Med-Surg

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale

(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
CARDIAC
Angina
Post Acute MI
Congestive Heart Failure
Post Cardiac Cath
Post Cardiac Surgery
Aneurysm
Carotid Endarterectomy
Post Vascular Surgery
Post Cardiac Transplant
PULMONARY
Pneumonia
COPD
Tuberculosis
Pulmonary Embolism
Tracheostomy Management
CPAP/BiPAP
Interpretation of Arterial Blood Gases
Post Lung Transplant
NEUROLOGICAL & PSYCHIATRIC
Stroke Scale Assessment
Traumatic Brain Injury
CVA
Post Craniotomy
Seizure Disorders
Spinal Cord Injuries
Mood Disorders
Substance Withdrawal
ORTHOPEDICS
Circulation/Skin Checks
Continuous Passive Motion Devices
Ambulation Assistive Devices
Prosthetics
Cast Care
Pin Care
Traction
Total Joint Replacement
Amputation
GASTROINTESTINAL
Bariatrics
Feeding Tubes
GI Bleeding
Bowel Obstruction
GI Surgery
Liver Disease
Pancreatitis
Post Liver Transplant
Post Pancreas Transplant
RENAL/GENITOURINARY
Arteriovenous Fistula/Shunt
3 Way Catheter & Bladder Irrigation
Suprapubic Catheter
Renal Failure
Peritoneal Dialysis
GU Surgery
Nephrostomy Tubes
Renal Transplant
Management Pre/Post Hemodialysis
Gyn Surgery
ENDOCRINE METABOLIC
Diabetes Type I
Diabetes Type II
Blood Glucose Monitoring
IV Insulin Protocols
Management of Hypoglycemia
Indwelling Insulin Pumps
Pituitary Disorders
ONCOLOGY
Chemotherapy Administration
Radiation Therapy
Medical Oncology
Surgical Oncology
Radiation Implants
Bone Marrow Transplant
MEDICATIONS
Antiarrhythmics
Anticoagulants (IV, oral, & injection)
Anti-Depressants
Anti-Hypertensives
Anti-Psychotics
Benzodiazepines
Emergency Medications
Epidural Analgesia
Inhaled Medications
Insulin
Narcotics/Opioid Analgesics (IV, oral, & injection)
Nitrates (Oral & Topical)
Non-Opioid Analgesics (IV, Oral, & Injection)
Oral Hypoglycemics
Patient Controlled Analgesia
Procedural Sedation Administration
Reversal Agents
Steroids (IV, Oral, Inhaled)
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
IV THERAPY
Starting IVs
Central Line Blood Draws
Central Line/Implanted Line Care
TPN & Lipids
Blood Product Administration
Monitoring of Chemotherapy
CARDIAC MONITORING & EMERG. RESPONSE
Placement of Telemetry Leads
Rhythm Interpretation
Dysrhythmia Management
Obtain 12 Lead EKG
Use of Rapid Response Teams
PROFESSIONAL KNOWLEDGE AND SKILLS
National Patient Safety Goals/Core Measures
Fall Risk Assessment/Prevention
Pressure Ulcer Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Patient/Family Teaching
Age Specific/Population-Based Care
Isolation Precautions
Infection Prevention
Pain Assessment & Management
Charge Experience
Interpretation and Communication of Lab Values
Wound Care /Wound Vac
Specialty Beds
EMR
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration