Emergency Room Skills Checklist Name* First Last Email* Phone*Proficiency: 1 = Minimal Experience 2 = Limited Experience 3 = Competent 4 = Highly SkilledTraumaAir Transport of Trauma Patient*1234Major Trauma*1234Minor Trauma*1234M.A.S.T. Suit*1234BurnsFirst Degree*1234Second Degree*1234Third Degree*1234Electrocution*1234Dressing Procedure*1234Hazardous Materials Exposure*1234Radiation Exposure*1234RespiratoryPulmonary Edema*1234C.O.P.D.*1234Pneumothorax*1234Assisting with Intubation*1234Assisting with Extubation*1234T-Piece*1234Obtaining Arterial Blood Gases*1234From Radial Artery*1234From Femoral Artery*1234From Arterial Line*1234Setting Up of Arterial Line*1234Ventilator*1234O2 Mask*1234O2 Cannula*1234Venturi Mask*1234Ambu Bags*1234O2 Cylinders*1234Nebulizer Set-Up*1234Oropharyngeal Suction*1234Nasotracheal Suction*1234Endotracheal Suction*1234Assisting with Chest Tube Insertion*1234Use of Pleuravac Drainage System*1234Use of Emerson Drainage System*1234GastrointestinalG.I. Bleed*1234Abdominal Wounds*1234G.I. Tubes*1234Acute Abdominal Disorders*1234Insertion of Nasogastric Tube*1234Gastric Lavage*1234RenalAcute Renal Failure*1234Chronic Renal Failure*1234Peritoneal Dialysis*1234OrthopedicSet-up for Cast Application*1234Checking C.M.S.*1234Set-up for OCL Splinting*1234Set-up for Insertion of Steinman Pin / K-Wires Insertion*1234Assist with Closed Fracture / Dislocation Reduction*1234Sedation Monitoring*1234Application of Orthopedic Appliances*1234EENT DisordersSet-up for Fluorescein / Woods Lamp Exam*1234Use of Morgan Lens Irrigation*1234Ear Irrigations*1234Eye Irrigations*1234Eye Patch Application*1234Nasal Packing*1234Remove Contact Lens*1234Visual Acuity*1234LacerationsSetting up Suture Tray*1234Assist with Sutures*1234Assist with Staples*1234Suture Removal*1234Staple Removal*1234Steri Strips*1234PediatricCalculating Emergency Medication Dosages*1234Knowledge of Normal Serum Lab Values*1234Pediatric Arrest / Resuscitation*1234Epiglottitis*1234Overdose / Poison Ingestion*1234Near Drowning*1234Child Abuse*1234Miscellaneous Instruments / TraysPelvic Tray*1234Cut Down Tray*1234Procto Tray*1234CVP Tray*1234Trach Tray*1234Culdocentesis Tray*1234Thoracentesis Tray*1234Obstetrics / GynecologySpontaneous Abortion*1234Hemorrhage*1234Placenta Previa*1234Abruptio Placenta*1234Pre-eclampsia / Eclampsia*1234Emergency Delivery*1234Communicable Diseases*1234PsychiatricCrisis Intervention*1234Upholding Patient's Rights*1234Suicidal Patient*1234Patient with Overdose*1234Patient in Restraints*1234NeurologicalNeuro Assessment*1234Monitoring Neuro Signs*1234Use of Glasgow Coma Scale*1234Acute Head Injury*1234Acute T.I.A. / C.V.A.*1234Acute Spinal Cord Injury*1234Seizure Precautions*1234Observing for Increased Intracranial Pressure*1234Application for Orthopedic Appliances*1234Transport of Patient with Spinal Cord Injuries*1234Assist with Lumbar Puncture*1234Dilantin*1234Phenobarbital*1234Decadron*1234Mannitol*1234Solu-Medrol*1234CardiovascularAcute MI, CHF, Angina*1234Abdominal Aortic Aneurysm*1234Cardiac Monitoring*1234Recognizing Arrhythmias*1234Obtaining 12 Lead EKG's*1234Cardiopulmonary Arrest*1234Cardioversion*1234Defibrillation*1234Open Chest Heart Massage*1234Permanent Pacemakers*1234Temporary Pacemakers*1234Trans-thoracic Pacemakers*1234Pervenous Pacemakers*1234Set-up & Use of CVP*1234Interpretation of CVP Readings*1234Interpretation of Swan-Ganz Readings*1234Thrombolytic Therapy*1234Anaphylactic Shock*1234Cardiogenic Shock*1234Septic Shock*1234Hypovolemic Shock*1234Administration of Blood & Blood Products*1234Lidocaine*1234Bretylium*1234Nipride*1234Dopamine*1234Isuprel*1234Digitalis*1234Sodium Bicarbonate*1234Atropine*1234Epinephrine*1234Dobutrex*1234Tridil / Nitroglycerine*1234Sexual Assault / Child AbuseSexual Assault Kit*1234Reporting Procedures for Acts of Violence*1234EnvironmentalHypothermia*1234Heat Stroke*1234Heat Exhaustion*1234Snake Bite*1234Administration of Antivenom*1234Animal Bite*1234Poison Index*1234Additional E.R. SkillsIsolation Procedures*1234Triage Procedures*1234Care of Patient with AIDS*1234Lab Values*1234Procedure for Patient Signing AMA*1234Consent for Treatment of Minor*1234Disaster Protocols*1234Heparin / Saline Lock*1234Starting IV's*1234Adult IV's*1234Pediatric IV's*1234Universal Precautions*1234Assist with Peritoneal Lavage*1234Age Specific CompetencyNewborn / Neonate (Birth - 30 days)*1234Infant (30 days - 1 year)*1234Toddler (1 - 3 years)*1234Preschooler (3 - 5 years)*1234School Age Children (5 - 12 years)*1234Adolescents (12 - 18 years)*1234Young Adults (18 - 39 years)*1234Middle Adults (39 - 64 years)*1234Older Adults (64 - 79 years)*1234Elderly Adults (Over 79+ years)*1234