| CRITERIA |
SCORE |
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|
| CARDIOVASCULAR |
| Assessment | |
| Auscultation (rate, rhythm) |
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| Blood pressure/non-invasive |
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| Doppler |
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| Heart sounds/murmurs |
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| Pulses/circulation checks |
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| Equipment and Procedures | |
| A) Telemetry | |
| (1) Basic 12 lead interpretation |
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| (2) Basic arrhythmia interpretation |
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| (3) Lead placement |
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| B) Pacemaker | |
| (1) Permanent |
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| (2) Temporary |
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| Care of the patient with: | |
| Abdominal aortic bypass |
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| Aneurysm |
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| Angina |
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| Cardiac arrest |
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| Cardiomyopathy |
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| Carotid endarterectomy |
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| Congestive heart failure (CHF) |
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| Femoral-popliteal bypass |
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| Myocarditis |
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| Post acute MI (24 - 48 hrs) |
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| Post angioplasty |
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| Post cardiac cath |
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| Post cardiac surgery |
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| Thrombophlebitis |
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| Medications | |
| Heparin drip |
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| Oral anticoagulants |
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| Oral & IVP antihypertensives |
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| Oral & topical nitrates |
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| PULMONARY |
| Assessment | |
| Breath sounds |
|
| Rate and work of breathing |
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| Interpretation of lab results | |
| Blood chemistry |
|
| Blood gases |
|
| Equipment and Procedures | |
| A) Airway management devices/suctioning | |
| 1) Endotracheal tube/suctioning |
|
| 2) Nasal airways /suctioning |
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| 3) Oropharyngeal/suctioning |
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| 4) Sputum specimen collection |
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| 5) Tracheostomy/suctioning |
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| B) Assist with intubation |
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| C) Assist with thoracentesis |
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| D) Care of the patient on a ventilator |
|
| E) Care of the patient with a chest tube | |
| 1) Assist with set-up and insertion |
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| 2) Measuring and emptying |
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| 3) Removal |
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| F) Chest physiotherapy |
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| G) Incentive spirometry |
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| H) O2 therapy & medication delivery systems | |
| 1) Bag and mask |
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| 2) External CPAP |
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| 3) Face masks |
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| 4) Inhalers |
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| 5) Nasal cannula |
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| 6) Portable O2 tank |
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| 7) Trach collar |
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| I) Oximetry |
|
| Care of patient with | |
| Bronchoscopy |
|
| COPD |
|
| Fresh tracheostomy |
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| Lobectomy |
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| Pneumonectomy |
|
| Pneumonia |
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| Pulmonary embolism |
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| Thoracotomy |
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| Tuberculosis |
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| NEUROLOGICAL |
| Assessment | |
| Glasgow coma scale |
|
| Level of consciousness |
|
| Equipment and procedures | |
| Assist with lumbar puncture |
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| Use of hyper/hypothermia blanket |
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| Care of the patient with | |
| Aneurysm precautions |
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| Basal skull facture |
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| Closed head injury |
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| Coma |
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| CVA |
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| DT's |
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| Encephalitis |
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| Externalized VP shunts |
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| Meningitis |
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| Neuromuscular disease |
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| Post craniotomy |
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| Seizures |
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| Spinal cord injury |
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| Administration of anticonvulsants |
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| ORTHOPEDICS |
| Assessment | |
| Circulation checks |
|
| Gait |
|
| Range of motion |
|
| Skin |
|
| Equipment and procedures | |
| Continuous passive motion devices |
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| Support devices | |
| 1) Cane |
|
| 2) Cervical collar |
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| 3) Gait belt |
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| 4) Prosthetic |
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| 5) Sling |
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| 6) Transfer boards |
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| 7) Walker |
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| 8) Wheelchair |
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| Traction |
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| Care of patient with | |
| Amputation |
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| Arthroscopic surgery |
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| Cast |
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| Osteoporosis |
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| Pinned fractures |
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| Rheumatic/arthritic disease |
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| Total hip replacement |
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| Total knee replacement |
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| GASTROINTESTINAL |
| Assessment | |
| Abdominal/bowel sounds |
|
| Fluid balance |
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| Nutritional |
|
| Interpretation of blood chemistry |
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| Equipment and procedures | |
| A) Administration of tube feeding | |
| 1) Feeding pump |
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| 2) Gravity feeding |
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| 3) Saline lavage |
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| B) Flexible feeding tube (ie: Corpak, Dobhoff) |
|
| C) Management of | |
| 1) Gastrostomy tube |
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| 2) Jejunostomy tube |
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| 3) T-tube |
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| D) Placement of nasogastric tube |
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| E) Salem sump to suction |
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| Care of patient with | |
| Bowel obstruction |
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| Colostomy/ileostomy |
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| GI Bleeding |
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| GI surgery |
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| Hepatitis |
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| Inflammatory bowel disease |
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| Invasive diagnostic testing |
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| Liver failure |
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| Paralytic ileus |
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| RENAL / GENITOURINARY |
| Assessment | |
| Arterio venous fistula/shunt |
|
| Fluid balance |
|
| Interpretation of lab results | |
| BUN and creatinine |
|
| Electrolytes |
|
| Equipment and procedures | |
| A) Insertion and care of straight and Foley catheter | |
| 1) Female |
|
| 2) Male |
|
| B) Catheter care | |
| 1) 3-way Foley |
|
| 2) Supra-pubic |
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| C) Bladder irrigations | |
| 1) Continuous |
|
| 2) Intermittent |
|
| D) Specimen collection | |
| 1) Routine |
|
| 2) 24 hour |
|
| Care of patient with | |
| Hemodialysis |
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| Nephrectomy |
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| Peritoneal dialysis |
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| Renal failure |
|
| Renal transplant |
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| TURP |
|
| Urinary diversion/ileal conduit nephrostomy |
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| Urinary tract infection |
|
| ENDOCRINE / METABOLIC |
| Assessment | |
| S/S diabetic coma |
|
| S/S insulin reaction |
|
| Equipment and procedures | |
| A) Blood glucose monitoring | |
| 1) Electronic measuring device: type |
|
| 2) Performing finger stick |
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| 3) Visual blood glucose strips |
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| B) Indwelling insulin pump |
|
| Care of patients with | |
| Diabetes mellitus |
|
| Disorders of adrenal gland (Addison's disease) |
|
| Disorders of pituitary gland (Diabetes insipidus) |
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| Hyperthyroidism (Grave's disease) |
|
| Hypothyroidism |
|
| Thyroidectomy |
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| Medications (administration and teaching) | |
| Insulin |
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| Oral Hypoglycemics |
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| Steroids |
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| Thyroid |
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| WOUND MANAGEMENT |
| Assessment | |
| Skin for impending breakdown |
|
| Stasis ulcers |
|
| Surgical wound healing |
|
| Equipment and procedures | |
| Air fluidized, low airloss beds |
|
| Sterile dressing changes |
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| Wound/care/irrigations |
|
| Care of patient with | |
| Burns |
|
| Pressure sores |
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| Staged decubitus ulcers |
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| Surgical wounds with drain(s) |
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| Traumatic wounds |
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| ONCOLOGY |
| Assessment | |
| Nutritional status |
|
| Pain control |
|
| Interpretation of lab results | |
| Blood chemistry |
|
| Blood counts |
|
| Equipment and procedures | |
| Reverse isolation |
|
| Care of patient with | |
| Bone marrow transplant |
|
| Fresh oncologic surgery |
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| Inpatient chemotherapy |
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| Inpatient hospice |
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| Leukemia |
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