Experience
A	No Practice
B	Less than one year
C	One - Two years
D	Two Plus Years experience

First Name       Last Name

Cardiovascular Assessment
Abnormal heart sounds/murmurs		- A B C D
Auscultation (rate, rhythm)		- A B C D
Blood pressure/ non-invasive		- A B C D
Doppler		- A B C D
Pulses / circulation checks		- A B C D
Cardiovascular Interpretation of lab results
Cardiac enzymes & isoenzymes		- A B C D
Coagulation studies		- A B C D
Cardiovascular Equipment and procedures
Assist with	Arterial line insertion	- A B C D
	Central line insertion	- A B C D
	Open chest emergency	- A B C D
	PA catheter / Swan-Ganz insertion	- A B C D
	Pericardiocentesis	- A B C D
	Transesophageal echocardiogram	- A B C D
Automatic internal cardioverter defibrillator		- A B C D
Cardioversion		- A B C D
CAVH-D		- A B C D
Hemodynamic Monitoring	Cardiac index	- A B C D
	Cardiac input	- A B C D
	CVP monitoring	- A B C D
	Femoral artery sheath removal	- A B C D
	MAP	- A B C D
	PA / Swan-Ganz	- A B C D
	PCW pressure	- A B C D
	PVR	- A B C D
	Radial a-line	- A B C D
	SVO2	- A B C D
	SVR	- A B C D
Intra aortic balloon pump		- A B C D
Monitoring	12 lead EKG interpretation	- A B C D
	Arrhythmioa interpretation	- A B C D
	Lead placement	- A B C D
	Rhythm strip assessment	- A B C D
	Set up and run 12 lead EKG	- A B C D
Cardiovascular Care of patient with
Abdominal aortic aneurysm repair		- A B C D
Acute MI		- A B C D
Cardiac arrest		- A B C D
Cardiac tamponade		- A B C D
Congestive heart failure (CHF)		- A B C D
EP study & adlation		- A B C D
Heart transplant		- A B C D
Immediate post open-heart surgery		- A B C D
Infective endocarditis		- A B C D
Myocardial contusion		- A B C D
Pericarditis		- A B C D
Post AICD insertion		- A B C D
Post arthrectomy (DCA)		- A B C D
Post commissurotomy, valve repair, valve replacement		- A B C D
Post intracoronary stent placement		- A B C D
Post percutaneous balloon valvuloplasty		- A B C D
Post rotoblade		- A B C D
Pre / Post angioplasty		- A B C D
Pre / Post cardiac cath		- A B C D
Cardiovascular Medications
Amiodarone (Cardarone		- A B C D
Atropine		- A B C D
Bicarbonate		- A B C D
Bretylium (Bretylol)		- A B C D
Digoxin (Lanoxin)		- A B C D
Ditiazem (Cardizem)		- A B C D
Dobutamine (Dobutrex)		- A B C D
Dopamine (Intropin)		- A B C D
Epinephrine (Adrenalin)		- A B C D
Esmolol (Brevibloc)		- A B C D
Lidocaine (Xylocaine)		- A B C D
Metoprolol (Lopressor)		- A B C D
Nipride (Nitroprusside)		- A B C D
Nitroglycerine (Tridil)		- A B C D
Procainamide (Pronestyl)		- A B C D
Reteplase recombinant (Retavase)		- A B C D
Streptokinase		- A B C D
TPA (Alteplase)		- A B C D
Verapamil (Calen, Isoptin, Verelan)		- A B C D
Pulmonary Assessment
Adventitious Breath sounds		- A B C D
Rate and work of breathing		- A B C D
Pulmonary Interpretation of lab results
Arterial blood gases		- A B C D
Pulmonary Equipment and procedures
Air leak troubleshooting	Mediastinal chest tube removal	- A B C D
	Pleural chest tube removal	- A B C D
Airway management devices / suctioning	Endotracheal tube / suctioning	- A B C D
	Extubation	- A B C D
	Nasal airway / suctioning	- A B C D
	Oximetry	- A B C D
	Sputum specimen collection	- A B C D
	Tracheostomy / suctioning	- A B C D
Assist with	Bronchoscopy	- A B C D
	Chest tube insertion	- A B C D
	Emergency tracheostomy	- A B C D
	Thoracentesis	- A B C D
Establishing an airway	Assist with intubation	- A B C D
	Oral airway insertion	- A B C D
Identification / intervention for respiratory complications	Aspiration	- A B C D
	Laryngospasm	- A B C D
	Tension pneumothorax	- A B C D
	Use of Pleurevac or Thoraclex drainage	- A B C D
	Use of water seal drainage	- A B C D
O2 therapy & medication delivery systems	Ambu bag and mask	- A B C D
	ET tube	- A B C D
	Face masks	- A B C D
	Nasal cannula	- A B C D
	Portable O2 tank	- A B C D
	Trach collar	- A B C D
Ventilator management	External CPAP	- A B C D
	High frequency jet ventilation	- A B C D
	IMV	- A B C D
	PEEP	- A B C D
	Pressure support	- A B C D
	Weaning modes & T-piece weaning	- A B C D
Pulmonary Care of patient with
Acute pneumonia		- A B C D
ARDS		- A B C D
Chest trauma		- A B C D
COPD		- A B C D
Cor pulmonale		- A B C D
Fresh tracheostomy		- A B C D
Lobectomy		- A B C D
Lung transplant		- A B C D
Near drowning		- A B C D
Pneumonectomy		- A B C D
Pulmonary edema / hypertension		- A B C D
Pulmonary embolism		- A B C D
Status asthmaticus		- A B C D
Thoracotomy		- A B C D
Tuberculosis		- A B C D
Pulmonary Medications
Alupent (Metaproterenol)		- A B C D
Aminophylline (Theophylline)		- A B C D
Bronkosol (Isoetharine hydrochloride)		- A B C D
Corticosteroids		- A B C D
Ventolin (Albuterol)		- A B C D
Neurological Assessment
Cranial nerves		- A B C D
Glasglow coma scale		- A B C D
Level of consciousness		- A B C D
Pathologic reflexes		- A B C D
Reflex / motor deficits		- A B C D
Visual or communication deficits		- A B C D
Neurological Equipment and procedures
Assist with lumbar puncture		- A B C D
Halo traction / cervical tongs		- A B C D
Intracranial pressure monitoring		- A B C D
Nerve stimulators		- A B C D
Rotating bed		- A B C D
Seizure precautions		- A B C D
Stryker frame		- A B C D
Use of hyper / hypothermia blanket		- A B C D
Neurological Care of patient with
Aneurysm precautions		- A B C D
Basal skull fracture		- A B C D
Closed head injury		- A B C D
Coma		- A B C D
CVA		- A B C D
DTs		- A B C D
Encephalitis		- A B C D
Externalized VP shunts		- A B C D
Increased ICP		- A B C D
Laminectomy		- A B C D
Meningitis		- A B C D
Metastatic tumor / intracranial tumor resection		- A B C D
Multiple sclerosis		- A B C D
Post craniotomy		- A B C D
Spinal cord injury		- A B C D
Ventriculostomy		- A B C D
Neurological Medications
Barbiturate induced coma		- A B C D
Decadron (Dexamethasone)		- A B C D
Dilantin (Phenytoin)		- A B C D
Epidural administration		- A B C D
Phenobarbital		- A B C D
Valium (Diazapam)		- A B C D
Gastrointestinal Assessment
Abdominal / bowel sounds		- A B C D
Nutritional		- A B C D
Gastrointestinal Interpretation of lab results
Serum ammonia		- A B C D
Serum amylase		- A B C D
Gastrointestinal Equipment and procedures
Administration of tube feeding		- A B C D
Balloon tamponade (Sengstaken Blakemore)		- A B C D
Feeding pump		- A B C D
Flexible feeding tube (Corpak, Dobhof)		- A B C D
Gravity feeding		- A B C D
Iced saline lavage		- A B C D
Management of	Gastrostomy tube	- A B C D
	Jejunostomy tube	- A B C D
	T-tube	- A B C D
	TPN and lipids administration	- A B C D
	PPN (peripheral parenteral nutrition)	- A B C D
Placement of nasogastric tube		- A B C D
Salem sump to suction		- A B C D
Gastrointestinal Care of patient with
Blunt trauma		- A B C D
Bowel obstruction		- A B C D
Colostomy		- A B C D
ERCP		- A B C D
Esophageal bleeding		- A B C D
GI bleeding		- A B C D
GI surgery		- A B C D
Hepatitis		- A B C D
Ileostomy		- A B C D
Inflammatory bowel disease		- A B C D
Liver failure		- A B C D
Liver transplant		- A B C D
Pancreatitis		- A B C D
Paralytic ileus		- A B C D
Penetrating trauma		- A B C D
Gastrointestinal Medications
AquaMephyton (Vitamin K)		- A B C D
Inderal (Propranolol)		- A B C D
Kayexelate		- A B C D
Lactulose (Cephulac)		- A B C D
Pitressin (Vasopressin)		- A B C D
Renal / Genitourinary Assessment
A-V fistula / shunt		- A B C D
Fluid status		- A B C D
Renal / Genitourinary Interpretation of lab results
BUN & creatinine		- A B C D
Serum electrolytes		- A B C D
Renal / Genitourinary Equipment and procedures
Bladder irrigation		- A B C D
Insertion & care of straight & Foley catheter	3-way Foley	- A B C D
	Female	- A B C D
	Male	- A B C D
Supra-pubic		- A B C D
Renal / Genitourinary Care of the patient with
Acute renal failure		- A B C D
CAVH dialysis		- A B C D
Hemodialysis		- A B C D
Nephrectomy		- A B C D
Peritoneal dialysis		- A B C D
Renal rejection syndrome		- A B C D
Renal transplant		- A B C D
TURP		- A B C D
Urinary diversion (ileal conduit nephrostomy)		- A B C D
Urinary tract infection		- A B C D
Endocrine / Metabolic Interpretation of lab results
Blood glucose		- A B C D
Thyroid studies		- A B C D
Endocrine / Metabolic Equipment and procedures
Blood glucose measuring device                               Type:
Blood glucose monitoring		- A B C D
Performing finger stick		- A B C D
Endocrine / Metabolic Care of patient  with
Diabetes mellitus		- A B C D
Diabetic ketoacidosis		- A B C D
Disorders of adrenal gland (Addison's disease)		- A B C D
Disorders of pituitary gland (DI)		- A B C D
Drug overdose		- A B C D
Hyperthyroidism (Grave's disease)		- A B C D
Hypothyroidism		- A B C D
Insulin shock		- A B C D
Thyroidectomy - disorders of thyroid gland		- A B C D
Endocrine / Metabolic Medication
Insulin Pump		- A B C D
Wound Management / Surgical Equipment and procedures
Assessment	Skin for impending breakdown	- A B C D
	Stasis ulcers	- A B C D
	Surgical wound healing	- A B C D
Equipment and procedures	Air fliudized, low airloss beds	- A B C D
	Sterile dressing changes	- A B C D
	Wound care / irrigations	- A B C D
Care of patient with	Burns	- A B C D
	Pressure sores	- A B C D
	Staged decubitus ulcers	- A B C D
	Surgical wounds with drain(s)	- A B C D
	Traumatic wounds	- A B C D
Phlebotomy / IV Therapy Equipment and procedures
Administration of blood / blood products	Cryoprecipitate	- A B C D
	Packed red blood cells	- A B C D
	Plasma / albumin	- A B C D
	Whole blood	- A B C D
Drawing blood from central line		- A B C D
Drawing venous blood		- A B C D
Starting IVs	Angiocath	- A B C D
	Butterfly	- A B C D
	Heparin lock	- A B C D
Phlebotomy / IV Therapy Care of patient with
Central line / catheter / dressing	Broviac	- A B C D
	Groshong	- A B C D
	Hickman	- A B C D
	Portacath	- A B C D
	Quinton	- A B C D
Peripheral line / dressing		- A B C D
Pain Management Care of patient with
Assessment of pain level / tolerance		- A B C D
Care of the patient with	Epidural anesthesia / analgesia	- A B C D
	IV conscious sedation	- A B C D
	Patient controlled analgesia	- A B C D
Miscellaneous Care of patient with
Anaphylactic shock		- A B C D
Disseminated intravascular coagulation (DIC)		- A B C D
Hypovolemic shock		- A B C D
Multi-system organ failure		- A B C D
Organ / tissue donation		- A B C D
Septic shock		- A B C D

The information I have provided is true and accurate to the best of my knowledge. I give authorization to Sierra Staffing, Inc. to release this information to facilities in consideration of my employment at said facility.