Step-Down Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Cardiovascular
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Arrhythmia interpretation
Heart Sounds interpretation
Placement of patient on cardiac monitor
Basic 12 lead ECG interpretation
Defibrillation/cardioversion
Temporary external pacing
Temporary transvenous
Temporary epicardial wires
Permanent
Swan Ganz hemodynamic monitoring
Central venous catheter
Arterial line (A-line)
Use of Doppler
Post open heart patient
Heart transplant patient
Pre/post cardiac patient
24-48 hours post MI patient
CHF patient (congestive heart failure)
Carotid endarterectomy patient
Fem-pop bypass patient (femoral-popliteal)
Dobutamine
Dopamine
Epinephrine
Heparin
Lidocaine
Nitroglycerine (Nitro)
Pronestyl
Pulmonary
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Rows
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Assist with extubation
Assist with intubation
Chest physiotherapy
Assessment of breath sounds
Monitor pulse oximetry
Ventilator management
Interpretation of ABG's
Admin of nebulizer medications
Oropharyngeal suctioning
Nasotracheal suctioning
Assist with thoracentesis
Set up/assist with chest tube
Tracheostomy
COPD
Lobectomy
Thoracotomy
Lung transplant
Aspiration
Laryngospasm
Pulmonary edema
Tension pneumothorax
Neuro
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Rows
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Assess LOC
Use Glascow coma scale
Cranial nerve assessment
Seizure precautions
Halo traction
Cervical traction
Assist with lumbar punctures
Hypo/hyperthermia regulation
CVA
Closed head injury
Overdose
Spinal cord injury
Pre/post neuro surgery
Gastrointestinal
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Rows
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3
4
Assessment of abdomen
Care of patient with GI bleed
Care of GI surgical patient
Administration of tube feedings
Placement of NG tube
IV Therapy
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Rows
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Start peripheral IV's
Use of saline/heparin lock
Administration/mixing of IV meds
Administration of IV fluids
Blood/blood products admin. precautions/recognizing transfusion
Hang IV piggybacks
Use of infusion pumps
IV calculations/titrate drip rates
Central lines and catheters
Other Responsibilities
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Charge nurse responsibilities
Drawing venous blood
Drawing arterial blood
Interpret lab values electrolytes
Isolation procedures/precautions
Wound and skin care
Use of restraints
Oncology/chemotherapy administration
Blood glucose monitoring
Insulin administration
Assess insulin shock/diabetic coma
Age Specific
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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
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The Information I Provided is True & Accurate
Name Signature
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Date
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Month
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Year
Date
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