VANTAGE NURSING SERVICES, INC EMERGENCY ROOM SKILLS CHECKLIST
LEVEL OF EXPERIENCE Date: Years of Experience: No Experience: Needs Training
The purpose of the following checklist is to assist in matching your skills,
Some Experience: May need review and assistance or supervision
interests and capabilities with available assignment, hence meeting your
needs and the needs of our clients. Your employment will not be based
Experienced: Can perform well without supervision
upon the responses given in this checklist.
Very Experienced: Can teach and supervise Instructions: Please check appropriate box. Each basic skill must have one of four experience levels checked. LP stands for When Last Performed, measured in months.
EXPERIENCED IN CARDIOVASCULAR Assessment: Equipment and Procedures: Assist with Insertion and set up: Assessment: Equipment and Procedures: Interpretation of Wave forms and Values: Care of Patients with: Monitoring: Care of Patients with: Shock: Use and Administration of: Care of Patients with: NURSING CARE Assessment: Management and Titration of: CARDIOVASCULAR (contd.) RESPIRATORY (contd.) Care of Patients with: NEUROLOGICAL Assessment: Equipment and Procedures: Increased ICP Management: Use and Administration of: Care of Patients with: GASTROINTESTINAL Assessment: Equipment and Procedures: Care of Patients with: Use and Administration of: Use and Administration of: RESPIRATORY Assessment: Equipment and Procedures: ORTHOPEDICS Assessment: Equipment and Procedures:
Set up for Steinman Pin/K-Wire Insertion
Care of Patients with ORTHOPEDICS (contd.) LACERATIONS GENITOUNRINARY/RENAL Equipment and Procedure:
Insertion of straight and Foley Catheter
PAIN MAMAGEMENT Assessment: Care of Patient with: INFECTIOUS DISEASES Equipment and Procedures: Assessment: PEDIATRICS Equipment/Procedures: Equipment and Procedures: Care of Patient with:
Exam VASCULAR Assessment: Medication: Equipment and Procedures: Administration of Blood/Blood Products: Packed Red Blood Cells OBSTETRICS/GYNECOLOGY Assessment: Equipment/Procedures: Care of Patient with:
Values Care of Patient with: ENDOCRINE/METABOLIC PSYCHIATRIC Equipment and Procedures: Care of Patient with: Care of Patient with: Use and Administration of: MISCELLANEOUS AGE SPECIFIC COMPETENCIES
Assessment, communication, care, education and
understanding/knowledge of age-specific needs:
Interpretation of Lab Values: CERTIFICATIONS Documentation: Computer Charting:
Have had one year of experience in this area within the last three years? YES NO The information given above is true and accurate to the best of my knowledge. I hereby authorize Vantage Nursing Services, Inc to release this skills checklist to its Clients for the purpose of employment. __________________________________________________________________/____________________
Signature
MARIANNE B. MÜLLER, M.D. CURRICULUM VITAE Max Planck Institute of Psychiatry Kraepelinstraße 10 80804 Munich Germany Phone: +49-89-30622-288 Fax: Current Position: Head, Molecular Stress Physiology Group, MPI of Psychiatry EDUCATION 1987-1989 Student at the Rheinische Hochschule für Musik Köln (Cologne University of Music), instrumental music performance, piano 198
CURRICULUM VITAE ÚLTIMOS CINCO AÑOS Lugar y Fecha de Nacimiento : Puan (Prov. de Bs. As.). 8 de diciembre de 1956 Documento de Identidad : DNI. 12.638.931 Domicilio Laboral : Laboratorio de Zoonosis Parasitarias. Dpto. de Biología. Facultad de Cs. Exactas y Naturales. Universidad Nacional de Mar del Plata. Funes 3250. (7600) Mar del Plata. Argentina. Tel. (54-223) 475-2426 (int