Cath Lab RN Skills Checklist One program to handle all talent management needs from acquisition to development Personal Information HiddenOverall ScoreOut of 4Name(Required) First Middle Last Last 4 Digits of Social Security Number Email(Required) HiddenDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyGENERAL SKILLSUniversal Precautions(Required) 1 2 3 4 Care of Patient in Isolation(Required) 1 2 3 4 Care of Patient with Bleeding Precautions(Required) 1 2 3 4 Care of Patient with Neutropenic Precautions(Required) 1 2 3 4 Care of Patient in Restraints(Required) 1 2 3 4 Cardiac Monitoring - Basic(Required) 1 2 3 4 Cardiac Monitoring - Advanced(Required) 1 2 3 4 Interpretation of Arrhythmias(Required) 1 2 3 4 Emergency Medications (ACLS)(Required) 1 2 3 4 Pediatric Cardiac/Respiratory Arrest(Required) 1 2 3 4 Adult Cardiac/Respiratory Arrest(Required) 1 2 3 4 End of Life Care(Required) 1 2 3 4 Crash Carts(Required) 1 2 3 4 Defibrillators(Required) 1 2 3 4 Automated Medication Dispensing Systems(Required) 1 2 3 4 Computerized Documentation(Required) 1 2 3 4 ASSESSMENTAbnormal Heart Sounds(Required) 1 2 3 4 Murmurs(Required) 1 2 3 4 Peripheral Pulse/Circulation Checks(Required) 1 2 3 4 Use of Doppler(Required) 1 2 3 4 Blood Pressure - Invasive(Required) 1 2 3 4 Blood Pressure – Non-Invasive(Required) 1 2 3 4 MONITORING/TELEMETRYBasic 12 Lead EKG Interpretation(Required) 1 2 3 4 Arrhythmia Interpretation(Required) 1 2 3 4 Lead Placement: 5 Electrodes(Required) 1 2 3 4 Lead Placement: I,II,V-leads(Required) 1 2 3 4 Lead Placement: Lead II and MCL(Required) 1 2 3 4 Set up and Perform 12 Lead EKG(Required) 1 2 3 4 Rhythm Strip Interpretation(Required) 1 2 3 4 AuthorizationsBiopsy(Required) 1 2 3 4 Handoff Reports(Required) 1 2 3 4 Left Heart Caths(Required) 1 2 3 4 Right Heart Caths(Required) 1 2 3 4 Coronary Intervention(Required) 1 2 3 4 Hematoma Recognition & Mgt(Required) 1 2 3 4 IVUS(Required) 1 2 3 4 Intra Aortic Balloon Pump(Required) 1 2 3 4 EP Study(Required) 1 2 3 4 Ablation(Required) 1 2 3 4 FFR(Required) 1 2 3 4 INTERPRETATION OF LAB RESULTSChemistries(Required) 1 2 3 4 Assist with Care and Maintenance ofCentral Line(Required) 1 2 3 4 Arterial Line(Required) 1 2 3 4 Swan-Ganz Catheter(Required) 1 2 3 4 PULMONARYAssess Lung Sounds(Required) 1 2 3 4 Pulse Oximetry(Required) 1 2 3 4 Set UP Oxygen Delivery Devices(Required) 1 2 3 4 Obtain and Interpret ABG’s(Required) 1 2 3 4 Obtain and Interpret Mixed Venous Gases(Required) 1 2 3 4 Assist with Intubation(Required) 1 2 3 4 NEUROLOGICALNeuro Assessment(Required) 1 2 3 4 Assess Sensory, Motor, Speech Function(Required) 1 2 3 4 Glasgow Coma Scale(Required) 1 2 3 4 MEDICATIONContrast Media(Required) 1 2 3 4 Sedation Meds(Required) 1 2 3 4 Neuro Assessment(Required) 1 2 3 4 Anticoagulation(Required) 1 2 3 4 Thrombolytics(Required) 1 2 3 4 Neuro Assessment(Required) 1 2 3 4 Lopressor (Metoprolol)(Required) 1 2 3 4 Dilatiazem HCL (Cardizem)(Required) 1 2 3 4 Verapamil (Calan)(Required) 1 2 3 4 Nitrostat (Nitroglycerin)(Required) 1 2 3 4 Adenocard (Adenosine)(Required) 1 2 3 4 Amiodarone (Cardarone)(Required) 1 2 3 4 Corvert (Ibutilide)(Required) 1 2 3 4 Lidocaine(Required) 1 2 3 4 Pronestyl(Required) 1 2 3 4 Sodium Nitroprusside (Nipride)(Required) 1 2 3 4 Inocor (Amrinone)(Required) 1 2 3 4 Milrinone (Primacor)(Required) 1 2 3 4 Adrenalin (Epinephrine)(Required) 1 2 3 4 Dobutrex (Dobutamine)(Required) 1 2 3 4 Dopamine Hydrochloride(Required) 1 2 3 4 Sodium Bicarbonate(Required) 1 2 3 4 Furosemide (Lasix)(Required) 1 2 3 4 Insulin(Required) 1 2 3 4 IV Antibiotics(Required) 1 2 3 4 SITE MANAGEMENT/SHEATHS Assist with Removal of Femoral Arterial Sheath(Required) 1 2 3 4 Femoral Venous Sheath(Required) 1 2 3 4 Brachial Arterial Sheath(Required) 1 2 3 4 Radial Arterial Sheath(Required) 1 2 3 4 Manual Pressure Hold(Required) 1 2 3 4 Hematoma Recognition/Mgmt(Required) 1 2 3 4 Closure Devices(Required) 1 2 3 4 PATIENT CAREApplication of Sterile Pressure Dressing(Required) 1 2 3 4 Allen Test(Required) 1 2 3 4 Radiation Safety(Required) 1 2 3 4 Maintain Sheaths in Place(Required) 1 2 3 4 Skin Prep and Clipping(Required) 1 2 3 4 Aseptic Technique(Required) 1 2 3 4 Knowledge of Pediatric Cardiac Anomalies(Required) 1 2 3 4 Identify Sudden Change in LOC(Required) 1 2 3 4 Post Procedure/Recorvery(Required) 1 2 3 4 INTERVENTIONAL PROCEDURES/ SCRUBCardiac Catheterization – Adult (R/L)(Required) 1 2 3 4 Cardiac Catheterization – Peds (R/L)(Required) 1 2 3 4 Permanent Pacemaker(Required) 1 2 3 4 Temporary Epicardial/Transthoratic Pacing(Required) 1 2 3 4 Temporary External Pacing(Required) 1 2 3 4 Temporary Transvenous Pacing(Required) 1 2 3 4 Peripheral(Required) 1 2 3 4 Cardiac Interventional Procedures(Required) 1 2 3 4 EP Studies(Required) 1 2 3 4 EMERGENCY PROCEDURES(Required) 1 2 3 4 AuthorizationsEmergency Cardioversion(Required) 1 2 3 4 Anaphylaxis (Contras Media)(Required) 1 2 3 4 Vasovagal Response(Required) 1 2 3 4 Sepsis/Septic Shock(Required) 1 2 3 4 Cardiac Tamponade(Required) 1 2 3 4 Cardiogenic Shock(Required) 1 2 3 4 Emobolism(Required) 1 2 3 4 Myocardial Infarction(Required) 1 2 3 4 TIA(Required) 1 2 3 4 Aortic Dissection(Required) 1 2 3 4 Emergency Defibrillation(Required) 1 2 3 4 Interventional Procedures/ CirculateCardiac Cath – Adult (R/L)(Required) 1 2 3 4 Cardiac Cath – Peds (R/L)(Required) 1 2 3 4 Permanent Pacemaker(Required) 1 2 3 4 AICD Pacemakers / Biventricular Pacer(Required) 1 2 3 4 Angioplasty/PCI(Required) 1 2 3 4 Arrhythmia Ablation(Required) 1 2 3 4 Thromolysis(Required) 1 2 3 4 AngioJet(Required) 1 2 3 4 Rotational Coronary Atherectomy(Required) 1 2 3 4 Cardiac Biopsy(Required) 1 2 3 4 Pericardiocentesis(Required) 1 2 3 4 Chest Tube Placement(Required) 1 2 3 4 Valvuplasty(Required) 1 2 3 4 IABP(Required) 1 2 3 4 TEE(Required) 1 2 3 4 EP Studies(Required) 1 2 3 4 CAVH(Required) 1 2 3 4 Controlled Cardioversion(Required) 1 2 3 4 Closure of VSD(Required) 1 2 3 4 Closure of Patent Foramen Ovale(Required) 1 2 3 4 Tilt Table Testing(Required) 1 2 3 4 Brachytherapy(Required) 1 2 3 4 Intravascular Ultrasound(Required) 1 2 3 4 INTERVENTIONAL PROCEDURES/ MONITORCardiac Cath – Adult (R/L)(Required) 1 2 3 4 Cardiac Cath – Peds (R/L)(Required) 1 2 3 4 Permanent Pacemaker(Required) 1 2 3 4 Temporary Pacing(Required) 1 2 3 4 AICD Pacemakers / Biventricular Pacer(Required) 1 2 3 4 Shunt Detection and Calculation(Required) 1 2 3 4 Angioplasty/PCI(Required) 1 2 3 4 Left Ventricular Assist Device(Required) 1 2 3 4 Right Ventricular Assist Device(Required) 1 2 3 4 Ablation(Required) 1 2 3 4 Rotational Coronary Atherectomy(Required) 1 2 3 4 Pericardiocentesis(Required) 1 2 3 4 Angiography(Required) 1 2 3 4 Cardiac Biopsy(Required) 1 2 3 4 Chest Tube Placement(Required) 1 2 3 4 Valvuplasty(Required) 1 2 3 4 IABP(Required) 1 2 3 4 TEE(Required) 1 2 3 4 EP Studies(Required) 1 2 3 4 CAVH(Required) 1 2 3 4 Controlled Cardioversion(Required) 1 2 3 4 Closure of VSD(Required) 1 2 3 4 Closure of Patent Foramen Ovale(Required) 1 2 3 4 Tilt Table Testing(Required) 1 2 3 4 Brachytherapy(Required) 1 2 3 4 Intravascular Ultrasound(Required) 1 2 3 4 FFR(Required) 1 2 3 4 Emergency Procedures(Required) 1 2 3 4 AGEPeds(Required) 1 2 3 4 Adults(Required) 1 2 3 4 AuthorizationsLegal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. 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