Telemetry Skill Checklist

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

 

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1 =

 No Experience

3 =

 Experienced

2 =

 Intermittent Experience

4 =

 Supervise and Teach

Cardiovascular

1

2

3

4
Auscultation (rate/rhythm)
Heart Sounds
Pulse/Circulation Checks
Interpret Cardiac enzymes
Interpret Coagulation studies
Arrhythmia interpretation
12 Lead interpretation

Lead Placement:
5 Electrode telemetry
I, III, V-Leads
Lead II and MCL1

Pacemaker
Permanent
Temporary epicardial wires
Temporary external pacing
Temporary transvenous

Assist with:
Arterial line insertion
Central line insertion

Perform
Controlled Cardioversion
Emergency defibrillation
Monitoring
A-line (radial)
CVP monitoring
Femoral artery sheath removal
Swan-Ganz

Care of patient with:
Abdominal aortic bypass
Angina
Cardiac arrest
Cardiomyopathy
Carotid endartecerectomy
Congestive Heart Failure (CHF)
Femoral-popiteal bypass
Post Acute MI
Post angioplasty
Post arthrectomy (DCA)
Post CABG
Post cardiac cath
Post stent placement

Medications
Atropine
Bretylium
Cardizem
Digoxin (Lanoxim)
Dobutamine (Dobutrex)
Dopamine (Intropin)
Epinephrine
Heparin
Lidocaine
Nipride
NTG
Oral Anticoagulants
Oral/IVP antihypertensives
Oral/topical nitrates
Verapamil

Pulmonary

1

2

3

4
Assess Breath Sounds
Draw ABG's
Interpret ABG's
Interpret blood chemistry
Assist w/ intubations
Assist w/ thoracentesis

Airway Management
Endotracheal tube/suctioning
Nasal Airway/suctioning
Oropharyngeal/suctioning
Oximetry
Sputum specimen collection
Tracehostomy/suctioning
Extubation
Ventilator weaning

Chest tube care
Set-up & insertion
Mediatinal tube removal
Pleural tube removal
Use of Pleuravac
Use of water seal drain system
Establish Airway
Incentive Spirometry
Ambu bag 
02 Admin. (mask/cannula)
External CPAP

Care of patients with:
ARDS
Asthma
COPD
Emphysema
Inhalation injuries
Pneumothorax
Pneumonia
Pulmonary Edema
Thoracic Surgery (Pre/Post)

Medications
Alupent
Aminophylline
Bronkosol
Corticosteriods
Ventolin

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
Hemodialysis
Shunts and Fistulas
Nephrectomy
Renal Transplant
Renal Trauma
Chronic Renal Failure
T.U.R.P.

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

Neurological

1

2

3

4
Assess cerebella function
Assess cranial nerves 
Glasgow coma scale
Level of consciousness
Pathologic reflexes
Assist with lumbar puncture
Halo traction
Nerve stimulator
Rotation bed
Seizure precautions

Care of patient with:
Aneurysm
Basal skull fracture
Closed head injury
Coma
CVA
DTs
Encephalitis
Externalized VP shunts
Meningitis
Multiple sclerosis
Neuromuscular disease
Post craniotomy
Seizures
Spinal Cord Injury

Medications
Tegretol
Sinemet
Klonopin
Decadron
Dilantin
Ativan
Solu-Medrol
Pheonbarbital
Valium

Pain Management
Assess pain level
Anesthesia/analgesia
IV conscious sedation
Narcotics/PCA pump

Phlebotomy/IV Therapy

1

2

3

4
Draw blood from central line
Draw venous blood
Start IV's
Administer Blood/Products

Central Lines
Broviac
Groshong
Hickman
Portacath
Quinton

Other
Burn patients
AIDS
Wound Management

Additional Skills & Comments