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General Skills Experience
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
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Advanced directives
Awareness of HCAHPS
Patient/family teaching
Restrictive devices (restraints)
Lift/transfer devices
Specialty beds
End of life care/palliative care
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication administration
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Labeling
Anticoagulation therapy
Medication reconciliation
Monitoring conscious sedation
Pain assessment & management
Use of PCA (IV, intrathecal, epidural)
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure ulcers
Wound care
Wound vac
Cardiac Monitoring & Emergency Care
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
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Obtains 12 lead EKG
Interpretation of rhythm strips
Treatment of dysrythmias
Use of rapid response teams
Cardiac arrest/CPR
O2 therapy & delivery
Pulse oximetry
Use of doppler
IV Therapy
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Starting & maintaining peripheral IVs
Blood draw: venous
Central line care
Blood draw: central line
Care & management of ports
Care & management of PICC/Groshong/Hickman
TPN & lipids
Administration of blood/blood products
Administration of chemotherapy
Monitoring chemotherapy (does not initiate)
Other
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Care of patient with sepsis
Diabetes mellitus
Blood Glucose Monitoring (BGM)
Insulin administration
Assessment of heart sounds
External & temporary pacemakers
Management of permanent pacemaker/AICD
Care of Patient with:
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Angina
CHF
Acute MI
Pre/post cardiac surgery (CABG & valves)
Pre/post vascular surgery (abdominal or thoracic AA, fem-pop, carotid)
Cardiogenic shock
Medication Administration
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Preparation & administration of emergency (ACLS) meds
Inotropics (i.e. digoxin, dopamine, epinephrine)
Antiarrythmics (beta blockers/ Ca+ channel blockers)
Antianginals (isordil/nitrates)
Antihypertensives
Antilipemics (“statins”)
Diuretics
Pulmonary Experience
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Assessment of breath sounds
Airway management/suctioning (ETT, oral, trach)
Incentive spirometer
Recognition & treatment of abnormal ABGS’s
Management of chest tubes
Heimlich valve
Care of Patient with:
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
COPD/emphysema
Asthma
Tuberculosis
Pulmonary embolism
Pulmonary edema
Pneumothorax
Tracheostomy
Pneumonia
Thoracentesis/paracentesis
Medication Administration
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Antihistamines
Bronchodilators
Expectorants & antitussives
Use of inhalers
Use of nebulizer treatments
Neurology Experience
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Comprehensive neuro assessment
Glasgow coma scale
Utilize seizure precautions/seizures
Assist with lumbar puncture
Care of Patient with:
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
TIA/CVA
Cranial hemorrhage & hematoma
Aspiration precautions
Overdose/DT’s
Spinal cord injury/trauma
TBI (Traumatic Brain Injury)
Pre/post neuro surgery
Degenerative neurological disorders
Halo traction/vest
Medication Administration
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Anticonvulsants (Dilantin/Neurontin/phenobarbitol)
Antidepressants
Antiparkinsons (Cogentin/levodopa/Sinemet)
Gastrointestinal Experience
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Insertion & management of NG tube
Insertion & management of small bore feeding tubes (Dobhoff, Keofeed)
Management of gastrostomy/jejunostomy tube
Management of post surgical drains
Care of Patient with:
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
GI bleed (upper/lower)
Hepatitis
Pre/post open abdominal surgery
Colostomy/ileostomy
IBS
ERCP
Paralytic ileus
Gastric bypass
Gastric banding
Peritonitis
Medication Administration
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Antiulcer drugs
Antiemetics
Antacids
Digestive enzymes
Genitourinary/Renal Experience
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Insertion & maintenance of foley catheter
Care of nephrostomy tube
Care of suprapubic tube
Fluid & electrolyte disturbance
Care of Patient with:
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
UTI
BPH
TURP
Prostate cancer
Nephrectomy
Ilioconduit
Renal Surgery
Chronic/acute renal failure
Hemodialysis
Peritoneal dialysis
Assist with GYN exam/PAP
GYN surgeries
GYN malignancies - Progressive Care Nursing Requirements Experience
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Basic & advanced life support protocols
Adenosine administration
Chest tube insertion & management
Insertion & management of arterial line
Management & D/C of arterial & venous sheaths
Femoral hemostasis devices (femStop/vasoseal)
Ventilator management
Interpretation of weaning parameters
Drug dose calculation for:
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Non-titrated IV vasoactive agents (Dobutrex/ dopamine)
Nitrates (IV nitroglycerine)
Platelet inhibitors (reopro)
Fibrinolytics/IIb IIIa inhibitors
Anti-arrhythmic agents (amiodarone/ Cardizem/lidocaine)
Patient Monitoring (Pre/Post Procedure)
Cardioversion
TEE
Cardiac catheterization
Bronchoscopy
EGD
PEG placement
Patient Monitoring (During/Intra Procedure)
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Cardioversion
TEE
Bronchoscopy
EGD
PEG placement
Age Specific Competencies Experience
(1) Limited or no experience
(2) Experienced, but may need review or supervision
(3) Able to function independently *
 123
Newborn/neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)
ATTESTATION *