Telemetry – unizon

Requested by *

Recruiter Email ID *

First Name *

Last Name *

Phone Number *

Today's Date *

Your Email Address *

WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Interventional Unit *

Progressive Care Unit *

Stepdown *

Telemetry *

Inpatient Acute Care Facility *

Trauma Center *

Academic/Teaching Facility *

Outpatient Care Facility *

Long term care/Skilled Nursing *

Clinic/Ambulatory *

Home Health Setting *

GENERAL SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Advanced directives *

Awareness of HCAHPS *

Patient/family teaching *

Restrictive devices (restraints) *

Lift/transfer devices *

Specialty beds *

End of life care/palliative care *

Automated Medication Dispensing System, Pyxis, Omnicell, or other *

Bar coding for medication administration *

National Patient Safety Goals *

Accurate patient identification *

Effective communication *

Interpretation & communication of lab values *

Medication administration *

Labeling *

Anticoagulation therapy *

Medication reconciliation *

Monitoring conscious sedation *

Pain assessment & management *

Use of PCA (IV, intrathecal, epidural) *

Infection control *

Universal precautions *

Isolation *

Minimize risk for falls *

Prevention of pressure ulcers *

Wound care *

Wound vac *

CARDIAC MONITORING & EMERGENCY CARE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Obtains 12 lead EKG *

Interpretation of rhythm strips *

Treatment of dysrhythmias *

Rapid Response Teams *

Cardiac Arrest/ CPR *

Oxygen therapy and delivery *

Pulse oximetry *

Use of Doppler/pulse checks *

Automatic/manual Blood Pressure checks *

IV THERAPY:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Starting and maintaining peripheral IV’s *

Blood Draw: venous *

Multi Lumen Central line care and dressing changes *

Blood Draw Central line *

Arterial Line care *

IV Push *

Care & Management of Port a catheter *

Care & Management of PICC/ Groshong/Hickman *

TPN and Lipids *

Administration of blood/blood products *

Administration of Chemotherapy *

Management of IV Infusion Pumps (Alaris, Baxter) *

Monitoring Chemotherapy (does not initiate) *

IV drip calculations *

IV fluids *

Management of elastomeric infusion *

Management of intrathecal pumps *

Manage PCA pump *

CARDIAC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Auscultation of Irregular of Heart Sounds *

Angina *

Aneurysm *

Arrhythmias *

Abdominal Aortic Aneurysm *

Acute MI *

Carotid Endarterectomy *

Cardiogenic Shock *

Cardiac Tamponade *

Congestive heart Failure *

Cardiomyopathy *

Coagulation *

Cardiac teaching *

EP study/ablation *

Endocarditis *

External and Temporary Pacemakers *

Femoral Popliteal Bypass *

Femoral Artery Sheath Removal *

Hypertension *

Hypovolemic Shock *

Assist w/ cardioversion *

Management of Permanent Pacemakers/AICD *

Multi System Organ Failure *

Pulse oximetry *

Pericarditis *

Peripheral Edema *

Pulse/Circulation checks *

Pre/Post Cardiac Cath *

Pre/Post PTCA/Stents *

Care of patient with Valve replacements *

TEE *

Ventricular Assist Device (LVAD, RVAD) *

MEDICATION ADMINISTRATION:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Preparation and administration of emergency (ACLS) medications *

Inotropic: (digoxin, dopamine, epinephrine) *

Antiarrhythmics *

Beta Blockers *

Fibrinolytics *

Antianginals (isordil/nitrates) *

Antihypertensives *

Antilipemic: statins *

Anticoagulation medications *

Diuretics *

PULMONARY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Assessment of abnormal breath sounds *

Airway management/suctioning (ETT, Oral, trach) *

ABG’s recognition and treatment of abnormal values *

Acute Pneumonia *

ARDS *

Aspiration *

Asthma *

Chest Tube care and management *

Establish and protect Airway *

COPD *

Incentive spirometer *

Inhalation injury *

Lobectomy *

Thoracentesis *

Lung transplant *

Near drowning *

Oxygen administration *

Ambu bag *

Nasal Canula *

Nebulizer treatments *

Non-rebreather *

Trach collar *

Venti mask *

TB *

Tracheostomy *

Bronchoscopy *

MEDICATION ADMINISTRATION:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Antihistamines *

Bronchodilators *

Expectorants and anti-tussins *

Inhalers *

Steroids *

NEUROLOGY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Level of Consciousness *

Comprehensive neuro assessment *

Glasgow Coma Scale *

CVA/ TIA *

Intracranial Hemorrhage & hematoma *

Reflex motor deficits *

Visual communication deficit *

CNS infection *

Meningitis *

Encephalitis *

Alzheimer’s Disease *

Delirium Tremens *

Overdose *

Neuromuscular disease *

Multiple Sclerosis *

Metastatic Tumor *

Tumor resection *

Pre/Post Neuro Surgery *

Laminectomy *

Assist Lumbar Puncture *

Halo Traction/ Cervical Tongs *

Increased ICP *

Seizure Disorder *

Spinal Cord Injury *

Traumatic Brain Injury *

Ventriculostomy *

MEDICATION ADMINISTRATION USE & ADMINISTRATION OF THE FOLLOWING:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Anticonvulsants (Dilantin/ Phenobarbital) *

Antidepressants *

Antiparkinson’s (Cogentin/Levodopa/Sinemet) *

Corticosteroids *

GASTROINTESTINAL EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Assessment of Bowel Sounds *

Nutritional Status *

Interpretation of labs and electrolyte imbalance *

Bowel Obstruction *

EGD *

Insertion and management of NG tube *

Bowel Prep/Colonoscopy *

ERPC *

Nausea/vomiting *

Constipation/impaction *

Diarrhea *

Insertion and management of small-bore feeding tubes (Dubhoff, Keofeed) *

Management and care of PEG tub/feed *

Management and care of gastrostomy tube/feed *

Management and care of jejunostomy tube/feed *

Gravity/bolus feedings *

Kangaroo pump *

Management and care of ostomy *

Abdominal wounds *

Pre/Post abdominal surgery *

Paralytic Ileus *

Management of post-surgical drains *

Gastric Bypass *

Peritonitis *

GI bleed (upper/lower) *

Hepatitis *

Inflammatory Bowel Disease *

Liver Failure *

Liver Cancer *

Paracentesis *

Pancreatic Cancer *

Pancreatitis *

MEDICATION ADMINISTRATION USE & ADMINISTRATION OF THE FOLLOWING:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Antiemetics *

Antispasmodics *

Anticholinergics *

Laxatives *

GENITOURINARY/RENAL EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Insertion and maintenance of urethral catheter *

Care of Nephrostomy tube *

Care of Suprapubic catheter *

Fluid and Electrolyte disturbance *

GU irrigation *

Kidney Failure (acute/Chronic) *

Measurement of Intake and Output Monitoring *

Urine Retention *

CARE OF PATIENT WITH:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Pyelonephritis/UTI *

BPH (Benign Prostatic Hyperplasia) *

TURP (Transurethral Resection of the Prostate) *

Prostate Cancer *

Nephrectomy *

Ileoconduit *

Renal Surgery *

Hemodialysis *

Peritoneal Dialysis *

Shunts/Fistulas *

Obstructions *

Renal Trauma *

Testicular Torsion *

GYNECOLOGICAL EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Assist with GYN exam/pap *

Pre/Post Gyn Surgeries *

Gynecological malignancies *

Abnormal uterine bleeding *

Ectopic Pregnancy *

Pelvic Inflammatory Disease *

Pregnancy Induced Hypertension *

Hemorrhage *

ORTHOPEDIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Assess Range of Motion *

Assessment of color, warmth, movement, sensation *

Amputation *

Cast Care *

Fractures *

Splints *

Traction *

Trauma *

Strains/Sprain *

Immobilization *

METABOLIC/ENDOCRINE EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Diabetes *

Diabetic Ketoacidosis *

Blood Glucose Monitoring *

Insulin Shock *

Hyperosmolar Hyperglycemia *

Cushing’s Syndrome *

Thyroid Disease *

SKIN/INTEGUMENTARY:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Skin assessment *

Skin Breakdown monitoring *

Staged Pressure Ulcers *

Stasis Ulcers *

Sterile dressing changes *

Wound Vac maintenance and dressing changes *

DOSE CALCULATION/TITRATION EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Nitrates (IV Nitroglycerine) *

Anti-arrhythmic agents (Amiodarone/Cardizem/Lidocaine) *

IV Vasoactive agents (Dopamine, Dobutrex, Levophed) *

Platelet inhibitors *

Fibrinolytics/ IIB IIA inhibitors *

Insulin Pump *

CRITICAL CARE SETTINGS:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Interventional Unit *

Progressive Care Unit *

Stepdown *

Telemetry *

AGE-SPECIFIC COMPETENCIES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:

Limited or no experience
Experienced, but may need review or supervision
Able to function independently *

Newborn/neonate (birth-30 days) *

Infant (31 days- 1 year) *

Toddler (ages 2-3 yrs) *

Preschool (ages 4-5 yrs) *

School Age (ages 6-12 yrs) *

Adolescent (ages 13-21 yrs) *

Young Adult (ages 22-39) *

Adult (ages 40-64) *

Older Adult (ages 65+) *