ICU UPMC St. Margaret Nursing Department & Unit-Based Competencies 2012 Unit RNs LPNs NA/PCT HUC Jackie Drahos Judy Bertolo IMC Jackie Drahos Laura Barczykowski 3B Tonya Alcorn Rita Cook Stacey Allen Barb Arthur 4A REHAB Judy Tinelli Jill Lemanski Bev Irvine Terry Robosson Pacer/Defib Chest Tubes Monitor Simulator Temporary Exterl Pacing/Monitor Simulation Defibrillation/ Cardioversion Chest Tubes Arterial Blood Gases Defibrillation/Cardioversion/Pacing Chest tubes 12 lead EKG NEW: EKG s Look a Like/Sound a Like Medications Navigating the erecord Patient Quality Improvement FIM Defibrillation/Cardioversion/Pacing Chest tubes 12 lead EKG NEW: Stroke for right & left side of Brain Wound Photography FIM Nares swabs EKG Nares swabs EKG Nares swabs EKG NEW: Bladder Scan FIM Neutropenic Precautions Observation Observation Observation Observation
4A MED/SURG Kim Klamut Karen Kasely 4B ORTHO Ruth Harris Margaret Runco 5A MED/SURG Sub- Specialty: CA Jessica Graff Mary Jo Klebine Bobbie Olszewski 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 Wound Care I/O Weights Bladder Scan I&O- drains Bladder scans Neutropenia Cond H Weights Bladder scan I/O Observation Observation Observation
5B MED/SURG Sub- Specialty: Peritoneal Dialysis Betty Scovern Sharon Presti Martha Kurth Meaghan Rupp 6A SURGICAL Sub- Specialty: Bariatrics Lisa Lehman Linda Zsolcsak Karen Mains Kelsey Archibald 6B MED/SURG Sub- Specialty: Stroke Kim Klamut Gi Zeiler Pressure Ulcer Modules (web based) Epidural Peritoneal dialysis****** Narcan Time Out****** Hand Hygiene Chest tubes Wound Care Wound Care (NDN QI) Narcan Peripheral Nerve Block IPOC Hazard communications Stroke Chest Tube NDNQI Pressure Ulcer Ethics Peritoneal dialysis****** Narcan Time Out****** Hand Hygiene Chest tubes Wound Care Peripheral Nerve Block IPOC Hazard Communication NDNQI Pressure Ulcer Chest Tube Ethics Peritoneal dialysis****** Time Out****** Hand Hygiene Weights I/O Chest tubes 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
Marcy Sunday ASU Nancy Conway Esther Whitlinger PACU Karen Soltez Adeline Sauveur 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 Malignt Hyperthermia/hypothermia Peripheral nerve block Rhythm Interpretation Pediatric Broselow Review Malignt 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
SHORT STAY UNIT Lisa Graczyk Terri Simpson Admission Team Sue Evans Jackie Morgan Medical Unit Sue Evans Jackie Morgan IV Team Michelle Winter Dysrhythmias Recognition Admission Assessment IV insertion 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 Therapists/Techs LPN s Resp Assistant Respiratory Al Caruso Bob Bizila ABG Puncture/Alysis Vent Set up MRI Vent Pediatric Respiratory Distress ABG Alysis Pediatric Response Distress Sleep Lab Bob Bizila All tech/therapist 10/20 Wiring CPAP Titration Department All Nurses Cath Lab Nurses Nuclear Cardio. Nurses PCT/NA/SECRETARY 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 Arrhythmias Time Out Verification Department All Nurses PCT Glutaraldehyde Safety Scope Processing/Reprocessing Hand washing
Harmarville Outpatient Surgical Center Pre-/post operative Janine Sharer Harmarville Outpatient Surgical Center Operative Sue Ober Harmarville Outpatient Surgical Center GI Lab Harmarville Outpatient Surgical Center Short Stay Lisa Graczyk Terri Simpson Urine Pregncy Test Crutch Walking Continuous Peripheral Nerve Block Medication Nebulizers Arrhythmia Moderate Sedation Malignt Hyperthermia Age Specific Urine Pregncy Test Fire Prevention Time Out Glutaraldehyde Safety Scope Processing/Reprocessing Cardiac Arrhythmias Time Out Verification Urine Pregncy Test Dysrhythmias Recognition Admission Assessment IV insertion Accurate Refrigerator temps Glutaraldehyde Safety Scope Processing/Reprocessing Hand washing Refrigerator Temperature Department All Nurses PCT s Radiology Tech Registration
Radiology Adele Washington Arrhythmia CLABS CTA and/or TPA to be determined Angio Cath Insertion Rad- Assessment MRI Pre-assessment phone calls Age Specific Job specific (all modalities) Hand washing (all modalities) Teletracking (Diagnostic) MRI Arthrogram (CT) Use of Smart Prep (Nuc Med) Radio active waste disposal (Interventiol) 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 Ti Mourra Kim Lopes Janine Sharer Urine Pregncy Testing 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) Dysrhythmia Recognition Test Observation
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 RN s Medical Dosimetrists Radiation Therapists Medical Secretaries Radiation Oncology Janine Sharer ***** **** Identification of patients Register patient in VARIS Patient consultation and education **** ***** Identification of patients Register patient in VARIS Charging of patient in erecord Perform simulation of patient Perform calculations for patient radiation treatment **** ***** Identification of patients Perform radiation treatment of patients Charging of patient in erecord Perform simulation of patient **** ***** Identification of patients Register patient in VARIS Charging of patient in erecord Department Pre hospital David Bianco Paramedic Response Team ACLS (every two years) PALS (every two years) ITLS (every three years) CPR HCP (every two years) Complete skills review every year covering all skills under prehospital guidelines Department Transportation Traci Fick All Transport Staff Team Effectiveness Body Mechanics Hazard Communication Equipment Repair Oxygen Infection Control Cleaning & Maintence (w/c, stretcher)
Department All Nurses PCT s Radiology Tech Registration Pain Magement Fay Powell Lumbar Epidurals Lumbar Sympathetic Blocks Stellate Ganglion Blocks BAC Vital Signs Pulse Oximetry Telephone Skills Radiation Safety C-Arm Use Customer Service Phone Skills Registration Process