ER Name: jim ostmann Overall Competency Score: 4.0 Overall Proficiency Score: 4.0 Overall Frequency Score: 3.5 Date Completed: 11/01/2007 Skills Checklist Name: ER Company: NurseTesting.com Assessment ID: 7522136217180 Proficiency: 1 = theory, no practical 2 = less than one year experience  3 = 1-2 years experience 4 = more than 2 years experience Frequency: 1 = never observed only 2 = < 6 times/year  3 = 1-2 times/month 4 = daily or weekly (Hide Details ) CARDIOVASCULAR   Proficiency:4.0    Frequency:4.0  1. Assessment     a . Auscultation (rate, rhythm) 4 4     b . Doppler 4 4     c . Heart sounds/murmurs 2 3    2. Assist with and set up     a . Arterial line 4 4     b . Central line 4 4     c . PA catheter/Swan-Ganz 4 4     d . Pacemaker 4 4     e . Cardioversion 4 4    3. Cardiac Monitoring     a . Basic 12 lead interpretation 4 4     b . Basic Arrhythmia interpretation 4 4    4. Care of the patient with:     a . Acute MI 4 4     b . Aneurysm 4 4     c . Angina 4 4     d . Cardiac arrest 4 4     e . Congestive heart failure (CHF) 4 4     f . Myocarditis 4 3    5. ACLS drugs     a . Atropine 4 4     b . Bretylium (Bretylol) 4 4     c . Epinephrine (Adrenalin) 4 4     d . Lidocaine (Xylocaine) 4 4     e . Procainamide (Pronestyl) 4 4     f . Sodium bicarbonate 4 4    6. Other Medications     a . Adenosine (Adenocard) 4 4     b . Amiodarone (Cordarone) 3 3     c . Digoxin (Lanoxin) 4 4     d . Diltiazem (Cardizem) 4 4     e . Dobutamine (Dobutex) 3 3     f . Dopamine (Intropin) 3 4     g . Esmolol (Brevibloc) 3 3     h . Lasix (Furosemide) 4 4     i . Nitroglycerin (Tridil) 4 4     j . Nitroprusside (Nipride) 4 4     k . Thrombolytic therapy 4 4    PULMONARY   Proficiency:4.0    Frequency:4.0  1. Assessment     a . Breath sounds 4 4     b . Rate and work of breathing 4 4    2. Interpretation of lab results - Arterial blood gases 4 4    3. Equipment & procedures     a . Airway management devices/suctioning 4 3     b . Assist with extubation 4 4     c . Assist with intubation 4 4     d . Assist with thoracentesis 4 4     e . Care of the patient on a ventilator 4 4     f . Care of the patient with a chest tube 4 3     g . Measure peak flow 4 4     h . Obtaining arterial blood gases 4 4     i . O2 therapy & medication delivery systems 4 3     j . Pulse oximetry 4 4     k . Trouble shooting high pressure alarms 4 3     l . Trouble shooting low pressure alarms 4 3    4. Care of the patient with:     a . Aspiration 4 4     b . COPD 4 4     c . Hemopneumothorax 4 4     d . Laryngospasm 4 3     e . Pneumonia 4 4     f . Pneumothorax 4 4     g . Pulmonary edema 4 4     h . Pulmonary embolism 4 3     i . Tension pneumothorax 4 2     j . Tuberculosis 4 3    5. Medications     a . Aminophylline (Theophylline) 4 4     b . Bronkosol (Isoetharine hydrochloride) 4 4     c . Epinephrine (Adrenalin) 4 4     d . Isuprel (Isoproterenol hydrochloride) 4 4     e . Steroids 4 4     f . Terbutaline 4 4    NEUROLOGICAL   Proficiency:4.0    Frequency:4.0  1. Assessment     a . Glasgow coma scale 4 4     b . Reflex/motor deficits 4 4     c . Visual or communications deficits 4 4     d . Level of consciousness 4 4    2. Equipment & procedures     a . Assist with lumbar puncture 4 4     b . Intracranial pressure monitoring 4 4    3. Care of the patient with:     a . Basal skull fracture 4 4     b . Closed head injury 4 4     c . CVA 4 4     d . DTs 4 3     e . Encephalitis 4 3     f . Externalized VP shunts 4 4     g . Meningitis 4 4     h . Neuromuscular disease 4 4     i . Overdose 4 4     j . Seizures 4 4     k . Spinal cord injury 3 3    4. Medications     a . Decadron (Dexamethasone) 4 4     b . Dilantin (Phenytoin) 4 4     c . Mannitol (Osmitrol) 4 3     d . Phenobarbital 4 4     e . Solu-Medrol 4 3    ORTHOPEDICS   Proficiency:4.0    Frequency:4.0  1. Assessment     a . Circulation checks 4 4     b . Gait 4 4     c . Range of motion 4 4     d . Skin 4 4    2. Equipment & procedures     a . Assist with placement of cast 4 4     b . Support devices 4 4    3. Care of the patient with:     a . Ankle brace 4 4     b . Ankle splint 4 4     c . Cast 4 4     d . Knee immobilizer 4 4     e . Pinned fractures 4 4     f . Wrist splint 4 4    GASTROINTESTINAL   Proficiency:4.0    Frequency:3.5  1. Assessment     a . Abdominal/bowel sounds 4 4     b . Fluid balance 4 4     c . Nutritional status 4 4    2. Interpretation of blood chemistry 4 3    3. Equipment & procedures     a . Placement of nasogastric tube 3 3     b . Salem sump to suction 4 3     c . Saline lavage 3 4    4. Care of the patient with:     a . Abdominal trauma 4 4     b . Bowel obstruction 4 4     c . GI bleeding 4 3     d . Hepatitis 4 4     e . Liver failure 3 3    5. Medications     a . Antiemetics 4 4     b . Antispasmodic 4 4     c . Charcoal 4 4     d . Ipecac 4 4    RENAL/GENITOURINARY   Proficiency:4.0    Frequency:4.0  1. Assessment - Fluid balance 4 4    2. Interpretation of lab results     a . BUN & creatinine 4 4     b . Electrolytes 4 4    3. Equipment & procedures     a . Insertion & care of Male Foley catheter 4 3     b . Insertion & care of Female Foley catheter 3 4     c . Urine specimen collection 4 4    4. Care of the patient with:     a . Acute renal failure 4 4     b . Peritoneal lavage 3 4     c . Renal trauma 4 4     d . Urinary tract infection 4 3    ENDOCRINE/METABOLIC   Proficiency:3.5    Frequency:3.0  1. Assessment     a . S/S diabetic coma 3 3     b . S/S insulin reaction 3 3    2. Equipment & procedures - Blood glucose monitoring 3 3    3. Care of the patient with Diabetic ketoacidosis 3 3    4. Medications     a . Insulin 4 3     b . Oral hypoglycemics 4 3    WOUND MANAGEMENT/SURGICAL   Proficiency:4.0    Frequency:4.0  1. Equipment & procedures     a . Application of Steristrips 4 4     b . Assist with staples 4 4     c . Assist with sutures 4 4     d . Culdocentesis tray 4 4     e . Set up suture tray 4 4     f . Staple removal 4 4     g . Suture removal 4 4    EENT   Proficiency:4.0    Frequency:4.0  1. Assessment     a . Set up fluorescent/Woods lamp exam 4 4     b . Visual acuity 4 4    2. Equipment & procedures     a . Application of eye patch 4 4     b . Ear irrigation 4 4     c . Eye irrigation 4 4     d . Morgan lens irrigation 4 4     e . Nasal packing 4 4     f . Removal of contact lens 4 4    TRAUMA/SHOCK   Proficiency:4.0    Frequency:4.0  1. Assessment     a . Champion trauma score 4 4     b . Poison index 4 4     c . Triage 4 4    2. Equipment & procedures     a . Air transport of trauma patient 4 4     b . Application of mast suit 4 4     c . Ground transport 4 4    3. Care of the patient with:     a . Bites, animal 4 3     b . Bites, human 4 3     c . Bites, venomous snake 4 3     d . Bites, venomous spider 4 3     e . Burns, Rule of nines 4 3     f . Burns, First degree 4 3     g . Burns, Second degree 4 4     h . Burns, Third degree 3 3     i . Dehydration 4 4     j . Electrocution 4 4     k . Gunshot/stab wound 4 3     l . Hazardous material exposure 4 4     m . Heat exhaustion/stroke 4 4     n . Hypothermia 4 4     o . Major trauma 4 4     p . Minor trauma 4 4     q . Radiation exposure 4 4     r . Anaphylactic Shock 4 4     s . Cardiogenic Shock 4 4     t . Hypovolemic Shock 4 4     u . Neurogenic Shock 4 4     v . Septic Shock 4 4     w . Traumatic amputation 4 4    INFECTIOUS DISEASES   Proficiency:4.0    Frequency:3.5  1. Interpretation of lab values - CBC, SMA 7 4 4    2. Equipment & procedures     a . Fever management 4 4     b . Isolation 4 3    3. Care of the patient with AIDS 4 2    PHLEBOTOMY/IV THERAPY/INVASIVE PROCEDURES   Proficiency:4.0    Frequency:4.0  1. Equipment & procedures     a . Administration of blood/blood products 4 4     b . Assist with cutdown 4 4     c . Drawing venous blood 4 4     d . Starting IVs 4 4    2. Care of the patient with:     a . Angiography 4 4     b . Broviac/Hickman 4 4     c . Groshong 4 4     d . PICC 4 4     e . Portacath 4 4     f . Pericardiocentesis 4 4    PAIN MANAGEMENT   Proficiency:3.5    Frequency:4.0  1. Assessment of pain level/tolerance 3 4    2. Care of the patient with:     a . Epidural anesthesia/analgesia 3 4     b . IV conscious sedation 4 4    PEDIATRICS   Proficiency:4.0    Frequency:4.0  1. Equipment & procedures     a . Child abuse/recognition/reporting 4 4     b . Obtaining consent to treat 4 4     c . Pediatric arrest 3 4    2. Care of the patient with:     a . Epiglottitis 4 4     b . Near drowning 4 4     c . Overdose/poison ingestion 4 3     d . Status asthmaticus 4 4     e . Status epilepticus 4 4    WOMEN'S HEALTH   Proficiency:3.0    Frequency:3.0  1. Assessment - Assist with pelvic exam 3 4    2. Equipment & procedures     a . Pelvic tray 3 2     b . Rape kit 3 2     c . Reporting acts of violence 3 2    3. Care of the patient with:     a . Abruptio placenta 3 3     b . DIC 3 2     c . Hemorrhage 3 3     d . Placenta previa 3 2     e . Precipitous delivery 3 2     f . Preeclampsia/eclampsia 3 2     g . Spontaneous abortion 3 2    MISCELLANEOUS   Proficiency:4.0    Frequency:4.0  1. AMA procedures     a . AMA procedures 4 4     b . Suicide precautions 4 4    Joint Commission   Proficiency:4.0    Frequency:4.0  1. Do Not Use Abbreviations 4 4    Age Specific:   Proficiency:3.5    Frequency:3.5  1. Please indicate the frequency with which you provide care for each age group:    a . Infant (Birth to 1 year) 3 2    b . Toddler (1-3 years) 3 2    c . Pre-school (3-6 years) 4 3    d . School Age (6-12 years) 4 3    e . Adolescent ( 12-18 years) 4 4    f . Young Adult ( 18-30 years) 4 4    g . Mature Adult (30-60 years) 4 4    h . Elderly (>60 years) 4 4 Years Experience in Clinical Specialty:  13 Most recent facility worked at:  Amistaff

Agreement: I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified. Checked by jim ostmann on 11/01/2007