Endoscopy RN Skills Checklist

Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1

= No theory and/or experience
2

= Limited Experience
3

= Experienced/minimal support needed to perform
4

= Proficient

Age of Patients Cared For
Newborn/ Neonate (birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 years to 5 years)*
- 1
- 2
- 3
- 4
School Age Child (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Adults (18 years to 65 years)*
- 1
- 2
- 3
- 4
Older Adults/Geriatrics (65+)*
- 1
- 2
- 3
- 4
GENERAL
Assessments, Family History, and Risk Factors*
- 1
- 2
- 3
- 4
Start and Maintain Peripheral IV*
- 1
- 2
- 3
- 4
Complete Pre-Procedure Checklist*
- 1
- 2
- 3
- 4
Consent Forms/Permits*
- 1
- 2
- 3
- 4
Discharge Instructions*
- 1
- 2
- 3
- 4
Interpretation of Lab Values*
- 1
- 2
- 3
- 4
Set-Up of Scope & Video Equipment*
- 1
- 2
- 3
- 4
Cleaning of Scopes*
- 1
- 2
- 3
- 4
Transport Pre-Procedure Patient to Lab*
- 1
- 2
- 3
- 4
Provide Care for the Post- Procedure Patient*
- 1
- 2
- 3
- 4
Transport Post- Procedure Patient to Unit*
- 1
- 2
- 3
- 4
National Patient Safety Goals*
- 1
- 2
- 3
- 4
Automated Med Dispensing System*
- 1
- 2
- 3
- 4
List Types:
Automated Med Dispensing System*
- 1
- 2
- 3
- 4
List Types:
Automated Med Dispensing System*
- 1
- 2
- 3
- 4
List Types:
PROCEDURES
EGDs*
- 1
- 2
- 3
- 4
Active GI Bleed*
- 1
- 2
- 3
- 4
Bronchoscopy*
- 1
- 2
- 3
- 4
Cautery Devices*
- 1
- 2
- 3
- 4
Collection of Hot & Cold Biopsies*
- 1
- 2
- 3
- 4
Colonoscopy*
- 1
- 2
- 3
- 4
Endoscopic Ultrasound*
- 1
- 2
- 3
- 4
ERCP*
- 1
- 2
- 3
- 4
Esophageal Dilations*
- 1
- 2
- 3
- 4
Manometry Studies*
- 1
- 2
- 3
- 4
PEG Placement*
- 1
- 2
- 3
- 4
Polypectomy*
- 1
- 2
- 3
- 4
Sclerotherapy*
- 1
- 2
- 3
- 4
Specimen Collection and Labeling*
- 1
- 2
- 3
- 4
TEE*
- 1
- 2
- 3
- 4
Variceal Banding*
- 1
- 2
- 3
- 4
CARDIOVASCULAR
Assess heart Sounds and Peripheral Pulses*
- 1
- 2
- 3
- 4
EKG Interpretation and Monitoring*
- 1
- 2
- 3
- 4
Non-invasive Cardiac Monitoring*
- 1
- 2
- 3
- 4
Participate as a Team Member in Resuscitation*
- 1
- 2
- 3
- 4
Perform Defibrillation*
- 1
- 2
- 3
- 4
Recognize and Interpret Arrhythmias*
- 1
- 2
- 3
- 4
PULMONARY
ABG’s Interpretation of Values*
- 1
- 2
- 3
- 4
Airway Management*
- 1
- 2
- 3
- 4
Assess Lung Sounds*
- 1
- 2
- 3
- 4
Assist with Intubation*
- 1
- 2
- 3
- 4
Care of Patient with Mechanical Ventilation*
- 1
- 2
- 3
- 4
Pulse Oximetry*
- 1
- 2
- 3
- 4
Set Up Oxygen*
- 1
- 2
- 3
- 4
Use of Ambu Bag*
- 1
- 2
- 3
- 4
NEUROLOGICAL
Identify Changes in Level of Consciousness*
- 1
- 2
- 3
- 4
Assess Sensory, Motor, Speech*
- 1
- 2
- 3
- 4
Assess Reflexes- Babinski, Gag*
- 1
- 2
- 3
- 4
MEDICATIONS
Calculate mcg/min and mcg/kg/min*
- 1
- 2
- 3
- 4
Monitor Conscious Sedation*
- 1
- 2
- 3
- 4
Use of Sedation Reversal Agents*
- 1
- 2
- 3
- 4
Use of IV Infusion Pumps*
- 1
- 2
- 3
- 4
Antibiotics*
- 1
- 2
- 3
- 4
Benzodiazepines- Valium, Versed, Ativan*
- 1
- 2
- 3
- 4
Insulin*
- 1
- 2
- 3
- 4
Narcan*
- 1
- 2
- 3
- 4
Narcotics- Morphine, Fentanyl*
- 1
- 2
- 3
- 4
Neuromuscular Blocking Agents- Pavulon, Norcuron*
- 1
- 2
- 3
- 4
Propofol- Diprivan*
- 1
- 2
- 3
- 4
Romazicon-Flumazenil*
- 1
- 2
- 3
- 4
Thrombolytics*
- 1
- 2
- 3
- 4
Please list the EMR systems you have used*
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Your Recruiter*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY

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Skills Checklist

Age of Patients Cared For

GENERAL

PROCEDURES

CARDIOVASCULAR

PULMONARY

NEUROLOGICAL

MEDICATIONS