Medical Surgical Skills Forms

Critical Care / Emergency Room / Labor & Delivery / Medical Surgical / Operating Room
Pediatric Care / Telemetry

 

Please fill in your name and email address.
Then select your experience level for each item below.

Lastly, please paste your resume in the box at the bottom of this form.

Thank you! Taking the time to fill out this form completely will help us find the right position for you.

 

Full Name:
Email:

1 =

 No Experience

3 =

 Experienced

2 =

 Intermittent Experience

4 =

 Supervise and Teach
Cardiac 1 2 3 4
  Assess Heart Sounds
  Assess Auscultation
  Doppler
  Obtain 12 Lead EKG
  Interpret Arrhythmias
  Permanent Pacemakers
  Temporary Pacemakers
  Cardiac Arrest/CPR
  Telemetry
Care of patient with:
  Abdominal aortic bypass
  Aneurysm
  Angina
  Angioplasty
  Cardiac Cath (Pre/Post )
  Cardiac Surgery (Pre/Post)
  Congestive heart failure (CHF)
  Fem-pop bypass
  Myocarditis
  Myocardial Infarction (MI)
  Thrombophlebitis
Medications
  Atropin
  Digoxin
  Heparin drip
  Inderal
  NTG
  Pronestyl
  Quinidine
  Verapamil
Pulmonary 1 2 3 4
  Establish Airway
  Ambu Bag Ventilation
  Chest Tubes 
  Pulse Oximetry
  Obtain ABG's
  Interpret ABG's
  IPPB
  Incentive Spirometer
  Oral Suctioning
  Nasotracheal Suctioning
Care of Patient with:
  ARDS
  Asthma
  COPD
  Emphysema
  Inhalation injuries
  Pneumothorax
  Pneumonia
  Pulmonary Edema
  Thoracic Surgery (Pre/Post)
Medications
  Alupent
  Aminophylline
  Bronkosol
  Corticosteriods
  Ventolin
Neurology 1 2 3 4
  Assess Neuro Signs
  Glascow Coma Scale
  Seizure Precautions
  Assist w/Lumbar Puncture
  Halo Traction
Care of Patient with:
  CVA
  Seizure Activity
  Overdose
  Neuro Trauma
  Neuro Surgery (Pre/Post)
  Multiple Sclerosis
  A-V Shut
  Cranial Hemorrhage
Medications
  Decadron
  Dilantin
  Magnesium Sulfate
  Phenobarbital
  Steroids
  Valium
  Versed
Vascular 1 2 3 4
  Peripheral Pulses
  Fluid Overloads
  Starting IV's
  Subcutaneous Central Lines
  Hickman Catheters
  Broviac Catheters
  Groshong Catheters
  Heparin Locks
  TPN
  Air Occlusive Dressings
  Assess Normal Serum Labs
  Administer Blood
  Infusion Pumps
  Peritoneal Dialysis
  Hemodialysis
  Sickle Cell Patient Care
  Gastrointestinal 1 2 3 4
  NG Tube Insertion
  Gastronomy Tube
  Jejunosotomy Tube
  Enterostomal Care
Care of patient with
  Pancreatitis
  GI Bleed
  Esophageal Bleeding
  Bowel Obstruction
  Whipple Procedure
  Liver Transplant
  Paralitic Ileus
  E.R.C.P.
Genitourinary/Renal 1 2 3 4
  Foley Cath Insertion
  GU Irrigations
  Nephrostomy Tube
  Suprapubic Tube
  Electrolyte Imbalance/Replace
Care of patient with
  T.U.R.P.
  Shunts and Fistulas
  Nephrectomy
  Renal Transplant
  Renal Trauma
  Chronic Renal Failure
Gynecology 1 2 3 4
  Endometriosis
  GYN Exam/Pap
  Self Breast Exam
  Tubal Ligation
  Ectopic Pregnancy
  Mastectomy
  Hysterectomy
  Repair Cystcoele/Rectocele
Orthopedic 1 2 3 4
  Total Joint Replacement
  Arthroscopic Surgery
  Bucks Extension
  K-Wires
  Removal of Hardware
  Spika Cast/Body Cast
  Cast Removal
  Amputation
  Skeletal Traction
  Ortho Trauma
  Laminectomy
Endocrine/Metabolic 1 2 3 4
  S/S Diabetic Coma
  S/S Insulin Shock
  Blood Glucose Monitoring
  Diabetes Mellitus
  Addison's Disease
  Diabetes insipidus
  Hyperthyroidism
  Hypothyroidism
  Thryroidectomy
Medications
  Insulin
  Oral hypoglycemic
  Thyroid
Other 1 2 3 4
  Oncology
  Chemotherapy
  Wound Management
  Infectious Disease
  Pain Management
  Assess pain level
  Narcotic admin/control
Equipment 1 2 3 4
Ventilators
  Bear I
  Bear II
  Bear V
  Bennett 7200
  CPAP
  Emerson
  Engstrom/Erica
  EMV
  MA-I
  MA-II
  Monihan
  Ohio 560
  PEEP
  Pressure Pre-Set
  Servo 900b
  Servo 900c
  Servo 900e
  Siemens
Cardiac Monitors
  Hewlett-Packard
  Spacelab
  Siemens
  Marquette
  Mennen
  Lifecare
  Nihon-Kodor

Additional Skills & Comments