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Medical ⁄Surgical
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Date:
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1 - No Experience
2 - Minimal
3 - Moderate
4 - Very Experienced
A.
CARDIOVASCULAR
1
2
3
4
A.
Assessment
a.
Auscultation (rate, rhythm)
b.
Blood pressure ⁄ non-invasive
c.
Doppler
d.
Heart sounds⁄ murmurs
e.
Pulses ⁄circulation checks
B.
Equipment & procedures
a.
Telemetry
(1)
Basic 12 lead interpretation
(2)
Basic arrhythmia interpretation
(3)
Lead placement
b.
Pacemaker
(1) Permanent
(2) Temporary
C.
Care of the patient with:
a.
Abdominal aortic bypass
b.
Aneurysm
c.
Angina
d.
Cardiac arrest
e.
Cardiomyopathy
f.
Cartoid endarterectomy
g.
Congestive heart failure (CHF)
h.
Femoral-popliteal bypass
i.
Myocarditis
j.
Post acute MI (24-48 hours)
k.
Post angioplasty
l.
Post cardiac cath
m.
Post cardiac surgery
n.
Thrombophlebitis
D.
Medications
a.
Heparin drip
b.
Oral anticoagulants
c.
Oral & IV antihypertensives
d.
Oral & topical nitrates
B.
PULMONARY
A.
Assessment
a.
Breath sounds
b.
Rate and work of breathing
B.
Interpretation of lab results
a.
Blood chemistry
b.
Blood gases
C.
Equipment & procedures
a.
Airway management
devices ⁄ suctioning
B.
PULMONARY cont.
1
2
3
4
(1)
Endothoracheal
tube ⁄ suction
(2)
Nasal
airway ⁄ suctioning
(3)
Oropharyngeal ⁄ suctioning
(4)
Sputum specimen collection
(5)
Tracheostomy ⁄ suctioning
b.
Assist with intubation
c.
Assist with thoracentesis
d.
Care of a patient with a ventilator
e.
Care of a patient with chest tube
(1)
Assist with set-up & insertion
(2)
Measuring and emptying
(3)
Removal
f.
Chest physiotherapy
g.
Incentive spimotry
h.
O2 therapy & medication delivery system
(1)
Bag and mask
(2)
External CPAP
(3)
Face masks
(4)
Inhalers
(5)
Nasal cannula
(6)
Portable O2 tank
(7)
Trach collar
i.
Oximetry
D.
Care of patient with:
a.
Bronchoscopy
b.
COPD
c.
Fresh tracheostomy
d.
Lobectomy
e.
Pneumonectomy
f.
Pneumonia
g.
Pulmonary embolism
h.
Thoracotomy
i.
Tuberculosis
C.
NEUROLOGICAL
A.
Assessment
a.
Glasgow coma scale
b.
level of consciousness
B.
Equipment & procedures
a.
Assist with lumbar puncture
b.
Use of hypothermia blanket
C.
NEUROLOGICAL cont.
1
2
3
4
C.
Care of patient with:
a.
Aneurysm precautions
b.
Basal skull fracture
c.
Closed head injury
d.
Coma
e.
CVA
f.
DTs
g.
Encephalitis
h.
Externalized VP shunts
i.
Meningitis
j.
Neuromuscular disease
k.
Post craniotomy
l.
Seizures
m.
Spinal cord injury
D.
Administration of anticonvulsants
D.
ORTHOPEDICS
A.
Assessment
a.
Circulation checks
b.
Gait
c.
Range of motion
d.
Skin
B.
Equipment & procedures
a.
continuous motion devices
b.
Support devices
(1)
Cane
(2)
Cervical collar
(3)
Gait belt
(4)
Prosthetic
(5)
Sling
(6)
Transfer boards
(7)
Walker
(8)
Wheelchair
c.
Traction
C.
Care of patient with:
a.
Amputation
b.
Arthoscopic surgery
c.
Cast
d.
Osteoporosis
e.
Pinned fractures
f.
Rheumatic ⁄arthritic disease
g.
Total hip replacement
h.
Total knee replacement
E.
GASTROINTESTINAL
A.
Assessment
a.
Abdominal ⁄bowel sounds
b.
Fluid balance
c.
Nutritional
B.
Interpretation of blood chemisrty
C.
Equipment & procedures
a.
Administration of tube feedings
(1)
Feeding pump
(2)
Gravity feedings
(3)
Saline lavage
b.
Flexible feeding tube
E.
GASTROINTESTINAL cont.
1
2
3
4
c.
Management of
(1)
Gastrostomy tube
(2)
Jejunostomy tube
(3)
T-tube
d.
Placement of nasogastric tube
e.
Salem sump to suction
D.
Care of patient with:
a.
Bowel obstruction
b.
Colostomy ⁄ileostomy
c.
GI Bleeding
d.
GI surgery
e.
Hepatitis
f.
Inflammatory bowel disease
g.
Invasive diagnostic testing
h.
Liver failure
i.
Paralytic ileus
F.
RENAL⁄GENITOURINARY
A.
Assessment
a.
Arterio venous fistula/shunt
b.
Fluid balance
B.
Interpretation of lab results
a.
BUN & Creatinine
b.
Electrolytes
C.
Equipment & procedures
a.
Insertion & care of straight and Foley catheter
(1)
Female
(2)
Male
b.
Catheter care
(1)
3-way Foley
(2)
Supra-pubic
c.
Bladder irrigations
(1)
Continous
(2)
Intermittent
d.
Specimen collection
(1)
Routing
(2)
24 hour
D.
Care of the patient with:
a.
Hemodialysis
b.
Nephrectomy
c.
Peritoneal
d.
Renal failure
e.
Renal transplant
f.
TURP
g.
Urinary diversion
h.
Urinary tract infection
G.
ENDOCRINE ⁄ METABOLIC
A.
Assessment
a.
S ⁄ S diabetic coma
b.
S ⁄ S insulin reaction
B.
Equipment & procedures
a.
Blood glucose monitoring
(1)
Electronic measuring device
(2)
Visual blood glucose strips
b.
Indwelling insulin pump
G.
ENDOCRINE ⁄ METABOLIC cont.
1
2
3
4
C.
Care of patient with:
a.
Diabetes mellitus
b.
Disorders of adrenal gland
c.
Disorders of pituitary gland
d.
Hyperthyroidism
e.
Hypothyroidism
f.
Thyroidectomy
D.
Medications
a.
Insulin
b.
Oral hypoglycemics
c.
Steroids
d.
Thyroid
H.
WOUND MANAGEMENT
A.
Assessment
a.
Skin for impending breakdown
b.
Stasis ulcers
c.
Surgical wound healing
B.
Equipment & procedures
a.
Air fluidized, low airloss beds
b.
Sterile dressing changes
c.
Wound care ⁄irrigations
C.
Care of patient with:
a.
Burns
b.
Pressure sores
c.
Staged decubitus ulcers
d.
Surgical wounds with drain(s)
e.
Traumatic wounds
I.
ONCOLOGY
A.
Assessment
a.
Nutritional status
b.
Pain control
B.
Interpretation of lab results
a.
Blood chemistry
b.
Blood counts
C.
Equipment & procedures
a.
Reserve Isolation
D.
Care of patient with:
a.
Bone marrow transplant
b.
Fresh oncologic surgery
c.
Inpatient chemotherapy
d.
Inpatient hospice
e.
Leukemia
f.
Radiation implant
E.
Medications:
Yes
No
a.
Chemotherapy certification?
J.
INFECTIOUS DISEASES
A.
Interpretation of lab results
a.
Blood count
B.
Equipment & procedures
a.
Fever management
b.
Isolation
C.
Care of patient with:
a.
AIDS
b.
Hepatitis
c.
Lyme disease
K.
PHLEBOTOMY ⁄ IV THERAPY
1
2
3
4
A.
Equipment & procedures
a.
Administration of blood products
(1)
Albumin
(2)
Cryoprecipitate
(3)
Packed red blood cells
(4)
Plasma
(5)
Whole blood
b.
Drawing blood from central line
c.
Drawing venous blood
d.
Starting IVs
(1)
Angiocath
(2)
Butterfly
(3)
Heparin lock
B.
Care of patient with:
a.
Central line⁄ catheter ⁄ dressing
(1)
Broviac
(2)
Groshong
(3)
Hickman
(4)
Portacath
(5)
Quinton
b.
Peripheral line⁄ dressing
L.
PAIN MANAGEMENT
A.
Assessment
B.
Care of patient with:
a.
Epidural anesthesia ⁄ analgesia
b.
IV conscious
c.
Narcotic analgesia
d.
Patient controlled analgesia
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