TELEMETRY SKILLS CHECKLIST

Telemetry Skills Checklist 

  • MM slash DD slash YYYY

  • CARDIOVASCULAR

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Auscultation (rate, rhythm, volume)
    Heart sounds/murmurs
    Pulses/circulation checks
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Monitoring/telemetry:
    - Basic 12 lead EKD interpretation
    - Arrhythmia interpretation
    - Lead Placement: I, III, V-Ieads
    - Lead Placement: Lead II and MCL
    Pacemaker:
    - Permanent
    - Temporary epicardial wires
    - Temporary external pacing
    - Temporary transvenous
    Assist with:
    - Arterial line insertion
    - Central line insertion
    Hemodynamic monitoring:
    - A-line (radical)
    - CVP monitoring
    - Femoral artery sheath removal
    - Swan-Ganz
    Perform:
    - Controlled cardioversion
    - Emergency defibrillation
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Cardiac enzymes & isoenzymes
    Coagulation studies
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Abdominal aortic bypass
    Aneurysm
    Angina
    Cardiac Arrest
    Carotid Endarteretomy
    Congestive heart failure
    Femoral-popliteal bypass
    Post acute MI (24-48 hours)
    Post angioplasty
    Post arthrectomy (DCA)
    Post CABG (24 hours)
    Post cardiac cath
    Post stent placement
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Atropine
    Bretylium (Bretylol)
    Digoxin (Lanoxin)
    Dobutamine (Dobutrex)
    Dopamine (Intropin)
    Epinephrine (Adrenalin)
    Heparin
    Lidocaine (Xylocaine)
    Nipride (Nitroprusside)
    Nitroglycerine (Tridil)
    Verapamil (Calan, Isoptin, Verelan)
    Oral Anticoagulants
    Oral & IVP Antihypertensive
    Oral & topical nitrates

  • NEUROLOGICAL

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Assist with lumber puncture
    Halo traction/cervical tongs
    Nerve stimulators
    Rotating bed
    Seizure precautions
    Use of hyper/hypothermia blanket
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Aneurysm precautions
    Basal skull fracture
    Closed head injury
    Coma
    CVA
    DTs
    Encephalitis
    Externalized VP shunts
    Meningitis
    Multiple sclerosis
    Neuromuscular disease
    Post craniotomy
    Seizures
    Spinal cord injury
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Carbamazephine (Tegretol)
    Carbidopa-Levodopa (Sinemet)
    Clonazapam (Klonopin)
    Decadron (Dexamethasone)
    Dilantin (Phenytoin)
    Lorazapam (Ativan)
    Methylprednisolone (Solu-Medrol)
    Phenobarbital
    Valium (Diazepam)

  • GASTROINTESTINAL

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Abdominal/bowel sounds
    Fluid Balance
    Nutritional
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Interpretation of Blood Chemistry
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Administration of tube: feeding pumo
    Administration of tube: gravity feeding
    Flexible feeding tube (Corpak, etc.)
    Placement of nasogastric tube
    Salem pump to suction
    Saline lavage
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Gastrostomy tube
    Jejunostomy tube
    T-tube
    TPN and lipids administration
    PPN (peripheral parenteral nutrition)
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Bowel obstruction
    Colostomy
    ERCP
    Esophageal bleeding
    GI bleeding
    GI surgery
    IIeostomy
    Inflammatory bowel disease
    Liver failure
    Liver transplant
    Pancreatitis
    Paralytic ileus
    Penetrating trauma

  • PAIN MANAGEMENT

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Assessment of pain level/tolerance
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Anesthesia/analgesia (PCA)
    IV Conscious sedation
    Narcotic analgesia
    Patient controlled analgesia (PCA)

  • PULMONARY

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Breath sounds
    Breating pattern
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Arterial blood gases
    Blood glucose monitoring
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Assist with intubation
    Assist with Thoracentesis
    Care of airway management devices/suctioning:
    - Endotracheal tub/suctioning
    - Nasal airway/suctioning
    - Oropharyngeal/suctioning
    - Oximetry
    - Sputum specimen collection
    Care of patient on ventilator:
    - Extubation
    - Weaning modes
    Care of patient with chest tubes:
    - Assist with set-up and insertion
    - Mediastinal tube removal
    Use of pleurervac or Thoraclex:
    - Use of water seal drainage system
    Chest Physiotherapy
    Establishing an airway
    Incentive spirometry
    O2 therapy & medication delivery system:
    - Ambu bag and mask
    - ET tube
    - CPAP (external)
    - Face mask
    - Inhalers
    - Nasal cannula
    - Portable oxygen tank
    - Tracheostomy
    - Transtracheal cannulation
    Oral airway insertion
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Alupent (Metaproterenol sulfacte)
    Aminophylline (Theophylline)
    Bronkosol (Iseotharine hydrochloride)
    Corticisteroids
    Ventolin (Albuterol)
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    ARDS
    Bronchoscope
    COPD
    Fresh Tracheostomy
    Lobectomy
    Pneumonectomy
    Pneumonia
    Pulmonary Edema
    Pulmonary embolism
    Status asthmaticus
    Thoractomy
    Tuberculosis

  • METABOLIC

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    S/S diabetic ketoacidosis
    S/S insulin shock
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    S/S diabetic ketoacidosis
    S/S insulin shock
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Blood glucose monitoring:
    - Electronic measuring devices
    - Insulin administration - IV drip
    - Visual blood glucose strips
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Hydrocortisone
    IM Vasopressin (Pitressin)
    Insulin
    Prednisone
    Radioactive iodine

  • WOUND MANAGEMENT

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Skin for impending breakdown
    Stasis ulcers
    Surgical wound healing
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Burns
    Pressure sores
    Staged ducubitus ulcers
    Surgical wounds with drains
    Traumatic wounds
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Air fluidized, low airloss beds
    Sterile dressing changes
    Wound care/irrigations

  • PHLEBOTOMY / IV THERAPY

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Drawing blood from central line
    Drawing venous blood
    Starting IV's:
    - Angiocath
    - Butterfly
    - Heparin lock
    Administration of blood/blood products:
    - Albumin/plasma
    - Cryoprecipate
    - Packed red blood cells
    - Plasma
    - Whole Blood
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Central line/catheter/dressing:
    - Broviac
    - Groshong
    - Hickman
    - Portacath
    - Quinton
    Peripheral line/dressing

  • RENAL/GENITOURINARY

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Arterio venous fistula/shunt
    Fluid balance
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    BUN & creatine
    Electrolytes
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Bladder irrigations
    Insertion & care of straight Foley catheter:
    - 3-way Foley
    - Female
    - Male
    - Supra-pubic
    - Manual CAPD Administration
    - Nephrostomy tube care
    - Peritoneal dialysis via automatic cylinder
    Specimen collection:
    - Routine
    - 24hr
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Hemodialysis
    Nephrectomy
    Peritoneal dialysis
    Renal failure
    Renal transplant
    TURP

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