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    Medical Surgical Skills Checklist PDF

    Uploaded by

    Hussain R Al-Midani
    This document is a medical/surgical skills checklist that allows a healthcare professional to self-assess their competency level for various clinical skills. It covers areas such as patient rights, neurology, cardiovascular, pulmonary, gastrointestinal, genitourinary, endocrine, oncology, musculoskeletal, and miscellaneous skills including medication administration and IV therapy. Practitioners indicate their experience level for each skill on a scale of 0 to 4, from no experience to expert. The checklist also includes sections to list experience areas and durations.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Medical Surgical Skills Checklist PDF

    Uploaded by

    Hussain R Al-Midani
    209 views5 pages
    This document is a medical/surgical skills checklist that allows a healthcare professional to self-assess their competency level for various clinical skills. It covers areas such as patient rights, neurology, cardiovascular, pulmonary, gastrointestinal, genitourinary, endocrine, oncology, musculoskeletal, and miscellaneous skills including medication administration and IV therapy. Practitioners indicate their experience level for each skill on a scale of 0 to 4, from no experience to expert. The checklist also includes sections to list experience areas and durations.

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    medical-surgical-skills-checklist.pdf

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    This document is a medical/surgical skills checklist that allows a healthcare professional to self-assess their competency level for various clinical skills. It covers areas such as patient rights, neurology, cardiovascular, pulmonary, gastrointestinal, genitourinary, endocrine, oncology, musculoskeletal, and miscellaneous skills including medication administration and IV therapy. Practitioners indicate their experience level for each skill on a scale of 0 to 4, from no experience to expert. The checklist also includes sections to list experience areas and durations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    209 views5 pages

    Medical Surgical Skills Checklist PDF

    Uploaded by

    Hussain R Al-Midani
    This document is a medical/surgical skills checklist that allows a healthcare professional to self-assess their competency level for various clinical skills. It covers areas such as patient rights, neurology, cardiovascular, pulmonary, gastrointestinal, genitourinary, endocrine, oncology, musculoskeletal, and miscellaneous skills including medication administration and IV therapy. Practitioners indicate their experience level for each skill on a scale of 0 to 4, from no experience to expert. The checklist also includes sections to list experience areas and durations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    Medical/Surgical Skills Checklist

    PERSONAL INFORMATION
    Name: Date:

    Signature:

    KEY TO COMPETENCY LEVELS


    0 – No Experience
    1 – Minimal experience, need review and supervision, have performed at least once
    2 – Comfortable performing with resource available
    3 – Competent to perform independently and safely
    4 – Expert, able to act as resource to others

    0 1 2 3 4
    PATIENT RIGHTS
    Communicates and obtains information while respecting the rights and privacy and confidentiality
    of information.
    Involves the patient and family and respects their role in determining the nature of care to be
    provided, including Advanced Directives.
    Complies with nursing staff responsibility include in the hospital policy related to Organ Donation.
    Meets patient and families needs regarding communication, including interpreter services.
    Provides accurate information to patient and families in a timely manner.

    NEUROLOGY
    Neuro Assessment/Neuro Vitals
    Seizure Precautions
    Stryker Frame
    Crutchfield Tongs
    Halo Traction
    Immobilization Techniques
    Care of Patient with:
    Spinal Cord Injury
    Pre/Post Neurological Surgery
    CNS Infections
    Degenerative Diseases of the Nervous System
    Drug Overdose
    Acute Head injury
    Cerebral Aneurysm
    Acute/Chronic C.V.A/T.I.A.
    Rehabilitation of the Neuro patient
    Managing patient with epidural catheter
    Managing patient with spinal precautions

    CARDIOVASCULAR
    Cardio pulmonary arrests
    Running code 99
    Caring for 48+ hour post-op Open Heart patient
    Caring for a pacemaker patient
    Pre/post-op angioplasty
    Post-op vascular surgery patients (i.e. aneurysms)
    Angina (acute and chronic)
    Ability to interpret cardiac rhythms
    2

    0 1 2 3 4
    CARDIOVASCULAR (cont)
    Care of patient with:
    Valvular disease
    Central lines
    Assessing and treating orthostatic BP
    Assessing abnormal heart tones

    MEDICATION AND ADMINISTRATION


    Knowledge of Indications, Actions, Contraindications, Side Effects, Methods of Administration, Calculation of Dose, Rate of Infusion, caring for
    and monitoring patient receiving the following:
    Acetaminophen
    Acetylsalicylic Acid
    Antibiotics
    Beta blockers
    Calcium Channel Blockers
    Cimetidine
    Codeine
    Dexamethasone
    Diazepam
    Digoxin
    Duramorph
    Furosemide
    Heparin
    Insulin
    Lorazepam
    Morphine
    Naloxone
    Nitroglycerine
    Phenytoin
    Potassium Chloride
    Theophylline
    Verapamil
    Warfarin
    Inhalers
    Oral Medications
    Suppositories:
    Vaginal
    Rectal
    Ordering Meds

    PULMONARY
    Assessment of breath sounds
    Assist with set-up maintenance of chest tubes
    Administer oxygen (nasal canula, mask, endotracheal)
    Oxygen saturation monitor
    Use of chest drainage systems

    Initials: ___________
    3

    0 1 2 3 4
    PULMONARY (cont)
    Care of patient with:
    Pulmonary emboli
    Tracheostomy
    Pre/post thoracic surgery
    Asthma
    COPD
    CHF
    Tuberculosis
    Nasal Tracheal Suctioning
    Changing Tracheostomy
    Instructing patient in use of incent. spirometer

    GASTROINTESTINAL
    Assessment of bowel sounds
    Identification of abnormalities
    Stool tests
    Insert/Maintain Feeding tubes/NG tubes
    Administering Tube Feedings
    Checking Tube Feeding Residuals
    Inserting/maintaining intermittent & continuous suction NG tubes
    Checking tube feeding and NG tube placement
    Care of acute GI bleed
    Ileostomy/Colostomy and drain care
    Abdominal wounds or infections
    Pre/post-op GI Surgery
    Dehiscence
    Care of patient on Total Parenteral Nutrition

    GENITOURINARY/RENAL
    Ability to insert/maintain urinary drainage tubes
    Care of patient with:
    Acute renal failure
    Chronic renal failure
    Post renal/genitourinary surgery
    Caring for a patient recovering from Peritoneal dialysis
    Caring for a patient recovering from Hemodialysis
    Assessment of fluid and electrolyte problems
    Knowledge of UA values
    Managing urostomy
    Managing suprapubic catheter
    Placing condom catheter
    Collecting specimens

    ENDOCRINE
    Caring for a diabetic patient
    Administration of IV insulin drip

    Initials: ___________
    4

    Capillary blood glucose checks


    0 1 2 3 4

    ENDOCRINE (cont)
    Hormone therapy

    ONCOLOGY
    Caring for AIDS patient
    Isolation/Universal precautions
    Pain management
    Mixing/Administering chemo agents

    MUSCULOSKELETAL
    Traction
    Braces
    Casts
    Collars
    Slings
    Splints
    Skeletal traction
    Skin traction
    Using T.E.N.S. unit
    Beds i.e. Clinitron, Roto Rest
    Total knee replacement
    Total hip replacement
    Crutch walking/walkers
    Care of patient with:
    Joint disorders
    Bone disorders
    Amputation
    Caring for patient on CPM

    MISCELLANEOUS
    Pain management
    Burn patients
    Inserting IV’s/IV therapy
    Set-up for Cut Down
    Performing complex dressing changes
    Administration of blood and blood products
    Administering and monitoring IV Anticoagulants
    Obtaining peripheral venous blood
    Obtaining blood from central venous line
    Knowledge of Serum Lab Values:
    Chem 7, Chem 10
    CBC
    Serum Drug Levels
    IV Therapy
    Care of drains/tubes (i.e. hemovac, etc.)
    Monitoring and assessing I & O
    Using PCA System

    Initials: ___________
    5

    0 1 2 3 4
    MISCELLANEOUS (cont)
    Using SCD or Venidyne Devices
    Using PICC, Hickman, Central Line
    Providing for safe patient environment

    EXPERIENCE AREAS (check all that apply) YEARS MONTHS


    Medical/Surgical
    Telemetry/Stepdown
    Ortho
    Rehabilitation
    Mother - Baby
    Oncology
    Neurology
    Pediatrics
    Urology
    Skilled
    Hospice
    General Medicine
    General Surgery
    Charge Experience
    IV Certified
    Other
    Other

    Initials: ___________

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