Cardiac Progressive RN

One program to handle all talent management needs from acquisition to development

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Proficiency Scale

1 – No Experience
2 – Need Training
3 – Able to perform with supervision
4 – Able to perform independently

Cardiovascular

Assessment:

Normal Heart Tones (i.e.: S1, S2)(Required)

Abnormal Heart Tones (i.e.: murmur, gallop, friction rub)(Required)

Identification of PMI (Point Maximal Intensity)(Required)

Blood Pressure (non-invasive)(Required)

Pulses/Circulation via palpation(Required)

Pulses/Circulation via Doppler(Required)

Insertion site invasive lines(Required)

12-lead EKG interpretation(Required)

EKG Changes for MI(Required)

Arrhythmia interpretation(Required)

Implement AC LS/Cardiac protocols(Required)

S/S DVT(Required)

Check crash cart and restock as necessary(Required)

Provision of care for:

AAA (Abdominal Aortic Aneurysm)(Required)

Aortic Stenosis(Required)

Cardiomyopathy(Required)

Cardiac Arrest(Required)

Cardiac Catheterization(Required)

Carotid Endarterectomy(Required)

Cardiac Tamponade(Required)

CHF(Required)

MI(Required)

Mitral Valve Stenosis(Required)

Myocardial contusion(Required)

Post cardiac surgery complications(Required)

Pericardial Window(Required)

Post AICD Insertion(Required)

Pericardial Effusion(Required)

Pericarditis(Required)

Pre/Post PTC A(Required)

Stent Replacement(Required)

Procedures:

Application of fem-stop to sheath site(Required)

Application of holter monitor(Required)

Removal of radial arterial line(Required)

Removal of femoral sheath(Required)

Perform venipuncture(Required)

Obtain lab specimens from A-line(Required)

Obtain lab specimens from Central Line(Required)

Perform 12-lead EKG(Required)

Proper cardiac monitor lead placement(Required)

Management of:

Blood and blood product administration(Required)

Blood transfusion reactions(Required)

Hemodynamic Monitoring:

Management of Arterial Line(Required)

Management of CVP Line(Required)

Zero and calibration of transducers(Required)

Assess adequate perfusion with invasive lines(Required)

Management of Pacemakers:

Epicardial wires(Required)

Epicardial pacing(Required)

Transvenous pacing(Required)

Transcutaneous pacing(Required)

Manipulation of TPM settings(Required)

Troubleshoot TPM settings(Required)

Permanent Pacemaker(Required)

Recognition of failure to sense, capture(Required)

Assist with:

Set-Up for cardioversion(Required)

Cardioversion(Required)

Central line insertion(Required)

Arterial line insertion(Required)

Pericardiocentesis(Required)

Transesophageal echocardiogram(Required)

Pulmonary

Assessment:

Auscultate breath sounds(Required)

Identify adventitious lung sounds(Required)

Interpretation of pulse oximetry values(Required)

Identify S/S of respiratory distress(Required)

Identify presence of subcutaneous emphysema(Required)

Assess capillary refill(Required)

Provision of Care for:

Acute Pneumonia(Required)

ARDS(Required)

Bronchoscopy(Required)

Chest Trauma(Required)

COPD(Required)

Cor Pulmonale(Required)

Fresh Tracheostomy(Required)

Lobectomy(Required)

Pneumonectomy(Required)

Pulmonary Edema(Required)

Pulmonary Hypertension(Required)

Pulmonary Embolism(Required)

Status Asthmaticus(Required)

Thoracotomy(Required)

Tuberculosis(Required)

Chest Tubes:

Perform chest tube set-up(Required)

Assist with chest tube insertion(Required)

Monitor & record chest tube output(Required)

Identify and troubleshoot clotted chest tube(Required)

Identify and troubleshoot patient bleeding from chest tube(Required)

Identify presence of air leak(Required)

Assist with chest tube removal(Required)

Procedures:

Perform NT (Nasotracheal) suctioning(Required)

Perform suctioning of tracheostomy(Required)

Collection of sputum via NT suction(Required)

O2 Masks/C annulas(Required)

Ambu bag(Required)

Chest physiotherapy(Required)

Incentive spirometry(Required)

Nebulizer set up(Required)

Use of pleurevac(Required)

Pulse oximetry(Required)

Assist with:

Emergency Tracheostomy(Required)

Emergency Intubation(Required)

Thoracentesis(Required)

Neurology

Assessment:

Glasgow Coma Scale(Required)

Reflex/Motor Deficits(Required)

Visual/Communication Deficits(Required)

Cranial nerves(Required)

NIH Stroke Scale (NIHSS)(Required)

Provision of Care for:

Aneurysm precautions(Required)

Closed head injury(Required)

Coma(Required)

CVA(Required)

DT's(Required)

Encephalopathy(Required)

Intracranial hemorrhage(Required)

Seizure disorders(Required)

Spinal cord injury(Required)

TIA(Required)

Lumbar puncture:

Lumbar puncture(Required)

Gastrointestinal

Assessment:

Bowel Sounds(Required)

Nutritional status(Required)

Proper N/G Tube placement(Required)

Provision of Care:

Bowel Obstruction(Required)

Colostomy(Required)

ERCP(Required)

Esophageal Bleed(Required)

GI Bleed(Required)

Hepatitis(Required)

Ileostomy(Required)

Inflammatory Bowel Disease(Required)

Liver Failure(Required)

Liver Transplant(Required)

Pancreatitis(Required)

Paralytic Ileus(Required)

Post GI surgery (resection, etc.)(Required)

Procedures:

Administration of tube feeding(Required)

Administration of gravity feeding(Required)

Flexible feeding tube (Dobhoff)(Required)

Continuous suction(Required)

Iced saline lavage(Required)

Insertion and maintenance of N/G Tube(Required)

Insertion and maintenance of Rectal Tube(Required)

PPN (peripheral parenteral nutrition)(Required)

TPN and lipids administration(Required)

Utilization of feeding pump(Required)

Endocrine

Provision of Care:

Diabetes mellitus(Required)

Diabetic ketoacidosis(Required)

Diabetes Insipidus(Required)

Hyperthyroidism(Required)

Hypothyroidism(Required)

Insulin Shock(Required)

Thyroidectomy(Required)

Procedures:

Fingerstick blood glucose(Required)

Implementation of sliding scale insulin(Required)

Equipment:

Blood glucose monitoring devices(Required)

Use of Insulin Pen(Required)

Renal

Assessment:

A-V Fistula/Shunt(Required)

Fluid Status(Required)

Provision of Care:

Acute renal failure(Required)

CAVH dialysis(Required)

CVVH dialysis(Required)

Urinary tract infection(Required)

Chronic Renal Failure(Required)

Hemodialysis(Required)

Nephrectomy(Required)

Nephrostomy tube(Required)

Peritoneal dialysis(Required)

Urinary tract infection(Required)

TURP(Required)

Procedures:

Insertion and care of Male/Female indwelling urinary catheter (Foley)(Required)

Insertion and care of suprapubic catheter(Required)

Perform bladder irrigations(Required)

Urine specimen collection(Required)

Multisystem

Perform comprehensive multi-system assessment:

Perform comprehensive multi-system assessment(Required)

Provision of Care:

AIDS(Required)

Altered mental status(Required)

Anaphylactic shock(Required)

Anemia(Required)

Cancer(Required)

Delirium(Required)

Dementia(Required)

Drug Overdose(Required)

Healthcare-acquired infection: catheter-associated urinary tract infections (CAUTI)(Required)

Healthcare-acquired infection: central-line associated bloodstream infections (C LABSI)(Required)

Hypovolemic shock(Required)

Infectious diseases (MRSA, VRE, Influenza)(Required)

Psychological disorders (anxiety, depression)(Required)

Sepsis/septic shock(Required)

Substance abuse(Required)

Pain Management:

Assessment of pain level(Required)

Assessment of therapeutic response(Required)

Care of the patient with:

Broviac Catheter(Required)

Groshong Catheter(Required)

Hickman Catheter(Required)

PICC Line(Required)

Port-A-Cath(Required)

Quinton Catheter(Required)

Care of the patient with:

Insert and manage peripheral IV(Required)

Perform central line dressing changes(Required)

Perform PICC line dressing changes(Required)

Integumentary

Assess for:

Skin intact(Required)

Stasis ulcers(Required)

Surgical wound healing(Required)

Provision of Care:

Burns(Required)

Pressure sores(Required)

Staged decubitus ulcers(Required)

Surgical wounds w/drains(Required)

Traumatic wounds(Required)

Procedures:

Sterile dressing changes(Required)

Wound care/irrigations(Required)

Air fluidized, low airloss beds:

Air fluidized, low airloss beds(Required)

Labs

Interpretation of:

ABG's(Required)

BUN/Creatinine(Required)

Coagulation Studies(Required)

Electrolytes(Required)

Cardiac Enzymes(Required)

Blood glucose(Required)

Thyroid Panel(Required)

Cardiac Progressive Care Pharmacology

Provision of Care:

Perform & manage dosage drip calculations(Required)

Assess for therapeutic response(Required)

Manage & titrate multiple drips(Required)

Continuous Subcutaneous Infusion Pumps(Required)

Assess and manage PCA Pumps(Required)

Perform and manage IV conscious sedation(Required)

Administer appropriate reversal agents(Required)

Management of Epidural Administration (anesthesia/analgesia)(Required)

Medications:

Aminophylline (Theophylline)(Required)

Amiodarone (Cordarone)(Required)

Atropine(Required)

AquaMephyton (Vitamin K)(Required)

Apresoline(Required)

Bretylium (Bretylol)(Required)

Corticosteroids(Required)

Decadron (Dexamethasone)(Required)

Digoxin (Lanoxin)(Required)

Diltiazem (Cardizem)(Required)

Dilantin (Phenytoin)(Required)

Dobutamine (Dobutrex)(Required)

Dopamine (Intropin)(Required)

Lasix (Furosemide)(Required)

Epinephrine (Adrenalin)(Required)

Esmolol (Brevibloc)(Required)

Heparin Drip(Required)

Inderal (Propranolol)(Required)

Inocor (Amrinone)(Required)

Kayexelate(Required)

Lactulose (Cephulac)(Required)

Levophed(Required)

Lidocaine(Required)

Metoprolol (Lopressor)(Required)

Nitroglycerin (Tridil)(Required)

Phenobarbital(Required)

Procainamide (Pronestyl)(Required)

Sodium Bicarbonate(Required)

Valium (Diazepam)(Required)

Verapamil (Calan, Isoptin, Verelan)(Required)

Ventolin (Albuterol)(Required)

Versed(Required)

Patient Education

Cardiac rehabilitation patient teaching(Required)

Turn, cough, and deep breathing technique(Required)

Use of incentive spirometer(Required)

Importance of increasing mobility post-op when applicable(Required)

Splinting technique post-op(Required)

Patient Advocacy

Provide care for end-of-life decisions(Required)

Adhere to legal procedures regarding notification of organ donation provider(Required)

Demonstrate spiritual and cultural considerations for the PCU patient(Required)

Provide for the integration of comfort care and death with dignity(Required)

Demonstrate effective coping skills in caring for the PCU patient(Required)

Perform time out(Required)

Obtain/witness informed consent(Required)

Age Specific

Please indicate the frequency with which you provide care for each age group:

Infant (Birth to 1 year)(Required)

Toddler (1-3 years)(Required)

Pre-school (3-6 years)(Required)

School Age (6-12 years)(Required)

Adolescent ( 12-18 years)(Required)

Young Adult ( 18-30 years)(Required)

Mature Adult (30-60 years)(Required)

Elderly (>60 years)(Required)

Legal Consent(Required)

I agree to the terms and conditions.

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