Breadcrumb Home Nurse Checklists RN - Med/Surg - Telemetry Form Information Info Name * Last 4 digits of SSN * Contact Phone * Email * Proficiency Scale 1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently Cardiovascular Assessment Auscultation (Rate/Rhythm) * Blood Pressure/Non-Invasive * Doppler * Heart Sounds/Murmurs * Pulses/Circulation Checks * Cardiovascular Equipment & Procedures Basic 12 Lead Interpretation * Basic Arrhythmia Interpretation * Lead Placement * Permanent Pacemaker * Temporary Pacemaker * Care of Patient with Cardiovascular Disease Abdominal Aortic Bypass * Aneurysm * Angina * Cardiac Arrest * Cardiomyopathy * Checking Alarm Settings/Machine * Congestive Heart Failure (CHF) * Femoral-Popliteal Bypass * Myocarditis * Post-Acute Myocardial Infarction (24-48 Hours) * Pre/Post Angioplasty * Pre/Post Cardiac Catheter * Post Cardiac Surgery * Thrombophlebitis * Drug Overdose/Delirium Tremens (DTs) * Heart Transplant * Cardiovascular Medications Heparin Drip * Oral Anticoagulants * Oral and IVP Antihypertensives * Oral and Topical Nitrates * Pulmonary Assessment Breath Sounds * Rate and Work of Breathing * Interpretation of Pulmonary Laboratory Results Blood Chemistry * Arterial Blood Gases * Pulmonary Equipment & Procedures Endotracheal Tube/Suctioning * Nasal Airway/Suctioning * Oropharyngeal/Suctioning * Tracheostomy/Suctioning * Sputum Specimen Collection * Assist with Intubation * Assist with Thoracentesis * Assist with Set Up and Insertion of Chest Tube * Measuring and Emptying Chest Tube * Removal of Chest Tube * Chest Physiotherapy * Incentive Spirometry * Ambu Bag and Mask * External CPAP * Assist with Extubation * Care of Patients with Pulmonary Disease Acute Pneumonia * Acute Respiratory Distress Syndrome (ARDS) * Chronic Obstructive Pulmonary Disease (COPD) * Patient with Mechanical Ventilator * Pulmonary Edema/Hypertension * Pulmonary Embolism * Status Asthmaticus * Tuberculosis * Pulmonary Medications Alupent (Metaproterenol) * Aminophylline (Theophylline) * Bronkosol (Isoetharine Hydrochloride) * Corticosteroids * Ventolin (Albuterol) * Neurological Assessment Cranial Nerves * Glasgow Coma Scale * Level of Consciousness * Reflex/Motor Deficits * Visual/Communication Deficits * Neurological Equipment & Procedures Assist with Lumbar Puncture * Intracranial Pressure Monitoring * Seizure Precautions * Spinal Precautions * Use of Hyper/Hypothermia Blanket * Care of Patients with Neurological Disease Aneurysm Precautions * Basal Skull Fracture * Closed Head Injury * Coma * Cerebrovascular Accident (CVA) * Delirium Tremens (DTs) * Encephalitis * Increased ICP * Meningitis * Post Craniotomy * Spinal Cord Injury * Neurological Medications Barbiturate * Decadron (Dexamethasone) * Dilantin (Phenytoin) * Phenobarbital * Valium (Diazepam) * Gastrointestinal Assessments Abdominal/Bowel Sounds * Nutritional * Fluid Balance * Interpretation of Gastrointestinal Laboratory Results Serum Ammonia * Serum Amylase * Liver Function Tests (LFTs) * Gastrointestinal Equipment & Procedures Administration of Tube Feeding * Feeding Pump * Management of Gastrostomy Tube * Management of Jejunostomy Tube * T-Tube * TPN and Lipids Administration * Peripheral Parenteral Nutrition (PPN) * Placement of Nasogastric Tube * Salem Sump to Suction * Care of Patients with Gastrointestinal Disease Bowel Obstruction * Colostomy/Ileostomy * GI Bleeding * GI Surgery * Hepatitis * Inflammatory Bowel Diseases * Liver Failure * Paralytic Ileus * Gastrointestinal Medications Inderal (Propranolol) * Kayexelate * Lactulose (Cephulac) * Pitressin (Vasopressin) * Renal/Genitourinary Assessments Arteriovenous Fistula/Shunt * Fluid and Electrolyte Imbalance * Interpretation of Renal/Genitourinary Laboratory Results BUN and Creatinine * Serum Electrolytes * Renal/Genitourinary Equipment and Procedures Bladder Irrigation * Insertion and Care of 3-Way Foley - Female * Insertion and Care of 3-Way Foley - Male * Routine Specimen Collection * 24-Hour Specimen Collection * Care of Patients with Renal/Genitourinary Disease Hemodialysis * Nephrectomy * Peritoneal Dialysis * Renal Failure * Transurethral Resection of the Prostate (TURP) * Urinary Tract Infection * Endocrine/Metabolic Assessment S/S Diabetic Coma * S/S Insulin Reaction * Endocrine/Metabolic Equipment and Procedures Blood Glucose Measuring * Performing Finger Stick * Care of Patients with Endocrine/Metabolic Disease Diabetes Mellitus * Diabetic Ketoacidosis * Disorders of Adrenal Gland (e.g., Addison's Disease) * Disorders of Pituitary Gland (e.g., Diabetes Insipidus) * Drug Overdose * Hyperthyroidism (Graves Disease) * Hypothyroidism * Insulin Shock * Orthopedic Assessment Circulation Checks * Gait * Range of Motion * Skin * Orthopedic Equipment and Procedures Continuous Passive Motion Devices * Cane * Cervical Collar * Gait Belt * Prosthetic * Transfer Boards * Walker * Wound Assessment Skin for Impending Breakdown * Stasis Ulcers * Surgical Wound Healing * Wound Equipment and Procedures Application of Steristrips * Air Fluidized, Low Air Loss Beds * Sterile Dressing Changes * Wound Care/Irrigations * Care of Patient with Wound Pressure Sores * Staged Decubitus Ulcers * Surgical Wounds with Drain(s) * Traumatic Wounds * Interpretation of Infectious Diseases Laboratory Results CBC * SMA7 * Infectious Diseases Equipment and Procedures Fever Management * Isolation * Care of Patient with Infectious Diseases HIV/AIDS * Phlebotomy/IV Therapy Equipment and Procedures Auto Transfusion * Administration of Cryoprecipitate * Administration of Packed Red Blood Cells * Administration of Plasma/Albumin * Administration of Whole Blood * Drawing Venous Blood * Starting Angiocath IVs * Starting Butterfly IVs * Starting Heparin Lock * Care of Patient with IVs Angiography * Broviac/Hickman * Groshong * PICC * Pericardiocentesis * Pain Assessment Pain Level/Tolerance * Care of Patient with Pain Epidural Anesthesia/Analgesia * IV Conscious Sedation * Patient Controlled Analgesia (PCA pump) * Care of Patient with Trauma/Shock Suicide Precautions * Disaster Protocols * Charge Experience * Dehydration * Electrocution * Gun Shot/Stab Wounds * Hazardous Material Exposure * Radiation Exposure * Anaphylactic Shock * Cardiogenic Shock * Hypovolemic Shock * Neurogenic Shock * Septic Shock * Burns: Rule of Nines * First Degree Burns * Second Degree Burns * Third Degree Burns * Automated Medication Dispensing Systems Accudose * Metro * Omnicell * Promanager Rx * Pyxis * eMAR * Electronic Documentation AllScripts * Care360 * Cerner * CPSI * eClinicalWorks * Eclipsys * EPIC * MACLAB * McKesson/Paragon * Meditech * PACS * Quadramed * Soarian * Age Specific Competencies Newborn/Neonate (birth to 30 days) * Infant (30 days - 1 year) * Toddler (1 year to 3 years) * Preschooler (3 years to 5 years) * School age children (5 years to 12 years) * Adolescents (12 years to 18 years) * Young Adults (18 years to 39 years) * Middle Adults (39 years to 64 years) * Older Adults (64 years to 79 years) * Elderly Adults (over 79+ years) *