EMERGENCY ROOM NURSING KNOWLEDGE & SKILLS CHECKLIST

NAME:       DIRECTIONS: Please indicate your level of experience by

ID #:       placing a check (√) in the box. Experience level:
DATE:       1 NO EXPERIENCE
2 MINIMAL EXPERIENCE-requires supervision/assistance
This Skills Checklist is for use by nurses with more than 3 MODERATELY EXPERIENCED-requires initial review,
one year experience in their discipline and specialty. then performs independently
Please be accurate with your assessment. 4 VERY EXPERIENCED- proficient

DESCRIPTION 1 2 3 4 DESCRIPTION 1 2 3 4
CARDIOVASCULAR (2) Amiodarone (Cordarone)
1. Assessment: (3) Digoxin (Lanoxin)
a. Auscultation (rate, rhythm) (4) Diltiazem (Cardizem)
b. Doppler (5) Dobutamine (Dobutex)
c. Heart sounds/murmurs (6) Dopamine (Intropin)
2. Equipment & procedures: (7) Esmolol (Brevibloc)
a. Assist with insertion and set up (8) Lasix (Furosemide)
(1) Arterial line (9) Nitroglycerin (Tridil)
(2) Central Venous Line (10) Nitroprusside (Nipride)
(3) PA catheter/Swan-Ganz (11) Thrombolytic therapy
(4) Pacemaker PULMONARY
b. Cardioversion 1. Assessment:
c. Interpretation of waveforms & values a. Breath sounds
(1) A – line b. Rate and work of breathing
(2) CVP 2. Interpretation of lab values:
d. Monitoring: a. Blood Chemistry
(1) Basic 12-lead interpretation b. Blood Hematology
(2) Basic arrhythmia interpretation c. Cardiac enzymes
3. Care of the patient with: d. Blood gases
a. Acute Mi 3. Equipment & procedures:
b. Aneurysm
a. Airway management devices/suctioning
c. Angina
(1) Endotracheal tube/
d. Cardiac arrest
suctioning
e. Congestive heart failure (CHF)
(2) Nasal airway/suctioning
f. Myocarditis
(3) Oropharyngeal/suctioning
4. Medications:
(4) Sputum specimen collection
a. ACLS drugs
(5) Tracheostomy/suctioning
(1) Atropine
b. Assist with Extubation
(2) Bretylium (Bretylol)
c. Assist with Intubation
(3) Epinephrine (Adrenalin)
d. Assist with thoracentesis
(4) Lidocaine (Xylocaine)
e. Care of the patient on a ventilator
(5) Procainamide (Pronestyl)
f. Care of the patient with a chest tube:
(6) Sodium Bicarbonate
(1) Assist with set-up & insertion
b. Other
(2) Measuring
(1) Adenosine (Adenocard)

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 EMERGENCY ROOM NURSING KNOWLEDGE & SKILLS CHECKLIST

Name:       ID #:      

DESCRIPTION 1 2 3 4 DESCRIPTION 1 2 3 4
PULMONARY (CONT) 14. Ventilator
(3) Removal a. CPAP
g. Measure peak flow b. High frequency jet
h. Obtaining arterial blood gases: c. Pressure
(1) Arterial line d. T-Piece
(2) Femoral artery e. Volume
(3) Radial artery COMPUTERIZED CHARTING
i. O2 therapy & medication delivery systems 1. Cerner
(1) Bag and mask 2. Eclipsys
(2) ET Tube 3. Epic
(3) External CPAP 4. McKesson
(4) Face masks 5. Meditech
(5) Inhalers 6. Other:
(6) Nasal cannula
(7) Nebulizer
(8) Portable O2 tank
(9) T-piece
(10) Trach collar
j. Pulse Oximetry
k. Trouble shooting high pressure alarms
l. Trouble shooting low pressure alarms
EQUIPMENT
1. BP transducer
2. Cardiac Monitor
3. Centrifuge
4. Defibrillator
5. Glucometer
6. Hemodialysis machine
7. Hypo/Hyperthermia mattress
8. Infusion Delivery Systems—Specify Manufacturer:
a. IV pump:      
b. IV pump:      
c. IV pump:      
9. Oxygen Analyzer
10. Oxygen Blender
11. Pulse Oximeter
12. Specialty beds:
a. Air fluidized
b. Low air loss
c. Rotating
13. Stryker Frame

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 EMERGENCY ROOM NURSING KNOWLEDGE & SKILLS CHECKLIST
MY EXPERIENCE IS PRIMARILY IN:
Name:      
NEUROLOGY       years
Please check the boxes below for each age group for PULMONARY       years
which you have expertise in providing age-appropriate SURGICAL       years
nursing care. MEDICAL       years
CARDIAC CARE       years
A. Newborn/Neonatal (birth – 30 days) TELEMETRY       years
B. Infant (30 days – 1 year)
C. Toddler (1 – 3 years) I HAVE CURRENT CERTIFICATIONS FOR:
D. Preschool (3 – 5 years)
E. School Age Children (5 – 12 years) TYPE EXPIRATION DATE (MM/DD/YY)
F. Adolescent (12 – 18 years) ARRHYTHMIA      
G. Young Adults (18 – 39 years) CRITICAL CARE      
H. Middle Adults (40 – 64 years) ACLS      
I. Older Adults (64 + years) BLS      
TNCC      
EXPERIENCE WITH AGE GROUPS: NRP      
1. Able to assess age appropriate behavior, motor skills PALS      
and physiological norms. NALS      
CCRN      
A B C D E F G H I Other            
Other            

2. Able to adapt care according to normal growth and

development. The information I have provided in this knowledge and
skills checklist it true and accurate to the best of my
A B C D E F G H I knowledge.

           
3. Able to communicate and instruct patient according to Signature (Written/Electronic) Date
their age, maturity and comprehension ability. ID #:      

A B C D E F G H I This skills checklist has been reviewed and approved by

Nicole Bloxham, RN.

4. Able to provide a safe environment according to the            

specific needs of various age groups. Signature (Written/Electronic) Date
ID #:      
A B C D E F G H I
Please return to: Northwest Nurse Staffing Company, PA
ATTN: Records Dept.
Fax: (866) 352-4338

Email: records@nns-ic.com

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