Care of patient with Femoral Popliteal bypass  Start IV's  Butterfly  Angiocath  PCA pumps » PULMONARY  Assessment of breath sounds  Chest physiotherapy  Oximetry  Interpretation of ABG's  Care of patient with:  Nasal cannula  Face mask  Portable O2 mask  Oropharyngeal suctioning  Nasotracheal suctioning  Care of patient with Tracheostomy  Care of patient with chest Tubes  Care of patient on mechanical Ventilator  Care of patient with COPD  Blood drawing arterial lines » ENDOCRINE/METABOLIC  Diabetic teaching  Blood glucose testing/type  Insulin administration  Care of patient with:  Drug Overdose  Hepatitis  GI surgery  Thyroidectomy-disorders of Diabetes Mellitus  Disorders of the adrenal gland(e.g. Addisons)  Disorder of the pituitary gland(e.g. Diabetes Insipidus) » WOUND & SKIN MANAGEMENT  Wound care/irrigations  Sterile dressing changes  Assessment and care of  Pressure sores  Burn Care  Ulcer Care  Decubitis  Use of air fluidized,low Airloss beds  Care of venous surgical Drains  Bulb suctions (manual)  All suction OTHER AREAS OF CLINICAL COMPETENCE Emergency Room:  Adult  Pediatric  Both  General  Surgical  Medical  Infectious disease/AIDS  Maternal/Child  Care of OB patient  High risks  Care of newborn-normal  Neonatal  Maternal transport  Outpatient surgery Indicate specialty  Restraints  Adult  Pediatric  Universal Precautions Nuerological/ Orthopedics  Assessment of neurological status  Care of patient with Seizures  Head trauma  Spinal Cord injury/ surgery  Nueromuscular disease  Cervical traction  DT's  Post craniotomy  CVA  Total knee replacement  Total hip replacement  CPM  Bowel/bladder program  Casts  Use of hypo/ hyperthermia blanket GASTROINTESTINAL  Assessment of abdomen  Placement of Nasogastric tube  Salem sump to suction  Flexible feeding tubes  Administration of feeding tube via flexible tube  Saline lavage  Care of patient with:  Gastrostomy tube  Jejumostomy tube  T-Tube  Cecestomy  Care of patient with:  GI bleed  Inflammatory bowel disease  Hepatitis  GI Surgery RENAL/ GENTOURINARY Insertion of catheter:  Indwelling  Straight catheter  External male catheter  Care of three-way Foley Catheter  Bladder irrigations:  Continuous  Intermitten  Care of patient with:  Urinary Diversion(Ilieal conduit nephrostomy)  Nephrectomy  Fistula/Shunt  Renal Transplant  Peritoneal dialysis  Hemodialysis  Renal failure PEDIATRIC  Respiratory O2  Hood  Aerosol  Tent  Venous  Arterial  Care of patient with  Cystic Fibrosis  Asthma  BPD  ARDS  Diabetes Mellitus  Meningitis  Assist with lumbar procedure  Failure to thrive  Sickle Cell  Apnea monitor  Recognize signs of child abuse or neglect ONCOLOGY  Adult  Pediatric  Chemotherapy Administration/ Precautions  Nutritional requirements  Chemotherapy license  Care of bone marrow transplant patient  Isolation/reverse Isolation  Care of portacath  Hickman  Broviac  Groshong Do you have certification in: BCLS yes no EXP DATE ACLS yes no EXP DATE Signature: Date: Return to top