Urgent care

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Cardiovascular Care of Patient

Auscultation/Irregular Heart Sounds *

Peripheral Edema *

PQRST Assessment *

EKG *

Lab Tests (Cardiac Enzymes, Troponin, BNP) *

Arrhythmia Interpretation *

12-Lead Set Up *

12-Lead Basic Interpretation *

Defibrillation *

External Pacer *

Chest Pain/ACS *

Arrhythmias *

CHF *

AED *

Cardiac Arrest/CPR *

Nitroglycerin *

Morphine *

Heparin *

ALS (Epinephrine, Atropine, Anti-Arrhythmics) *

Pulmonary Care of Patient

Abnormal Breath Sounds (Wheezing, Stridor, Crackles) *

Abnormal Breathing Pattern (Rapid, Labored, Slow) *

Pulse Oximetry *

ABGs *

Oxygen Therapy (Nasal Cannula, Face Mask) *

Manual Resuscitation Bag (MRB, Ambu Bag) *

Metered-Dose Inhaler (MDI) *

Nebulizers *

Aspiration *

Asthma/Reactive Airway Disease *

COPD *

Pneumonia *

Pulmonary Edema *

Pulmonary Embolism *

Bronchodilators *

Steroids *

Diuretics *

Neurological Care of Patient

Signs & Symptoms of Stroke *

Altered LOC *

Assist with Lumbar Puncture *

Cervical Collar *

Spinal Immobilization *

Head Injury *

Migraine *

Seizures *

TIA/Stroke *

Imitrex (Sumatriptan Succinate) *

Phenobarbital *

Dilantin (Phenytoin) *

Depakote *

Analgesics *

Orthopedic Care of Patient

Range of Motion *

Color, Warmth, Movement, Sensation *

Fracture/Dislocation *

Apply Splints *

Assist with Casting *

Assist with Reduction of Dislocation *

Spinal Immobilization *

Transfer Boards *

Cast/Splint *

Dislocation *

External Appliance *

Sprain/Fracture *

Analgesia/Sedation *

Gastrointestinal Care of Patient

Bowel Sounds *

Distention *

Fluid Balance *

Nutritional Status *

Enemas *

Gastric Lavage *

G-Tubes *

NG Tubes *

Colostomy *

Constipation/Impaction *

Diarrhea *

G-Tube (Reinsertion/Replacement) *

Nausea/Vomiting *

Ipecac *

Charcoal *

Antiemetics *

Antispasmodics *

Renal/Genitourinary Care of Patient

Fluid Status *

Shunt/Fistula (Thrill/Bruit) *

BUN/Creatinine/Electrolytes *

Urine Dipstick/C&S *

Placement & Management of Bladder Catheters *

Pyelonephritis/UTI *

Obstruction *

Renal Calculi *

Renal Trauma *

Testicular Torsion *

Priapism *

Antibiotics *

Endocrine/Metabolic Care of Patient

Hypo/Hyperglycemia *

Blood Glucose *

Urine Ketones *

Bedside Blood Glucose Monitoring *

Hypoglycemia/Insulin Shock *

Hyperglycemia/DKA *

Dextrose *

Insulin *

Oral Hypoglycemics *

EENT Care of Patient

Visual Acuity *

Foreign Body *

Enlarged Tonsils *

Ear Irrigation/Removal Foreign Body *

Eye Injury/Foreign Body/Detached Retina *

Assist with Removal of Nasal Foreign Body *

Epistaxis *

Set Up/Assist Cautery *

Set Up Slit Lamp *

Silver Nitrate *

Liquid Cocaine *

Anti-Hypertensives *

Infectious Disease Care of Patient

Communicable Disease *

Interpret Culture Results *

Obtain Cultures *

Fever Management *

Isolation *

Reverse Isolation/Hepa Filter *

Use of Personal Protective Equipment *

Communicable Disease *

Immunosuppression/Neutropenia *

Antibiotics *

Antivirals *

Wound Management Care of Patient

Burn Care *

Dressing Change *

Ostomy Care *

Wound Repair (Staples/Sutures, etc.) *

Pain Management Care of Patient

Assessment of Pain Level/Use of Pain Scale *

Assessment of Response to Pain Management Interventions *

Monitoring of Patients after Pain Medication *

Comfort Care *

Moderate Sedation *

Psychiatric Care of Patient

Behavior *

Drug/ETOH *

Risk for Violence *

Managing Threatening/Violent Behavior *

Psychiatric Hold *

Drug OD *

ETOH OD *

Depression/Anxiety *

Restraints *

Suicide Risk *

Antipsychotics/Antidepressants *

Reversal Agents *

Women’s Health Care of Patient

Vaginal Bleeding *

Doppler/Fetal Heart Tones *

Ectopic Pregnancy *

Obtain Cultures *

Pelvic Tray *

Hemorrhage *

Pelvic Inflammatory Disease *

Placenta Abruptio/Previa *

Precipitous Delivery *

Pregnancy-Induced Hypertension *

Spontaneous Abortion *

Pediatrics Care of Patient

Child Abuse Recognition/Reporting *

Shaken Baby Syndrome *

Obtaining Consent to Treat *

Normal VS for Age Groups *

Use of Dynamap/Doppler Leg Cuffs for B/P *

Failure to Thrive *

Assist with Fracture Stabilization *

Cooling/Warming Measures *

Draw Labs (Venous/Butterfly) *

Ear Care - Assist with Cleaning/Wash, Insert Ear Drops *

IM/SQ Medications in Pediatric Patients *

Obtain RSV Culture *

Obtain Urine Culture (Cath/Bag) *

Lumbar Puncture *

Papoose Board/Therapeutic Hold *

Start IV in Pediatric Patient *

Abdominal Pain *

Aspiration *

Asthma/Reactive Airway Disease *

Burns *

Dehydration *

Epiglottitis *

Fever *

Foreign Object *

Fracture *

Head Injury *

Hypo/Hyperglycemia *

Hypo/Hyperthermia *

Lacerations *

Near Drowning *

Nursemaid's Elbow *

Ipecac/Charcoal *

Bronchodilators/Nebulizers *

Fluid Replacement *

Age Specific Competencies

Infant (Birth - 1 year) *

Preschooler (ages 2-5 years) *

Childhood (ages 6-12 years) *

Adolescents (ages 13-21 years) *

Young Adults (ages 22-39 years) *

Adults (ages 40-64 years) *

Elderly (ages 80+ years) *

Miscellaneous Assessments

Intake and Triage *

National Patient Safety Goals *

AMA Procedures *

Disaster Management *

Computerized Charting *

Bites *

Hazardous Materials Exposure *

Victims of Acts of Violence *

Urgent care

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