Emergency Room Skills Checklist Date:* Name: (First, MI, Last)* Email* GENERALAdministration/Mixing of IV meds* N/A Inexperienced Limited Experience Experienced Highly Experienced Administration of continuous fluids* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood/blood product administration/precautions* N/A Inexperienced Limited Experience Experienced Highly Experienced Autotransfusion* N/A Inexperienced Limited Experience Experienced Highly Experienced Calculation of rates:* N/A Inexperienced Limited Experience Experienced Highly Experienced Mcg/min* N/A Inexperienced Limited Experience Experienced Highly Experienced Mcg/kg/min* N/A Inexperienced Limited Experience Experienced Highly Experienced Mg/min* N/A Inexperienced Limited Experienced Experienced Highly Experienced Hang IV Piggyback* N/A Inexperienced Limited Experience Experienced Highly Experienced Heparin Lock* N/A Inexperienced Limited Experienced Experienced Highly Experienced Hyperalimentation* N/A Inexperienced Limited Experience Experienced Highly Experienced Peripheral/Central Line* N/A Inexperienced Limited Experience Experienced Highly Experienced Knowledge of solution* N/A Inexperienced Limited Experience Experienced Highly Experienced Insertion of Central line* N/A Inexperienced Limited Experience Experienced Highly Experienced Use of Broviac/Hickman/Groshong Catheters* N/A Inexperienced Limited Experience Experienced Highly Experienced Lab Assessment* N/A Inexperienced Limited Experienced Experienced Highly Experienced Implanted venous access ports* N/A Inexperienced Limited Experience Experienced Highly Experienced Dressing changes* N/A Inexperienced Limited Experienced Experienced Highly Experienced Insertion of peripheral line:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Dressing change* N/A Inexperienced Limited Experience Experienced Highly Experienced d/c line* N/A Inexperienced Limited Experienced Experienced Highly Experienced Universal precautions* N/A Inexperienced Limited Experience Experienced Highly Experienced Isolation procedures:* N/A Inexperienced Limited Experience Experienced Highly Experienced Airborne isolations* N/A Inexperienced Limited Experience Experienced Highly Experienced Contact Isolation/Universal Precautions* N/A Inexperienced Limited Experienced Experienced Highly Experenced Specimen Collection:* N/A Inexperienced Limited Experience Experienced Highly Experienced Arterial line blood draw* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood culture* N/A Inexperienced Limited Experience Experienced Highly Experienced Capillary blood draw* N/A Inexperienced Limited Experienced Experienced Highly Experienced Central line blood draw* N/A Inexperienced Limited Experienced Experienced Highly Experienced PICC line blood draw* N/A Inexperienced Limited Experience Experienced Highly Experienced Sputum* N/A Inexperienced Limited Experience Experienced Highly Experienced Stool* N/A Inexperienced Limited Experienced Experienced Highly Experienced Urine Culture* N/A Inexperienced Limited Experience Experienced Highly Experienced Urinalysis* N/A Inexperienced Limited Experience Experienced Highly Experienced Venipuncture* N/A Inexperienced Limited Experience Experienced Highly Experienced Wound Culture* N/A Inexperienced Limited Experience Experienced Highly Experienced MEDICATIONSACLS Drugs:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Atropine* N/A Inexperienced Limited Experience Experienced Highly Experienced Bretylium* N/A Inexperienced Limited Experience Experienced Highly Experienced Epinephrine* N/A Inexperienced Limited Experienced Experienced Highly Experienced Lidocaine* N/A Inexperienced Limited Experience Experienced Highly Experienced Procainamide* N/A Inexperienced Limited Experience Experienced Highly Experienced Sodium Bicarbonate* N/A Inexperienced Limited Experienced Experienced Highly Experienced Other Drugs:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Adenosine* N/A Inexperienced Limited Experience Experienced Highly Experienced Amiodarone* N/A Inexperienced Limited Experience Experienced Highly Experienced Aminophylline* N/A Inexperienced Limited Experience Experienced Highly Experienced Bronkosol* N/A Inexperienced Limited Experience Experienced Highly Experienced Decadron* N/A Inexperienced Limited Experience Experienced Highly Experienced Digoxin* N/A Inexperienced Limited Experience Experienced Highly Experienced Dilantin* N/A Inexperienced Limited Experience Experienced Highly Experienced Diltiazem* N/A Inexperienced Limited Experience Experienced Highly Experienced Dobutamine* N/A Inexperienced Limited Experience Experienced Highly Experienced Dopamine* N/A Inexperienced Limited Experience Experienced Highly Experienced Esmolol* N/A Inexperienced Limited Experience Experienced Highly Experienced Isuprel* N/A Inexperienced Limited Experience Experienced Highly Experienced Lasix* N/A Inexperienced Limited Experience Experienced Highly Experienced Mannitol* N/A Inexperienced Limited Experience Experienced Highly Experienced Nitroglycerine* N/A Inexperienced Limited Experience Experienced Highly Experienced Nipride* N/A Inexperienced Limited Experience Experienced Highly Experienced Thrombolytic therapy* N/A Inexperienced Limited Experience Experienced Highly Experienced Phenobarbital* N/A Inexperienced Limited Experience Experienced Highly Experienced Pavulon* N/A Inexperienced Limited Experience Experienced Highly Experienced Prednisone* N/A Inexperienced Limited Experience Experienced Highly Experienced Pitressin* N/A Inexperienced Limited Experience Experienced Highly Experienced Solu-Medrol* N/A Inexperienced Limited Experience Experienced Highly Experienced Streptokinase* N/A Inexperienced Limited Experience Experienced Highly Experienced Steroids* N/A Inexperienced Limited Experience Experienced Highly Experienced Terbutaline* N/A Inexperienced Limited Experience Experienced Highly Experienced TPA* N/A Inexperienced Limited Experience Experienced Highly Experienced Verapamil* N/A Inexperienced Limited Experience Experienced Highly Experienced Vasopressin* N/A Inexperienced Limited Experience Experienced Highly Experienced CARDIOVASCULAR:Arterial line/Swan-Ganz set up* N/A Inexperienced Limited Experienced Experienced Highly Experienced Remove art line* N/A Inexperienced Limited Experienced Experienced Highly Experienced Arterial blood gasses* N/A Inexperienced Limited Experienced Experienced Highly Experienced Zeroing Device* N/A Inexperienced Limited Experienced Experienced Highly Experienced Assess heart sounds* N/A Inexperienced Limited Experienced Experienced Highly Experienced Assist with pacemaker insertion* N/A Inexperienced Limited Experienced Experienced Highly Experienced Temporary/single/double/lumen* N/A Inexperienced Limited Experienced Experienced Highly Experienced Recognize pacemaker malfunction* N/A Inexperienced Limited Experience Experienced Highly Experienced Paceport Swan-Ganz* N/A Inexperienced Limited Experience Experienced Highly Experienced Arrhythmia recognition and intervention* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist with pericardiocentesis* N/A Inexperienced Limited Experience Experienced Highly Experienced External pacemaker maintenance* N/A Inexperienced Limited Experience Experienced Highly Experience Blood pressure monitoring/auto cuff* N/A Inexperienced Limited Experience Experienced Highly Experienced Arterial line insertion* N/A Inexperienced Limited Experienced Experienced Highly Experienced Swan/Ganz insertion with or without fluoro* N/A Inexperienced Limited Experience Experienced Highly Experienced Obtain 12 lead EKG* N/A Inexperienced Limited Experienced Experienced Highly Experienced Normal Anatomy of the Heart:* N/A Inexperienced Limited Experience Experienced Highly Experienced Left Side* N/A Inexperienced Limited Experience Experienced Highly Experienced Right Side* N/A Inexperienced Limited Experience Experienced Highly Experience Normal Physiology of CV system* N/A Inexperienced Limited Experience Experienced Highly Experience Resuscitation* N/A Inexperienced Limited Experience Experienced Highly Experienced Perform defibrillation* N/A Inexperienced Limited Experience Experienced Highly Experienced Perform/set up emergent cardioversion* N/A Inexperienced Limited Experience Experienced Highly Experienced Prepare and administer meds* N/A Inexperienced Limited Experienced Experienced Highly Experience Set up and interpret 12 lead EKG* N/A Inexperienced Limited Experience Experienced Highly Experienced Use of Doppler* N/A Inexperienced Limited Experience Experienced Highly Experience Acute Aneurysm* N/A Inexperienced Limited Experience Experienced Highly Experienced Acute MI* N/A Inexperienced Limited Experience Experienced Highly Experience Angina* N/A Inexperienced Limited Experienced Experienced Highly Experienced CHF* N/A Inexperienced Limited Experience Experienced Highly Experienced Deep vein thrombosis* N/A Inexperienced Limited Experience Experienced Highly Experienced Pulmonary edema* N/A Inexperienced Limited Experience Experienced Highly Experienced Shock: Cardiogenic* N/A Inexperienced Limited Experience Experienced Highly Experienced Shock: Hypovolemic* N/A Inexperienced Limited Experience Experienced Highly Experienced Shock: Septic* N/A Inexperienced Limited Experienced Experienced Highly Experienced PULMONARY:Care of patients with:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Acute respiratory distress* N/A Inexperienced Limited Experienced Experienced Highly Experienced AIDS* N/A Inexperienced Limited Experienced Experienced Highly Experienced Asthma* N/A Inexperienced Limited Experienced Experienced Highly Experienced COPD* N/A Inexperienced Limited Experienced Experienced Highly Experienced Hemothorax* N/A Inexperienced Limited Experienced Experienced Highly Experienced Pneumonia* N/A Inexperienced Limited Experienced Experienced Highly Experienced Pneumothorax* N/A Inexperienced Limited Experienced Experienced Highly Experienced Pulmonary embolism* N/A Inexperienced Limited Experienced Experienced Highly Experienced TB* N/A Inexperienced Limited Experienced Experienced Highly Experienced Transplant/Pulmonary* N/A Inexperienced Limited Experienced Experienced Highly Experienced ARDS* N/A Inexperienced Limited Experienced Experienced Highly Experienced ECMO* N/A Inexperienced Limited Experienced Experienced Highly Experienced Interpretation of labs* N/A Inexperienced Limited Experienced Experienced Highly Experienced Ambu bag techniques* N/A Inexperienced Limited Experienced Experienced Highly Experienced Administer oxygen* N/A Inexperienced Limited Experience Experienced Highly Experienced Use of apnea monitor* N/A Inexperienced Limited Experience Experienced Highly Experienced Assess lung sounds* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist in intubation/extubation* N/A Inexperienced Limited Experience Experienced Highly Experienced Oropharyngeal airway* N/A Inexperienced Limited Experience Experienced Highly Experienced Nasopharyngeal airway* N/A Inexperienced Limited Experience Experienced Highly Experienced Incentive spirometer* N/A Inexperienced Limited Experience Experienced Highly Experienced Nebulizer* N/A Inexperienced Limited Experience Experienced Highly Experienced Normal physiology of pulmonary vascular system* N/A Inexperienced Limited Experience Experienced Highly Experienced Obtain arterial blood gas* N/A Inexperienced Limited Experience Experienced Highly Experienced Result interpretation* N/A Inexperienced Limited Experience Experienced Highly Experienced Pavulonized patient* N/A Inexperienced Limited Experience Experienced Highly Experienced Pulse oximetry* N/A Inexperienced Limited Experienced Experienced Highly Experienced Suctioning: Oral, NT, ETT* N/A Inexperienced Limited Experienced Experienced Highly Experienced Use of emergency equipment* N/A Inexperienced Limited Experienced Experienced Highly Experienced Thoracentesis* N/A Inexperienced Limited Experienced Experienced Highly Experienced Tracheostomy* N/A Inexperienced Limited Experience Experienced Highly Experienced Trach tray set up* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist with emergency trach* N/A Inexperienced Limited Experience Experienced Highly Experience Changing of the trach or tube* N/A Inexperienced Limited Experience Experienced Highly Experienced Skin care* N/A Inexperienced Limited Experienced Experienced Highly Experienced Dressing changes* N/A Inexperienced Limited Experience Experienced Highly Experienced NEUROLOGICAL SYSTEMAssessing sensory-motor function extremities* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist with lumbar puncture* N/A Inexperienced Limited Experience Experienced Highly Experienced Untitled Cervical traction* N/A Inexperienced Limited Experience Experienced Highly Experience Cranial nerve assessment* N/A Inexperienced Limited Experience Experienced Highly Experience Crutchfield tongs* N/A Inexperienced Limited Experience Experienced Highly Experienced Halo traction* N/A Inexperienced Limited Experience Experienced Highly Experience LOC assessment* N/A Inexperienced Limited Experience Experienced Highly Experienced Monitoring of ICP* N/A Inexperienced Limited Experience Experienced Highly Experienced Appropriate interventions for changes in pressure* N/A Inexperienced Limited Experience Experienced Highly Experienced Pre/post neuro surgical care* N/A Inexperienced Limited Experience Experienced Highly Experienced Seizure precautions* N/A Inexperienced Limited Experience Experienced Highly Experienced Use of Glasgow coma scale* N/A Inexperienced Limited Experience Experienced Highly Experienced Visual acuity measurement* N/A Inexperienced Limited Experience Experienced Highly Experienced Stryker Frame* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of patients with:* N/A Inexperienced Limited Experience Experienced Highly Experienced Aphasia* N/A Inexperienced Limited Experience Experienced Highly Experienced Closed head injury* N/A Inexperienced Limited Experience Experienced Highly Experienced Craniotomy* N/A Inexperienced Limited Experience Experienced Highly Experienced VP shunt* N/A Inexperienced Limited Experience Experienced Highly Experienced Neuro Shunt* N/A Inexperienced Limited Experience Experienced Highly Experienced CVA* N/A Inexperienced Limited Experience Experienced Highly Experienced Multiple Sclerosis* N/A Inexperienced Limited Experience Experienced Highly Experienced Multiple trauma patient* N/A Inexperienced Limited Experience Experienced Highly Experienced Overdose patient* N/A Inexperienced Limited Experience Experienced Highly Experienced Seizure disorder* N/A Inexperienced Limited Experienced Experienced Highly Experienced Spinal cord injury* N/A Inexperienced Limited Experience Experienced Highly Experienced Insulin preparation and administration* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood glucose monitoring* N/A Inexperienced Limited Experience Experienced Highly Experienced Jejunostomy care* N/A Inexperienced Limited Experience Experienced Highly Experienced NG tube insertion/lavage* N/A Inexperienced Limited Experience Experienced Highly Experienced Normal physiology of renal and GI system* N/A Inexperienced Limited Experience Experienced Highly Experienced Ostomy/stoma care* N/A Inexperienced Limited Experience Experienced Highly Experienced Peritoneal lavage* N/A Inexperienced Limited Experience Experienced Highly Experienced Poison control* N/A Inexperienced Limited Experience Experienced Highly Experienced Wound care irrigations* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of the patient with:* N/A Inexperienced Limited Experience Experienced Highly Experienced Acute cholecystitis* N/A Inexperienced Limited Experience Experienced Highly Experienced Acute renal failure* N/A Inexperienced Limited Experience Experienced Highly Experienced Bowel obstruction* N/A Inexperienced Limited Experienced Experienced Highly Experienced Diabetes* N/A Inexperienced Limited Experience Experienced Highly Experienced ERCP* N/A Inexperienced Limited Experience Experienced Highly Experienced GI bleed* N/A Inexperienced Limited Experience Experienced Highly Experienced Hyper/hypoglycemia* N/A Inexperienced Limited Experience Experienced Highly Experienced Multiple abdominal wounds* N/A Inexperienced Limited Experience Experienced Highly Experienced Paralytic ileus* N/A Inexperienced Limited Experience Experienced Highly Experienced Nephrectomy* N/A Inexperienced Limited Experience Experienced Highly Experienced Pancreatitis* N/A Inexperienced Limited Experience Experienced Highly Experienced Transplant/Kidney* N/A Inexperienced Limited Experience Experienced Highly Experienced T.U.R.P.* N/A Inexperienced Limited Experience Experienced Highly Experienced Whipple procedure* N/A Inexperienced Limited Experience Experienced Highly Experienced TRAUMA AND EMERGENCY SKILLSAir transport of trauma patient* N/A Inexperienced Limited Experience Experienced Highly Experienced Triage procedures* N/A Inexperienced Limited Experience Experienced Highly Experienced Major trauma* N/A Inexperienced Limited Experienced Experienced Highly Experienced Minor trauma* N/A Inexperienced Limited Experienced Experienced Highly Experienced MAST suit* N/A Inexperienced Limited Experienced Experienced Highly Experienced Hyperthermia* N/A Inexperienced Limited Experience Experienced Highly Experienced Heat stroke* N/A Inexperienced Limited Experience Experienced Highly Experienced Heat exhaustion* N/A Inexperienced Limited Experience Experienced Highly Experienced Snake bite* N/A Inexperienced Limited Experience Experienced Highly Experienced Administration of antivenin* N/A Inexperienced Limited Experience Experienced Highly Experienced Animal bite* N/A Inexperienced Limited Experience Experienced Highly Experienced Human bite* N/A Inexperienced Limited Experience Experienced Highly Experienced Poison index* N/A Inexperienced Limited Experience Experienced Highly Experienced PSYCHAdolescent patients* N/A Inexperienced Limited Experience Experienced Highly Experienced Substance abuse* N/A Inexperienced Limited Experienced Experienced Highly Experienced Manic depressive* N/A Inexperienced Limited Experience Experienced Highly Experienced Isolation* N/A Inexperienced Limited Experience Experienced Highly Experienced Procedure for patient signing AMA* N/A Inexperienced Limited Experience Experienced Highly Experienced Disaster protocols* N/A Inexperienced Limited Experience Experienced Highly Experienced BASIC PROCEDURES AND EQUIPMENTCut down tray* N/A Inexperienced Limited Experience Experienced Highly Experienced CVP tray* N/A Inexperienced Limited Experience Experienced Highly Experienced Culdocentesis tray* N/A Inexperienced Limited Experience Experienced Highly Experienced Thoracentesis tray* N/A Inexperienced Limited Experience Experienced Highly Experienced Unit dose medications* N/A Inexperienced Limited Experience Experienced Highly Experienced Dosage calculations* N/A Inexperienced Limited Experience Experienced Highly Experienced Initiate multiple drips* N/A Inexperienced Limited Experience Experienced Highly Experienced Maintain multiple drip dosages* N/A Inexperienced Limited Experience Experienced Highly Experienced Charge RN experience* N/A Inexperienced Limited Experienced Experienced Highly Experienced Team leader experience* N/A Inexperienced Limited Experience Experienced Highly Experienced Primary care experience* N/A Inexperienced Limited Experience Experienced Highly Experienced SOAP Charting* N/A Inexperienced Limited Experience Experienced Highly Experienced Pouring from stock medications* N/A Inexperienced Limited Experience Experienced Highly Experienced Narcotic administration* N/A Inexperienced Limited Experience Experienced Highly Experienced PIC line insertion* N/A Inexperienced Limited Experience Experienced Highly Experienced Restraints* N/A Inexperienced Limited Experience Experienced Highly Experienced Initiating care plans* N/A Inexperienced Limited Experience Experienced Highly Experienced Organ donor protocol* N/A Inexperienced Limited Experience Experienced Highly Experienced Patient directives* N/A Inexperienced Limited Experience Experienced Highly Experienced Patient rights/confidentiality* N/A Inexperienced Limited Experienced Experienced Highly Experienced Areas of Expertise:Procedures/Equipment/Drugs you have experience with that are not listed on this checklist:Consent* By submitting this form, I agree to all terms and conditions and agree to authorize consent NameThis field is for validation purposes and should be left unchanged.
