Area |
Not Applicable |
Inexperienced |
Limited |
Experienced |
Highly Experienced |
Cardiovascular |
Obtain 12 lead EKG |
N/A
|
1
|
2
|
3
|
4
|
Basic 12 lead interpretation |
N/A
|
1
|
2
|
3
|
4
|
Basic arrhythmia interpretation |
N/A
|
1
|
2
|
3
|
4
|
Heart sounds and murmurs |
N/A
|
1
|
2
|
3
|
4
|
Heart rate and rhythm |
N/A
|
1
|
2
|
3
|
4
|
Presence and characteristics of chest pain |
N/A
|
1
|
2
|
3
|
4
|
CPR |
N/A
|
1
|
2
|
3
|
4
|
Cardioversion/Defibrillation |
N/A
|
1
|
2
|
3
|
4
|
ABG’s |
N/A
|
1
|
2
|
3
|
4
|
Electrolytes |
N/A
|
1
|
2
|
3
|
4
|
Cardiac enzymes |
N/A
|
1
|
2
|
3
|
4
|
Acute MI |
N/A
|
1
|
2
|
3
|
4
|
Angina |
N/A
|
1
|
2
|
3
|
4
|
Cardiac arrest |
N/A
|
1
|
2
|
3
|
4
|
Congestive heart failure (CHF) |
N/A
|
1
|
2
|
3
|
4
|
Use of cardiac monitor |
N/A
|
1
|
2
|
3
|
4
|
Use of doppler |
N/A
|
1
|
2
|
3
|
4
|
Atropine |
N/A
|
1
|
2
|
3
|
4
|
Digoxin (Lanoxin) |
N/A
|
1
|
2
|
3
|
4
|
Epinephrine (Adrenalin) |
N/A
|
1
|
2
|
3
|
4
|
Lidocaine (Xylocaine) |
N/A
|
1
|
2
|
3
|
4
|
Sodium Bicarbonate |
N/A
|
1
|
2
|
3
|
4
|
|
Pulmonary |
Assessment of breath sounds |
N/A
|
1
|
2
|
3
|
4
|
Airway management and suctioning: |
N/A
|
1
|
2
|
3
|
4
|
Endotracheal tube |
N/A
|
1
|
2
|
3
|
4
|
Nasal airway |
N/A
|
1
|
2
|
3
|
4
|
Oropharyngeal |
N/A
|
1
|
2
|
3
|
4
|
Tracheostomy |
N/A
|
1
|
2
|
3
|
4
|
Care of the patient with a chest tube |
N/A
|
1
|
2
|
3
|
4
|
Sputum specimen collection |
N/A
|
1
|
2
|
3
|
4
|
Set up and assist with intubation |
N/A
|
1
|
2
|
3
|
4
|
Assist with extubation |
N/A
|
1
|
2
|
3
|
4
|
Assist with thoracentesis |
N/A
|
1
|
2
|
3
|
4
|
Care of the patient on a ventilator |
N/A
|
1
|
2
|
3
|
4
|
Ambu bag |
N/A
|
1
|
2
|
3
|
4
|
Face masks |
N/A
|
1
|
2
|
3
|
4
|
Nasal cannula |
N/A
|
1
|
2
|
3
|
4
|
Trach Collar |
N/A
|
1
|
2
|
3
|
4
|
Aspiration |
N/A
|
1
|
2
|
3
|
4
|
COPD |
N/A
|
1
|
2
|
3
|
4
|
Pneumonia |
N/A
|
1
|
2
|
3
|
4
|
Pneumothorax |
N/A
|
1
|
2
|
3
|
4
|
Pulmonary embolism |
N/A
|
1
|
2
|
3
|
4
|
Tuberculosis |
N/A
|
1
|
2
|
3
|
4
|
|
Neurological |
Assess cranial nerves |
N/A
|
1
|
2
|
3
|
4
|
Assess reflex/motor deficits |
N/A
|
1
|
2
|
3
|
4
|
Assess visual or communication deficits |
N/A
|
1
|
2
|
3
|
4
|
Use of Glasgow coma scale |
N/A
|
1
|
2
|
3
|
4
|
Assist with lumbar puncture |
N/A
|
1
|
2
|
3
|
4
|
Intracranial pressure (ICP)monitoring |
N/A
|
1
|
2
|
3
|
4
|
Closed head injury |
N/A
|
1
|
2
|
3
|
4
|
Acute CVA |
N/A
|
1
|
2
|
3
|
4
|
DTs (Delirium tremors) |
N/A
|
1
|
2
|
3
|
4
|
Overdose |
N/A
|
1
|
2
|
3
|
4
|
Seizure disorders |
N/A
|
1
|
2
|
3
|
4
|
Spinal cord injury |
N/A
|
1
|
2
|
3
|
4
|
|
Orthopedics |
Circulation checks |
N/A
|
1
|
2
|
3
|
4
|
Assist with cast application |
N/A
|
1
|
2
|
3
|
4
|
Splints |
N/A
|
1
|
2
|
3
|
4
|
Pinned fractures |
N/A
|
1
|
2
|
3
|
4
|
|
GI/GU and Renal |
Insertion of NG tube/lavage |
N/A
|
1
|
2
|
3
|
4
|
Insertion and care of Foley catheter |
N/A
|
1
|
2
|
3
|
4
|
Abdominal trauma |
N/A
|
1
|
2
|
3
|
4
|
Appendicitis |
N/A
|
1
|
2
|
3
|
4
|
Bowel obstruction |
N/A
|
1
|
2
|
3
|
4
|
GI bleeding |
N/A
|
1
|
2
|
3
|
4
|
Hepatitis |
N/A
|
1
|
2
|
3
|
4
|
Liver failure |
N/A
|
1
|
2
|
3
|
4
|
Acute renal failure |
N/A
|
1
|
2
|
3
|
4
|
Renal trauma |
N/A
|
1
|
2
|
3
|
4
|
UTI (Urinary tract infection) |
N/A
|
1
|
2
|
3
|
4
|
|
Trauma/Shock |
Animal bites |
N/A
|
1
|
2
|
3
|
4
|
Human bites |
N/A
|
1
|
2
|
3
|
4
|
Knowledge of rabies vaccination/antivenom administration protocols |
N/A
|
1
|
2
|
3
|
4
|
Burns |
N/A
|
1
|
2
|
3
|
4
|
Dehydration |
N/A
|
1
|
2
|
3
|
4
|
Electrocution |
N/A
|
1
|
2
|
3
|
4
|
Gunshot/stab wound |
N/A
|
1
|
2
|
3
|
4
|
Hazardous material exposure |
N/A
|
1
|
2
|
3
|
4
|
Heat exhaustion/stroke |
N/A
|
1
|
2
|
3
|
4
|
Hypothermia |
N/A
|
1
|
2
|
3
|
4
|
Major trauma |
N/A
|
1
|
2
|
3
|
4
|
Minor trauma |
N/A
|
1
|
2
|
3
|
4
|
Multiple fractures |
N/A
|
1
|
2
|
3
|
4
|
Radiation exposure |
N/A
|
1
|
2
|
3
|
4
|
Shock |
N/A
|
1
|
2
|
3
|
4
|
Traumatic amputation |
N/A
|
1
|
2
|
3
|
4
|
|
IV Therapy |
Start peripheral IV’s |
N/A
|
1
|
2
|
3
|
4
|
Use of saline/heparin lock |
N/A
|
1
|
2
|
3
|
4
|
Administration/mixing of IV meds |
N/A
|
1
|
2
|
3
|
4
|
Administration of IV fluids |
N/A
|
1
|
2
|
3
|
4
|
Administration of blood and blood products (precautions, recognizing transfusion reactions and taking appropriate actions) |
N/A
|
1
|
2
|
3
|
4
|
Hang IV piggybacks |
N/A
|
1
|
2
|
3
|
4
|
Use of infusion pumps |
N/A
|
1
|
2
|
3
|
4
|
IV calculations/titrate drip rates |
N/A
|
1
|
2
|
3
|
4
|
Knowledge of access and maintenance of central lines and catheters |
N/A
|
1
|
2
|
3
|
4
|
|
Pediatrics |
Recognizing and reporting child abuse/neglect |
N/A
|
1
|
2
|
3
|
4
|
Pediatric cardiac arrest |
N/A
|
1
|
2
|
3
|
4
|
Epiglottitis |
N/A
|
1
|
2
|
3
|
4
|
Near drowning |
N/A
|
1
|
2
|
3
|
4
|
Overdose/poison ingestion |
N/A
|
1
|
2
|
3
|
4
|
Failure to thrive |
N/A
|
1
|
2
|
3
|
4
|
Seizure/epilepsy |
N/A
|
1
|
2
|
3
|
4
|
|
Additional nursing responsibilities |
Charge nurse |
N/A
|
1
|
2
|
3
|
4
|
Triage |
N/A
|
1
|
2
|
3
|
4
|
Universal precautions |
N/A
|
1
|
2
|
3
|
4
|
Lab value interpretation (CBC, SMA 7) |
N/A
|
1
|
2
|
3
|
4
|
Suicide precautions |
N/A
|
1
|
2
|
3
|
4
|
Violent patient |
N/A
|
1
|
2
|
3
|
4
|
Use of restraints |
N/A
|
1
|
2
|
3
|
4
|
Rape victim |
N/A
|
1
|
2
|
3
|
4
|
STD’s |
N/A
|
1
|
2
|
3
|
4
|
Identify signs/symptoms of physical or sexual abuse and take appropriate actions |
N/A
|
1
|
2
|
3
|
4
|
Antepartum/postpartum complications |
N/A
|
1
|
2
|
3
|
4
|
Collection and handling of lab specimens (blood, nasopharyngeal, stool, urine, wound) |
N/A
|
1
|
2
|
3
|
4
|
Administer IM, SQ, topical, and inhalent medications |
N/A
|
1
|
2
|
3
|
4
|
Identify adverse effects, signs and symptoms of toxicity, and effectiveness of medication |
N/A
|
1
|
2
|
3
|
4
|
Calculate medication dosages |
N/A
|
1
|
2
|
3
|
4
|
Care of the patient with diabetic ketoacidosis |
N/A
|
1
|
2
|
3
|
4
|
Recognize signs and symptoms of diabetic reaction (hypoglycemia) |
N/A
|
1
|
2
|
3
|
4
|
Blood glucose monitoring |
N/A
|
1
|
2
|
3
|
4
|
Insulin administration |
N/A
|
1
|
2
|
3
|
4
|
Care of the patient with AIDS |
N/A
|
1
|
2
|
3
|
4
|
Knowledge of isolation techniques/procedures |
N/A
|
1
|
2
|
3
|
4
|
Aware of Health Department/CDC requirements for reporting communicable diseases |
N/A
|
1
|
2
|
3
|
4
|
|