[checklist name="RN/LVN Skills Checklist for ER" mailto="credentialing@teemagroup.com" templatedoc="1-ZBAIKbNfiYAk4GfTzB6DsoqRKZvyUzv7LInk43k0gw" templatedrive="1LG9WAg21_L3L-ZkZEChBzrYRhBOjpmcc" savedrive="15FFQjDXxe9nC9FkAAcuxbswGy1hq4sWm" sheetid="1xJkggLvktsyYL6zuIhdO-OURJhJTkWdDKunR11agspw"] [checklistHeading title="RN/LVN Skills Checklist for ER"] 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] [checklistInput type="text"]Last 4 of Social Security Number[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Work Settings"] [checklistInput type="scale"]Level I Trauma Center[/checklistInput] [checklistInput type="scale"]Level II Trauma Center[/checklistInput] [checklistInput type="scale"]Non-Trauma Center Emergency Department[/checklistInput] [checklistInput type="scale"]Pediatric Emergency Department[/checklistInput] [checklistInput type="scale"]Emergency Department - Combined Adult/Pediatric[/checklistInput] [checklistInput type="scale"]Critical Care Transport[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Cardiac"] [checklistInput type="scale"]Acute Coronary Syndrome[/checklistInput] [checklistInput type="scale"]Congestive Heart Failure/Pulmonary Edema[/checklistInput] [checklistInput type="scale"]Aneurysm[/checklistInput] [checklistInput type="scale"]Cardioversion[/checklistInput] [checklistInput type="scale"]Transcutaneous Pacemaker[/checklistInput] [checklistInput type="scale"]Heart Sound[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Pulmonary"] [checklistInput type="scale"]Respiratory Failure[/checklistInput] [checklistInput type="scale"]COPD and Asthma[/checklistInput] [checklistInput type="scale"]Aspiration[/checklistInput] [checklistInput type="scale"]Pneumonia[/checklistInput] [checklistInput type="scale"]Pneumo/Hemothorax[/checklistInput] [checklistInput type="scale"]Chest Tube Insertion/Management[/checklistInput] [checklistInput type="scale"]Pulmonary Embolism[/checklistInput] [checklistInput type="scale"]Tuberculosis[/checklistInput] [checklistInput type="scale"]External CPAP/BiPAP[/checklistInput] [checklistInput type="scale"]Intubation[/checklistInput] [checklistInput type="scale"]Ventilated Patients[/checklistInput] [checklistInput type="scale"]ABG Interpretation[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Neurological"] [checklistInput type="scale"]CVA[/checklistInput] [checklistInput type="scale"]Stroke Scale[/checklistInput] [checklistInput type="scale"]Brain Injury[/checklistInput] [checklistInput type="scale"]Glascow Coma Scale[/checklistInput] [checklistInput type="scale"]Spinal Cord Injury[/checklistInput] [checklistInput type="scale"]Meningitis[/checklistInput] [checklistInput type="scale"]Seizures[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Orthopedics"] [checklistInput type="scale"]Fractures/Casting[/checklistInput] [checklistInput type="scale"]Open/Complex Fractures[/checklistInput] [checklistInput type="scale"]Apply/Manage Splints[/checklistInput] [checklistInput type="scale"]Circulation Checks[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Gastrointestinal"] [checklistInput type="scale"]GI Bleeding[/checklistInput] [checklistInput type="scale"]Liver Disease[/checklistInput] [checklistInput type="scale"]GI Obstruction[/checklistInput] [checklistInput type="scale"]Abdominal Pain/Distress[/checklistInput] [checklistInput type="scale"]Gastric Tubes[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Renal/GU"] [checklistInput type="scale"]Acute Renal Failure[/checklistInput] [checklistInput type="scale"]Renal Calculi[/checklistInput] [checklistInput type="scale"]Renal Trauma[/checklistInput] [checklistInput type="scale"]Testicular Torsion[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Endocrine"] [checklistInput type="scale"]Hypoglycemia[/checklistInput] [checklistInput type="scale"]Hyperglycemia[/checklistInput] [checklistInput type="scale"]DKA[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Wound Management"] [checklistInput type="scale"]Skin Integrity Assessment[/checklistInput] [checklistInput type="scale"]Wound Repair[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Shock/Trauma"] [checklistInput type="scale"]Some items are covered in system specific areas[/checklistInput] [checklistInput type="scale"]Injury Severity Score[/checklistInput] [checklistInput type="scale"]Trauma Code[/checklistInput] [checklistInput type="scale"]Trauma Team Member[/checklistInput] [checklistInput type="scale"]Major Trauma[/checklistInput] [checklistInput type="scale"]Traumatic Amputation[/checklistInput] [checklistInput type="scale"]Peritoneal Lavage[/checklistInput] [checklistInput type="scale"]Hypovolemic Shock[/checklistInput] [checklistInput type="scale"]Neurogenic Shock[/checklistInput] [checklistInput type="scale"]Anaphylactic Shock[/checklistInput] [checklistInput type="scale"]Septic Shock[/checklistInput] [checklistInput type="scale"]Cardiogenic Shock[/checklistInput] [checklistInput type="scale"]Burns - 2nd Degree[/checklistInput] [checklistInput type="scale"]Burns - 3rd Degree[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Infectious Disease/Immunosuppressed Patients"] [checklistInput type="scale"]Contagious/Infectious Patients[/checklistInput] [checklistInput type="scale"]Isolation[/checklistInput] [checklistInput type="scale"]Neutropenia/Reverse Isolation[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Womens Health"] [checklistInput type="scale"]Placenta Abruptio/Previa[/checklistInput] [checklistInput type="scale"]Precipitous Delivery[/checklistInput] [checklistInput type="scale"]Pregnancy Induced Hypertension[/checklistInput] [checklistInput type="scale"]Fetal Heart Tones[/checklistInput] [checklistInput type="scale"]Sexual Assault[/checklistInput] [checklistInput type="scale"]Reporting Acts of Violence[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Pediatrics"] [checklistInput type="scale"]Management of Pediatric Emergency Patients[/checklistInput] [checklistInput type="scale"]Identification/Reporting Abuse[/checklistInput] [checklistInput type="scale"]Abdominal Pain[/checklistInput] [checklistInput type="scale"]Epiglottitis[/checklistInput] [checklistInput type="scale"]Asthma/Reactive Airway Disease[/checklistInput] [checklistInput type="scale"]Fractures[/checklistInput] [checklistInput type="scale"]Head/Spinal Injury[/checklistInput] [checklistInput type="scale"]Poison Ingestion[/checklistInput] [checklistInput type="scale"]Seizures[/checklistInput] [checklistInput type="scale"]Sickle Cell Crisis[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Psychiatric"] [checklistInput type="scale"]Acute Psychotic Patient[/checklistInput] [checklistInput type="scale"]Managing Violent Behavior[/checklistInput] [checklistInput type="scale"]Drug /ETOH Overdose/Withdrawal[/checklistInput] [checklistInput type="scale"]Psychiatric Hold[/checklistInput] [checklistInput type="scale"]Suicidal Patient[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Miscellaneous"] [checklistInput type="scale"]Bites- Animal/Snake/Human[/checklistInput] [checklistInput type="scale"]Hazardous Material Exposure[/checklistInput] [checklistInput type="scale"]Heat Exhaustion/Stroke[/checklistInput] [checklistInput type="scale"]Drowning[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="IV Therapy"] [checklistInput type="scale"]Starting IVs[/checklistInput] [checklistInput type="scale"]Central Line Placement[/checklistInput] [checklistInput type="scale"]Intraosseous Infusion[/checklistInput] [checklistInput type="scale"]Blood Product Administration[/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"]Benzodiazepines[/checklistInput] [checklistInput type="scale"]Continuous IV Paralytics[/checklistInput] [checklistInput type="scale"]Continuous IV Sedation[/checklistInput] [checklistInput type="scale"]Procedural Sedation - Administration[/checklistInput] [checklistInput type="scale"]Emergency Medications[/checklistInput] [checklistInput type="scale"]Inhaled Medications[/checklistInput] [checklistInput type="scale"]Insulin[/checklistInput] [checklistInput type="scale"]IV Vasopressors[/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"]Reversal Agents[/checklistInput] [checklistInput type="scale"]Thrombolytic Therapy[/checklistInput] [checklistInput type="scale"]Steroids (IV, Oral, Inhaled)[/checklistInput] [checklistInput type="scale"]Automated Medication Dispensing (i.e. Pyxis, Omnicell)[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Cardiac Monitoring and Emerg Response"] [checklistInput type="scale"]Dysrhythmia Interpretation[/checklistInput] [checklistInput type="scale"]Dysrhythmia Management[/checklistInput] [checklistInput type="scale"]Obtain 12 Lead EKG[/checklistInput] [checklistInput type="scale"]Interpret 12 Lead EKG[/checklistInput] [checklistInput type="scale"]Management of Cardiac Arrest[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Professional Knowledge and Skills"] [checklistInput type="scale"]Triage[/checklistInput] [checklistInput type="scale"]Ambulance and Paramedic Radio[/checklistInput] [checklistInput type="scale"]Charge Experience[/checklistInput] [checklistInput type="scale"]AMA procedures[/checklistInput] [checklistInput type="scale"]EMTALA[/checklistInput] [checklistInput type="scale"]National Patient Safety Goals/Core Measures[/checklistInput] [checklistInput type="scale"]Fall Risk Assessment/Prevention[/checklistInput] [checklistInput type="scale"]Pressure Ulcer Risk Assessment/Prevention[/checklistInput] [checklistInput type="scale"]Restraints/Use of Least Restrictive Device[/checklistInput] [checklistInput type="scale"]Patient/Family Teaching[/checklistInput] [checklistInput type="scale"]Age Specific/Population-Based Care[/checklistInput] [checklistInput type="scale"]Isolation Precautions[/checklistInput] [checklistInput type="scale"]Infection Prevention[/checklistInput] [checklistInput type="scale"]Pain Assessment & Management[/checklistInput] [checklistInput type="scale"]Interpretation and Communication of Lab Values[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Age Specific Competencies"] [checklistInput type="scale"]Infant (Birth - 1 year)[/checklistInput] [checklistInput type="scale"]Preschooler (ages 2-5 years)[/checklistInput] [checklistInput type="scale"]Childhood (ages 6-12 years)[/checklistInput] [checklistInput type="scale"]Adolescents (ages 13-21 years)[/checklistInput] [checklistInput type="scale"]Young Adults (ages 22-39 years)[/checklistInput] [checklistInput type="scale"]Adults (ages 40-64 years)[/checklistInput] [checklistInput type="scale"]Older Adults (ages 65-79 years)[/checklistInput] [checklistInput type="scale"]Elderly (ages 80+ years)[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="EMR"] [checklistInput type="scale"]Epic[/checklistInput] [checklistInput type="scale"]Cerner[/checklistInput] [checklistInput type="scale"]Eclipsys[/checklistInput] [checklistInput type="scale"]McKesson[/checklistInput] [checklistInput type="scale"]Meditech[/checklistInput] [checklistInput type="scale"]Allscripts[/checklistInput] [checklistInput type="scale"]Other Computerized System[/checklistInput] [checklistInput type="scale"]Computerized Physician Order Entry[/checklistInput] [checklistInput type="scale"]Bar Coding for Medication Administration[/checklistInput] [checklistInput type="yesno"]EMR Conversion[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Certifications"] [checklistInput type="date" default="none" optional="true"]BLS[/checklistInput] [checklistInput type="date" default="none" optional="true"]ACLS[/checklistInput] [checklistInput type="date" default="none" optional="true"]PALS[/checklistInput] [checklistInput type="date" default="none" optional="true"]PEARS[/checklistInput] [checklistInput type="date" default="none" optional="true"]TNCC[/checklistInput] [checklistInput type="date" default="none" optional="true"]ENPC[/checklistInput] [checklistInput type="date" default="none" optional="true"]CEN[/checklistInput] [checklistInput type="text" default="none" optional="true"]Other: Name[/checklistInput] [checklistInput type="date" default="none" optional="true"]Other: Date[/checklistInput] [/checklistInputGroup] [checklistFooter] [/checklistFooter] [/checklist]