Medical Surgical Skills Checklist

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Directions for Completing Skills Checklist


The following is a list of equipment and/or procedures performed in rendering care to patients. Please indicate the level of experience/proficiency with each and, where applicable, the types of equipment and/or systems with which you are familiar.

Use the following KEY as a guideline:
A) Theory Only/No Experience - Didactic instruction only, no hands-on experience.
B) Limited Experience - Knows procedure/has used equipment, but has done so infrequently or not within the last six months.
C) Moderate Experience - Able to demonstrate equipment/procedure, performs the task/skill independently with only resource assistance needed.
D) Proficient/Competent - Able to demonstrate/perform the task/skill proficiently without any assistance and can instruct/teach.

GENERAL

ABCD
Use two patient identifiers
Patient Admission
Patient Discharge
Patient Transfer
Post Mortem Care
Formulation of Patient Specific Goals
Electronic Documentation
Patient preparation for surgery and/or procedures (pre-op checklists, OSA screenings, anti-microbial bath, consents, etc.)

CARDIOVASCULAR

ABCD
Auscultation (rate, rhythm)
Normal Heart Tones (i.e.:S1,S2)
Abnormal heart tones (i.e.: murmur, gallop, friction rub)
Basic arrhythmia interpretation
Blood pressure/non-invasive
Doppler
Pulses/circulation checks
S/S DVT
ABCD
Abdominal aortic bypass
Angina
Cardiac arrest
Cardiac catheterization
Cardiomyopathy
Carotid endarterectomy
Congestive heart failure (CHF)
Femoral-popliteal bypass
MI
Myocarditis
Post angioplasty
Post cardiac surgery
Thrombophlebitis
ABCD
Application of anti-embolic hose
Application of SCD Pump
Assist with Chest Tube insertion
Assist with Chest Tube removal
Assist with Emergency Tracheostomy
Assist with central line insertion
Discontinue central line
ABCD

PULMONARY

ABCD
Auscultate breath sounds
Identify adventitious lung sounds
Respiratory Patterns (normal/abnormal)
Capillary Refill
ABCD
Bronchoscopy
Chest Trauma
Chest Tube
COPD
Fresh tracheostomy
Lobectomy
Pleural Effusion
Pneumonectomy
Pneumonia
Pulmonary embolism
Status Asthmaticus
Thoracotomy
Tuberculosis
ABCD
Application of CPAP
Aspiration Precautions
Identification of chest tube air leak
Monitor & record chest tube output
Perform Chest Tube Set-up
Perform nasopharyngeal suctioning
Perform oropharyngeal suctioning
Perform tracheostomy suctioning
Assist with intubation
Assist with thoracentesis
Chest physiotherapy
Incentive spirometry
O2 therapy using nasal cannula and mask
Pulse Oximetry (application & interpretation)
Sputum collection

GASTROINTESTINAL

ABCD
Abdomen
Bowel sounds
Fluid balance
Nutritional Status
Proper N/G Tube Placement
ABCD
Bowel obstruction
Colostomy
ERCP
Esophageal Bleed
GI bleed
GI surgery
Hemicolectomy
Hepatitis
Ileostomy
Inflammatory bowel disease
Liver failure
Liver Transplant
Pancreatitis
Paralytic ileus
Small bowel resection
ABCD
Administration of tube feeding
Feeding Pump
Gravity Feeding
Hemoccult
Placement of N/G Tube
N/G Tube to suction
Removal of N/G Tube
Flexible feeding tube(i.e.: Dobhoff)
Management of Gastrostomy tube
Management of Jejunostomy tube
Management of T-tube
PPN (peripheral parenteral nutrition)
Stool specimen collection
TPN and lipids administration

ENDOCRINE/METABOLIC

ABCD
S/S Hyperglycemia
S/S Hypoglycemia
S/S Insulin Reaction
ABCD
Addison's disease
Cushing's Syndrome
Diabetes Insipidus
Diabetic ketoacidosis
Diabetes mellitus
Hyperthyroidism (Grave's disease)
Hypothyroidism
Insulin Shock
Thyroidectomy
ABCD
Blood glucose monitoring
Implementation of Sliding Scale
Use of Insulin Pen
Use of Lancet

NEUROLOGICAL

ABCD
Glasgow coma scale
Level of consciousness
Visual/Communication Deficits
ABCD
Aneurysm precautions
Basal skull fracture
Closed head injury
Coma
CVA
DTs
Encephalitis
Laminectomy
Externalized VP shunts
Meningitis
Neuromuscular disease
Post craniotomy
Seizures Disorder
Spinal cord injury
TIA
ABCD
Assist with lumbar puncture
Use of hyper/hypothermia blanket
Seizure precautions
Spinal precautions
Stryker frame

RENAL/GENITOURINARY

ABCD
Arterio-venous (A-V) fistula/shunt
Fluid balance
ABCD
Acute Renal Failure
Chronic Renal failure
Fluid Restrictions
Hemodialysis
Nephrectomy
Peritoneal dialysis
Renal transplant
Renal Rejection Syndrome
TURP
Urinary diversion (i.e.: ileal conduit, nephrostomy)
Urinary tract infection
ABCD
Bladder irrigation (Intermittent)
Continuous Bladder irrigation (CBI)
Insertion & maintenance of Male Foley catheter
Insertion & maintenance of Female Foley catheter
3-way Foley
Suprapubic Catheter
Specimen collection

INTEGUMENTARY

ABCD
Skin for impending breakdown
Stasis ulcers
Surgical wound
S/S Wound Infection
ABCD
Pressure sores
Staged decubitus ulcers
Surgical wounds with drain(s)
Traumatic wounds
ABCD
Air fluidized, low airloss beds
Sterile dressing changes
Wound care/irrigations

ORTHOPEDICS

ABCD
Circulation checks
Gait
Range of motion
ABCD
Amputation
Arthroscopic surgery
Narcotic analgesiaCast
Cast
Osteoporosis
Pinned fractures
Rheumatic/arthritic disease
Total hip replacement
Total knee replacement
ABCD
Continuous passive motion devices
Cane
Cervical collar
Gait belt
Prosthetic Device
Sling
Transfer boards
Walker
Wheelchair
Traction

ONCOLOGY

ABCD
Nutritional status
Pain control
ABCD
Bone marrow transplant
Fresh oncologic surgery
Inpatient chemotherapy
Inpatient hospice
Leukemia
Radiation implant
Reverse Isolation

INFECTIOUS DISEASES

ABCD
AIDS
Hepatitis
Lyme disease
ABCD
Fever management
Isolation precautions

PHLEBOTOMY/IV THERAPY

ABCD
Broviac
Hickman
Portacath
Quinton
Peripheral line
PICC Line
ABCD
Blood/blood product administration
Management of Blood transfusion reaction
Obtain lab specimens from Central Line
Perform Venipuncture
Perform Venipuncture
Perform Central Line Dressing Change
Perform IV Site Care

PAIN MANAGEMENT

ABCD
Pain level/Scale
Therapeutic response
ABCD
Epidural anesthesia/analgesia
Narcotic analgesia
Non-pharmacologic comfort measures
Patient controlled analgesia (PCA pump)

LABS

ABCD
ABG’s
Complete Blood Count (CBC)
Blood Chemistry
BUN & creatinine
Coagulation Studies
Thyroid Panel

MED/SURG PHARMACOLOGY

ABCD
Perform & manage IV dosage drip calculations
Verification of accurate IV Pump Delivery
ABCD
Amiodarone (Cordarone)
Atropine
AquaMephyton (Vitamin K)
Apresoline
Corticosteroids
Coumadin
Decadron (Dexamethasone)
Digoxin (Lanoxin)
Dilantin (Phenytoin)
Diltiazem (Cardizem)
Dobutamine (Dobutrex)
Epinephrine (Adrenalin)
Heparin drip
Inderal (Propranolol)
Inocor (Amrinone)
Insulin
Kayexelate
Lactulose (Cephulac)
Lasix (Furosemide)
Low Molecular Weight Heparin (i.e.: Lovenox)
Metoprolol (Lopressor)
Nitroglycerin(Sublingual)
Nitroglycerin(topical)
Procainamide (Pronestyl)
Sodium Bicarbonate
Valium (Diazepam)
Verapamil (Calan, Isoptin, Verelan)
Ventolin (Albuterol)
Management of Epidural Administration

PATIENT EDUCATION

ABCD
Disease Process
Turn, Cough, and Deep Breathe
Splinting technique post-op
Use of incentive spirometer
Importance of increasing mobility post-op when applicable
Advance Directives

PATIENT ADVOCACY

ABCD
Provide care for end-of-life decisions
Demonstrate Spiritual and Cultural Considerations
Provide for the integration of comfort care and death with dignity

Age Specific:

ABCD
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent ( 12-18 years)
Young Adult ( 18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)
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