Urgent Care

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
CARDIOVASCULAR
Auscultation/Irregular Heart Sounds
Peripheral Edema
PQRST Assessment
EKG
Lab Tests (Cardiac Enzymes, Troponin, BNP)
Arrhythmia Interpretation
12-Lead Set Up
12-Lead Basic Interpretation
Defibrillation
External Pacer
Chest Pain/ACS
Arrhythmias
CHF
AED
Cardiac Arrest/CPR
Nitroglycerin
Morphine
Heparin
ALS (Epinephrine, Atropine, Anti-Arrhythmics)
PULMONARY
Abnormal Breath Sounds (Wheezing, Stridor, Crackles)
Abnormal Breathing Pattern (Rapid, Labored, Slow)
Pulse Oximetry
ABGs
Oxygen Therapy (Nasal Cannula, Face Mask)
Manual Resuscitation Bag (MRB, Ambu Bag)
Metered-Dose Inhaler (MDI)
Nebulizers
Aspiration
Asthma/Reactive Airway Disease
COPD
Pneumonia
Pulmonary Edema
Pulmonary Embolism
Bronchodilators
Steroids
Diuretics
NEUROLOGICAL
Signs & Symptoms of Stroke
Altered LOC
Assist with Lumbar Puncture
Cervical Collar
Spinal Immobilization
Head Injury
Meningitis
Migraine
Seizures
TIA/Stroke
Imitrex (Sumatriptan Succinate)
Phenobarbitol
Dilantin (Phenytoin)
Depakote
Analgesics
ORTHOPEDICS
Range of Motion
Color, Warmth, Movement, Sensation
Fracture/Dislocation
Apply Splints
Assist with Casting
Assist with Reduction of Dislocation
Spinal Immobilization
Transfer Boards
Cast/Splint
Dislocation
External Appliance
Sprain/Fracture
Analgesia/Sedation
GASTROINTESTINAL
Bowel Sounds
Distention
Fluid Balance
Nutritional Status
Enemas
Gastric Lavage
G-Tubes
NG Tubes
Colostomy
Constipation/Impaction
Diarrhea
G-Tube (Reinsertion/Replacement)
Nausea/Vomiting
Ipecac
Charcoal
Antiemetics
Antispasmodics
RENAL/GENITOURINARY
Fluid Status
Shunt/Fistula (Thrill/Bruit)
BUN/Creatinine/Electrolytes
Urine Dipstick/C&S
Placement & Management of Bladder Catheters
Pyelonephritis/UTI
Obstruction
Renal Calculi
Renal Trauma
Testicular Torsion
Priapism
Antibiotics
ENDOCRINE/METABOLIC
Hypo/Hyperglycemia
Blood Glucose
Urine Ketones
Bedside Blood Glucose Monitoring
Hypoglycemia/Insulin Shock
Hyperglycemia/DKA
Dextrose
Insulin
Oral Hypoglycemics
EENT
Visual Acuity
Foreign Body
Enlarged Tonsils
Ear Irrigation/Removal Foreign Body
Eye Injury/Foreign Body/Detached Retina
Assist with Removal of Nasal Foreign Body
Epistaxis
Set Up/Assist Cautery
Set Up Slit Lamp
Silver Nitrate
Liquid Cocaine
Anti-Hypertensives
INFECTIOUS DISEASE
Communicable Disease
Interpret Culture Results
Obtain Cultures
Fever Management
Isolation
Reverse Isolation/Hepa Filter
Use of Personal Protective Equipment
Infectious Disease
Immunosuppression/Neutropenia
Antibiotics
Antivirals
WOUND MANAGEMENT
Burn Care
Dressing Change
Ostomy Care
Wound Repair (Staples/Sutures, etc.)
PAIN MANAGEMENT
Assessment of Pain Level/Use of Pain Scale
Assessment of Response to Pain Management Interventions
Monitoring of Patients after Pain Medication
Comfort Care
Moderate Sedation
PSYCHIATRIC
Behavior
Drug/ETOH
Risk for Violence
Managing Threatening/Violent Behavior
Psychiatric Hold
Drug OD
ETOH OD
Depression/Anxiety
Restraints
Suicide Risk
Antipsychotics/Antidepressants
Reversal Agents
WOMEN'S HEALTH
Vaginal Bleeding
Doppler/Fetal Heart Tones
Ectopic Pregnancy
Obtain Cultures
Pelvic Tray
Hemorrhage
Pelvic Inflammatory Disease
Placenta Abruptio/Previa
Precipitous Delivery
Pregnancy-Induced Hypertension
Spontaneous Abortion
PEDIATRICS
Child Abuse Recognition/Reporting
Shaken Baby Syndrome
Obtaining Consent to Treat
Normal VS for age groups
Use of Dynamap/Doppler Leg Cuffs for B/P
Failure to Thrive
Assist with Fracture Stabilization
Cooling/Warming Measures
Draw Labs (Venous/Butterfly)
Ear Care-Assist with Cleaning/Wash, Insert Ear Drops
IM/SQ Medications in Pediatric Patients
Obtain RSV Culture
Obtain Urine Culture (Cath/Bag)
Lumbar Puncture
Papoose Board/Therapeutic Hold
Start IV in Pediatric Patient
Abdominal Pain
Aspiration
Asthma/Reactive Airway Disease
Burns
Dehydration
Epiglottitis
Fever
Foreign Object
Fracture
Head Injury
Hypo/Hyperglycemia
Hypo/Hyperthermia
Lacerations
Near Drowning
Nursemaid's Elbow
Ipecac/Charcoal
Bronchodilators/Nebulizers
Fluid Replacement
Age Specific Competencies
Infant (Birth - 1 year)
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)
MISCELLANEOUS
Intake and Triage
National Patient Safety Goals
AMA procedures
Disaster Management
Computerized Charting
Bites
Hazardous Materials Exposure
Victims of Acts of Violence