Area |
Not Applicable |
Inexperienced |
Limited |
Experienced |
Highly Experienced |
Cardiovascular |
Arrhythmia interpretation |
N/A
|
1
|
2
|
3
|
4
|
Heart Sounds interpretation |
N/A
|
1
|
2
|
3
|
4
|
Placement of patient on cardiac monitor |
N/A
|
1
|
2
|
3
|
4
|
Basic 12 lead ECG interpretation |
N/A
|
1
|
2
|
3
|
4
|
Defibrillation/cardioversion |
N/A
|
1
|
2
|
3
|
4
|
Temporary external pacing |
N/A
|
1
|
2
|
3
|
4
|
Temporary transvenous |
N/A
|
1
|
2
|
3
|
4
|
Temporary epicardial wires |
N/A
|
1
|
2
|
3
|
4
|
Permanent |
N/A
|
1
|
2
|
3
|
4
|
Swan Ganz hemodynamic monitoring |
N/A
|
1
|
2
|
3
|
4
|
Central venous catheter |
N/A
|
1
|
2
|
3
|
4
|
Arterial line (A-line) |
N/A
|
1
|
2
|
3
|
4
|
Use of Doppler |
N/A
|
1
|
2
|
3
|
4
|
Post open heart patient |
N/A
|
1
|
2
|
3
|
4
|
Heart transplant patient |
N/A
|
1
|
2
|
3
|
4
|
Pre/post cardiac patient |
N/A
|
1
|
2
|
3
|
4
|
24-48 hours post MI patient |
N/A
|
1
|
2
|
3
|
4
|
CHF patient (congestive heart failure) |
N/A
|
1
|
2
|
3
|
4
|
Carotid endarterectomy patient |
N/A
|
1
|
2
|
3
|
4
|
Fem-pop bypass patient (femoral-popliteal) |
N/A
|
1
|
2
|
3
|
4
|
Dobutamine |
N/A
|
1
|
2
|
3
|
4
|
Dopamine |
N/A
|
1
|
2
|
3
|
4
|
Epinephrine |
N/A
|
1
|
2
|
3
|
4
|
Heparin |
N/A
|
1
|
2
|
3
|
4
|
Lidocaine |
N/A
|
1
|
2
|
3
|
4
|
Nitroglycerine (Nitro) |
N/A
|
1
|
2
|
3
|
4
|
Pronestyl |
N/A
|
1
|
2
|
3
|
4
|
|
Pulmonary |
Assist with extubation |
N/A
|
1
|
2
|
3
|
4
|
Assist with intubation |
N/A
|
1
|
2
|
3
|
4
|
Chest physiotherapy |
N/A
|
1
|
2
|
3
|
4
|
Assessment of breath sounds |
N/A
|
1
|
2
|
3
|
4
|
Monitor pulse oximetry |
N/A
|
1
|
2
|
3
|
4
|
Ventilator management |
N/A
|
1
|
2
|
3
|
4
|
Interpretation of ABG’s |
N/A
|
1
|
2
|
3
|
4
|
Administration of nebulizer medications |
N/A
|
1
|
2
|
3
|
4
|
Oropharyngeal suctioning |
N/A
|
1
|
2
|
3
|
4
|
Nasotracheal suctioning |
N/A
|
1
|
2
|
3
|
4
|
Assist with thoracentesis |
N/A
|
1
|
2
|
3
|
4
|
Set up and assist with chest tube insertion and removal |
N/A
|
1
|
2
|
3
|
4
|
Chest tubes |
N/A
|
1
|
2
|
3
|
4
|
Tracheostomy |
N/A
|
1
|
2
|
3
|
4
|
COPD |
N/A
|
1
|
2
|
3
|
4
|
Lobectomy |
N/A
|
1
|
2
|
3
|
4
|
Thoracotomy |
N/A
|
1
|
2
|
3
|
4
|
Lung transplant |
N/A
|
1
|
2
|
3
|
4
|
Aspiration |
N/A
|
1
|
2
|
3
|
4
|
Laryngospasm |
N/A
|
1
|
2
|
3
|
4
|
Pulmonary edema |
N/A
|
1
|
2
|
3
|
4
|
Tension pneumothorax |
N/A
|
1
|
2
|
3
|
4
|
|
Neuro |
Assess LOC |
N/A
|
1
|
2
|
3
|
4
|
Use Glascow coma scale |
N/A
|
1
|
2
|
3
|
4
|
Cranial nerve assessment |
N/A
|
1
|
2
|
3
|
4
|
Seizure precautions |
N/A
|
1
|
2
|
3
|
4
|
Halo traction |
N/A
|
1
|
2
|
3
|
4
|
Cervical traction |
N/A
|
1
|
2
|
3
|
4
|
Assist with lumbar punctures |
N/A
|
1
|
2
|
3
|
4
|
Hypo/hyperthermia regulation |
N/A
|
1
|
2
|
3
|
4
|
CVA |
N/A
|
1
|
2
|
3
|
4
|
Closed head injury |
N/A
|
1
|
2
|
3
|
4
|
Overdose |
N/A
|
1
|
2
|
3
|
4
|
Spinal cord injury |
N/A
|
1
|
2
|
3
|
4
|
Pre/post neuro surgery |
N/A
|
1
|
2
|
3
|
4
|
|
Gastrointestinal |
Assessment of abdomen |
N/A
|
1
|
2
|
3
|
4
|
Care of patient with GI bleed |
N/A
|
1
|
2
|
3
|
4
|
Care of GI surgical patient |
N/A
|
1
|
2
|
3
|
4
|
Administration of tube feedings |
N/A
|
1
|
2
|
3
|
4
|
Placement of NG tube |
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
|
Blood/blood products administration: precautions/recognizing transfusion reactions/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
|
|
Other Nursing Responsibilities |
Charge nurse responsibilities |
N/A
|
1
|
2
|
3
|
4
|
Drawing venous blood |
N/A
|
1
|
2
|
3
|
4
|
Drawing arterial blood |
N/A
|
1
|
2
|
3
|
4
|
Interpret lab values for electrolyte imbalances |
N/A
|
1
|
2
|
3
|
4
|
Isolation procedures/precautions |
N/A
|
1
|
2
|
3
|
4
|
Wound and skin care |
N/A
|
1
|
2
|
3
|
4
|
Use of restraints |
N/A
|
1
|
2
|
3
|
4
|
Oncology/chemotherapy administration |
N/A
|
1
|
2
|
3
|
4
|
Blood glucose monitoring |
N/A
|
1
|
2
|
3
|
4
|
Insulin administration |
N/A
|
1
|
2
|
3
|
4
|
Assess for signs and symptoms of insulin shock/diabetic coma |
N/A
|
1
|
2
|
3
|
4
|
|