| GENERAL
|
Rating Stars (Click)
|
1
|
2
|
3
|
4
|
| Admit patient to pre-procedure holding |
|
|
|
|
|
| Complete assessments |
|
|
|
|
|
| obtain family history & risk factors |
|
|
|
|
|
| Start peripheral IV |
|
|
|
|
|
| Complete pre-procedure checklist |
|
|
|
|
|
| Transport pre-procedure patient to the Lab. |
|
|
|
|
|
| Transport post-procedure patient to in-hospital units |
|
|
|
|
|
| PROCEDURES
|
Rating Stars (Click)
|
1
|
2
|
3
|
4
|
| Cerebral Angiogram � Prepare |
|
|
|
|
|
| Cerebral Angiogram � Assist |
|
|
|
|
|
| Lower Extremity Angiogram � Prepare |
|
|
|
|
|
| Lower Extremity Angiogram � Assist |
|
|
|
|
|
| Upper Extremity Angiogram � Prepare |
|
|
|
|
|
| Upper Extremity Angiogram � Assist |
|
|
|
|
|
| Ultrasound Guided Biopsy � Prepare |
|
|
|
|
|
| Ultrasound Guided Biopsy � Assist |
|
|
|
|
|
| CT Scan Guided Biopsy � Prepare |
|
|
|
|
|
| CT Scan Guided Biopsy � Assist |
|
|
|
|
|
| Liver Biopsy and Embolization � Prepare |
|
|
|
|
|
| Liver Biopsy and Embolization � Assist |
|
|
|
|
|
| Prepare and Assist with Line Placement � Broviac |
|
|
|
|
|
| Prepare and Assist with Line Placement � Groshong |
|
|
|
|
|
| Prepare and Assist with Line Placement � Hickman |
|
|
|
|
|
| Prepare and Assist with Line Placement � PICC |
|
|
|
|
|
| Prepare and Assist with Line Placement � PortaCath |
|
|
|
|
|
| Uterine Fibroid Embolization � Prepare |
|
|
|
|
|
| Uterine Fibroid Embolization � Assist |
|
|
|
|
|
| Temporary Hemodialysis Shunt Placement� Prepare |
|
|
|
|
|
| Temporary Hemodialysis Shunt Placement� Assist |
|
|
|
|
|
| Permanent Hemodialysis Shunt Placement� Prepare |
|
|
|
|
|
| Permanent Hemodialysis Shunt Placement� Assist |
|
|
|
|
|
| AV Fistula/Shunt Declotting � Prepare |
|
|
|
|
|
| AV Fistula/Shunt Declotting � Assist |
|
|
|
|
|
| Vertebroplasty � Prepare |
|
|
|
|
|
| Vertebroplasty � Assist |
|
|
|
|
|
| Lumbar Puncture � Prepare |
|
|
|
|
|
| Lumbar Puncture � Assist |
|
|
|
|
|
| Myelogram � Prepare |
|
|
|
|
|
| Myelogram � Assist |
|
|
|
|
|
| Other Procedures (please list): |
|
|
|
|
|
| Provide care for the post-procedure patient |
|
|
|
|
|
| CARDIOVASCULAR
|
Rating Stars (Click)
|
1
|
2
|
3
|
4
|
| Assess heart sounds and peripheral pulses |
|
|
|
|
|
| Interpret arrhythmias |
|
|
|
|
|
| Perform CPR |
|
|
|
|
|
| Perform defibrillation |
|
|
|
|
|
| Participate as a team member in resuscitation |
|
|
|
|
|
| PULMONARY
|
Rating Stars (Click)
|
1
|
2
|
3
|
4
|
| Assess lung sounds |
|
|
|
|
|
| Set up oxygen devices |
|
|
|
|
|
| Obtain pulse oximetry reading |
|
|
|
|
|
| Interpret ABG |
|
|
|
|
|
| Use Ambu bag |
|
|
|
|
|
| Assist with intubation |
|
|
|
|
|
| Assist with chest tube insertion |
|
|
|
|
|
| Provide care for the patient with mechanical ventilation |
|
|
|
|
|
| MEDICATIONS
|
Rating Stars (Click)
|
1
|
2
|
3
|
4
|
| Titrate vasoactive drugs |
|
|
|
|
|
| Calculate mcg/min and mcg/kg/min |
|
|
|
|
|
| Use IV infusion pump to calculate drug doses |
|
|
|
|
|
| Administer IV dopamine |
|
|
|
|
|
| Administer IV nitroglycerine |
|
|
|
|
|
| Administer IV dobutamine (Dobutrex) |
|
|
|
|
|
| Administer IV lidocaine |
|
|
|
|
|
| Administer IV diltiazem (Cardizem) |
|
|
|
|
|
| Administer IV epinephrine |
|
|
|
|
|
| Administer IV atropine |
|
|
|
|
|
| Administer IV heparin |
|
|
|
|
|
| Administer IV benzodiazepines (Valium |
|
|
|
|
|
| Versed |
|
|
|
|
|
| Ativan) |
|
|
|
|
|
| Administer IV propofol (Diprivan) |
|
|
|
|
|
| Administer IV neuromuscular blocking agents (Pavulon |
|
|
|
|
|
| Norcuron) |
|
|
|
|
|
| Administer IV narcotics (morphine |
|
|
|
|
|
| fentanyl) |
|
|
|
|
|
| PAIN/WOUND MANAGEMENT
|
Rating Stars (Click)
|
1
|
2
|
3
|
4
|
| Assess pain level/tolerance |
|
|
|
|
|
| Care of patient with anesthesia/analgesia |
|
|
|
|
|
| Care of patient with IV conscious sedation |
|
|
|
|
|
| Care of patient with narcotic analgesia |
|
|
|
|
|
| Care of patient with patient controlled analgesia (PCA pump) |
|
|
|
|
|
| Assess surgical wound status with/without drain(s) |
|
|
|
|
|
| Care of patient with sterile dressing changes |
|
|
|
|
|
| Care of patient with FemoStop device |
|
|
|
|
|
| Assessment of VasoSeal |
|
|
|
|
|
| AngioSeal |
|
|
|
|
|
| PerClose success |
|
|
|
|
|
| AGE SPECIFIC PRACTICE CRITERIA
|
Rating Stars (Click)
|
1
|
2
|
3
|
4
|
| Pediatric (1-18years) |
|
|
|
|
|
| Adolescents (12 - 18 years) |
|
|
|
|
|
| Adult (19 - 65 years) |
|
|
|
|
|
| Older adults (Older than 65years)� |
|
|
|
|
|
| EXPERIENCE WITH AGE GROUPS
|
Rating Stars (Click)
|
1
|
2
|
3
|
4
|
| Calculate body weight to verify correct dosing of medication |
|
|
|
|
|
| Assess immunization status for pediatric |
|
|
|
|
|
| and adolescent |
|
|
|
|
|
| Set age-appropriate short-term and long-term goals in care planning |
|
|
|
|
|
| Provide age-appropriate education |
|
|
|
|
|
| considering possible vision and hearing impairment for Older than 65years |
|
|
|
|
|
.png)