ER Skills Checklist Name First Last Date MM slash DD slash YYYY Proficiency 1 = None 2 = Intermittent 3 = Experienced 1. Assessment / Patient CareGeneralAdmission 1 2 3 EMTALA Procedures 1 2 3 Suspected Abuse 1 2 3 Advance Directives 1 2 3 Collect Data 1 2 3 Patient / Family Teaching 1 2 3 Discharge Teaching 1 2 3 Organ / Tissue Donation 1 2 3 Computerized DocumentationComputerized Documentation 1 2 3 CadiovascularGeneralAbnormal Heart 1 2 3 Auscuitation (Rate / Rhythm) 1 2 3 Murmurs / Sounds 1 2 3 Patient ExperienceAcute Angina 1 2 3 Acute C H F 1 2 3 Acute MI 1 2 3 Abdominal Aortic Aceurysm 1 2 3 Cardiac Arrest / CPR 1 2 3 Cardiomyopathy 1 2 3 Cardiac Tamponade 1 2 3 Defibrillation / Cardioversion 1 2 3 Hypertension 1 2 3 Myocardial Confusion 1 2 3 Pacemaker External 1 2 3 Pacemaker Permanent 1 2 3 MonitoringArrhythmia Interpretation 1 2 3 Arterial Line 1 2 3 12 Lead EKG Interpretation 1 2 3 Intra-Aortic Balloon Pump 1 2 3 CVP Monitoring 1 2 3 PA / Swan-Ganz 1 2 3 LabsCardiac Enzymes & Isoenzymes 1 2 3 Coagulation Studies 1 2 3 BNP (Brain Natriuretic Peptide) 1 2 3 Troponin 1 2 3 PulmonaryGeneralBreathing (Rate / Work Of) 1 2 3 Assess Lung Sounds 1 2 3 Identify / Manage Resp. Complications 1 2 3 Oxygenation Status 1 2 3 Patient ExperienceARDS 1 2 3 Aspiration 1 2 3 Acute Pneumonia 1 2 3 Chest Trauma 1 2 3 COPD 1 2 3 Chest Tube 1 2 3 Hemopneumothorax 1 2 3 Inhalation Injuries 1 2 3 Near Drowning 1 2 3 Pulmonary Edema 1 2 3 Pulmonary Emboli 1 2 3 Tension Pneumothorax 1 2 3 Tracheostomy 1 2 3 Tuberculosis 1 2 3 Status Asthmaticus 1 2 3 MonitoringApnea 1 2 3 Pulse Oximetry 1 2 3 LabInterpretation of ABGs 1 2 3 NeurologyGeneralNeruological Assessment 1 2 3 Glasgow Coma Scale 1 2 3 Reflex / Motor Deficits 1 2 3 Visual Communication Deficits 1 2 3 Patient ExperienceAcute Head Injury 1 2 3 Alzheimer's Disease 1 2 3 Basal Skull Fracture 1 2 3 Cerebral Hemorrhage / Aneurysm 1 2 3 Closed Head Injury 1 2 3 CNS Infection 1 2 3 Coma 1 2 3 CVA 1 2 3 DTs 1 2 3 Increased ICP 1 2 3 Intracranial Hemorrhage 1 2 3 Meningitis 1 2 3 Neuromuscular Disease 1 2 3 Seizure Disorder 1 2 3 Spinal Cord Inury 1 2 3 Cervical Tongs / Halo Traction 1 2 3 Neurogenic Shock 1 2 3 TIAs 1 2 3 MonitoringICP Monitoring 1 2 3 GastrointestinalGeneralG. I. Assessment 1 2 3 Assess Nutritional Status 1 2 3 Patient ExperienceAbdominal Wounds / Surgeries 1 2 3 Abdominal Trauma 1 2 3 Bowel Obstruction 1 2 3 Acute GI Bleed 1 2 3 Hepatitis 1 2 3 Esophageal Bleed 1 2 3 Lleostomy 1 2 3 Liver Failure 1 2 3 Pancreatitis 1 2 3 Paralytic Ileus 1 2 3 Poison Ingestion 1 2 3 MonitoringICP Monitoring 1 2 3 LabsLiver Function Test 1 2 3 Serum Ammonia 1 2 3 Serum Amylase 1 2 3 Renal / GenitourinaryGeneralAssess Fluid Status 1 2 3 Patient ExperienceAcute Renal Failure 1 2 3 End State Renal Disease 1 2 3 Fistula / Shunt 1 2 3 Peritoneal Dialysis 1 2 3 Renal Rejection Syndrome 1 2 3 Renal Transplant 1 2 3 Suprapubic Cath 1 2 3 Urinary Tract Infection 1 2 3 MonitoringFluid Balance 1 2 3 Measurement of I & O 1 2 3 LabsBUN & Creatinine 1 2 3 Serum Electrolytes 1 2 3 Endocrine / MetabolicPatient ExperienceAdrenal Gland Disorder 1 2 3 Drug Overdose 1 2 3 Diabetic Coma 1 2 3 Diabetic Ketoacidosis 1 2 3 Insulin Reaction 1 2 3 Insulin Shock 1 2 3 Pituitary Gland Disorder 1 2 3 Thyroid Gland Disorder 1 2 3 LabsBlood Glucose 1 2 3 Thyroid Studies 1 2 3 MusculoskeletalGeneralPulse and Circulation Checks 1 2 3 Patient ExperienceAmputation 1 2 3 Cast Care 1 2 3 Crutch Walking 1 2 3 External Fixation 1 2 3 Fractures 1 2 3 Multiple Trauma 1 2 3 Paraplegia 1 2 3 Skeletal / Skin Traction 1 2 3 Immunology / Hematology / OncologyGeneralBlood Transfusion 1 2 3 Patient ExperienceAcute Leukemia 1 2 3 Anaphylactic Shock 1 2 3 Cancer 1 2 3 HIV / AIDS 1 2 3 Sepsis 1 2 3 Sickle Cell Anemia 1 2 3 Treatment Side Effects Chemo / Radiation 1 2 3 LabsHematology 1 2 3 Wounds / IntegumentGeneralS / S Infection 1 2 3 Skin Assessment 1 2 3 Patient ExperienceBurns 1 2 3 Pressure Sores 1 2 3 Hazardous Material 1 2 3 Shingles 1 2 3 Stasis Ulcers 1 2 3 Staged Decubitus Ulcers 1 2 3 Surgical Wounds w/ Drains 1 2 3 Traumatic Wounds 1 2 3 MonitoringSkin Breakdown 1 2 3 Women's HealthGeneralAbruptio Placenta 1 2 3 DIC 1 2 3 Eclampsia 1 2 3 Hemorrhage 1 2 3 Preeclampsia 1 2 3 Precipitous Delivery 1 2 3 Premature Labor 1 2 3 Rape Kit 1 2 3 Spontaneous Abortion 1 2 3 2. Medications / Therapeutic InterventionsGeneralAdenocard 1 2 3 Adrenalin 1 2 3 Antiemetics 1 2 3 Antispasmodic 1 2 3 Atropine 1 2 3 Bicarbonate 1 2 3 Bretylium (Bretylol) 1 2 3 Bumex 1 2 3 Cardizem (Diltazem) 1 2 3 Charcoal 1 2 3 Decadron 1 2 3 Dilantin 1 2 3 Dobutamine 1 2 3 Dopamine 1 2 3 Epinephrine 1 2 3 Esmolol 1 2 3 Heparin 1 2 3 Insulin 1 2 3 Ipecac 1 2 3 Isuprel 1 2 3 Lanoxin 1 2 3 Lasix 1 2 3 Lidocaine 1 2 3 Mannitol 1 2 3 Nipride (Nitroprusside) 1 2 3 Nitroglycerin 1 2 3 Paralytics 1 2 3 Phenobarbital 1 2 3 Pitressin 1 2 3 Pronestyl (Procainamide) 1 2 3 Retavase 1 2 3 Solu-Medrol 1 2 3 Steroids 1 2 3 Streptokinase 1 2 3 Tenectaplase (TNKase) 1 2 3 Theophylline 1 2 3 Terbutaline 1 2 3 TPA / Thrombolytics 1 2 3 Verapamil 1 2 3 Versed 1 2 3 Medications AdministrationsAdminister IM & SQ Meds 1 2 3 Administer Inhalation Meds 1 2 3 Administer PO Meds 1 2 3 Bladder Irrigation & Instillation 1 2 3 Ear Irrigation 1 2 3 Eye Irrigation 1 2 3 Needleless Systems 1 2 3 IV TherapyAdverse Reactions 1 2 3 Assess / Maintain IV Site 1 2 3 CVP Lines / Measure CVP 1 2 3 Infusion Pumps 1 2 3 Peripheral IV Insertion 1 2 3 Syringe Pumps 1 2 3 Vascular Access Devices Care / Maintenance 1 2 3 Administer IV Medications 1 2 3 Mixing IV Solutions 1 2 3 BloodAdminister Blood / Blood Products 1 2 3 Albumin 1 2 3 Nutritional Therapy 1 2 3 NGT Insertion 1 2 3 Oxygen AdministrationAmbu-Bag 1 2 3 Nasal Cannula 1 2 3 Nebulizer Treatments 1 2 3 Non-Rebreather Mask 1 2 3 Portable Oxygen 1 2 3 Tracheostomy 1 2 3 Venti Mask 1 2 3 Ventilator (A/C, IMV, PEEP) 1 2 3 Pain ManagementAssess Pain Level / Tolerance 1 2 3 Moderate Sedation 1 2 3 Ramsey Scale 1 2 3 3. Procedures / EquipmentPerformApply Brace / Splint 1 2 3 Cast 1 2 3 Cervical Collar 1 2 3 Chest Tube Drain Systems 1 2 3 Crisis Intervention 1 2 3 Doppler 1 2 3 Drains (JP-Hemovac-Penrose) 1 2 3 Dressing Changes 1 2 3 Establish / Protect Airway 1 2 3 Foley, 3-Way 1 2 3 Foley, Female 1 2 3 Foley, Male 1 2 3 Hyper / Hypothemia Blanket 1 2 3 Iced Saline Lavage 1 2 3 Isolation 1 2 3 Pinned Fractures 1 2 3 Restraints 1 2 3 Steristrips 1 2 3 Suctioning (Oral-Naso-Pharynx) 1 2 3 Suicide Precautions 1 2 3 Trach Care / Suctioning 1 2 3 Wound Care / Irrigations 1 2 3 Wrist Splint 1 2 3 Specimen CollectionsArterial Line Draw 1 2 3 Assist with Rape Exam 1 2 3 Blood Cultures 1 2 3 Butterfly Stick 1 2 3 Central Line Draw 1 2 3 Clean Catch Urine 1 2 3 Dipstick Urine 1 2 3 Finger Stick 1 2 3 Stool 1 2 3 Sputum 1 2 3 Sterile Urine 1 2 3 Throat Swabs 1 2 3 Venipuncture 1 2 3 AssistArterial Line Insertion 1 2 3 Bedside Invasive Procedures 1 2 3 Bronchoscopy 1 2 3 Cardioversion / Defibrillation 1 2 3 Central Line Insertion 1 2 3 Chest Tube Insertion 1 2 3 ET Intubation & Extubation 1 2 3 Emergency Tracheostomy 1 2 3 Halo Traction / Cervical Tongs Placement 1 2 3 IV Cut-Down 1 2 3 Lumbar Puncture 1 2 3 Nasal Packing 1 2 3 Open Chest Emergency 1 2 3 PA Cath / Swan-Ganz Insertion 1 2 3 Peri-Cardiocentesis 1 2 3 Staples Removal 1 2 3 Sutures Removal 1 2 3 Thoracentesis 1 2 3 Insert Temp Pacemaker 1 2 3 4. Age Group ExperienceAge Groups0 - 30 Days 1 2 3 30 Days - 1 Year 1 2 3 1 - 3 Years 1 2 3 3 - 5 Years 1 2 3 5 - 12 Years 1 2 3 12 - 18 Years 1 2 3 18 - 39 Years 1 2 3 39 - 64 Years 1 2 3 64 + Years 1 2 3 Trauma Level ExperienceLevel One (1) 1 2 3 Level Two (2) 1 2 3 Level Three (3) 1 2 3 Clinical SettingsAcute Care ER 1 2 3 CHF Clinic 1 2 3 Chest Pain ER 1 2 3 Flight Nursing 1 2 3 Pacemaker 1 2 3
