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Date
* Applicant's Name: Last
Middle Initial
* First
To ArdorHealthSolutions Healthcare Professionals:
The following checklist is a profile used to assess your clinical proficiency and assist in matching your skills with available assignments. Your employment is not dependent upon responses given in this checklist. Please rate your ability as accurately as possible by checking the appropriate box.
The information I have given here is true and accurate to the best of my knowledge. In addition, I also authorize ArdorHealthSolutions to release this skills checklist to client institutions of ArdorHealthSolutions in relation to my employment with that institution.
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* Date
Please Mark Your Level of Experience 1 - No Experience: Theory / Observed Only 2 - Intermittent Experience: < 5 Times Per Year; Needs Review 3 - Moderate Experience: > 5 Times Per Year; May Need Minimal Resource 4 - Competent: Performs on Daily or Weekly Basis; Proficient
Cardiovascular
1
2
3
4
Assessment
Apical/Peripheral Pulses
Auscultation (Rate, Rhythm, Volume)
Blood Pressure/Invasive (Arterial Line)
Capillary Refill
Color
Doppler
Heart Sounds/Murmurs
Perfusion
Care of the Child with:
Bacterial Endocarditis
Cardiac Arrest
Cardiac Transplant
Cardiogenic Shock
Cardiomyopathy
CHF
Congenital Heart Disease/Defects
Acyanotic
Cyanotic
DIC
Hypovolemic Shock
Myocarditis
PDA
Post Cardiac Surgery
Post Interventional Cardiac Cath
Septic Shock
IV Therapy
Assessment of Patency/Site
Discontinuing Peripheral IV's
Discontinuing Subclavian IV's
Heparin Locks
Hickman Line Care/Broviac Line Care
Mixing IV's
Regulating IV's
Starting IV's
Scalp Veins
Angiocath Insertion
Subclavian Line Care
Medication Administration
Administration of:
Aerosol Therapy
IM Meds
IV Drip Meds
IV Push Meds
Oral Meds
Subcutaneous Meds
Calculation of Pediatric Dosages
Pyxis System
Unit Dose
Medications
Atropine
Calcium Chloride
Calcium Gluconate
Dobutamine (Dobutrex)
Dopamine (Intropin)
Epinephrine (Adrenalin)
Isuprel
KCL
Lasix
Levophed
Lidocaine
Mannitol
Morphine Sulfate
Nipride (Nitro Prusside)
Nitroglycerine (Tridil)
Pavulon
Phenobarbitol
Sodium Bicarbonate
Tridil
Valium
Versed
Verapamil
Procedure, Equipment and Technique
Central Venous Pressure
Defibrillation/Cardioversion
EKG Interpretation
Invasive Hemodynamic Monitoring
Pulmonary Artery/Capillary Wedge
Right Atrial/Left Atrial
Respiratory:
Endocrine/Metabolic
Assessment of Electrolyte Balance
Care of the Child With:
Diabetic Ketoacidosis
Hyper/Hypocalcemia
Hyperbilirubinemia
Thyroid Dysfunction
Medication - Insulin
Infusion of Insulin Drip
Perform and Interpret Blood Glucose Level VIA:
Chemstrip
Detrostix
Gastrointestinal
Abdominal
Nutritional
Care of Child with:
Abdominal Trauma/GI Bleed
Fresh Ostomy
Gastroenteritis/Severe Dehydration
Gastroschisis/Omphalocele
GE Reflux
Hepatic Failure
Hepatitis
Liver Transplant Patient
Necrotizing Enterocolitis (NEC)
Pancreatitis
Post Abdominal Surgery
Ruptured Spleen
Stress Ulcer
Surgical Abdomen
Trachoesophageal Fistula Severe Dehydration
Gastrostomy Tube
Gauage
Naso Jejunal
Nasogastric
Placement of Intestinal Tubes
Gastrostomy/Button
Jejunal
Nasogastric/Orogastric
Test for Occult Blood
Intermittent and Continuous Suctioning
Nasograstric & Sump Tube
