ADEX Medical Staffing - Stepdown Skills Checklist

Stepdown Skills Checklist

This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment with ADEX Medical Staffing, LLC.

Proficency Scale:

1 = No Experience - Theory only

2 = Limited Experience - Infrequent

3 = Moderate Experience - Able to perform independently

4 = Proficient - Able to perform proficiently and instruct

Personal Information
Name:
Email:
City:
Country:
State/Region:

Cardiovascular	1	2	3	4
Cardiac Monitors
Rhythm Strip Measurements
Recognize & Interpret Dysrhythmias
Obtain 12 Lead EKG's
CPR
Cardioversion/Defibrillation
Pulse Checks
Use of Doppler
Automatic BP Cuff

Respiratory	1	2	3	4
O2 Masks/Cannulas
Ambu Bag
Chest PT
Incentive Spirometry
Instruction of Coughing/Deep Breathing
Nebulizer Set Up
Suctioning
Use of Pleurevac
Interpret ABG's
Arterial Line Maintenance
Sputum Specimen Collection
Pulse Oximetry

Neurological	1	2	3	4
Neuro Assessment
Glasgow Coma Scale
Seizure Precautions
Assist with Lumbar Puncture

Gastrointestinal	1	2	3	4
NG Tube Care and Maintenance
NG Tube Insertion
Bowel Preparation
Enterostomal Care
Care of the Patient with:
Tube Feedings
Ileostomy
Colostomy
Pancreatitis
GI Bleed
Bowel Obstruction
Whipple Procedure
Liver Transplant
Abdominal Wounds/Surgeries
Hemovac
Gastrostomy Tube/Jejunostomy Tube
Genitourinary/Renal
Urinary Catheter Insertion
Bladder Irrigations
Electrolyte Imbalance/Replacement

Orthopedics	1	2	3	4
Cast Care
Tractions
ROM
Use of Assistive Devices

Miscellaneous	1	2	3	4
Glucose Monitoring
Dressing Changes
Use of Air Fluidized Beds
Normal Serum Lab Values
Universal Precautions - Isolation

Care of the Patient with	1	2	3	4
Acute MI
CHF
Angina
Hypertension
Cardiomyopathy
Cardiopulmonary Arrest
Abdominal Aortic Aneurysm
Pre/Post Cardiac Surgery
Carotid Endarterectomy
Femoral Popliteal Bypass
Permanent Pacemaker
Temporary Pacemaker
External Pacemaker
Pre/Post Cardiac Cath
Pre/Post PTCA
Cardiac Lab Interpretation (CPK, Iso Enzymes)
Cardiac Rehab/Patient Teaching
Pulmonary Edema
COPD
ARDS
Ventilator
Tracheostomy
Pre/Post Thoracic Surgery
Pneumonia
Chest Tubes
Asthma
Emphysema
Assist with Intubation/Extubation
Weaning Patient off Ventilator
Acute Head Injury
CVA/TIA
DT's
Spinal Cord Injury
Pre/Post Neuro Surgery
Halo Traction
Multiple Sclerosis
Overdose
Peritoneal Dialysis
Hemodialysis
T.U.R.P.
Shunts & Fistulas
Nephrectomy
Supra-Pubic Catheter
Nephrostomy Tube
Total Joint Replacement
Amputation
Pressure Sores
Sickle Cell Anemia
Cancer
Alzheimer's Disease
HIV/AIDS
Diabetes
Discharge Planning

Use and Administration of	1	2	3	4
Atropine
Digoxin
Dopamine
Dobutamine
Heparin
Verapamil
Lopressor
Lidocaine
Nitroglycerine
Nipride
Thrombolytic Agents
Code Cart/Emergency Drugs
Aminophylline
Corticosteroids
Inhalers
Decadron
Dilantin
Phenobarbitol
Magnesium Sulfate
Valium
Ativan

Age of Patient Cared For	1	2	3	4
Infants and Toddlers (ages 0-3 years)
Young Children (ages 4-6 years)
Older Children (ages 7-12 years)
Adolescents (ages 13-20 years)
Young Adults (ages 21-39 years)
Middle Adults (ages 40-64)
Older Adults (ages 65-79)
Adults (ages >80)

Phlebotomy / IV Therapy	1	2	3	4
Draw Blood
Arterial Line
IV Push
IV Drip
Obtain IV Access
Mix IV Medications
Regulate IV's
IV Infusion Pumps
Central Line Dressing Changes
Chemotherapy Administration
Blood/Blood Product Administration
TPN/PPN Administration
Multi-Lumen Central Catheters
Continuous Subcutaneous Infusion Pumps
PCA Pumps (Patient Controlled Analgesia)

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The information represented above is true and correct to the best of my knowledge. I authorize ADEX Medical Staffing, LLC to share this skills checklist with its clients.
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Form Reviewed by ADEX Clinician - 10/14/2009