[checklist name="PCU/Intermediate Care/Stepdown" mailto="credentialing@teemagroup.com" templatedoc="1Ehg9sDKx4HJlVckAb9sOOC9Cn1gyFIWlEGRN8blv09E" templatedrive="1LG9WAg21_L3L-ZkZEChBzrYRhBOjpmcc" savedrive="15FFQjDXxe9nC9FkAAcuxbswGy1hq4sWm" sheetid="1xJkggLvktsyYL6zuIhdO-OURJhJTkWdDKunR11agspw"] [checklistHeading title="PCU/Intermediate Care/Stepdown"] Please rate your experience / frequency (within the last year) using the scale (check the appropriate boxes below) 0 = No theory and/or experience 1 = Limited experience/need supervision and/or support 2 = Experienced/minimal support needed to perform) 3 = Proficient/can perform independently 4 = Expert/very experienced in the field [/checklistHeading] [checklistInputGroup name="Recruiter Information"] [checklistInput type="text"]Recruiter TEEMA email[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Personal Information"] [checklistInput type="text"]Full Name[/checklistInput] [checklistInput type="email"]Your Email[/checklistInput] [checklistInput type="text"]Your phone number[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Cardiovascular"] [checklistInput type="scale"]12 Lead EKG Performance[/checklistInput] [checklistInput type="scale"]Cardioversion[/checklistInput] [checklistInput type="scale"]Carotid Endarterectomy[/checklistInput] [checklistInput type="scale"]Dysrhythmia interpretation and management[/checklistInput] [checklistInput type="scale"]Epicardial pacing wires[/checklistInput] [checklistInput type="scale"]Pacemaker - Temporary/Permanent[/checklistInput] [checklistInput type="scale"]Post Vascular Surgery[/checklistInput] [checklistInput type="scale"]Pre/Post Cardiac Cath[/checklistInput] [checklistInput type="scale"]Pre/Post Open Heart Surgery[/checklistInput] [checklistInput type="scale"]Recognizing & Activating Resuscitation Event[/checklistInput] [checklistInput type="scale"]Sheath Removal[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="PULMONARY"] [checklistInput type="scale"]Assist with Chest Tube Placement & Management[/checklistInput] [checklistInput type="scale"]Chest physiotherapy[/checklistInput] [checklistInput type="scale"]External CPAP/BiPAP[/checklistInput] [checklistInput type="scale"]Intubation/Extubation[/checklistInput] [checklistInput type="scale"]Post Thoracic Surgery[/checklistInput] [checklistInput type="scale"]Ventilator/Trach Management/Chronic/Stable Vents[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="NEUROLOGIC AND PSYCHIATRIC"] [checklistInput type="scale"]Brain Injury[/checklistInput] [checklistInput type="scale"]CVA[/checklistInput] [checklistInput type="scale"]Drug Withdrawal[/checklistInput] [checklistInput type="scale"]Glascow Coma Scale[/checklistInput] [checklistInput type="scale"]Post Craniotomy[/checklistInput] [checklistInput type="scale"]Spinal Cord Injury[/checklistInput] [checklistInput type="scale"]Stroke Scale Assessment[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="ENDOCRINE/METABOLIC"] [checklistInput type="scale"]Diabetes - Hypo/Hyperglycemic Crisis[/checklistInput] [checklistInput type="scale"]Indwelling Insulin Pumps[/checklistInput] [checklistInput type="scale"]IV Insulin Protocols/Insulin drips[/checklistInput] [checklistInput type="scale"]Transplants[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="INTEGUMENTARY"] [checklistInput type="scale"]Sterile dressing changes[/checklistInput] [checklistInput type="scale"]Wound Drains[/checklistInput] [checklistInput type="scale"]Wound staging & care[/checklistInput] [checklistInput type="scale"]Wound vac[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="MEDICATIONS"] [checklistInput type="scale"]Anti-Arrhythmics[/checklistInput] [checklistInput type="scale"]Anticoagulants (IV, oral, & injection)[/checklistInput] [checklistInput type="scale"]Anti-Hypertensives[/checklistInput] [checklistInput type="scale"]Anti-Psychotics[/checklistInput] [checklistInput type="scale"]Anti-Seizure Medications[/checklistInput] [checklistInput type="scale"]Bar Coding for Medication Administration[/checklistInput] [checklistInput type="scale"]Benzodiazepines[/checklistInput] [checklistInput type="scale"]Chemotherapy Administration[/checklistInput] [checklistInput type="scale"]Diuretics[/checklistInput] [checklistInput type="scale"]Manage Vasoactive Drips - No Titration (heparin not included)[/checklistInput] [checklistInput type="scale"]Narcotics/Opioid Analgesics (IV, oral, & injection)[/checklistInput] [checklistInput type="scale"]Nitrates (Oral & Topical)[/checklistInput] [checklistInput type="scale"]Non-Opioid Analgesics (IV, Oral, & Injection)[/checklistInput] [checklistInput type="scale"]PCA Pumps[/checklistInput] [checklistInput type="scale"]Titrate Vasoactive Drips (heparin not included)[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="IV Therapy"] [checklistInput type="scale"]Starting IVs[/checklistInput] [checklistInput type="scale"]PICC line Care/Blood Draws[/checklistInput] [checklistInput type="scale"]Central Line/Implanted Line Care/Blood Draws[/checklistInput] [checklistInput type="scale"]TPN & Lipids[/checklistInput] [checklistInput type="scale"]Blood Product Administration[/checklistInput] [checklistInput type="scale"]Arterial Line Management[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="PROFESSIONAL KNOWLEDGE AND SKILLS"] [checklistInput type="scale"]Charge Experience[/checklistInput] [checklistInput type="scale"]Fall Risk Assessment/Prevention[/checklistInput] [checklistInput type="scale"]Infection Prevention[/checklistInput] [checklistInput type="scale"]Interpretation and Communication of Lab Values[/checklistInput] [checklistInput type="scale"]Isolation Precautions[/checklistInput] [checklistInput type="scale"]National Patient Safety Goals/Core Measures[/checklistInput] [checklistInput type="scale"]Pain Assessment & Management[/checklistInput] [checklistInput type="scale"]Patient/Family Teaching[/checklistInput] [checklistInput type="scale"]Pressure Ulcer Risk Assessment/Prevention[/checklistInput] [checklistInput type="scale"]Restraints/Use of Least Restrictive Device[/checklistInput] [checklistInput type="scale"]Specialty Beds[/checklistInput] [/checklistInputGroup] [checklistFooter] [/checklistFooter] [/checklist]