Telemetry Skills Checklist

Personal Information
Name
E-Mail address

Please indicate your overall practical experience level with each skill using the key below. All fields are required.

Key
None	No experience
Limited	Requires additional training
Moderate	Have performed and able to do without supervision
Well Skilled	Very experienced and able to perform independently
Proficient	Able to teach and supervise

Respiratory	None	Limited	Moderate	Well Skilled	Proficient
Assessment of Breath Sounds
Administer O2 (NC, Mask)
Ventilate with Ambu-bag
Care of Intubated Patients
Suctioning
Assist with Extubation
Use of Pressure Ventilators
Use of Volume Ventilators
Weaning Patient from Ventilator
Troubleshoot Ventilator Problems (i.e.: High Pressure Alarms, Low Exhale Volume)
Pulse Oximetry
Perform Arterial Puncture
Draw Blood from Arterial Line
Interpretation of ABG
Assist with Thoracentesis
Assist with Bronchoscopy
Care of a patient with:
Chest Tubes
Chest Injury
Tracheostomy
Tension Pneumothorax
Aspiration
Pulmonary Edema
Laryngospasm
Renal - Care of a patient with:	None	Limited	Moderate	Well Skilled	Proficient
Acute Renal Failure
Chronic Renal Failure
Hemodialysis
Peritoneal Dialysis
Renal Transplant
Cardiac	None	Limited	Moderate	Well Skilled	Proficient
Assessment of Heart Sounds
Place Cardiac Monitor/Telemetry
Troubleshoot Monitor/Telemetry
Identify Letha Dysrhythmias
Perform 12-lead EKG
Assist with Code
Defibrillation/Cardioversion
Automatic External Defib (AED)
Cardiac Arrest (CPR)
Assist with the Insertion and Setup of:
Arterial Lines
Central Venous Catheter
Placement of External Pacemaker
Obtain ABG
Obtain Mixed Venous Gases
Care of a patient with:
Angina
Acute MI
Congestive Heart Failure
Pre/Post Cardiac Cath
Pre/Post Cardiac Surgery
Fem-Pop Bypass
Aneurysm
Permanent Pacemaker
Temporary Pacemaker
Automatic Implanted Defibrillator
Heart Transplant
Medication:
Epinephrine
Atropine
Lidocane
Bretylium
Dopamine
Insulin
Pronestyl
Neurology	None	Limited	Moderate	Well Skilled	Proficient
Assessment of Neuro Signs
Glascow Coma Scale
Seizure Precautions
Aneurysm Precautions
Assist with Lumbar Puncture
Identify Neurological Complications
ICP Monitoring
Crutchfield Tongs
Halo Traction
Strykler Frame
Epidural Medication Administration
Care of a patient with:
Open/Closed Head Injury
CVA
Seizure Activity
Overdose
Neuro Injury/Trauma
Head Injury/Trauma
Pre/Post Neuro Surgery
Cranial Hemorrhage
Spinal Cord Injury
Craniotomy
Increased ICP
Cerebral Aneurysm
Infusion Therapy	None	Limited	Moderate	Well Skilled	Proficient
Infusion Pump
Syringe Pump
Hyperalimentation
Administration of Blood/Blood Products
Heparin Lock
Insert PICC/Midline Catheter
Discontinue Peripheral IV/Heparin Lock
Discontinue PICC/Midline Catheter
Access and Care of:
Hickman/Broviac
Groshong
Implanted Ports
PICC/Midline
Gastrointestinal	None	Limited	Moderate	Well Skilled	Proficient
Assessment of Bowel Sounds
Identification of Abnormalities
Insert/Maintain Feeding Tubes
Insert/Maintain NG Tubes
Care of a Patient with:
GI Bleed
Acute Pancreatitis
Open Abdominal Wound/Incision
Abdominal Aortic Aneurysm
Misc	None	Limited	Moderate	Well Skilled	Proficient
Isolation Techniques
Advance Directives
Post-anesthesia Care
Pre-operative Care/Preparation
Care of a Patient with:
Multiple Trauma
Burns
Oncology
Chemotherapy
AIDS
Ketoacidosis
Bone Marrow Transplant
Liver Transplant

Preserving Higher Standards of Patient Care