ER RN Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name(Required)

Email(Required)

Date(Required)

Send to(Required)

TYPES OF ER EXPERIENCE

Level 1 Trauma Center(Required)

Level 2 Trauma Center(Required)

Level 3 Trauma Center(Required)

Pediatric ED(Required)

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days)(Required)

Infant (31 days to 12 months)(Required)

Toddler/Preschool (13 months to 5 years)(Required)

School Age Child/adolescent (6 years to 18 years)(Required)

Young Adults Middle Adult (19 years to 64 years)(Required)

Older Adults/Elderly (65+ years)(Required)

GENERAL SKILLS

Care of Patient in Restraints(Required)

Automated Med Dispensing Systems(Required)

Other Automated Med Dispensing Systems:

Electronic Documentation(Required)

MEDICATION ADMINISTRATION

Moderate/Conscious Sedation(Required)

Sedation Reversal Agents(Required)

Antibiotics IM/IV(Required)

Antiemetics(Required)

Adenosine(Required)

Aminophylline(Theophylline)(Required)

Atropine(Required)

Anticoagulants(Required)

Anticonvulsants(Required)

Antihypertensives(Required)

Barbituate Induced Coma(Required)

Charcoal(Required)

Cardizem(Required)

Cordarone (amiodorone)(Required)

Decadron(Required)

Dilantin(Required)

Dopamine(Required)

Diuretics(Required)

Epinephrine(Required)

Inotropes (Digoxin,Dobutamine,Primacor)(Required)

Inocor (amrinone)(Required)

Insulin Infusions(Required)

Isuprel(Required)

Kayexelate(Required)

Lidocaine(Required)

Mannitol(Required)

Narcotic Analgesia(Required)

Nitroglycerin(Required)

Nipride(Required)

Steroids(Required)

Thrombolytic Therapy(Required)

Vasopressin(Required)

Ventolin (Albuterol)(Required)

Racemic Epinephrine(Required)

CARDIOVASCULAR

Care of the Patient With:

Continuous Cardiac Monitoring(Required)

Obtaining 12 lead EKG(Required)

Abdominal Aortic Aneurysm(Required)

Acute MI(Required)

Angina(Required)

Cardiac Arrest(Required)

Cardioversion/defibrillation(Required)

CHF(Required)

Bacterial Endocarditis(Required)

Myocarditis(Required)

Synchronized Cardioversion(Required)

Defibrillation(Required)

Emergent Chest Thoracotomy(Required)

Cardiac Isoenzymes(Required)

Troponin(Required)

BNP(Required)

Shock:

Anaphylactic(Required)

Cardiogenic(Required)

Hypovolemic(Required)

Neurogenic(Required)

Septic(Required)

Pacemaker:

External(Required)

Permanent(Required)

Temporary(Required)

Transthoracic(Required)

Hemodynamic Monitoring:

Set up, use and Interpreation of Reading of CVP(Required)

Set up, use and Interpretation of Reading of PA/Swan-Ganz(Required)

Set up and use of Arterial Line(Required)

PULMONARY

Care of the Patient With:

Ventilator/Weaning(Required)

Asphyxiation (Near Drowning)(Required)

Oral Airway(Required)

Endotracheal Tube(Required)

Laryngeal Spasm(Required)

Tracheostomy(Required)

Epistaxis(Required)

Aspiration(Required)

ARDS(Required)

COPD(Required)

Lobectomy(Required)

Pneumonectomy(Required)

Pneumothorax/Tension Pneumothorax(Required)

Hemothorax(Required)

Pneumonia(Required)

Assist with Emergency Tracheostomy(Required)

Thoracentesis(Required)

Inhalation Injuries(Required)

Pulmonary Edema(Required)

Pulmonary Embolism(Required)

Status Asthmaticus(Required)

Tuberculosis(Required)

Chest Tube (pleurevac/Thoraclex)(Required)

Assist with Intubation(Required)

Assist with Chest Tube Insertion(Required)

ABG Interpretation(Required)

NEUROLOGICAL

Acute Head Injury(Required)

Intracranial Pressure Monitoring(Required)

Management of Increased ICP(Required)

Basal Skull Fracture(Required)

Acute CVA/TIA(Required)

Heat Exhaustion(Required)

Multiple Sclerosis(Required)

Psychiatric Disorders(Required)

Aneurysm Precautions(Required)

Coma(Required)

Encephalitis(Required)

Delirium Tremors(Required)

Meningitis(Required)

Seizures/Seizure Precautions(Required)

Status Epilepticus(Required)

Spinal Cord Injury(Required)

Cranial Nerve Assessment(Required)

Reflex/Motor Deficits(Required)

Assist with Lumbar Puncture(Required)

Externalized VP Shunts(Required)

Overdose(Required)

ORTHOPEDICS

Fracture/Dislocation(Required)

Traumatic Amputation(Required)

Brace/Splint Application(Required)

Halo Traction(Required)

Crutchfield Tongs(Required)

Set up for Insertion of Steinman Pins(Required)

Hare Traction(Required)

GASTROINTESTINAL

Gastric Lavage(Required)

Nasogastric Tube(Required)

Salem Sump(Required)

PEG Tube(Required)

Acute Cholecystitis(Required)

Bowel Obstruction(Required)

Cirrhosis(Required)

GI Bleed(Required)

GI Surgery(Required)

Pancreatitis(Required)

Liver Failure(Required)

Liver Transplant(Required)

Acute Abdominal Pain(Required)

Blunt Abdominal Trauma(Required)

Penetrating Abdominal Trauma(Required)

Evisceration(Required)

Esophageal Bleeding(Required)

RENAL/GENITOURINARY

AV Fistula(Required)

Suprapubic Catheter(Required)

Hemodialysis(Required)

Peritoneal Dialysis(Required)

Nephrostomy Tube(Required)

Peritoneal Lavage(Required)

Acute Renal Failure(Required)

Renal Transplant(Required)

Nephrectomy(Required)

TURP(Required)

Pyelonephritis/UTI(Required)

Renal Calculi(Required)

ENDOCRINE/METABOLIC

Adrenal Disorders (Addison's Disease)(Required)

Diabetic Ketoacidosis(Required)

Diabetes Mellitus(Required)

Hypothyroidism(Required)

Hyperthyroidism (Graves Disease)(Required)

Pituitary Disorders(Required)

Thyroidectomy(Required)

INFECTIOUS DISEASE

Hepatitis(Required)

HIV(Required)

MRSA(Required)

CRE(Required)

VRE(Required)

C Difficile(Required)

Tuberculosis(Required)

Isolation Precautions/Procedures(Required)

ONCOLOGY

Chemotherapy(Required)

Bone Marrow Transplants(Required)

Leukemia(Required)

Lymphoma(Required)

Radiation Implants(Required)

WOUND MANAGEMENT

Multiple Abdominal Wounds and Drains(Required)

Gunshot Wound(Required)

Stab Wound(Required)

Lacerations(Required)

Hazardous Material Exposure(Required)

Radiation Exposure(Required)

Set up and assist with Staples/Sutures(Required)

Suture Removal(Required)

Staple Removal(Required)

Application of Steri-strips(Required)

Burns:

First Degree(Required)

Second Degree(Required)

Third Degree(Required)

Rule of Nines(Required)

Fluid Resuscitation Burn Formula(Required)

Electrical Burns(Required)

PEDIATRIC

Pediatric Arrest/Resuscitation(Required)

Calculating Emergency Medication Dosages(Required)

Braslow Tape(Required)

Knowledge of Normal lab Values(Required)

Near Drowning(Required)

Overdose/Poison Ingestion(Required)

Asthma(Required)

Bronchiolitis(Required)

Epiglottitis(Required)

Reporting of Suspected Child Abuse(Required)

HEENT

Ear irrigation(Required)

Eye irrigation(Required)

Removal of Contact lens(Required)

Visual Acuity Check(Required)

Set up for Fluorescein/Woods Lamp(Required)

Nasal packing(Required)

Application of Eye Medication(Required)

Use of Morgan lens irrigation(Required)

Le Fort Fracture I, II, III, IV(Required)

MISCELLANEOUS

Administration of Antivenom(Required)

Animal Bites(Required)

Triage procedures(Required)

Procedure for patient leaving AMA(Required)

Consent for Treatment of a Minor(Required)

Organ/Tissue Donation(Required)