Please rate your experience / frequency (within the last year) using the scale (check the appropriate boxes below)
Recruiter TEEMA email
Full Name
Email
Phone number
Last 4 of Social Security Number
Date
Cranial nerve assessment
0
1
2
3
4
Glasgow coma scale
NIH stroke scale
NIH stroke certification
Seizure precautions
Skeletal traction
Cervical spine precautions/logroll positioning
Halo vest/halo traction
Monitoring of neuromuscular blocking agents/paralytics
Assist with lumbar puncture
Ventriculostomy
Subarachnoid screw/bolt
Lumbar drains
Cerebral aneurysm
Subarachnoid hemorrhage
Status epilepticus
TBI (Traumatic Brain Injury)
Spinal cord injury
CerebroVascular Accident (CVA)
Pre/post cranial surgery
Meningitis
Myasthenia gravis
Clipping and/or coilings of aneurysms
Pituitary Tumor
Steroids: Decadron, Solu-Medrol
Anticonvulsants: Dilantin, phenobarbital
Paralytic Agents: Norcuron, Pavalon, Nimbex, Tracrium, vecuronium
Mannitol
Antipsychotics: Haldol
Assessment of breath sounds
Oral/NT/ET airway
Tracheostomy
Arterial blood gas analysis/interpretation
Obtaining ABG blood sample/arterial line
Pulse oximetry
BiPAP (Bi-level Positive Airway Pressure)
Oscillation/high-frequency ventilation
Nitric
Interpretation of weaning parameters
Maintenance & management of pleural chest tubes
Acute respiratory failure
Adult Respiratory Distress Syndrome (ARDS)
Sudden Inflammation Respiratory Syndrome (SIRS)
Inhalation injuries
Pneumonia
Pulmonary edema
Near drowning
Chronic Obstructive Pulmonary Disease (COPD)
Pre/post thoracic surgery
Pulmonary embolism
Pulmonary/chest trauma
Pulmonary hypertension
Status asthmaticus
Rapid sequence intubation drugs/protocols
Nebulizer treatments: Ventolin, Atrovent
Mass casualty
Electrocution
Amputation
Gangrene
Multiple fractures
Thermoregulation: hypothermia/hyperthermia
Berdow Formula/ “Rule of Nines”
Lund and Browder chart
Fluid resuscitation
Care & management of burns
Heparin Drip ‐ Precautions and Maintenance
Small bore feeding tube insertion (Dobhoff or Keofeed)
Nasogastric tube insertion
Post pyloric feeding tube insertion
Gastric lavage
Use of activated charcoal
Maintenance of gastric/jejunostomy tube
Stoma care
Maintenance & management of enteral tube feedings
Assisting/monitoring bedside procedures: endo/chest tubes/bronchs/trach insertion/PEG tubes
Abdominal trauma
Acute gastrointestinal hemorrhage
Esophageal varices
Peritonitis
Acute pancreatitis
Bowel obstruction
Liver/pancreas transplant
Antiemetics: Reglan, Zofran
H2 receptor antagonists
Starting peripheral IV’s
Care of patient with Peripherally-Inserted Central Catheter (PICC)
Administration/monitoring of Total Parenteral Nutrition (TPN)
Administration of blood/blood products
Administration of narcotics/sedatives: (fentanyl, Valium, Ativan, Versed, morphine)
Bispectral monitoring
Foley catheter insertion
Suprapubic tube
Nephrostomy tube
Peritoneal dialysis
Continuous Arteriovenous Hemofiltration (CAVHD, CVVHD, SCUF, CRRT)
Hemodialysis of the critically ill patient
Acute renal failure
Chronic renal failure
AV fistulas, shunts & dialysis catheters
Nephrectomy
Renal transplant
Renal/urinary tract trauma
Diabetic Ketoacidosis (DKA)
Hyperosmolar Hyperglycemic Nonketotic Coma (HHNK)
Diabetes Insipidus (DI)
Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Administration & monitoring of insulin infusion
Use of Endo tool
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)
Please read and agree to the statements below by marking the checkbox.
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.
Red e-mail field(s) must contain a valid email address
Must accept terms of service
Red field(s) are empty
Thank you for your submission, we will look over your message and get back to you ASAP.
