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Step Down RN

Step Down RN

  • MM slash DD slash YYYY

  • Self-Assessment Rating Scale:

    No Experience
    Theory or observation only during the past 12 months

    Limited Experience
    Performed less than 12 times within the past 12 months and may need a review

    Experienced
    Performed at least once per month within the past 12 months and may need minimal assistance

    Highly Skilled
    Performed on at least a weekly basis over the past 12 months; proficient
  • Not ExperiencedLimited ExperienceExperiencedHighly Skilled
    Assessment - Ausculation (rate, rhythm)
    Assessment - Blood pressure/non-invasive
    Assessment - Doppler
    Assessment - Heart sounds/murmurs
    Assessment - Perfusion
    Assessment - Pulses/circulation
    Assist with Code
    Care of patient - Acute MI
    Care of patient - Angina
    Care of patient - Congestive Heart Failure
    Care of patient - Post Angioplasty
    Care of patient - Post Cardiac Surgery
    Care of patient - Thrombophlebitis
    Medications - Oral and IVP antihypertensives
    Medications - Oral and topical nitrates
    Medications - Oral anticoagulants
    Monitoring - Arrhythmia interpretation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Airway Management - Nasal/suctioning
    Airway Management - Tracheostomy/suctioning
    Assessment - Breath sounds
    Assessment - Rate and work of breathing
    Assist with intubation
    Assist with removal of chest tube
    Assist with setup/insertion of Chest Tube
    Care of Patient - COPD
    Care of Patient - Pneumonia
    Care of Patient - Pulmonary embolism
    Care of Patient - Tuberculosis
    Chest Tube - Use of water seal drainage system
    Chest Tube - Use of Pleurevac or Thoraclex
    Interpret - Arterial Blood Gases
    Interpret - Blood Chemistry
    Care of patient - COPD
    Care of patient - Pneumonia
    Care of patient - Pulmonary embolism
    Care of patient - Tuberculosis
    Chest Tube - Use of Pleurevac or Thoraclex
    Chest Tube - use of Water seal drainage system
    Interpret - Arterial Blood Gases
    Interpret - Blood Chemistry
    Oxygen therapy and medication delivery via Bag and mask
    Oxygen therapy and medication delivery via External CPAP
    Oxygen therapy and medication delivery via Trach Collar
    Perform - Chest physiotherapy
    Perform - Obtain sputum specimen
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Glasgow coma scale
    Assessment - Level of consciousness
    Assist with lumbar puncture
    Care of patient - CVA
    Care of patient - DT's
    Care of patient - Meningitis
    Care of patient - Neuromuscular disease
    Care of patient - Seizures
    Care of patient - Spinal cord injury
    Equipment - Hyper/hypothermia blanket
    Medications - Anticonvulsants
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Abdominal/bowel sounds
    Assessment - Fluid balance
    Assessment - Nutrition
    Care of patient - Colostomy
    Care of patient - Paralytic Ileus
    Equipment - Feeding pump
    Equipment - Flexible feeding tube (e.g. Corpak)
    Interpret - blood chemistry
    Monitoring - T-tube
    Perform - Administer tube feeding
    Perform - placement of NG tube
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - A-V Fistula
    Assessment - Fluid and Electrolyte balance
    Care of patient - Chronic Renal Failure
    Interpret - BUN and Creatinine
    Interpret - Serum Electrolytes
    Perform - Insert and Care for Foley
    Perform - Urine Specimen Collection (24-hr)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - S/S diabetic coma
    Assessment - S/S insulin reaction
    Care of patient - Diabetes mellitus
    Medication - Insulin
    Medication - Steroids
    Perform - Blood Glucose Monitoring: Finger Stick
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Care of patient - Hepatitis
    Interpret - Blood counts
    Perform - Fever Management
    Perform - Isolation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Circulation Checks
    Assessment - Gait
    Assessment - Range of Motion
    Assessment - Skin
    Care of patient - Amputation
    Care of patient - Pinned Fractures
    Equipment - Continuous Passive Motion (CPM)
    Equipment - Support Device - Cervical collar
    Equipment - Support Device - Gait belt
    Equipment - Support Device - Traction
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Skin for impending breakdown
    Assessment - Stasis ulcers
    Assessment - Surgical wound healing
    Care of patient - Staged decubitis ulcers
    Care of patient - Surgical wounds with drain(s)
    Equipment - Air fluidized, low air loss beds
    Perform - Sterile dressing change
    Perform - Wound care/irrigation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Pain level/tolerance
    Care of patient - Epidural anesthesia/analgesia
    Care of patient - IV Conscious Sedation
    Care of patient - Patient Controlled Analgesia (PCA)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Care of patient - Central line/catheter/dressing
    Care of patient - Peripheral line/dressing
    Care of patient - Portacath
    Perform - Administer Packed RBC's
    Perform - Administer Plasma/Albumin
    Perform - Draw blood from central line
    Perform - Draw venous blood
    Perform - Start IV (heparin lock)
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