MED SURG

    Instruction

    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

Recruiter Information

Recruiter TEEMA email

Personal Information

Full Name

Email

Phone number

Last 4 of Social Security Number

Date

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

Nitrates (Oral & Topical)

Oral Hypoglycemics

Patient Controlled Analgesia

Procedural Sedation Administration

Reversal Agents

Steroids (IV, Oral, Inhaled)

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 Comm of Lab Values

Wound Care /Wound Vac

Specialty Beds

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