Emergency Room RN Skills Assessment Today's Date: MM slash DD slash YYYY Name* First Last Email* Phone Number*General Nursing, Part 1Correctional Health Admissions 0 1 2 3 Data Collection for Vital Signs/Height/Weight 0 1 2 3 Assist with Routine Health Services 0 1 2 3 Initiates Emergency Procedures 0 1 2 3 Discharge Physicals/Inmates 0 1 2 3 Supervise Unlicensed Personnel 0 1 2 3 Pulse Oximetry 0 1 2 3 Urine Dipstick 0 1 2 3 Blood Glucose Monitoring 0 1 2 3 Assist w/ Basic Treatment Procedures 0 1 2 3 Wound Care / Debridement 0 1 2 3 Dressing Changes 0 1 2 3 Wound Drains (IP/Hemovac) 0 1 2 3 Positioning / Transferring 0 1 2 3 Pre-Operative Care/Preparation 0 1 2 3 Universal Precautions 0 1 2 3 Center for Disease Control Guidelines 0 1 2 3 General Nursing, Part 2Islolation Techniques 0 1 2 3 Wrist Restraints 0 1 2 3 Full Restraints 0 1 2 3 Pulse Oximetry 0 1 2 3 Ambulatory Cuffs 0 1 2 3 Alarm Systems 0 1 2 3 Cultural Diversity 0 1 2 3 Ethnic Awareness 0 1 2 3 Meds / IV TherapyAdminister PO Medications 0 1 2 3 Administer IM & SQ Meds 0 1 2 3 Peripheral IV Insertion 0 1 2 3 Use of Heparin/Saline Locks 0 1 2 3 Needle-less Systems 0 1 2 3 Use of Heparin/Saline Locks 0 1 2 3 Administer IV Medications 0 1 2 3 Discontinue Peripheral IVs 0 1 2 3 Pain Assessment/Management 0 1 2 3 Venipuncture for Lab Work 0 1 2 3 Prepare Specimens for Lab 0 1 2 3 RespiratoryEstablish Airway 0 1 2 3 Assist with Intubation (ETT) 0 1 2 3 Ventilate with Ambu-bag 0 1 2 3 Suctioning 0 1 2 3 Incentive Spirometry 0 1 2 3 Nasal Cannula 0 1 2 3 Face Masks 0 1 2 3 Assessment of Breath Sounds 0 1 2 3 Ambuing techniques 0 1 2 3 NeurologyNeuro Assessment / Vital Signs 0 1 2 3 Seizure Precautions 0 1 2 3 Assist with Lumbar Puncture 0 1 2 3 Administrative DutiesDocumentation 0 1 2 3 Maintain Clinic Flow 0 1 2 3 Order Supplies/Equipment 0 1 2 3 Restock Infirmary 0 1 2 3 Use Computer to Obtain/Enter Info 0 1 2 3 Assemble Medical Record 0 1 2 3 Maintain Medical Record 0 1 2 3 Manage Provider Orders 0 1 2 3 Schedule Appointments 0 1 2 3 Maintains Unit Logs/Records 0 1 2 3 Multi-Disciplinary Planning 0 1 2 3 OSHA Guidelines 0 1 2 3 Inmate/patient Education 0 1 2 3 CardiacCardiac Assessment Vital Signs 0 1 2 3 Perform 12-lead EKG 0 1 2 3 Assist with Code 0 1 2 3 Defibrillation/Cardioversion 0 1 2 3 Cardiac Arrest / CPR 0 1 2 3 GenitourinaryStraight/Foley Cath Female 0 1 2 3 Straight/Foley Cath Male 0 1 2 3 Obtain/Instruct Clean Catch Urine 0 1 2 3 GastrointestinalAssess Bowel Sounds 0 1 2 3 Assess GI Distress/Bleeding 0 1 2 3 Insertion/Monitoring NG Tube 0 1 2 3 Tube Feedings via Flexible Tubes 0 1 2 3 Care of Patient With Abdominal Wounds 0 1 2 3 Care of Patient With Drains 0 1 2 3 Care of Psychiatric DisordersInitial Assessment 0 1 2 3 Suicide Risk Assessment 0 1 2 3 Schizophrenia 0 1 2 3 Paranoid Psychotic Disorder 0 1 2 3 Catatonic Psychotic Disorder 0 1 2 3 Hallucinations 0 1 2 3 Bipolar Disorder 0 1 2 3 Depression 0 1 2 3 Suicidal Ideation/Attempts 0 1 2 3 Delusional Disorders 0 1 2 3 Anxiety Disorders 0 1 2 3 Panic Attacks 0 1 2 3 Obsessive/Compulsive Disorder 0 1 2 3 Dissociative Identity Disorder 0 1 2 3 Cluster A - Paranoid/Schizoid 0 1 2 3 Cluster B - Antisocial/Borderline 0 1 2 3 Cluster C - Anxious/Fearful 0 1 2 3 Delirium 0 1 2 3 Dementia 0 1 2 3 Alzheimer's (Dementia) 0 1 2 3 Amnestic Disorders 0 1 2 3 Anorexia Nervosa 0 1 2 3 Bulimia Nervosa 0 1 2 3 Obesity 0 1 2 3 Alcohol -Related Disorders 0 1 2 3 Drug -Related Disorders 0 1 2 3 Sexual Disorders 0 1 2 3 Sexual Abuse/Assault 0 1 2 3 Survivor of Abuse/Violence 0 1 2 3 Post Traumatic Stress Disorder 0 1 2 3 Somatoform Disorders (Pain etc.) 0 1 2 3 Developmental Disabilities 0 1 2 3 ADHD 0 1 2 3 Interventions/TherapiesCrisis Intervention 0 1 2 3 Therapeutic Communication 0 1 2 3 Therapeutic Milieu 0 1 2 3 Education or Vocational Training 0 1 2 3 Drug & Alcohol Education 0 1 2 3 ElectroConvulsive Therapy 0 1 2 3 Crisis Management: Homicide 0 1 2 3 Crisis Management: Violent Individual 0 1 2 3 Crisis Management: Suicide 0 1 2 3 Psychotropic AgentsRapid Tranquilization 0 1 2 3 Antipsychotic Agents 0 1 2 3 Hypnotics 0 1 2 3 Antianxiety Agents 0 1 2 3 Antidepressants/Mood Elevators 0 1 2 3 Antimanic Agents 0 1 2 3 Anticonvulsants 0 1 2 3 Anticholinergics/Antiparkinsons 0 1 2 3 Meds Side Effects (Recognition/Management)Blurred Vision 0 1 2 3 Constipation 0 1 2 3 Drowsiness 0 1 2 3 Dry Mouth 0 1 2 3 Gastrointestinal Effects 0 1 2 3 Hypo/Hyperglycemia 0 1 2 3 Hypotension/Orthostatic 0 1 2 3 Insomnia 0 1 2 3 Tachycardia 0 1 2 3 Urinary Retention 0 1 2 3 Weight Gain 0 1 2 3 Parkinsonism Symptoms 0 1 2 3 Akathisia (Motor Restlessness) 0 1 2 3 Acute Dystonic Reactions 0 1 2 3 Tardive Dyskinesia 0 1 2 3 Neuroleptic Malignant Syndrome 0 1 2 3 Age of Patients Cared ForNewborn (birth-30 days) 0 1 2 3 Infant (30 days - 1 year) 0 1 2 3 Toddler (1 - 3 years) 0 1 2 3 Preschooler (3 - 5 years) 0 1 2 3 School Age (5 - 12 years) 0 1 2 3 Adolescents (12 - 18 years) 0 1 2 3 Young Adults (18 - 39 years) 0 1 2 3 Middle Adults (39 - 64 years) 0 1 2 3 Older Adults (64+ years) 0 1 2 3 Candidate SignatureSignature of*
[9:30 AM] Katie Iglewski
