Acute competencies.xlsx/Acute competencies.xlsx, Exams of Health sciences

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Name: ________________________________________ Date: ___________________________ The rating for self Method of Evaluation Self-Assment by Employee Competency Assessment assessment: O= observation Rating Date Initials Method Date Initials 0- no expierence T= Written Test of 1-limited experience V= Verbal Review Evaluation 2- competent RD= Return Demonstration 3- expert Required Certifications ACLS PALS or ENPC BLS TNCC Orientation to Department Physical layout of department Set-up of patient rooms CPSI flow charts OutPatient forms MD call calendar Regular Used Phone Numbers Transport Numbers Tertierary Hospital numbers Call bell system Pyxis Training Policy & Procedure location Location of DNR forms Location of AMA forms MOT forms Consent forms Location of Equipment Mindray Monitors Minddray Monitor paper replacement LifePack Monitors LiefePack Monitor paper replacement Portable VS Machines IV pumps End tidal CO2 Bear Hugger & IV fluid warmer ECG machine Location of Equipment Tech Ticket Printer Ink Cartridge Replacement Glucometer crash cart pedi cart lavage equipment manual blood pressure cuffs doppler bladder scanner weight scales bed scales thermometers morgan lense ventilator bipap/cpap suction IO drill Central Line Lumbar Puncture Chest Tube Cat Tourniquet traction splint Foley Catheter Sono Site Rapid Infuser chest pain box accurate monitoring of intake and output understanding of principles for rapid fluid administration administration of fluid replacements: crystalloids, plasma expanders, blood products Knowledge of FAST exam Cardiovascular Primary assessment of cardiovascular system Knowledge of ASA administration on arrival or documented contraindication cardiac monitoring and interpretation cardiac arrest protocol interprets and evaluates blood work results: CK, Trop, coag demonstrates skill of performing EKG Identification of STEMI and its location BCLS/ACLS protocols Knowledge of TNKase administration and 30 minute window Use of Lifepack monitor with coordinating rhythms Assessment and nursing interventions for: ACS Cardiac Dysrhythmias cardiac contusion, cardiac tamponade hypovolemic shock cardiogenic shock obstructive shock distributive shock CHF hypertensive crisis aortic aneurysm, abdominal and thoracic pericarditis, myocarditis, endocarditis cardiomyopathy Neurological Primary assessment of the nuerological system Neurological Assessment: GCS Cincinatti Stroke Scale NIH Stroke Scale C-Spine immobilzation and stabilization Assist with lumbar punctore and collection of samples Evaluation of pain using appropriate pain scale Evaluates and understand data related to the neuro system: VS Lab tests: CSF, electrolytes, ABGs Diganostics: CT scans, MRI Capillary Blood Glucose Assessment and nursing intervention for: Seizure activity, status epilepticus, febrile seizures meningitis and encephalitis TIA, Acute Stroke/ hemorrhagic stroke spinal cord/ vertebral injuries increased intercranial pressure Head injury: shaken baby syndrome, concussion Dementia/ Alzheimers Gastrointestinal Primary Assessment of the gastrointestinal system Knowledge of labs orthostatic VS NG/OG tube insertion gastric lavage assist with paracentesis Assessment and Interventions for: GI Bleed Hernia/Ischemic/infarcted bowel obstructed bowel appendicitis Cholecystitis/cholelithiasis pancreastitis/hepatic encephalopathy pyloric stenosis, intussusception ulcerative colitis/crohn's constipation/diarrhea foreign bodies abdominal injury: splenic rupture, liver laceration, diaphragmatic rupture Genitourinary Primary assessment of the genitourinary Skills of: FC 3 way foley catheter Coude Catheter Assist with suprapubic catheter Skill of continuous bladder irrigation Utilization of a bladder scanner Peform and interpret urine pregancy tests Assessment and interventions for: infection: UTI, pyelonephritis, epididymitis, prostatitis renal colic urinary retention or obstruction Renal failure Reproductive Male and Femal Primary assessment of the reproductive systems Demonstrate skill to auscultate for fetal heart tones demonstrates ability to assist with a pelvic exam: swabs/specimens assessment for per vaginal blood loos Use of lighted speculum Demonstrates ability to prioritize nursing interventions with an emergency childbirth aware of guidelines/policy for sexual assaults ability to preserve forensic evidence and maintain chain of command Assessment and nursing interventions for: Toxicology Primary assessment of the toxicological emergency Understands and evaluates data related to toxicological emergency: VS/cardiac monitoring ECG GCS Lab: serum, urine, capillary glucose, hematology, chemistry CT Poison control Demonstration of knowledge of common poisonings & methods to prevent absorption Ability to recognize substance abuse/ intoxication Knowledge of pharmacological agents related to certain exposures: N-acetyclysteine Narcan sodium bicarb charcoal Assessment and nursing interventions for: Toxic exposure- chemical, environmental poisonings and substance abuse inhalants recreational/prescription drugs Environmental Primary Assessment of the environmental emergency Knowledge of reporting guidelines for bites knowledge of rabies vaccination Crofab administration Assessment an dnursing intervention for: Heat Syndromes: heat exhaustion vs heat stroke Cold Syndromes: frostbite, hypothermia Near drowning High altitude illness/ decompression illness Bitese and Stings (human, animal, insects, snakes) Psychiatry Primary Assessment of the psychiatric patient Knowledge of crisis interventions/ policies/ guidelines and laws to create safe environment as it relates to pt, family, & staff Ability to complete a risk assessment Knowledge of Helen-Farabee (MHMR) Ability to establish therapeutic relationship within a challenging environment Demonstrates communication techniques and de-esculation skills that defuse aggressive behavior Ability to recognize escalating behaviours Ability to recognize delirium, dementia, depression in geriatrics Knowledge that CRMC has a no-restraint policy Initiates continuous observation as required Assessment and nursing interventions for: Mood & Personality disorders: depression, bipolar Anxiety and stress disorders: PTSD, Panic attacks Schizophrenia: psychosis, paranoia, hallucinations Eating Disorders: bulimia, anorexia Suicidal ideation/ attempt Addictions Abuse- pediatric, partner, elder, vulnerable patient Immunology/ Hematology/ Endocrinology Primary Assessment of endocrine system Understands and evaluates: Lab: calcium, magnesium, phosphate, TSH, HgbA1C Assessment and nursing interventions for: Hyperglycemic emergencies: DKA Hypoglycemic emergencies Thyroid emergencies: thyroid strom, myxedema coma Adrenal gland emergencies: Addison's crisis, cushings syndrome, SIADH, Diabetes Insipidus Blood dyscrasias: DIC, sickles cell, hemophilia Oncological emergencies: malignant effusion Immunocompromised patient: HIV/AIDS, febrile neutropenia Psychosocial/ End of Life Care Provides effective and timely communication to the patient & family Ensures environment promotes privacy and support Knowledge of culture awareness and sensitivity provides comfort measures to patients/family Knowledge of appropriate support services: pastoral, victim support Demonstrates the care of managing a deat in the ED: Contacting Funeral Home Contacting Life Gift Nursing Documentation Transfer of Accountability/Communication/Documentation Demonstrates an effective report to: oncoming shift transport team accepting hospital Med/Surg, LDRP, or OR Accurate and timely documentation within the ED Chart Memorandum of Transfer completing the MOT attachments: radiology reports & disk, H&P, facesheet nurses notes, MAR, home meds, CCD, EKG Use of fax machine Use of phone, portable phones Pediatric Knowledge/Skills Perfroms and modifies age appropriate physical and psychological