UPMC St. Margaret Nursing Department & Unit-Based Competencies

Transcription

1 ICU UPMC St. Margaret Nursing Department & Unit-Based Competencies Unit RNs LPNs NA/PCT HUC Judy Bertolo IMC Laura Barczykowski 3B Stacey Allen Barb Arthur 4A REHAB Kim Klamut Judy Tinelli Bev Irvine Terry Robosson Pacer/Defib Chest Tubes Monitor Simulator Temporary External Pacing/Monitor Simulation Defibrillation/ Cardioversion Chest Tubes Arterial Blood Gases Defibrillation/Cardioversion/Pacing 12 lead EKG Look a Like/Sound a Like Medications Navigating the erecord Patient Quality Improvement Defibrillation/Cardioversion/Pacing 12 lead EKG Wound Photography FIM Nares swabs EKG Nares swabs EKG Nares swabs EKG FIM Neutropenic Precautions Observation Observation Observation Observation

2 4A MED/SURG Kim Klamut Janine Sharer 4B Ruth Harris Margaret Runco 5A Mary Jo Klebine Bobbie Olszewski FIM Verbal Orders Critical Labs Abuse Time Out Adverse Events Neuro Assessment Pressure Ulcers Advanced Directives NDNQI Pressure Ulcer Chest Tube Ethics Hip Arthroscopy Pediatric Blood Transfusion Pediatric Cerebral Palsy Post Op Consideration Broselow Would like Pump Blitz for OrthoPat, Auto Vac, Cadd Pump, Stryker Pump Chest Tube Peripheral Nerve Block Epidural Pediatric Growth & Development Neuro Assessment Pressure Ulcers Neutropenia Cond H Chemo Neutropenic Precautions Pressure Ulcers Neuro Assessment NDNQI Pressure Ulcer Chest Tube Ethics Peripheral Nerve Block Pediatric Growth & Development Pressure Ulcers Neuro Assessment Condition H s Neutropenia I/O Weights Bladder Scan I&O- drains Bladder scans Neutropenia Cond H Weights Bladder scan I/O Observation Observation Observation

3 5B Betty Scovern Sharon Presti Martha Kurth 6A Lisa Lehman Linda Zsolcsak Karen Mains 6B Kim Klamut Gina Koch Pressure Ulcer Modules (web based) Epidural Peritoneal dialysis****** Narcan Time Out****** Hand Hygiene Wound Care Wound Care (NDN QI) Narcan Peripheral Nerve Block IPOC Hazard communications Stroke Chest Tube NDNQI Pressure Ulcer Ethics Wound Care Peritoneal dialysis****** Narcan Time Out****** Hand Hygiene Wound Care Peripheral Nerve Block IPOC Hazard Communication NDNQI Pressure Ulcer Chest Tube Ethics Peritoneal dialysis****** Time Out****** Hand Hygiene Weights I/O Refrigerator Temps Hazard Communications I/O Weights Bladder Scan Observation Observation Observation Department RN Surgical techs Service Technician Medical Secretaries/BA* OR Janine Crider Fracture Table Draping the microscopes 3-point fixation for cranial & spine surgery Surgical Room Cleaning & Set Up Waste Disposal Education/Test Telephone Customer Service Scheduling Operative Cases

4 Marcy Sunday ASU Nancy Conway Esther Whitlinger PACU Jay Wright Karen Soltez Shawna Breghenti Fracture Table Draping the microscopes 3-point fixation for cranial & spine surgery Endo towers & bed positions for general surgery Pneumatic tourniquet Basic craniotomy set Operation of Steris Flexible bronch & endoscope Opthalmic surgical services equipment Medication Safety OR fire Prevention Braslow Specimen Safety Flash Sterilization Age- Specific Care Time Out Rhythm Interpretation Pediatric Broselow Review Malignant Hyperthermia/hypothermia Peripheral nerve block Rhythm Interpretation Pediatric Broselow Review Malignant Hyperthermia/hypothermia Peripheral nerve block 12-lead EKG Care of the post operative patient Age specific Endo towers & bed positions for general surgery Pneumatic tourniquet Basic craniotomy set Operation of Steris Flexible bronch & endoscope Opthalmic surgical services equipment pathogen Medication Safety OR fire Prevention Braslow Specimen Safety Flash Sterilization Age- Specific Care Handling, Storage & Distribution of Supplies Refrigerator temperature Bladder Scan 12-lead EKG *Telephone Customer Service *Auditing of OR Charges

5 SHORT STAY UNIT Lisa Graczyk Terri Simpson Admission Team Lisa Remi Medical Unit Betty Hepler IV Team Michelle Winters Dysrhythmias Recognition Admission Assessment Age & Cultural Wound Age & Cultural Chemotherapy Port Access/ De- Access (includes differentiating between a regular & a power port) Refrigerator temperature PICC Insertion Using Ultrasound Insertion of peripheral angiocath Dressing Changes Department All Nurses Cath Lab Nurses Nuclear Cardio. Nurses PCT/NA/SECRETARY

6 Cardiology IV IV Scrub Technique OSM-3/Hemachron Sheath Removal IV Treadmill Department RN s NA s SECRETARY GI Lab Betty Hepler Glutaraldehyde Safety Scope Processing/Reprocessing Cardiac Arrythmias Time Out Verification Department All Nurses PCT Harmarville Outpatient Surgical Center Pre-/post operative Lisa Rumbaugh Harmarville Outpatient Surgical Center Operative Sue Ober Urine Pregnancy Test Crutch Walking Continuous Peripheral Nerve Block Medication Nebulizers Arrhythmia Moderate Sedation Malignant Hyperthermia Age Specific Urine Pregnancy Test Fire Prevention Time Out Glutaraldehyde Safety Scope Processing/Reprocessing Handwashing Accurate Refrigerator temps

7 Harmarville Outpatient Surgical Center GI Lab Lisa Rumbaugh Harmarville Outpatient Surgical Center Short Stay Lisa Rumbaugh Glutaraldehyde Safety Scope Processing/Reprocessing Cardiac Arrythmias Time Out Verification Urine Pregnancy Test Dysrhythmias Recognition Admission Assessment IV insertion Glutaraldehyde Safety Scope Processing/Reprocessing Handwashing Refrigerator Temperature Department All Nurses PCT s Radiology Tech Registration Radiology Adele Washington Arrythmia CLABS CTA and/or TPA to be determined Angio Cath Insertion Rad- Assessment MRI Pre-assessment phone calls Age Specific Job specific (all modalities) Handwashing (all modalities) Teletracking (Diagnostic) MRI Arthrogram (CT) Use of Smart Prep (Nuc Med) Radio active waste disposal (Interventional) vascular form documentation. (MRI)Use of safety needles (Ultrasound) Central Sterilization (Mammography) Exam preparation for CAD. Age Specific Job specific Hand Washing Use of phone script. Age Specific Job specific Department RN s PCT HUC Emergency Department Janine Sharer Kim Lopes Tina Mourra Urine Pregnancy Testing Dysrhythmia Recognition Test Observation

8 Using the Zoll monitor, demonstrates proper use in defibrillation, synchronous cardioversion and pacing. Proper use of the TeleMed System, location and use of the contents in the stroke box and completion of the dysphagia screen. Cervical collar application. Arterial line set-up. Transvenous pacemaker set-up. Rapid Infuser Set-up Set-up and use of the Isolette and familiarization with supplies. Dysrhythmia recognition (annual) (annual) Sexual abuse and use of the Rape Kit Use of tpa in Stroke; covers proper mixing and delivery of the medication. Use of the Broselow Cart Mixing Alteplase Department All Nurses PCT s Radiology Tech Registration Pain Management Fay Powell Lumbar Epidurals Lumbar Sympathetic Blocks Stellate Ganglion Blocks BAC Highlighted areas denotes completion as of 12/31/2012 Vital Signs Pulse Oximetry Telephone Skills Radiation Safety C-Arm Use Customer Service Phone Skills Registration Process