HIGH DEPENDENCY UNIT SKILLS CHECKLIST Name: ____________________________________________________________________ Grade: _____________________________________________________________________ At PRN PEOPLE we are proud to represent you and wish to do that correctly. By completing this form and ticking the relevant boxes you will be providing us with a better understanding of your skills and experience so that we can ensure you work within a safe environment. Please feel free to note anything additional down that you feel relevant to your skills. Patient Observations and Recordings SKILL Respiratory Cardiovascular Neurological Psychological Gastrointestinal Wound Care Nutritional Requirements Renal Comments: NO EXPERIENCE DEVELOPMENT REQ. FULLY CONFIDENT _____________________________________________________________________ Drug Administration and Procedures SKILL Calculations Oral Administration NG/NJ Tube TPN PEG Management IM/SC Injection NO EXPERIENCE DEVELOPMENT REQ. FULLY CONFIDENT HIGH DEPENDENCY UNIT SKILLS CHECKLIST Central Line Peripheral Line IV Push Medications IV Infusions Insulin Sliding Scale Blood/Blood Products Chemotherapy Swanz-Ganz Hickman Line Entenox Comments: _______________________________________________________________ Equipment SKILLS NO EXPERIENCE DEVELOPMENT REQ. FULLY CONFIDENT Infusion Pumps Syringe Drivers PCA’s Epidurals Nebuliser CPAP/BiPAP Cardiac Monitor Telemerty CVP/Invasive Monitoring Comments: ______________________________________________________________ HIGH DEPENDENCY UNIT SKILLS CHECKLIST Documentation SKILLS NO EXPERIENCE DEVELOPMENT REQ. FULLY CONFIDENT Documentation of all observations, recordings and care Ability to prioritise and meet deadlines Ability to assess , plan, implement and evaluate programmes of care Comments: _______________________________________________________________ Skills SKILLS Universal Precautions Aseptic Techniques Obtain BM/Blood Sugar Level Venepuncture Interpretation of Blood/Microbiology Results Cannulation 12 Lead ECG Telemetry BLS ILS Trained ALS Trained Epilepsy/Seizure NO EXPERIENCE DEVELOPMENT REQ. FULLY CONFIDENT HIGH DEPENDENCY UNIT SKILLS CHECKLIST Management Tracheostomy care Oral Suctioning Nasopharyngeal Suctioning Tracheal Suctioning Chest drains - cares Chest drains - removal of NG Tube Insertion NG Feed PEG Feed Catheterisation female Catheterisation - male Suprapubic catheter – care Stoma Care Basic Wound Care Complex Wound Care Pressure Area Care Monitoring of suction/drainage bags/bottles/wound drains Removal of suction/drainage bags/bottles/wound drains Removal of Clips and Sutures Neuro obs Glasgow Coma Scale Admission / follow up Vascular obs Precepting new staff/ students Ability to assess/plan/implement & evaluate programmes of care Ability to respond in the event of a medical emergency Ability to work as an effective team player Ability to prioritise and meet deadlines Ability to manage a ward /team (if HIGH DEPENDENCY UNIT SKILLS CHECKLIST appropriate) Ability to delegate tasks Comments: _______________________________________________________________ Additional Skills/Experience: I CONFIRM THAT I HAVE COMPLETED THIS FORM TRUTHFULLY AND ALLOW THIS TO BE USED AS A REPRESENTATION OF MY SKILLS AND EXPERIENCE TO THIRD PARTIES WHEN/IF REQUIRED. I UNDERSTAND THAT IF I FALSELY COMPLETE THIS FORM THAT PRN PEOPLE LTD SHALL VIEW THIS AS AN ACT OF MISTRUST. PRINT NAME: _______________________________________________________________ SIGNATURE: _______________________________________________________________ DATE: _______________________________________________________________ SAVE If you are using Google Chrome, please hover over the bottom right of this page to select the Save button.