logo

Stat Staff Professionals - PCU/TELEMETRY CHECKLIST
Name:                 
E-Mail:               
Specialty:   
When Available   

This checklist is for use by PCU-Telemetry nurses with more than one year experience in their discipline and specialty.

Level of Proficiency
1. Can function independently with 2 or more year experience
2. 1-2 years experience but may need some review
3. Limited or no experience or theory only

PLACE THE NUMBER OF YEARS OF EXPERIENCE IN EACH AREA:

PCU:   
MEDSURG:   
If other, please specify:

How Many years have you been a nurse:

How many total years have you worked in the PCU/Telemetry:
 
Have you had a formal Critical Care (consortium)?:   
Did you receive a certificate of completion?:   
How may hours(if known) was the course?:   
Have you had an Arrythmia/EKG course?:   
Are you I.V. Certified?:   
Do you have a current licensed in NY?:   
 
Neurological Problems 1 2 3
Neurological Assessment/Glasgow Coma Score
CVA's
Post Surgical
Seizure Precautions
Craniotomies/head injury/spinal cord injuries

Cardiovascular Problems 1 2 3
Arrhythmia Interpretation
Obtaining 12 Lead EKG
Arrests - Initiate CPR
Emergency Drug Therapy
Titration of Vasoactive Drugs
Care of Patients with Pacemakers
Assist with Insertion (Permanent and/or Temporary)
Aneurysm Repair
Antiarrhythmic drugs
Management of the Drug Cardizem
Management of the Drug Amiodarone
Management of the Drug Dopamine
Administration of the Drug Metoporol
Administration of the Drug Tridil
Administration of the Drug Neosynepherine

Gastro Intestinal Problems 1 2 3
Nasogastric Tubes
Care of Patient with Multiple Abdominal Wounds & Drains
Care with Feeding Tubes
GI Bleeds
Sterile Dressing Changes

G.U. 1 2 3
Catheters - Foley Insertion (Male & Female)
Suprapubic

Renal Problems 1 2 3
Care of a Patient In Acute Renal Failure
Care of a Patient On Hemodialysis
Care of a Patient With Ileal Conduit
Perform peritoneal dialysis

Respiratory Therapy 1 2 3
Suctioning oro-Naso-Pharynx
Tracheostomy Care
Oxygen Equipment (Mask/cannulas)
Ventilators
Endotracheal Tubes
Chest Tubes
Universal Isolation Precautions

Medications 1 2 3
Unit Dose
Pass Medication for 1-10 Patients
Pediatric Conversions

I.V. Therapy 1 2 3
Heparin Locks
Initiating I.V. Line
CVP Lines and Dressing Changes
Infusion Pumps
Hanging Blood and Blood Products
Draw Blood for Lab
Arterial Blood Gases Interpretation
Administration of Total Parenteral Nutrition
Care of Hickman Catheter
IV Additives and Piggybacks
IV Push Drugs
Post CABG/Valve Replacement
Intra Arterial Thrombolytic Theraphy (IATT)

Experience in Caring for Patients with the Following Diagnosis 1 2 3
Pre/Post Cardiat Cath
Myocardial Infarctions
GI Bleed
Oncology Patients
Lymphoma
Emphysema
Asthma
COPD
Diabetes
Hepatitis
Hypothyroidism
Hyperthyroidism
Decuibitus Ulcers
Drug OD
Stab Wounds
Impending DT's
Appendectomy
Bowel Obstructions
Burns
Psychiatric Disorders

Please read and agree to the statements below by marking the checkbox.
* I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Stat Staff Professionals to release this Emergency Room Checklist to the Client facilities in relation to consideration of employment with those facilities.