Med Surg Skills Checklist

Med Surg Skills Checklist
Answer Key

1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others

Cardiovascular*

	1	2	3	4
Basic 12 lead EKG interpretation
Use of Cardiac Monitor
Assessment of heart sounds
Cardiac arrest/CPR
Heparin drip
Peripheral Pulses
Anticoagulants
Antihypertensives
Digoxin
Nitroglycerine
Permanent pacemaker
Cardiac surgery
Post acute MI
Congestive heart failure (CHF)
Femoral popliteal bypass
Abdominal aortic aneurysm
Carotid endarterectomy
Thrombophlebitis

Pulmonary*

	1	2	3	4
Assessment of breath sounds
Chest Physiotherapy
Oral suctioning
Nasotracheal suctioning
Chest tube (care and maintenance)
Oxygen Therapy Administration:
Bag and Mask
Nasal cannula
Facemask
Albuterol (Ventolin)
Corticosteroids
Tracheostomy
Mechanical ventilator
COPD
Emphysema
Pneumonia
Pulmonary edema

Neurology*

	1	2	3	4
Assessment of neurological status
Use of Glasgow Coma Scale
Halo traction
Assist with Lumbar Puncture
Post craniotomy
Shunts
CVA
Seizure activity
Head injury/trauma
Spinal cord injury
Parkinson's
Multiple Sclerosis
DTs/ Impending Delirium Tremens

Orthopedics*

	1	2	3	4
Total hip replacement
Total knee replacement
CPM (Constant Passive Motion)
Arthroscopic surgery
Amputation/stump care
Ortho trauma
Skeletal traction
Spika cast/body cast
Cast care
K-wires/Steinman pins

Gastrointestinal*

	1	2	3	4
NG tube placement
Assessment of abdomen
Administration of tube feeding
Gastrostomy tube
Jejunostomy tube (J-tube)
Colostomy/ileostomy
GI bleed
GI surgery
Hepatitis
Inflammatory bowel disease

Renal/Genitourinary*

	1	2	3	4
Foley catheter insertion
Care of three-way Foley Catheter
Bladder irrigations
Care of supra-pubic catheter
Nephrectomy
Renal failure
Renal transplant
Peritoneal dialysis
Fistula/shunt
T.U.R.P.
UTI (Urinary Tract Infection)

Other Responsibilities*

	1	2	3	4
Physical assessment
Use of restraints
Care of the patient with: HIV/AIDS
Knowledge of Normal Serum Lab Values
Charge Nurse Responsibilities

Age Specific*

	1	2	3	4
Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)

Undertaking*

The Information I Provided is True & Accurate
Name Signature*
Date*

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Date
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