AREAS of expertise:
NEUROLOGY –
Neuro Assessment/Neuro Vitals
Glasgow Coma Scale
Seizure Precautions
Spinal Precautions
Immobilization Techniques
Care of Patient with:
- Spinal Cord Injury Pre/Post
- Neurological Surgery
- CNS Infections
- Degenerative Diseases of the Nervous System
- Drug Overdose
- Acute Head injury Cerebral
- Aneurysm
- Acute/Chronic C.V.A/T.I.A.
- Meningococcal Illness
CARDIOVASCULAR-
Adept in:
Using of Cardiac Monitors
Recognizing Arrhythmias
Obtaining 12 Lead EKG
Interpreting 12 Lead EKG
Cardiopulmonary Arrests
Cardioversion/Defibrillation
Interpreting Chest Pain
Care of Acute MI
Angina (Acute and Chronic)
Care of the patient with:
- Valvular disease
- Cardiogenic/hypovolemic shock
- Requiring trauma resuscitation
Percutaneous Transluminal Coronary Angioplasty
Sheath Removal
Post-Op Vascular Surgery Patient (i.e. aneurysms)
Care of Acute MI
Angina (Acute and Chronic)
Pre/Post Cardiac Catheterization
Care of patients with pacemaker including:
- Assisting with insertion
- Management of external/transcutaneous
- Management of temporary (single and dual chamber/AV sequential)
- Management of permanent
Care of Patient with:
- Valvular disease
- Cardiogenic/hypovolemic shock
- Use and administration of following:
* Amiodarone
* Atropine
* Dobutamine
* Dopamine
* Epinephrine
* Fibrinolytics
* Heparin
* Insulin
* Lidocaine
* Metoprolol
* Nitroglycerin
* Procainamide
* Sodium Bicarbonate
* Verapamil
PULMONARY
Assessment of breath sounds
Assist with set-up maintenance of chest tubes
Use of chest drainage systems
Assist with intubation/extubation
Ambubagging technique
Administer oxygen (nasal canula, mask, endotracheal)
ABG Analysis
Venous blood gas analysis
Oxygen saturation monitor
Care of patient with:
- Pulmonary emboli
- Tracheostomy
- Sterile Suctioning (E.T., N.T.)
- Asthma
- ARDS
- CHF
- Anaphylactic shock
- Epiglotitis
GASTROINTESTINAL
Assessment of bowel sounds
Identification of abnormalities
Stool tests
Insert/Maintain Feeding tubes/NG tubes
Gastric lavage
Care of O.D./Code blue lavage kits
Care of acute GI bleed
Abdominal wounds or infections
Pre/post-op GI Surgery
Dehiscence Care of patient on Total Parenteral Nutrition
GENTOURINARY/RENAL
Ability to insert/maintain urinary drainage tubes
Care of patient with:
- Acute renal failure
- Chronic renal failure
- Post renal/genitourinary surgery
Care of patient receiving dialysis
Assessment of fluid and electrolyte problems
Knowledge of UA values
ENDOCRINE
Care of diabetic patient:
- Administration of IV insulin drip
- Capillary blood glucose checks
- Care of Patient in diabetic keto
MUSCULOSKELETAL
Traction
Braces
Casts
- Applying plaster splints
- Fiberglass splints and casts
Collars
Slings
Splints
Skeletal traction
Skin traction
Rest Crutch walking/walkers
Care of patient with:
- Joint disorders
- Bone disorders
- Amputation
IMMUNOCOMPROMISED
Care of Tuberculosis patients
Hepatitis patients
Oncology patients
PEDIATRICS
Fever
Febrile
Seizures
Abuse/Rape/Protective care
COBRA/EMTALA REQUIREMENTS
Medical Screening Exams
Triage
Transfer to another facility
Psychiatric
MISCELLANEOUS
Pain management
Burn patients.
Use of hypothermia blanket
Inserting IV’s/IV therapy
Set-up for suturing
Set-up for Cut Down
Dressing Application
Administration of blood and blood products
Laceration site prep
Obtaining peripheral venous blood
Obtaining blood from arterial line
Obtaining blood from central venous line
Knowledge of Serum Lab Values: CK, Troponin, Myoglobin Chem 7, Chem 10 CBC Serum Drug Levels
Specimen Collections
Care of drains/tubes (i.e. hemovac, etc.)
Report to floor staff
Transport and set-up
Management:
Communicates and obtains information while respecting the rights and privacy and confidentiality of information.
Involves the patient and family and respects their role in determining the nature of care to be provided, including Advanced Directives.
Complies with nursing staff responsibility include in the hospital policy.
Provides accurate information to patient and families in a timely manner.
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