PPR Healthcare Staffing EMERGENCY DEPARTMENT SKILLS CHECKLIST

PPR Healthcare Staffing, Inc.
333 1st. St. North -- Suite 200
Jacksonville Beach, FL 32250
Fax:(888) 794-5038

EMERGENCY DEPARTMENT SKILLS CHECKLIST
First Name:		Last Name:
Phone:		Email:
SSN (last 4 only):		Date:

Key - for each box mark:		1 - Limited or no experience	2 - Somewhat experienced but may need review
		3 - Can function independently	4 - Competent to supervise

	1 2 3 4			1 2 3 4
System		\|	Medications
Cardiovascular		\|	ACLS Drugs
Assessment		\|	Amnioderone
Abnormal Heart Sounds		\|	Atropine
Auscultation (rate, rhythm)		\|	Epinephrine
Pulses		\|	Lidocaine
Peripheral Edema		\|	Procainamide (Pronestyl)
Neck Vein Distention		\|	Sodium Bicarbonate
Lab Values		\|	Other
Cardiac Enzymes and Isoenzymes		\|	Beta Blockers
Procedures		\|	Digoxin
Assist with		\|	Dopamine
Arterial Line Insertion		\|	Lasix
Central Line Insertion		\|	Isuprel
Pacemaker Insertion		\|	Nipride
Cardioversion		\|	Nitroglycerine
Care of Patient with		\|	Calcium Channel Blockers
Aneurysm		\|	Thrombolytic Agents
Acute MI		\|	Pulmonary
Cardiac Arrest		\|	Assessment
Unstable Angina		\|	Breath/Lung Sounds
Cardiac Tamponade		\|	Breathing Patterns
CHF		\|	Cough/Secretions
Shock		\|	Skin/Nail Color
Septic		\|	Lab Values
Hypovolemic		\|	Blood Gases
Cardiogenic		\|
Neurogenic		\|
Anaphylactic		\|


	1 2 3 4			1 2 3 4
Procedures		\|	Care of Patient with
Airway Management/Suctioning		\|	Acute Pneumonia
Endotracheal Suctioning		\|	Aspiration
Extubation		\|	Chest Trauma
Nasal Airway Suctioning		\|	COPD
Tracheostomy Suctioning		\|	Hemopneumothorax
Assist with		\|	Laryngospasm
Bronchoscopy		\|	Pneumothorax
Chest Tube Set-up and Insertion		\|	Near Drowning
Emergency Tracheostomy		\|	Pulmonary Edema
Thoracentesis		\|	Pulmonary Embolism
Intubation		\|	Tension Pneumothorax
Extubation		\|	Inhalation Injuries
Oral Airway Insertion		\|	Tuberculosis
Blood Gas Draws		\|	Fresh Tracheostomy
Arterial Line		\|	Medications
Femoral Artery		\|	Alputent (Metaproterenol)
Radial Artery		\|	Aminophylline
Intervention for		\|	Bronkosol (Isoethaine Hydrochloride)
Respiratory Complications		\|	Corticosteroids
Aspiration		\|	Isuprel
Laryngospasm		\|	Ventolin (Albuterol)
Tension Pneumothorax		\|	Terbutaline
Troubleshooting for Alarms		\|	Neurological
Equipment		\|	Assessment
Pleurevac or Thoraclex Drainage		\|	Glasgow Coma Scale
Water Seal Drainage		\|	Level of Consciousness
O2 Therapy Delivery Systems		\|	Reflex/Motor Reflexes
Ambu Bag and Mask		\|	Procedures
ET Tube		\|	Assist with Lumbar Puncture
Face Masks		\|	Seizure Precautions
Nasal Cannula		\|	Monitoring Intracranial Pressure
Portable O2 Tank		\|	Temperature Control
Trach Collar		\|
Inhalers		\|
Nebulizers		\|
T-Piece		\|


	1 2 3 4			1 2 3 4
Care of Patient with		\|	Support Devices
Skull Fracture		\|	Cane
Closed Head Injury		\|	Crutches
Coma		\|	Cervical Collar
CVA		\|	Sling
DTs		\|	Transfer Boards
Meningitis		\|	Walker
Neuromuscular Disease		\|	Wheelchair
Overdose		\|	Care of Patient with
Seizures		\|	Splint/Immobilizer
Spinal Cord Injury		\|	Cast
CNS Infections		\|	Fracture
Medications		\|	Burns
Decadron		\|	Traction
Solu-Medral		\|	Lacerations
Magnesium Sulfate		\|	Medications
Mannitol		\|	Analgesics
Anti-convulsants		\|	Muscle Relaxants
Anti-depressants		\|	Topical Agents
Musculoskeletal/Integumentary		\|	Gastrointestinal
Assessment		\|	Assessment
Gait/Mobility		\|	Bowel Sounds
ROM/Joint Movement		\|	Nutritional Status/Weight
Strength		\|	Poison Index
Posture		\|	Lab Values
Skin Integrity		\|	Serum Ammonia
Rule of Nines		\|	Serum Amylase
Procedures		\|	Liver Function Tests
Crutch Walking		\|	Procedures
Cast Application and Care		\|	Lavage
Use of Assistive Devices		\|	NG Tube Insertion
Body Mechanics		\|	Paracentesis
Burn Care		\|	Enemas
Equipment		\|	Removal of Fecal Impaction
Traction		\|	Equipment
Prostheses		\|	Salem Pump to Suction
K-Pad		\|	Drains
Splints/Immobilizers		\|	Tubes
TENS		\|	N/G
		\|	T-Tube
		\|	G-Tube

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize PPR to release this information to client facilities of PPR in relation to consideration of my employment to those facilities



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	1 2 3 4			1 2 3 4
Care of Patient with		\|	Lab Values
Appendicitis		\|	Blood Glucose
Gastritis		\|	Glucose Tolerance
Ulcers		\|	Fasting Blood Sugar
Cholecysititis		\|	Ketone Bodies
Blunt Trauma		\|	Serum Calcium
Bowel Obstruction		\|	Procedures
Esophageal Bleeding		\|	Diabetic Teaching
GI Bleeding		\|	Care of Patient with
Hepatitis		\|	Diabetes Mellitus
Liver Failure		\|	Diabetic Ketoacidosis
Pancreatitis		\|	Insulin Shock
Paralytic Ileus		\|	Endocrine-related Crises
Penetrating Trauma		\|	Medications
Poisoning		\|	Insulins
Medications/Supplements		\|	Long-acting
Anti-emetics		\|	Medium-acting
Anti-spasmotics		\|	Short-acting
Charcoal		\|	Oral Antihyperglycemics
Ipecac		\|	Glucogon
Renal/Genitourinary		\|	Steroids-Adrenocorticosteroids
Assessment		\|	EENT/Face
Fluid and Electrolyte Status		\|	Assessment
Lab Values		\|	Anatomical Intactness
Electrolytes		\|	Ear
BUN and Creatinine		\|	Eye
Procedures		\|	Nose
Bladder Irrigation		\|	Face
Care of Patient with		\|	Mouth and Teeth
Acute Renal Failure		\|	Procedures
Chronic Renal Failure		\|	Application of Eye Patch
Peritoneal Lavage		\|	Ear Irrigation
Urinary Tract Infection		\|	Eye Irrigation
Medications		\|	Gargle
KCl		\|	Nasal Packing
Diuretics		\|	Removal of Contact Lens
Endocrine/Metabolic		\|	Removal of Dentures
Assessment		\|	Assist with


	1 2 3 4			1 2 3 4
Equipment		\|	Care of Patient with
Irrigation Tray		\|	Vaginal Bleeding
Suture Kit/Sutures		\|	Precipitous Delivery
Steri Strips		\|	Sexual Assault
Care of Patient with		\|	STDs
Foreign Body in		\|	Ovarian Cyst
Eye		\|	DIC
Ear		\|	Preeclampsia/Eclampsia
Throat		\|	Medication
Nose		\|	Pitocin
Facial Lacerations		\|	Hematology/Oncology
Nasal Fracture		\|	Assessment
Bell�s Palsy		\|	Lab Values
Facial Fractures		\|	Blood Count Markers
Epistaxis		\|	Blood Chemistry
Otitis Media		\|	Procedures
Ruptured Tympanic Membrane		\|	Patient/Family Counseling
Trigeminal Neuralgia		\|	Grieving Process
Corneal Abrasion		\|	Altered Image
Conjunctivitis		\|	Patient Teaching
Detached Retina		\|	Relaxation Techniques
Orbit Fracture		\|	Imagery
Medications		\|	Side Effects of Chemotherapy
Decongestants		\|	Bone Marrow Aspiration
Local Anesthetic Agents		\|	Care of Patient with
Ophthalmic Agents		\|	Anemia
Ear Drops		\|	Immunosuppressed Conditions
Obstetric/Gynecologic		\|	Leukemias
Assessment		\|	DIC
External Genitalia		\|	Medications
Menstrual Cycle		\|	Antineoplastic Agents
Obstetric History		\|	Chemotherapeutic Agents
STDs/Infections		\|	Anticoagulant Agents
Domestic Violence History		\|	Anticoagulant Antidotes
Procedures		\|	Psychiatric/Mental Health
Assist with		\|	Assessment
Sexual Assault Examination		\|	Mental Status
Pelvic Examination		\|	Affect


	1 2 3 4			1 2 3 4
Equipment		\|	Care of Patient with
Restraints		\|	Bites
Care of Patient with		\|	Animal
Anxiety/Panic		\|	Human
Depression		\|	Snake
Suicide/Suicidal Behavior		\|	Spider
Homicide/Homicidal Behavior		\|	Dehydration
Psychotic Behavior		\|	Electrocution
Manic/Depressive Behavior		\|	Gunshot/Stab Wound
Situational Crisis		\|	Hazardous Material Exposure
Medications		\|	Heat Exhaustion/Stroke
Antianxiety Agents		\|	Hypothermia
Antipsychotic Agents		\|	Major Trauma
Tranquilizers		\|	Radiation Exposure
Antidepressant Agents		\|	Traumatic Amputation
Trauma		\|	Violence/Abuse
Assessment		\|	Multitrauma
Champion/Revised Trauma Score		\|	Communicable Diseases
Triage		\|	Medications
Procedures		\|	Antipyretic Agents
Application of MAST Suit		\|	Antivenom
Transportation of Trauma Patient		\|
Fever Management		\|
Animal Bite Reporting		\|
Abuse Reporting		\|
Equipment		\|
MAST Suit		\|
Stretchers		\|
Gown/Gloves/Masks		\|