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TELEPRACTICE

About Us
Employees
Employers
Contact
Blog

HEALTHCARE
- Nursing
- Therapy
SCHOOLS
TELEPRACTICE

GI/Endoscopy RN Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

"*" indicates required fields

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name*

Email*

Todays Date*

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)

0

1

2

3

Infant (31 days to 12 months)

0

1

2

3

Toddler/Preschool (13 months to 5 years)

0

1

2

3

School Age Child/adolescent (6 years to 18 years)

0

1

2

3

Young Adults/ Middle Adult (19 years to 64 years)

0

1

2

3

Older Adults/Elderly (65+ years)

0

1

2

3

General Skills

Care of Patient in Restraints

0

1

2

3

Automated Med Dispensing Systems

Accudose

Metro

Omnicell

Promanager Rx

Pyxis

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

Allscripts

Care360

Cerner

eCLinicalWorks

EPIC

MACLAB

McKesson

Meditech

PACS

Soarian

N/A

Other Electronic Documentation:

IV Pumps

Alaris

Alibaba

Bard

Baxter

Braun

CADD

IVAC

Zynomed

N/A

Other IV Pumps:

Peripheral IV Insertion, Care and Maintenance

0

1

2

3

Access/Management of Implanted Ports

0

1

2

3

Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)

0

1

2

3

PCA/Epidural pumps

0

1

2

3

Administration of Blood/Blood Products

0

1

2

3

Assessment of heart/lung sounds

0

1

2

3

Assessment of bowel sounds

0

1

2

3

Knowledge of "Do Not Use Abbreviations"

0

1

2

3

Do you have charge/supervisor experience?

Yes

No

Knowledge of current Joint Commission National Patient Safety Goals

0

1

2

3

Knowledge/familiarity with HCAHPS scores

0

1

2

3

Medication Administration

Moderate/Conscious Sedation

0

1

2

3

Sedation Reversal Agents

0

1

2

3

Antibiotics IM/IV

0

1

2

3

Contrast Medium

0

1

2

3

Antiemetics

0

1

2

3

Narcotic Pain Medications

0

1

2

3

Pre-procedure

EKG Lead Placement

0

1

2

3

Interpretation of Pre-Procedure Labs

0

1

2

3

Set up of Scopes and Video Equipment

0

1

2

3

Procedures/equipment

Enteroscopy

0

1

2

3

EGD/Gastroscopy

0

1

2

3

Endoscopic Ultrasound

0

1

2

3

Active GI Bleed

0

1

2

3

Cautery Devices

0

1

2

3

Variceal Banding, Gold Probe

0

1

2

3

Esophageal Dilatations(balloons, Maloney,Savory)

0

1

2

3

Esophageal Motility Tests

0

1

2

3

Esophageal Monometry Studies

0

1

2

3

Sclero Therapy

0

1

2

3

HALO

0

1

2

3

Colonoscopy

0

1

2

3

Flexible Sigmoidoscopy

0

1

2

3

Liver Biopsy

0

1

2

3

Polypectomy

0

1

2

3

ERCP

0

1

2

3

Gastrostomy tube/button or PEG Placement

0

1

2

3

Pediatric PEG

0

1

2

3

Video Capsule Endoscopy

0

1

2

3

Stretta

0

1

2

3

pH Probe 24 Hour Study

0

1

2

3

Foreign Body Aspiration/Retrieval

0

1

2

3

Post-procedure

Sedation Recovery Scales

0

1

2

3

Assess for Gag Reflex

0

1

2

3

Adbominal assessement, bowel sounds

0

1

2

3

Proper use of scope washers/Leak testers

0

1

2

3

Abdominal pain, recognizing s/sx of possible perforation

0

1

2

3

awards updated 2022

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