Urgent Care Checklist


Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  CARDIOVASCULAR         Rating Stars (Click) 1 2 3 4
  Auscultation/Irregular Heart Sounds  
  Peripheral Edema  
  PQRST Assessment  
  EKG  
  Lab Tests (Cardiac Enzymes  
  Troponin  
  BNP)  
  Arrhythmia Interpretation  
  12-Lead Set Up  
  12-Lead Basic Interpretation  
  Defibrillation  
  External Pacer  
  Chest Pain/ACS  
  Arrhythmias  
  CHF  
  AED  
  Cardiac Arrest/CPR  
  Nitroglycerin  
  Morphine  
  Heparin  
  ALS (Epinephrine  
  Atropine  
  Anti-Arrhythmics)  
  PULMONARY         Rating Stars (Click) 1 2 3 4
  Abnormal Breath Sounds (Wheezing  
  Stridor  
  Crackles)  
  Abnormal Breathing Pattern (Rapid  
  Labored  
  Slow)  
  Pulse Oximetry  
  ABGs  
  Oxygen Therapy (Nasal Cannula  
  Face Mask)  
  Manual Resuscitation Bag (MRB  
  Ambu Bag)  
  Metered-Dose Inhaler (MDI)  
  Nebulizers  
  Aspiration  
  Asthma/Reactive Airway Disease  
  COPD  
  Pneumonia  
  Pulmonary Edema  
  Pulmonary Embolism  
  Bronchodilators  
  Steroids  
  Diuretics  
  NEUROLOGICAL         Rating Stars (Click) 1 2 3 4
  Signs & Symptoms of Stroke  
  Altered LOC  
  Assist with Lumbar Puncture  
  Cervical Collar  
  Spinal Immobilization  
  Head Injury  
  Meningitis  
  Migraine  
  Seizures  
  TIA/Stroke  
  Imitrex (Sumatriptan Succinate)  
  Phenobarbitol  
  Dilantin (Phenytoin)  
  Depakote  
  Analgesics  
  ORTHOPEDICS         Rating Stars (Click) 1 2 3 4
  Range of Motion  
  Color  
  Warmth  
  Movement  
  Sensation  
  Fracture/Dislocation  
  Apply Splints  
  Assist with Casting  
  Assist with Reduction of Dislocation  
  Spinal Immobilization  
  Transfer Boards  
  Cast/Splint  
  Dislocation  
  External Appliance  
  Sprain/Fracture  
  Analgesia/Sedation  
  GASTROINTESTINAL         Rating Stars (Click) 1 2 3 4
  Bowel Sounds  
  Distention  
  Fluid Balance  
  Nutritional Status  
  Enemas  
  Gastric Lavage  
  G-Tubes  
  NG Tubes  
  Colostomy  
  Constipation/Impaction  
  Diarrhea  
  G-Tube (Reinsertion/Replacement)  
  Nausea/Vomiting  
  Ipecac  
  Charcoal  
  Antiemetics  
  Antispasmodics  
  RENAL/GENITOURINARY         Rating Stars (Click) 1 2 3 4
  Fluid Status  
  Shunt/Fistula (Thrill/Bruit)  
  BUN/Creatinine/Electrolytes  
  Urine Dipstick/C&S  
  Placement & Management of Bladder Catheters  
  Pyelonephritis/UTI  
  Obstruction  
  Renal Calculi  
  Renal Trauma  
  Testicular Torsion  
  Priapism  
  Antibiotics  
  ENDOCRINE/METABOLIC         Rating Stars (Click) 1 2 3 4
  Hypo/Hyperglycemia  
  Blood Glucose  
  Urine Ketones  
  Bedside Blood Glucose Monitoring  
  Hypoglycemia/Insulin Shock  
  Hyperglycemia/DKA  
  Dextrose  
  Insulin  
  Oral Hypoglycemics  
  EENT         Rating Stars (Click) 1 2 3 4
  Visual Acuity  
  Foreign Body  
  Enlarged Tonsils  
  Ear Irrigation/Removal Foreign Body  
  Eye Injury/Foreign Body/Detached Retina  
  Assist with Removal of Nasal Foreign Body  
  Epistaxis  
  Set Up/Assist Cautery  
  Set Up Slit Lamp  
  Silver Nitrate  
  Liquid Cocaine  
  Anti-Hypertensives  
  INFECTIOUS DISEASE         Rating Stars (Click) 1 2 3 4
  Communicable Disease  
  Interpret Culture Results  
  Obtain Cultures  
  Fever Management  
  Isolation  
  Reverse Isolation/Hepa Filter  
  Use of Personal Protective Equipment  
  Communicable Disease  
  Infectious Disease  
  Immunosuppression/Neutropenia  
  Antibiotics  
  Antivirals  
  WOUND MANAGEMENT         Rating Stars (Click) 1 2 3 4
  Burn Care  
  Dressing Change  
  Ostomy Care  
  Wound Repair (Staples/Sutures  
  etc.)  
  PAIN MANAGEMENT         Rating Stars (Click) 1 2 3 4
  Assessment of Pain Level/Use of Pain Scale  
  Assessment of Response to Pain Management Interventions  
  Monitoring of Patients after Pain Medication  
  Comfort Care  
  Moderate Sedation  
  PSYCHIATRIC         Rating Stars (Click) 1 2 3 4
  Behavior  
  Drug/ETOH  
  Risk for Violence  
  Managing Threatening/Violent Behavior  
  Psychiatric Hold  
  Drug OD  
  ETOH OD  
  Depression/Anxiety  
  Restraints  
  Suicide Risk  
  Antipsychotics/Antidepressants  
  Reversal Agents  
  WOMENS HEALTH         Rating Stars (Click) 1 2 3 4
  Vaginal Bleeding  
  Doppler/Fetal Heart Tones  
  Ectopic Pregnancy  
  Obtain Cultures  
  Pelvic Tray  
  Ectopic Pregnancy  
  Hemorrhage  
  Pelvic Inflammatory Disease  
  Placenta Abruptio/Previa  
  Precipitous Delivery  
  Pregnancy-Induced Hypertension  
  Spontaneous Abortion  
  PEDIATRICS         Rating Stars (Click) 1 2 3 4
  Child Abuse Recognition/Reporting  
  Shaken Baby Syndrome  
  Obtaining Consent to Treat  
  Normal VS for age groups  
  Use of Dynamap/Doppler Leg Cuffs for B/P  
  Failure to Thrive  
  Assist with Fracture Stabilization  
  Cooling/Warming Measures  
  Draw Labs (Venous/Butterfly)  
  Ear Care-Assist with Cleaning/Wash  
  Insert Ear Drops  
  IM/SQ Medications in Pediatric Patients  
  Obtain RSV Culture  
  Obtain Urine Culture (Cath/Bag)  
  Lumbar Puncture  
  Papoose Board/Therapeutic Hold  
  Start IV in Pediatric Patient  
  Abdominal Pain  
  Aspiration  
  Asthma/Reactive Airway Disease  
  Burns  
  Dehydration  
  Epiglottitis  
  Fever  
  Foreign Object  
  Fracture  
  Head Injury  
  Hypo/Hyperglycemia  
  Hypo/Hyperthermia  
  Lacerations  
  Near Drowning  
  Nursemaid\'s Elbow  
  Ipecac/Charcoal  
  Bronchodilators/Nebulizers  
  Fluid Replacement  
  Age Specific Competencies         Rating Stars (Click) 1 2 3 4
  Infant (Birth - 1 year)  
  Preschooler (ages 2-5 years)  
  Childhood (ages 6-12 years)  
  Adolescents (ages 13-21 years)  
  Young Adults (ages 22-39 years)  
  Adults (ages 40-64 years)  
  Adults (ages 40-64 years)  
  Elderly (ages 80+ years)  
  MISCELLANEOUS         Rating Stars (Click) 1 2 3 4
  Intake and Triage  
  National Patient Safety Goals  
  AMA procedures  
  Disaster Management  
  Computerized Charting  
  Bites  
  Hazardous Materials Exposure  
  Victims of Acts of Violence