Medical / Surgical Skills Checklist - HealthCare Staffing Network

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Medical / Surgical Skills Checklist

The purpose of the following checklist is to assist in matching your skills with available assignments in order to meet both your needs and the needs of our client facilities. Please select the appropriate number for each skill level, patient care situation, or type of equipment.

Level of Experience:

Theory, No Practice
Intermittent Experience
One/Two Year Consistent Experience
Very Experienced, Able to Perform Without Supervision

Name:

Date:

AGE SPECIFIC CARE
Please indicate the level of experience with which you provide care for each age group in this specialty area.

	A	B	C	D
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-School (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)

SKILLS	A	B	C	D
CARDIOVASCULAR
1. Assessment
Auscultation (rate, rhythm)
Doppler
Heart Sounds/murmurs
Blood pressure/non-invasive
Pulses/circulation checks

2. Equipment & Procedures
Telemetry
Basic 12 lead interpretation
Basic arrhythmia interpretation
Lead placement
Pacemaker
Permanent
Temporary

3. Care of the patient with:
Abdominal aortic bypass
Aneurysm
Angina
Cardiac arrest
Cardiomyopathy
Carotid endarterectomy
Congestive heart failure (CHF)
Femoral-popliteal bypass
Myocarditis
Post acute MI (24-48 hours)
Post angioplasty
Post cardiac cath
Post cardiac surgery
Thrombophlebitis

4. Medications:
Herparin drip
Oral anticoagulants
Oral & IVP antihypertensives
Oral & topical nitrates

NEUROLOGICAL
1. Assessment
Glasgow coma scale
Level of consciousness

2. Equipment & Procedures
Assist with lumbar puncture
Use of hyper/hypothermia blanket

3. Care of patient with:
Aneurysm precautions
Basal skull fracture
Closed head injury
Coma
CVA
DTs
Encephalitis
Externalized VP Shunts
Meningitis
Neuromuscular disease
Post craniotomy
Seizures
Spinal cord injury

4. Administration of anticonvulsants

ORTHOPEDICS
1. Assessment
Circulation checks
Gait
Range of motion
Skin

2. Equipment & Procedures
Continuous passive motion devices
Support devices
Cane
Cervical collar
Gait belt
Prosthetic
Sling
Transfer boards
Walker
Wheelchair
Traction

3. Care of patient with:
Amputation
Arthroscopic surgery
Cast
Osteoporosis
Pinned fractures
Rheumatic/arthritic disease
Total hip replacement
Total knee replacement