2012 Clinical Competency Guide -...

2012 Clinical Competency Guide

1 | P a g e



2 | P a g e

Instructions Welcome to the 2012 Clinical Competency Guide. In response to team member requests the process for completing and tracking clinical competencies has been simplified. Competency assignments will be released quarterly in this publication. To register:

1. Go to the department index (page 4 of this document) and click on your department 2. Click on your role, (i.e. RN, LPN, etc.) you will be taken to your assigned competencies 3. Click on a competency title, the KDMCU login screen appears, login to the system 4. You will be taken to the registration page for that competency 5. Register and complete the training.

For team members required to demonstrate skill based competencies, you will find these listed in this guide as well. Once registered, you will be guided through the process by the Web Based Training (WBT) module. When you complete a skill validation in the presence of your unit trainer, you will login to KDMCU online, find the validation you previously registered for, and open the Required Skill Validation (RSV) competency statement. Your unit trainer will enter their name and id, and then you do the same. The trainer then clicks the ‘YES’ button to validate the skill. Skills validation checklists may be found by clicking here. You will now have the tools you need to view what is required and what you have completed. From time to time your leader may ask you to report on your progress in completing your competencies. A simplified reporting process is outlined on the next page. If you experience technical difficulties please call the Help Desk at ext. 4357 (HELP). For competency questions please contact your unit educator or leader. If we may be of assistance please contact the Learning Systems Team at the following extensions. Holly Brown ext. 80106 Whitney Parker ext. 80105 Thank you.


3 | P a g e

Glossary GRT 000 indicates a Global Required Training Module. TRN 000 indicates a Required Training Module. RSV 000 indicates a Required Skill Validation.

Reporting Information To track your progress, just login to KDMCU, click on “My Reports” then select the “My Class Credit Report by Credit Type”. Don’t forget to enter the start date of 10/1/11 to include only information for FY 12. Click the report graphic on the right for a brief demo of the process.

To begin, go to the Department Index on the next page.

http://kdmcuniversity.kdmc.net/video/2011video/ClassReport/index.htm


4 | P a g e

Department Index Please click on your department.

Department

Bed Management ICU

BEHM IMU

Cardiac Imaging Labor & Delivery

Cardiac Rehab Maternal Child Health

Cath Lab/Specials/Vascular Lab MRI

Center for Healthy Living Newborn Nursery

Clinical Excellence Team NICU

Clinical Resource Team NSCC

CMT Float Nuclear Med

CT Nursing Services

CVICU Oncology

CVOR OPSU

Dialysis OR

Emergency Dept Outpatient IV

Endoscopy PACU

Home Health Pain and Spine Center

HVC PAT PAT

HVC Pre-op Peds

HVC Procedure Room Rehab

HVC Stress Lab RSTD

HVC Transfer SRU

HVCP SURN

HVIU TCU

HVRU Urologic Procedures

HVSD Wound Care

HVSU


5 | P a g e

Bed Management – RN Click HERE to register for the BED MANAGEMENT Skills Fair * No registration required – completed at skills fair

GRT 100 - Team Member Safety

GRT 105 - Stroke Care 2012

GRT 110 - Flu Facts for Everyone 2012

GRT 115 - 2012 Acute Coronary Syndrome

GRT 120 - Population Served 2012

GRT 125 - Obesity Sensitivity 2012

GRT 130 - MRI Safety 2012

GRT 140 - Abuse, Neglect, and Exploitation 2012

GRT 150 - Service Basics 2012

GRT 160 - MDROs: Multiple Drug Resistant Organisms 2012

GRT 170 - Radiation Safety 2012

GRT 180 - Corporate Compliance

GRT 190 - National Patient Safety Goals

RSV 004 - IV Add/Mix

RSV 005 - Non-Violent Restraint

RSV 006 - Code Blue

TRN 003 - 12-Lead EKG

TRN 005 - Anti-Coagulation Safety

TRN 007 - Blood and Blood Products

TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer

TRN 020 - Distress Management

TRN 022 - Dysphagia

TRN 023 - End of Life

TRN 024 - EPIC

TRN 033 - Pain Management

TRN 038 - CLABSI

TRN 048 - Universal Protocol

TRN 054 – Fall Reduction

http://kdmcuniversity.kdmc.net/lms/catalogue.aspx?tabsel=0&rootnodeid=494&detailnodeid=5202&detailnodetype=2
































6 | P a g e

BEHM Click HERE to register for the BEHM Skills Fair Please select your role.

ROLE

CMT

LPN

RN



7 | P a g e

BEHM – CMT * No registration required – completed at skills fair















RSV 006 - Code Blue

RSV 016 - Violent Restraint


TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia



TRN 037 - Pressure Ulcer




























8 | P a g e

BEHM - LPN * No registration required – completed at skills fair
















RSV 006 - Code Blue




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI



TRN 055 – Suicide Risk Assessment


































9 | P a g e

BEHM - RN * No registration required – completed at skills fair

ITLE ITLE
















RSV 006 - Code Blue




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI





































10 | P a g e

Cardiac Imaging Click HERE to register for the CARDIAC IMAGING Skills Fair

Please select your role.

ROLE

CARDIAC SONOGRAPHER

EKG TECHNICIAN

VASCULAR SONOGRAPHER

VASCULAR / CARDIAC SONOGRAPHER



11 | P a g e

Cardiac Imaging – Cardiac Sonographer * No registration required – completed at skills fair














RSV 006 - Code Blue

RSV 077 - TEE Probe Cleaning

TRN 019 - Customer
























12 | P a g e

Cardiac Imaging – EKG Tech * No registration required – completed at skills fair














RSV 006 - Code Blue

TRN 019 - Customer























13 | P a g e

Cardiac Imaging – Vascular / Cardiac Sonographer * No registration required – completed at skills fair














RSV 006 - Code Blue

RSV 051 - Arterial Doppler

RSV 077 - TEE Probe Cleaning

TRN 019 - Customer

























14 | P a g e

Cardiac Imaging – Vascular Sonographer * No registration required – completed at skills fair














RSV 006 - Code Blue

RSV 051 - Arterial Doppler

TRN 019 - Customer
























15 | P a g e

Cardiac Rehab – RN Click HERE to register for the CARDIAC REHAB Skills Fair * No registration required – completed at skills fair














RSV 002 - Telemetry*


RSV 006 - Code Blue



TRN 010 - CABG Patient

TRN 017 - CHF Care

TRN 019 - Customer


TRN 031 - Pacemakers





























16 | P a g e

CATH LAB/SPECIALS/VASCULAR LAB Click HERE to register for the CATH LAB/SPECIALS/VASCULAR LAB Skills Fair


ROLE

CMT

RAD TECH

RN



17 | P a g e

CATH LAB/SPECIALS/VASCULAR LAB – CMT * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 019 - Customer




TRN 039 - Radiation Safety (Specialized)




























18 | P a g e

CATH LAB/SPECIALS/VASCULAR LAB - RAD TECH * No registration required – completed at skills fair

GRT 100 - Team Member Safety RSV 080 - Activated Clotting Time

GRT 105 - Stroke Care 2012 TRN 003 - 12-Lead EKG

GRT 110 - Flu Facts for Everyone 2012 TRN 005 - Anti-Coagulation Safety

GRT 115 - 2012 Acute Coronary Syndrome TRN 007 - Blood and Blood Products

GRT 120 - Population Served 2012 TRN 012 - CA-UTI

GRT 125 - Obesity Sensitivity 2012 TRN 017 - CHF Care

GRT 130 - MRI Safety 2012 TRN 019 - Customer

GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 020 - Distress Management

GRT 150 - Service Basics 2012 TRN 024 - EPIC



GRT 170 - Radiation Safety 2012 TRN 037 - Pressure Ulcer

GRT 180 - Corporate Compliance TRN 038 - CLABSI

GRT 190 - National Patient Safety Goals TRN 039 - Radiation Safety (Specialized)

RSV 002 - Telemetry* TRN 048 - Universal Protocol

RSV 004 - IV Add/Mix RSV 030 - Transcutaneous PM*

RSV 005 - Non-Violent Restraint RSV 080 - Activated Clotting Time

RSV 006 - Code Blue RSV 029 - Cardioversion*

RSV 010 - Transvenous Pacemaker* RSV 051 - Arterial Doppler

RSV 021 - Moderate Sedation RSV 034 - Arterial Sheath Removal

RSV 068 - Impella* TRN 054 – Fall Reduction

RSV 069 - IVUS*

RSV 075 - Rotoblator







































19 | P a g e

CATH LAB/SPECIALS/VASCULAR LAB – RN * No registration required – completed at skills fair

GRT 100 - Team Member Safety RSV 075 - Rotoblator

GRT 105 - Stroke Care 2012 RSV 080 - Activated Clotting Time

GRT 110 - Flu Facts for Everyone 2012 TRN 003 - 12-Lead EKG

GRT 115 - 2012 Acute Coronary Syndrome TRN 005 - Anti-Coagulation Safety

GRT 120 - Population Served 2012 RSV 069 - IVUS*

GRT 125 - Obesity Sensitivity 2012 TRN 007 - Blood and Blood Products

GRT 130 - MRI Safety 2012 TRN 012 - CA-UTI

GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 017 - CHF Care

GRT 150 - Service Basics 2012 TRN 019 - Customer

GRT 160 - MDROs: Multiple Drug Resistant Organisms 2012 TRN 020 - Distress Management

GRT 170 - Radiation Safety 2012 TRN 024 - EPIC

GRT 180 - Corporate Compliance TRN 033 - Pain Management

GRT 190 - National Patient Safety Goals TRN 037 - Pressure Ulcer

RSV 002 - Telemetry* TRN 038 - CLABSI

RSV 004 - IV Add/Mix TRN 039 - Radiation Safety (Specialized)

RSV 005 - Non-Violent Restraint TRN 048 - Universal Protocol

RSV 006 - Code Blue RSV 030 - Transcutaneous PM*

RSV 010 - Transvenous Pacemaker* RSV 080 - Activated Clotting Time

RSV 021 - Moderate Sedation RSV 029 - Cardioversion*

RSV 034 - Arterial Sheath Removal RSV 051 - Arterial Doppler

RSV 068 - Impella* TRN 054 – Fall Reduction

RSV 069 - IVUS* TRN 055 – Suicide Risk Assessment







































20 | P a g e

CENTER FOR HEALTHY LIVING - RN Click HERE to register for the CENTER FOR HEALTHY LIVING Skills Fair * No registration required – completed at skills fair















RSV 006 - Code Blue


TRN 009 - Bariatric Patient

TRN 019 - Customer

























21 | P a g e

CLINICAL EXCELLENCE TEAM – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia

TRN 024 - EPIC



TRN 038 - CLABSI


































22 | P a g e

CLINICAL RESOURCE TEAM Click HERE to register for the CLINICAL RESOURCE TEAM Skills Fair


ROLE

LPN

NURSE EXTERN

RN



23 | P a g e

CLINICAL RESOURCE TEAM – LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 008 - PCA (LPN)*




TRN 011 - Cardiac Cath Patients

TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI






































24 | P a g e

CLINICAL RESOURCE TEAM - NURSE EXTERN * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 019 - Customer






























25 | P a g e

CLINICAL RESOURCE TEAM – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 007 - PCA (RN)*





TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI






































26 | P a g e

CMT FLOAT - CMT Click HERE to register for the CMT FLOAT Skills Fair * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 019 - Customer































27 | P a g e

CT - RN Click HERE to register for the CT Skills Fair * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 021 - Moderate Sedation

RSV 065 - i-STAT1



TRN 019 - Customer



TRN 038 - CLABSI































28 | P a g e

CVICU Click HERE to register for the CVICU Skills Fair


ROLE

CMT

RN



29 | P a g e

CVICU - CMT * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 019 - Customer

TRN 022 - Dysphagia































30 | P a g e

CVICU – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 014 - CRRT


RSV 028 - IABP





TRN 012 - CA-UTI

TRN 015 - Chest Tube

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC




TRN 038 - CLABSI











































31 | P a g e

CVOR Click HERE to register for the CVOR Skills Fair


ROLE

CMT

OR TECH

PERFUSIONIST

RAD TECH

RN



32 | P a g e

CVOR - CMT * No registration required – completed at skills fair














RSV 006 - Code Blue



TRN 019 - Customer

TRN 028 - Malignant Hyperthermia



TRN 049 - Laser

























33 | P a g e

CVOR - OR TECH * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 019 - Customer





TRN 049 - Laser



























34 | P a g e

CVOR - PERFUSIONIST * No registration required – completed at skills fair
















RSV 006 - Code Blue

RSV 080 - Activated Clotting Time


TRN 019 - Customer


























35 | P a g e

CVOR – RAD TECH * No registration required – completed at skills fair
















RSV 006 - Code Blue

RSV 080 - Activated Clotting Time



TRN 012 - CA-UTI

TRN 019 - Customer


TRN 024 - EPIC



TRN 038 - CLABSI


TRN 049 - Laser
































36 | P a g e

CVOR - RN * No registration required – completed at skills fair

GRT 100 - Team Member Safety RSV 028 - IABP

GRT 105 - Stroke Care 2012 RSV 029 - Cardioversion*

GRT 110 - Flu Facts for Everyone 2012 RSV 030 - Transcutaneous PM*

GRT 115 - 2012 Acute Coronary Syndrome RSV 034 - Arterial Sheath Removal

GRT 120 - Population Served 2012 RSV 051 - Arterial Doppler

GRT 125 - Obesity Sensitivity 2012 RSV 060 - Urine Pregnancy Test

GRT 130 - MRI Safety 2012 RSV 080 - Activated Clotting Time

GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 003 - 12-Lead EKG

GRT 150 - Service Basics 2012 TRN 005 - Anti-Coagulation Safety



GRT 170 - Radiation Safety 2012 TRN 012 - CA-UTI

GRT 180 - Corporate Compliance TRN 019 - Customer

GRT 190 - National Patient Safety Goals TRN 020 - Distress Management

RSV 002 - Telemetry* TRN 024 - EPIC

RSV 004 - IV Add/Mix TRN 028 - Malignant Hyperthermia

RSV 005 - Non-Violent Restraint TRN 033 - Pain Management

RSV 006 - Code Blue TRN 038 - CLABSI

RSV 010 - Transvenous Pacemaker* TRN 048 - Universal Protocol

RSV 021 - Moderate Sedation TRN 049 - Laser

RSV 026 – A-Line Management TRN 054 – Fall Reduction



































http://kdmcuniversity.kdmc.net/lms/catalogue.aspx?tabsel=0&rootnodeid=514&detailnodeid=5408&detailnodetype=2#http://kdmcuniversity.kdmc.net/lms/catalogue.aspx?tabsel=0&rootnodeid=514&detailnodeid=5408&detailnodetype=2




37 | P a g e

DIALYSIS Click HERE to register for the DIALYSIS Skills Fair


ROLE

DIALYSIS TECH

RN



38 | P a g e

DIALYSIS - DIALYSIS TECH * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 017 - CHF Care

TRN 019 - Customer

TRN 022 - Dysphagia































39 | P a g e

DIALYSIS - RN * No registration required – completed at skills fair

















RSV 006 - Code Blue




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia

TRN 024 - EPIC



TRN 038 - CLABSI


































40 | P a g e

Emergency Department Click HERE to register for the ED Skills Fair


ROLE

CMT

RN

SCRIBE



41 | P a g e

ED - CMT * No registration required – completed at skills fair















RSV 006 - Code Blue




TRN 019 - Customer

TRN 022 - Dysphagia


TRN 024 - EPIC






























42 | P a g e

ED – RN * No registration required – completed at skills fair

GRT 100 - Team Member Safety TRN 005 - Anti-Coagulation Safety

GRT 105 - Stroke Care 2012 TRN 007 - Blood and Blood Products

GRT 110 - Flu Facts for Everyone 2012 TRN 009 - Bariatric Patient

GRT 115 - 2012 Acute Coronary Syndrome TRN 012 - CA-UTI

GRT 120 - Population Served 2012 TRN 015 - Chest Tube




GRT 150 - Service Basics 2012 TRN 022 - Dysphagia

GRT 160 - MDROs: Multiple Drug Resistant Organisms 2012 TRN 023 - End of Life


GRT 180 - Corporate Compliance TRN 031 - Pacemakers

GRT 190 - National Patient Safety Goals TRN 033 - Pain Management

RSV 002 - Telemetry* TRN 034 - Pediatric Assessment

RSV 004 - IV Add/Mix TRN 035 - Pediatric Med Errors

RSV 005 - Non-Violent Restraint TRN 036 - Pneumonia Indicators for ED

RSV 006 - Code Blue TRN 037 - Pressure Ulcer

RSV 016 - Violent Restraint TRN 038 - CLABSI

RSV 021 - ED Moderate Sedation TRN 048 - Universal Protocol

RSV 024 - Urine Dip Test TRN 054 – Fall Reduction

RSV 026 - Arterial Line Management* TRN 055 – Suicide Risk Assessment










































43 | P a g e

ED - SCRIBE * No registration required – completed at skills fair














TRN 019 - Customer

TRN 025 - Heart Rates, Rhythms, and Code Heart



















44 | P a g e

Endoscopy Click HERE to register for the ENDO Skills Fair


ROLE

CMT

LPN

RN



45 | P a g e

ENDO - CMT * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 019 - Customer


























46 | P a g e

ENDO - LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 060 - Urine Pregnancy Test

RSV 083 - H. Pylori




TRN 012 - CA-UTI

TRN 019 - Customer

TRN 024 - EPIC



TRN 038 - CLABSI

































47 | P a g e

ENDO - RN * No registration required – completed at skills fair

















RSV 006 - Code Blue



RSV 083 - H. Pylori




TRN 012 - CA-UTI

TRN 019 - Customer

TRN 024 - EPIC



TRN 038 - CLABSI


































48 | P a g e

HOME HEALTH Click HERE to register for the HOME HEALTH Skills Fair


ROLE

LPN

RN



49 | P a g e

HOME HEALTH - LPN * No registration required – completed at skills fair














RSV 039 - Troubleshooting Pumps*

RSV 078 - Unna Boot*

TRN 046 - Tube Feedings


















50 | P a g e

HOME HEALTH - RN * No registration required – completed at skills fair














RSV 039 - Troubleshooting Pumps*

RSV 078 - Unna Boot*

TRN 046 - Tube Feedings


















51 | P a g e

HVC PAT – RN Click HERE to register for the HVC PAT Skills Fair * No registration required – completed at skills fair

















RSV 006 - Code Blue





TRN 012 - CA-UTI

TRN 019 - Customer

TRN 024 - EPIC


TRN 038 - CLABSI
































52 | P a g e

HVC PRE-OP – RN Click HERE to register for the HVC PRE-OP Skills Fair * No registration required – completed at skills fair

GRT 100 - Team Member Safety TRN 003 - 12-Lead EKG

GRT 105 - Stroke Care 2012 TRN 005 - Anti-Coagulation Safety

GRT 110 - Flu Facts for Everyone 2012 TRN 007 - Blood and Blood Products

GRT 115 - 2012 Acute Coronary Syndrome TRN 010 - CABG Patient

GRT 120 - Population Served 2012 TRN 011 - Cardiac Cath Patients

GRT 125 - Obesity Sensitivity 2012 TRN 012 - CA-UTI

GRT 130 - MRI Safety 2012 TRN 015 - Chest Tube

GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 017 - CHF Care

GRT 150 - Service Basics 2012 TRN 019 - Customer

GRT 160 - MDROs: Multiple Drug Resistant Organisms 2012 TRN 020 - Distress Management

GRT 170 - Radiation Safety 2012 TRN 022 - Dysphagia

GRT 180 - Corporate Compliance TRN 023 - End of Life

GRT 190 - National Patient Safety Goals TRN 024 - EPIC

RSV 002 - Telemetry* TRN 031 - Pacemakers

RSV 004 - IV Add/Mix TRN 033 - Pain Management

RSV 005 - Non-Violent Restraint TRN 037 - Pressure Ulcer


RSV 033 - C-Clamps TRN 048 - Universal Protocol

RSV 034 - Arterial Sheath Removal TRN 054 – Fall Reduction


RSV 065 - i-STAT1

RSV 076 - TR Band

RSV 084 - INRatio












































53 | P a g e

HVC PROCEDURE ROOM – RN Click HERE to register for the HVC PROCEDURE ROOM Skills Fair * No registration required – completed at skills fair

















RSV 006 - Code Blue




TRN 012 - CA-UTI

TRN 019 - Customer

TRN 024 - EPIC



TRN 038 - CLABSI
































54 | P a g e

HVC STRESS LAB Click HERE to register for the HVC STRESS LAB Skills Fair


ROLE

CMT

NUCLEAR MED TECH

RN



55 | P a g e

HVC STRESS LAB - CMT * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 019 - Customer




























56 | P a g e

HVC STRESS LAB - NUCLEAR MED TECH * No registration required – completed at skills fair















RSV 006 - Code Blue


TRN 019 - Customer



























57 | P a g e

HVC STRESS LAB - RN * No registration required – completed at skills fair

















RSV 006 - Code Blue



TRN 019 - Customer


TRN 038 - CLABSI





























58 | P a g e

HVC Transfer - RN Click HERE to register for the HVC STRESS LAB Skills Fair * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 010 - Transvenous Pacemaker*



RSV 024 - Urine Dip Test

RSV 026 - Arterial Line Management*




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer

TRN 024 - EPIC



TRN 038 - CLABSI






































59 | P a g e

HVCP Click HERE to register for the HVCP Skills Fair


ROLE

LPN

RN



60 | P a g e

HVCP - LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue







TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC




TRN 038 - CLABSI








































61 | P a g e

HVCP - RN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 007 - PCA (RN)*

RSV 076 - TR Band






TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC




TRN 038 - CLABSI









































62 | P a g e

HVIU – RN Click HERE to register for the HVIU Skills Fair * No registration required – completed at skills fair

GRT 100 - Team Member Safety RSV 029 - Cardioversion*

GRT 105 - Stroke Care 2012 RSV 030 - Transcutaneous PM*

GRT 110 - Flu Facts for Everyone 2012 RSV 076 - TR Band

GRT 115 - 2012 Acute Coronary Syndrome TRN 003 - 12-Lead EKG

GRT 120 - Population Served 2012 TRN 005 - Anti-Coagulation Safety

GRT 125 - Obesity Sensitivity 2012 TRN 007 - Blood and Blood Products

GRT 130 - MRI Safety 2012 TRN 010 - CABG Patient

GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 011 - Cardiac Cath Patients

GRT 150 - Service Basics 2012 TRN 012 - CA-UTI

GRT 160 - MDROs: Multiple Drug Resistant Organisms 2012 TRN 017 - CHF Care

GRT 170 - Radiation Safety 2012 TRN 019 - Customer

GRT 180 - Corporate Compliance TRN 020 - Distress Management

GRT 190 - National Patient Safety Goals TRN 022 - Dysphagia

RSV 002 - Telemetry* TRN 023 - End of Life

RSV 004 - IV Add/Mix TRN 024 - EPIC



RSV 007 - PCA (RN)* TRN 038 - CLABSI

RSV 026 - Arterial Line Management* TRN 054 – Fall Reduction






































63 | P a g e

HVRU – RN Click HERE to register for the HVRU Skills Fair * No registration required – completed at skills fair

GRT 100 - Team Member Safety TRN 007 - Blood and Blood Products

GRT 105 - Stroke Care 2012 TRN 010 - CABG Patient

GRT 110 - Flu Facts for Everyone 2012 TRN 011 - Cardiac Cath Patients


GRT 120 - Population Served 2012 TRN 015 - Chest Tube





GRT 160 - MDROs: Multiple Drug Resistant Organisms 2012 TRN 023 - End of Life


GRT 180 - Corporate Compliance TRN 031 - Pacemakers


RSV 002 - Telemetry* TRN 037 - Pressure Ulcer

RSV 004 - IV Add/Mix TRN 038 - CLABSI


RSV 006 - Code Blue TRN 054 – Fall Reduction

RSV 033 - C-Clamps TRN 055 – Suicide Risk Assessment

RSV 034 - Arterial Sheath Removal


RSV 065 - i-STAT1

RSV 076 - TR Band














































64 | P a g e

HVSD - RN Click HERE to register for the HVSD Skills Fair * No registration required – completed at skills fair

GRT 100 - Team Member Safety TRN 012 - CA-UTI

GRT 105 - Stroke Care 2012 TRN 015 - Chest Tube

GRT 110 - Flu Facts for Everyone 2012 TRN 017 - CHF Care

GRT 115 - 2012 Acute Coronary Syndrome TRN 019 - Customer

GRT 120 - Population Served 2012 TRN 020 - Distress Management

GRT 125 - Obesity Sensitivity 2012 TRN 022 - Dysphagia

GRT 130 - MRI Safety 2012 TRN 023 - End of Life

GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 024 - EPIC

GRT 150 - Service Basics 2012 TRN 031 - Pacemakers

GRT 160 - MDROs: Multiple Drug Resistant Organisms 2012 TRN 033 - Pain Management

GRT 170 - Radiation Safety 2012 TRN 037 - Pressure Ulcer

GRT 180 - Corporate Compliance TRN 038 - CLABSI

GRT 190 - National Patient Safety Goals TRN 044 - Tikosyn

RSV 002 - Telemetry* TRN 048 - Universal Protocol

RSV 004 - IV Add/Mix TRN 054 – Fall Reduction

RSV 005 - Non-Violent Restraint TRN 055 – Suicide Risk Assessment

RSV 006 - Code Blue

RSV 007 - PCA (RN)*

RSV 029 - Cardioversion*

RSV 030 - Transcutaneous PM*

RSV 076 - TR Band














































65 | P a g e

HVSU – RN Click HERE to register for the HVSU Skills Fair * No registration required – completed at skills fair

GRT 100 - Team Member Safety RSV 076 - TR Band




GRT 120 - Population Served 2012 TRN 010 - CABG Patient

GRT 125 - Obesity Sensitivity 2012 TRN 011 - Cardiac Cath Patients


GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 015 - Chest Tube

GRT 150 - Service Basics 2012 TRN 017 - CHF Care


TRN 019 - Customer

GRT 170 - Radiation Safety 2012 TRN 020 - Distress Management

GRT 180 - Corporate Compliance TRN 022 - Dysphagia

GRT 190 - National Patient Safety Goals TRN 023 - End of Life


RSV 004 - IV Add/Mix TRN 033 - Pain Management

RSV 005 - Non-Violent Restraint TRN 037 - Pressure Ulcer


RSV 007 - PCA (RN)* TRN 054 – Fall Reduction

RSV 070 - LVAD TRN 055 – Suicide Risk Assessment








































66 | P a g e

ICU Click HERE to register for the ICU Skills Fair

Please select your role. ROLE

CMT

RN



67 | P a g e

ICU - CMT * No registration required – completed at skills fair















RSV 006 - Code Blue




TRN 017 - CHF Care

TRN 019 - Customer

TRN 022 - Dysphagia

































68 | P a g e

ICU – RN * No registration required – completed at skills fair

GRT 100 - Team Member Safety RSV 087 - Pulmonary Artery Catheter*




GRT 120 - Population Served 2012 TRN 009 - Bariatric Patient

GRT 125 - Obesity Sensitivity 2012 TRN 010 - CABG Patient


GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 015 - Chest Tube

GRT 150 - Service Basics 2012 TRN 017 - CHF Care

GRT 160 - MDROs: Multiple Drug Resistant Organisms 2012 TRN 019 - Customer

GRT 170 - Radiation Safety 2012 TRN 020 - Distress Management

GRT 180 - Corporate Compliance TRN 022 - Dysphagia

GRT 190 - National Patient Safety Goals TRN 023 - End of Life


RSV 004 - IV Add/Mix TRN 031 - Pacemakers



RSV 014 - CRRT TRN 038 - CLABSI

RSV 021 - Moderate Sedation TRN 048 - Universal Protocol

RSV 028 - IABP TRN 054 – Fall Reduction

RSV 066 - ICP Monitoring* TRN 055 – Suicide Risk Assessment









































69 | P a g e

IMU Click HERE to register for the IMU Skills Fair

ROLE

LPN

RN



70 | P a g e

IMU - LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue






TRN 012 - CA-UTI


TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI







































71 | P a g e

IMU - RN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 007 - PCA (RN)*





TRN 012 - CA-UTI


TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI







































72 | P a g e

LABOR & DELIVERY - RN Click HERE to register for the LABOR & DELIVERY Skills Fair * No registration required – completed at skills fair
















RSV 006 - Code Blue

RSV 007 - PCA (RN)*

RSV 081 - Amnisure


TRN 006 - Aseptic Technique


TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC




TRN 038 - CLABSI

TRN 040 - Safety Hazards in the Perioperative Suite)

TRN 041 - Surgical Counts

TRN 042 - Surgical Positioning











































73 | P a g e

MATERNAL CHILD HEALTH TEAM Click HERE to register for the MATERNAL CHILD HEALTH TEAM Skills Fair


ROLE

LPN

RN



74 | P a g e

MATERNAL CHILD HEALTH TEAM - LPN * No registration required – completed at skills fair
















RSV 006 - Code Blue





TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI





































75 | P a g e

MATERNAL CHILD HEALTH TEAM – RN * No registration required – completed at skills fair
















RSV 006 - Code Blue

RSV 007 - PCA (RN)*




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI





































76 | P a g e

MRI - CMT Click HERE to register for the MRI Skills Fair * No registration required – completed at skills fair














RSV 006 - Code Blue



TRN 019 - Customer


























77 | P a g e

NEWBORN NURSERY Click HERE to register for the NEWBORN NURSERY Skills Fair


ROLE

LPN

RN



78 | P a g e

NEWBORN NURSERY - LPN * No registration required – completed at skills fair
















RSV 006 - Code Blue



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 024 - EPIC



TRN 038 - CLABSI


TRN 051 – ALGO & OAE (includes RSVs)


































79 | P a g e

NEWBORN NURSERY - RN * No registration required – completed at skills fair
















RSV 006 - Code Blue



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 024 - EPIC



TRN 038 - CLABSI




































80 | P a g e

NICU - RN Click HERE to register for the NICU Skills Fair * No registration required – completed at skills fair
















RSV 006 - Code Blue

RSV 071 - Newborn Arterial Sticks

RSV 072 - NICU Codes

RSV 073 - NICU Intubation

RSV 086 - Pneumothorax Needle



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 024 - EPIC



TRN 038 - CLABSI







































81 | P a g e

NSCC Click HERE to register for the NSCC Skills Fair


ROLE

LPN

RN



82 | P a g e

NSCC – LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue





TRN 012 - CA-UTI


TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI






































83 | P a g e

NSCC – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 007 - PCA (RN)*




TRN 012 - CA-UTI


TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI






































84 | P a g e

NUCLEAR MED Click HERE to register for the NUCLEAR MED Skills Fair


ROLE

CMT

NUCLEAR MED TECH



85 | P a g e

NUCLEAR MED - CMT * No registration required – completed at skills fair















RSV 006 - Code Blue


RSV 065 - i-STAT1

RSV 074 - Radiation Instrumentation



TRN 019 - Customer





























86 | P a g e

NUCLEAR MED - NUCLEAR MED TECH * No registration required – completed at skills fair















RSV 006 - Code Blue


RSV 065 - i-STAT1

RSV 074 - Radiation Instrumentation



TRN 019 - Customer





























87 | P a g e

NURSING SERVICES - RN Click HERE to register for the NURSING SERVICES Skills Fair * No registration required – completed at skills fair

















RSV 006 - Code Blue




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia





































88 | P a g e

ONCO Click HERE to register for the ONCO Skills Fair


ROLE

LPN

RN



89 | P a g e

ONCO – LPN * No registration required – completed at skills fair

GRT 100 - Team Member Safety TRN 007 - Blood and Blood Products

GRT 105 - Stroke Care 2012 TRN 008 - Breast Cancer

GRT 110 - Flu Facts for Everyone 2012 TRN 011 - Cardiac Cath Patients


GRT 120 - Population Served 2012 TRN 014 - Chemo Admin LPN


GRT 130 - MRI Safety 2012 TRN 018 - Colon Cancer

GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 019 - Customer

GRT 150 - Service Basics 2012 TRN 020 - Distress Management


TRN 022 - Dysphagia

GRT 170 - Radiation Safety 2012 TRN 023 - End of Life

GRT 180 - Corporate Compliance TRN 024 - EPIC

GRT 190 - National Patient Safety Goals TRN 029 - Neutropenia

RSV 002 - Telemetry* TRN 033 - Pain Management

RSV 004 - IV Add/Mix TRN 037 - Pressure Ulcer

RSV 005 - Non-Violent Restraint TRN 038 - CLABSI

RSV 006 - Code Blue TRN 048 - Universal Protocol

RSV 008 - PCA (LPN)* TRN 050 - Chemo Induced Nausea & Vomiting

TRN 003 - 12-Lead EKG TRN 054 – Fall Reduction

TRN 005 - Anti-Coagulation Safety TRN 055 – Suicide Risk Assessment









































90 | P a g e

ONCO – RN * No registration required – completed at skills fair

GRT 100 - Team Member Safety TRN 008 - Breast Cancer

GRT 105 - Stroke Care 2012 TRN 011 - Cardiac Cath Patients

GRT 110 - Flu Facts for Everyone 2012 TRN 012 - CA-UTI

GRT 115 - 2012 Acute Coronary Syndrome TRN 013 - Chemo Admin RN

GRT 120 - Population Served 2012 TRN 017 - CHF Care

GRT 125 - Obesity Sensitivity 2012 TRN 018 - Colon Cancer







GRT 180 - Corporate Compliance TRN 029 - Neutropenia


RSV 002 - Telemetry* TRN 037 - Pressure Ulcer

RSV 004 - IV Add/Mix TRN 038 - CLABSI


RSV 006 - Code Blue TRN 050 - Chemo Induced Nausea & Vomiting

RSV 007 - PCA (RN)* TRN 054 – Fall Reduction

TRN 003 - 12-Lead EKG TRN 055 – Suicide Risk Assessment











































91 | P a g e

OPSU Click HERE to register for the OPSU Skills Fair


ROLE

OPSU - CMT

OR TECH

OR RN

PACU RN



92 | P a g e

OPSU - CMT * No registration required – completed at skills fair















RSV 006 - Code Blue

TRN 002 - Surgical Attire




TRN 019 - Customer

TRN 024 - EPIC

TRN 026 - Laryngeal Spasms







TRN 043 - Surgical Wound Classification

































93 | P a g e

OPSU - OR TECH * No registration required – completed at skills fair














RSV 006 - Code Blue





TRN 019 - Customer

TRN 024 - EPIC










































94 | P a g e

OPSU - OR RN * No registration required – completed at skills fair
















RSV 006 - Code Blue



TRN 004 - Adult and Pediatric Meds





TRN 012 - CA-UTI

TRN 019 - Customer

TRN 024 - EPIC



TRN 032 - PACU Vent care



TRN 038 - CLABSI













































95 | P a g e

OPSU – PACU RN * No registration required – completed at skills fair

GRT 100 - Team Member Safety TRN 004 - Adult and Pediatric Meds

GRT 105 - Stroke Care 2012 TRN 005 - Anti-Coagulation Safety

GRT 110 - Flu Facts for Everyone 2012 TRN 006 - Aseptic Technique


GRT 120 - Population Served 2012 TRN 009 - Bariatric Patient

GRT 125 - Obesity Sensitivity 2012 TRN 012 - CA-UTI


GRT 140 - Abuse, Neglect, and Exploitation 2012 TRN 024 - EPIC

GRT 150 - Service Basics 2012 TRN 026 - Laryngeal Spasms



GRT 170 - Radiation Safety 2012 TRN 032 - PACU Vent care

GRT 180 - Corporate Compliance TRN 033 - Pain Management

GRT 190 - National Patient Safety Goals TRN 037 - Pressure Ulcer

RSV 002 - Telemetry* TRN 038 - CLABSI

RSV 004 - IV Add/Mix TRN 040 - Safety Hazards in the Perioperative Suite)

RSV 006 - Code Blue TRN 041 - Surgical Counts

RSV 007 - PCA (RN)* TRN 042 - Surgical Positioning

RSV 060 - Urine Pregnancy Test TRN 043 - Surgical Wound Classification

TRN 002 - Surgical Attire TRN 048 - Universal Protocol

TRN 003 - 12-Lead EKG TRN 054 – Fall Reduction










































96 | P a g e

OR Click HERE to register for the OR Skills Fair


ROLE

OR TECH

RN



97 | P a g e

OR - OR TECH * No registration required – completed at skills fair















RSV 006 - Code Blue

TRN 001 - ESU




TRN 019 - Customer

TRN 024 - EPIC



































98 | P a g e

OR – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue


TRN 001 - ESU






TRN 012 - CA-UTI

TRN 019 - Customer

TRN 024 - EPIC




TRN 038 - CLABSI






































99 | P a g e

Outpatient IV - RN Click HERE to register for the OTPT IV Skills Fair * No registration required – completed at skills fair

















RSV 006 - Code Blue



TRN 013 - Chemo Admin RN

TRN 019 - Customer

TRN 029 - Neutropenia



TRN 038 - CLABSI































100 | P a g e

PACU Click HERE to register for the PACU Skills Fair


ROLE

CMT

RN



101 | P a g e

PACU – CMT * No registration required – completed at skills fair















RSV 006 - Code Blue



TRN 019 - Customer






























102 | P a g e

PACU – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 007 - PCA (RN)*

RSV 009 - Epidural


TRN 004 - Adult and Pediatric Meds



TRN 012 - CA-UTI

TRN 019 - Customer

TRN 024 - EPIC



TRN 032 - PACU Vent care



TRN 038 - CLABSI




































103 | P a g e

PAIN & SPINE CENTER Click HERE to register for the PAIN & SPINE CENTER Skills Fair


ROLE

LPN

RN



104 | P a g e

PAIN & SPINE CENTER – LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue




TRN 019 - Customer




























105 | P a g e

PAIN & SPINE CENTER – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue





TRN 019 - Customer





























106 | P a g e

PAT – RN Click HERE to register for the PAT Skills Fair * No registration required – completed at skills fair

















RSV 006 - Code Blue




TRN 019 - Customer

TRN 024 - EPIC






























107 | P a g e

PEDS Click HERE to register for the PEDS Skills Fair


ROLE

LPN

RN



108 | P a g e

PEDS – LPN * No registration required – completed at skills fair
















RSV 006 - Code Blue




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC


TRN 035 - Pediatric Med Errors


TRN 038 - CLABSI





































109 | P a g e

PEDS – RN * No registration required – completed at skills fair
















RSV 006 - Code Blue

RSV 007 - PCA (RN)*



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC


TRN 035 - Pediatric Med Errors


TRN 038 - CLABSI





































110 | P a g e

REHAB Click HERE to register for the REHAB Skills Fair


ROLE

CMT

LPN

RN



111 | P a g e

REHAB – CMT * No registration required – completed at skills fair















RSV 006 - Code Blue


TRN 019 - Customer

TRN 022 - Dysphagia




TRN 045 - Trach Care




























112 | P a g e

REHAB – LPN * No registration required – completed at skills fair
















RSV 006 - Code Blue



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI






































113 | P a g e

REHAB – RN * No registration required – completed at skills fair
















RSV 006 - Code Blue



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI






































114 | P a g e

RSTD Click HERE to register for the RSTD Skills Fair


ROLE

LPN

RN



115 | P a g e

RSTD – LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue






TRN 012 - CA-UTI


TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI









































116 | P a g e

RSTD – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 007 - PCA (RN)*





TRN 012 - CA-UTI


TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI









































117 | P a g e

SRU Click HERE to register for the SRU Skills Fair


ROLE

LPN

RN



118 | P a g e

SRU – LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue




TRN 008 - Breast Cancer



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 018 - Colon Cancer

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI







































119 | P a g e

SRU - RN * No registration required – completed at skills fair

















RSV 006 - Code Blue




TRN 008 - Breast Cancer



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 018 - Colon Cancer

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI







































120 | P a g e

SURN Click HERE to register for the SURN Skills Fair


ROLE

LPN

RN



121 | P a g e

SURN – LPN * No registration required – completed at skills fair

















RSV 006 - Code Blue







TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 021 - DVT

TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI








































122 | P a g e

SURN – RN * No registration required – completed at skills fair

















RSV 006 - Code Blue

RSV 007 - PCA (RN)*

RSV 009 - Epidural






TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 021 - DVT

TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI
























http://kdmcuniversity.kdmc.net/lms/catalogue.aspx?tabsel=0&rootnodeid=514&detailnodeid=5430&detailnodetype=2#http://kdmcuniversity.kdmc.net/lms/catalogue.aspx?tabsel=0&rootnodeid=514&detailnodeid=5430&detailnodetype=2

















123 | P a g e

TCU Click HERE to register for the TCU Skills Fair


ROLE

LPN

RN



124 | P a g e

TCU – LPN * No registration required – completed at skills fair
















RSV 006 - Code Blue




TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI






































125 | P a g e

TCU – RN * No registration required – completed at skills fair
















RSV 006 - Code Blue

RSV 007 - PCA (RN)*



TRN 012 - CA-UTI

TRN 017 - CHF Care

TRN 019 - Customer


TRN 022 - Dysphagia


TRN 024 - EPIC



TRN 038 - CLABSI






































126 | P a g e

UROLOGIC PROCEDURES Click HERE to register for the UROLOGIC PROCEDURES Skills Fair


ROLE

LPN

RN



127 | P a g e

UROLOGIC PROCEDURES- LPN * No registration required – completed at skills fair
















RSV 006 - Code Blue



RSV 067 - NMP22

RSV 079 - Urinalysis Machine




TRN 012 - CA-UTI

TRN 019 - Customer






































128 | P a g e

UROLOGIC PROCEDURES – RN * No registration required – completed at skills fair
















RSV 006 - Code Blue



RSV 067 - NMP22

RSV 079 - Urinalysis Machine




TRN 012 - CA-UTI

TRN 019 - Customer






































129 | P a g e

WOUND CARE Click HERE to register for the WOUND CARE Skills Fair


ROLE

LPN

PTA

RN



130 | P a g e

WOUND CARE – LPN * No registration required – completed at skills fair
















RSV 006 - Code Blue


TRN 019 - Customer




























131 | P a g e

WOUND CARE – RN * No registration required – completed at skills fair
















RSV 006 - Code Blue


TRN 019 - Customer




























132 | P a g e

WOUND CARE - WOUND CARE PTA * No registration required – completed at skills fair















RSV 006 - Code Blue

TRN 019 - Customer


























133 | P a g e

Competancy Validation Checklists

Activated Clotting Time Neonatal Arterial Sticks

Amnisure NICU Code Blue

Arterial Doppler NICU Intubation

Arterial Line Management NMP22

Arterial Sheath Removal With C-CLAMP Nonviolent Restraints

Arterial Sheath Removal With Manual Pressure Occult Blood Test

Cardioversion PCA

Code Blue Review Pneumothorax Needle

CRRT Pulmonary Artery Catheter and Pressure Monitoring

ED Moderate Sedation Radiation Instrumentation

Epidural Analgesia Rotoblator

Gastroccult TEE Probe Cleaning

H. Pylori TR Band

Impella Transcutaneous Pacemaker

INRatio Transvenous Pacemaker

Intra-Aortic Balloon Pump Trouble Shooting Pumps in Home Health

Intracranial Pressure Monitoring UNNA Boot

I-Stat1 Urinalysis Machine

IV Add Mix Urine Dip Test

IVUS Urine Pregnancy Test

LVAD Violent Restraint

Moderate Sedation


134 | P a g e

Transvenous Pacing

Demonstrates the ability to safely assist and care for the patient with transvenous pacemaker

Recommended Methods for Validation: (Observation, Demonstration, Verbalization)

Expected knowledge and technical ability:

Verbalizes indications for transvenous pacemaker

Verbalizes pacemaker modes and settings

Verifies consent obtained unless medical emergency

Identifies and obtain equipment for transvenous pacing

Crash cart available

Follows proper steps to prepare for fluoroscopy

Ensures stable ECG tracing, patient IV line, O2 supplementation, SaO2 monitoring, NIBP set up for every 2

– 5 minutes if no arterial line in place

Assists physician as needed with procedure as needed

Connects pacer cable to ventricular port of pacer generator as directed by physician

Adjusts pacemaker settings as directed by physician

Checks pacing threshold while in asynchronous mode

Verifies rate, mA, and pacing mode as ordered and that rhythm demonstrates 1:1 capture

Obtains chest x-ray to verify placement and no pneumothorax

Verbalize appropriate patient/family education

Proper documentation includes: pacemaker mode, rate, alarm settings, rhythm strips and interpretation,

pre and post procedure assessment and comfort level, patient/family education

References available for remediation:

AACN Procedure Manual pp. 421 - 428

Unit based trainers


135 | P a g e

Temporary Transcutaneous (External) Pacing

Demonstrates the ability to safely assist with transcutaneous pacing



Verbalizes indications for transcutaneous pacemaker

Identifies and obtain equipment for transcutaneous pacing

Crash cart available

Proper application of pacer pads with connection to defibrillator

Obtains stable ECG tracing on the defibrillator monitor

Selects proper lead, adjusts size, verifies HR digital count is correct

Initiates transcutaneous pacing

Verifies capture by two methods

Verbalizes “typical threshold currents are between 40 – 80 mA

Properly documentation requirements: pacemaker mode, rate, alarm settings, rhythm strips and

interpretation, pre and post procedure assessment and comfort level



Unit based trainers


136 | P a g e

Validation: Neonatal Needle Aspiration (Pneumothorax)

To ensure the proper management of Neonatal Needle Aspiration

Recommended Methods for Validation: (Verbalize, Observe, Demonstrate)


Demonstrates location of Pneumothorax via transillumination

Demonstrates the collection of the appropriate equipment: Betadine swabs, alcohol prep pads, 23 gauge

Butterfly needle, 3-way stopcock, 20 cc syringe, occlusive dressing and sterile gauze/OB sponges

Demonstrates the correct procedure for Pneumothorax

o Locates nipple on side of Pneumothorax at fourth intercostal anterior axillary line or

o Second intercostal at mid clavicular line

o Cleans insertion site prior to insertion

o Inserts needle over top of fourth intercostal space while aspirating

o Aspirates air/fluid from pleural space

o Begins preparation for CT placement per physician

o Covers insertion site with petroleum gauze and small dressing unless ordered otherwise

Documents in the medical record

o The amount of air/fluid aspirated

o Infant response to the procedure

o Condition of the insertion site


Per the Neonatal Resuscitation Program (NRP)

Policy and Procedure

Unit based trainers and appropriate trainers


137 | P a g e

Validation: Neonatal Code Cart

To ensure the proper management of the Neonatal Code Cart



Verbalizes location of cart in unit and operating room

Verbalizes role in using cart

Verbalizes expectation of cart quality assurance documentation every 24 hours

Observe each drawer for supply contents: Airway, Breathing, Circulation, UAC, Drug and Extra

Demonstrates how to correctly unlock cart to obtain supplies

Verbalizes that the cart is restocked after using

Verbalizes policy for checking carts for outdated supplies/ medications






138 | P a g e

Validation: Neonatal Arterial Puncture (Sticks)

To ensure the proper management of neonatal arterial punctures (sticks)



Demonstrates equipment selection: 23 gauge Butterfly needle, Betadine swabs, alcohol prep pad, syringes (3 cc and/or blood gases syringe) and OB sponges/sterile gauze

Demonstrate appropriate puncture site on infant Demonstrate the correct assessment of collateral circulation by utilizing the modified Allen’s test. Demonstrates correct method of placement

o Attain proper positioning and stabilization of wrist to allow puncture against the direction of the arterial flow

o Prep skin puncture site with iodophor prep pad and alcohol o Puncture skin with a needle at a 15 – 45 degree angle. Using the shallower angle for the smaller

infants or more superficial artery. o Advance needle slowly to puncture artery. o At the onset of blood into the tubing attach a syringe and gently aspirate to collect sample o Occlude artery with pressure just proximal to puncture site and withdraw needle o Apply pressure to site for five minutes or until hemostatis is ensured






139 | P a g e

Validation: Arterial Doppler Care Delivery: Demonstrates ability to perform an arterial Doppler

Recommended Method for Validation: (observe, verbalize, demonstrate)


Verbalize purpose of arterial doppler

Identify equipment needed for arterial doppler

Demonstrate appropriate patient/family education

Verbalize proper procedure

Demonstrate proper technique

Demonstrate proper documentation of procedure


American College of Radiology (ACR) standards

Cardiac Imaging Team Members


140 | P a g e

Arterial Sheath Removal with C-clamp Demonstrates the ability to safely remove an arterial sheath using a c-clamp per KDMC Nursing Policy and Procedure Recommended Methods for Validation: (Observation, Demonstration, Verbalization)


Verbalizes purpose of arterial sheath

Identify equipment needed for sheath removal and hemostasis

Verbalize proper monitoring and assessment requirements for sheath removal

Demonstrate proper technique for sheath removal and c-clamp application

Verbalize frequency of vascular checks after removal

Verbalize conditions which may require physician notification


Documents assessment, education, and procedure appropriately



Policy and Procedure Section I(C-4): Management of the patient requiring Cardiac and Vascular

Interventional Procedures

Unit based trainers


141 | P a g e

Arterial Sheath Removal with Manual Pressure Demonstrates the ability to safely remove an arterial sheath using manual pressure per KDMC Nursing Policy and Procedure Recommended Methods for Validation: (Observation, Demonstration, Verbalization)


Verbalizes purpose of arterial sheath

Identify equipment needed for sheath removal and hemostasis

Verbalize proper monitoring and assessment requirements for sheath removal

Demonstrate proper technique for sheath removal and c-clamp application

Verbalize frequency of vascular checks after removal






Policy and Procedure Section I(C-4): Management of the patient requiring Cardiac and Vascular

Interventional Procedures

Unit based trainers


142 | P a g e

Cardioversion Demonstrates the ability to assist with cardioversion per King’s Daughters Medical Center Nursing Practice and Guidelines Policy Recommended Methods for Validation: (Observation, Preceptor Confirmation, Skills Lab) Expected knowledge and technical ability:

Verbalizes indications for cardioversion

Verbalizes verification of informed consent obtained prior to procedure if not emergent

Verbalizes performance of time out if non-emergent procedure

Verbalizes understanding that physician needs to be at bedside if a planned cardioversion

Must have ACLS certification to perform emergently

Verbalizes establishment of patent IV access prior to procedure

Discusses possible need for pre-medication – if condition allows

Demonstrates correct pad placement

Demonstrates correct use of cardioverter/defibrillator (uses SYNC function when appropriate)



AACN Procedure Manual pp. 319 – 328

Elective synchronized electrical cardioversion policy available on KDMC Intranet – Nursing Practice and

Guidelines Police I C-35

Unit based trainers


143 | P a g e

Validation: Code Blue Review To ensure role performance of disciplines per KDMC Nursing Policy and Procedure Recommended Method for Validation: (observe, verbalize, demonstrate) Expected knowledge and technical ability:

Observe situation when code blue/physician notification is required

Identify equipment needed during a code blue situation

Demonstrate proper technique for code blue situation

Demonstrates proper technique for American Heart BLS protocol

Verbalize team member role assignment during code blue

Demonstrate appropriate documentation

Verbalize appropriate steps via algorithm to exchange code cart and equipment post code blue

Verbalize proper monitoring and assessment requirements post code blue situation



Nursing Policy Section I (C-59): Code Blue Management

Current AHA card for Basic Life Support Healthcare Provider

Code Cart Module on KDMCU


144 | P a g e

Continuous Renal Replacement Therapy Demonstrates the ability to safely provide Continuous Renal Replacement Therapy (CRRT) Recommended Methods for Validation: (Observation, Demonstration, Verbalization) Expected knowledge and technical ability:

Verbalizes purpose of Continuous Renal Replacement Therapy

Verifies orders for therapy: rate, RMVD, bath properties and duration;

Verify consent for therapy

Identify, obtain, and set up equipment needed to maintain treatment after initiated by Dialysis RN

Calculate and correctly enters rate

Evaluates system for leaks

Demonstrates correctly flushing process

Demonstrate IV medication administration while on CRRT

Demonstrates correct process to administer blood/blood components through the CRRT machine

Demonstrates appropriate response to pressure alarms

Properly returns blood to patient prior to discontinuation of treatment

Discontinues CRRT correctly

Demonstrates correct technique to de-access and pack dual lumen catheter






Unit based trainers


145 | P a g e

Epidural Analgesia Competency Statement: Demonstrates ability to comply with the Epidural

Analgesia standards per Nursing Policy I (D-29): Epidural Analgesia and passes the Epidural Exam on KDMC University.

Recommended Method for Validation: Observation, Verbalization, Test Expected knowledge and technical ability:

Team member must successfully complete Epidural Exam on KDMCU

Demonstrates ability to program or modify pump settings

Performs patient assessment including ensuring patency of lines, site assessment, checking for dressing

integrity

Inspects solution q4h for clarity, discoloration, or precipitation

Properly performs shift hand-off with second RN

Documents appropriately on MAR and related flowsheets

Verbalizes steps to be taken in the event of a disconnection or overmedication

Verbalizes understanding that only a validated RN can remove an epidural catheter

Describes post removal assessment and site care

Describes LPN role and limitations in initiation and maintenance of epidural infusions


Nursing validation available on KDMC Intranet

o Epidural Analgesia – PCEA RN

o Epidural Analgesia – PCEA LPN

Nursing Policy available on KDMC Intranet

o Patient focused guidelines, under section D: Medications

AACN Procedure Manual pp. 827-835

Lippincott Manual


146 | P a g e

Intra-aortic Balloon Pump Management Demonstrates the ability to safely provide care for the patient with an Intra-aortic Balloon Pump Recommended Methods for Validation: (Observation, Demonstration, Verbalization) Expected knowledge and technical ability:

Demonstrates correct process to establish power to the pump

Correctly opens helium tank and verifies adequate gas pressure

Acquires stable ECG tracing to IAB console

Acquires arterial pressure tracing to IAB console

Properly confirms initial pump settings

Follows proper process to check auxiliary/override controls

Correctly sets initial timing

Demonstrates proper connection of catheter and extender to safety disk

Correctly fills IABP

Demonstrates correct process to initiate pumping

Verbalizes/demonstrates process to change helium tank

Recognizes and corrects timing for the following timing errors:

Early inflation

Late inflation

Early deflation

Late deflation

Identifies action to take if blood or brown discoloration noted in IABP connecting tubing

Verbalizes proper IABP use during CPR/ACLS situations

Describes and demonstrates key aspects of routine physical care or patient with IABP




Unit based trainers


147 | P a g e

Intracranial Pressure (ICP) Set-up and Monitoring Demonstrates the ability to safely assist with ICP set-up and provide care to the patient with ICP monitoring equipment Recommended Methods for Validation: (Observation, Demonstration, Verbalization) Expected knowledge and technical ability:

Verifies signed consent for procedure

Verbalizes indications for ICP monitoring

Identify and obtain equipment needed for ICP catheter insertion and monitoring

Prepares tubing and transducer maintaining aseptic technique

Verbalizes RN never flushes or injects to or toward the brain

Documents initial ICP level and patient response

Verbalizes key ICP values and formulas

Identify and obtain correct equipment for ventricular drainage system

Correctly sets up ICP drainage system

Primes ventricular drainage system prior to connecting to ICP device

Demonstrates correct ICP drainage function

Verbalizes always clean ports with Chlorhexidine prior to accessing

Verbalizes the position of the drainage system relative to the patient’s Foramen of Munro determines ICP

drainage and patient harm can be caused when patient and drainage bag are not leveled

Verbalizes and demonstrates proper process for obtaining CSF sample as ordered





Unit based trainers


148 | P a g e

IV Add/Mix Competency Statement: Demonstrates the ability to safely mix IV medications utilizing sterile technique and completes the KDMCU module and passes the post test. Recommended Method for Validation: Observation, Verbalization, Test Expected knowledge and technical ability:

Team member must successfully complete the KDMCU module and pass the post test

Demonstrates ability mix IV medications in an emergent situation using aseptic technique

Identifies proper supplies and appropriate verifications to mix IV medications

Identifies the correct information for labeling

Verbalizes proper technique for withdrawing medication from an ampule


KDMCU module


149 | P a g e

MODERATE SEDATION Name: ______________________________________ Date: ______________ *Recommended method of validation for this competency: Observation

Required Competency Met Not Met Comments

Incorporates age-specific considerations for the individual patient in regards to this competency

[ ] Observation [ ] Skills Lab [ ] Verbalized [ ] Test [ ] Viewed Presentation [ ] Self-study

Incorporates cultural considerations for the individual patient in regards to this competency


States components of Moderate Sedation policy and procedure to include:

Definition of Moderate Sedation

Anesthesia Consent

Pre-procedural H&P requirement

ACLS or PALS

NPO status

ASA/Airway

When is a pregnancy test indicated?

When is MAC anesthesia indicated?


Obtains/reviews nursing assessment


Monitors and documents vital signs (NIBP, HR, RR, SaO2, ECG as indicated) at appropriate intervals to include:

Prior to the administration of medications

Q 5 min. during procedure

PRN with any significant event

Until meets appropriate discharge criteria


Verbalizes appropriate discharge criteria to include:

Sedation Scale 2 and Aldrete Score 10 OR

Returns to pre-procedural score and verifies presence of physician order to discharge from post-procedure monitoring



150 | P a g e

Properly administers medications for Moderate Sedation and reversals as indicated Working knowledge of the following meds:

Narcan

Romazicon

Diprivan

Versed

Fentanyl

Demerol


Administers supplemental oxygen as indicated

Nasal cannula

NRB

Ambu bag


Observes patient for desired effects of medications and documents Sedation Scale and Aldrete Score Q 5 min. When do you fill out Moderate Sedation outcome monitor?


Verifies presence of functioning IV and documents IV fluid type and amount of fluid administered as indicated. Demonstrates ability to start a functioning IV.


Verbalizes that patient will not be discharged for 2 hours after receiving a reversal agent


Completes Per Case Report for each patient


Does the nurse complete this or the nurse manager? This team member successfully met this skill Validator signature: _________________________________________ I assume accountability for this skill Team member signature: _____________________________________


151 | P a g e

Validation: Patient-Controlled Analgesia (PCA) To ensure the proper nursing management of a patient with a PCA per KDMC Nursing Policy and Procedure Recommended Methods for Validation: (Verbalize, Observe, Demonstrate)


Verbalize conditions which may require a PCA Verbalize conditions in which a PCA is inappropriate Identifies equipment needed for setup Verbalize the correct times and components of a patient assessment Demonstrate proper setup and pump programming (RNs Only) Verbalize appropriate patient/family education Verbalize proper pump management, monitoring and documentation


Policy and Procedure Section: I (D-11) PCA, Continuous Analgesia IV Infusion

Lippincott Manual of Nursing Practice. 8th ed.

Unit based trainers and appropriate trainers from other units for experiences not available on your unit


152 | P a g e

Pulmonary Artery Catheter and Pressure Monitoring Demonstrates the ability to monitor the patient with a pulmonary artery catheter Recommended Methods for Validation: (Observation, Demonstration, Verbalization, Skills Lab) Expected knowledge and technical ability:

Verbalizes purpose of pulmonary artery catheter and monitoring

Identify equipment needed for pulmonary artery catheter monitoring

Verbalizes proper steps for obtaining PA pressure measurements

Demonstrate proper technique for obtaining PA pressure measurements

Identifies appropriate waveforms and readings

Verbalize conditions which may affect the waveform and readings

Identifies trouble shooting techniques





Unit based trainers


153 | P a g e

Validation: Radiation Instrumentation To ensure the ability to perform necessary radiation instrumentation duties per KDMC Administrative Policy and Procedure Recommended Method for Validation: (Observe, verbalize, demonstrate) Expected knowledge and technical ability:

Demonstrates radiation safety by wearing appropriate protective equipment and monitoring devices

Demonstrates safe and proper technique in care of the customer receiving radioactive materials

Verbalizes proper procedure for clean-up of minor and major radioactive spills

Demonstrates the ability to perform all quality controls on each scanner in the department

Demonstrates the ability to perform and process all scans with optimal imaging results

Demonstrates proper technique when using Nuclear Medicine and PET Systems

Demonstrates proper usage of the computer system



Administrative Policy Section D (8): Radiation Safety

Radiation Safety Module

Unit-based trainers


154 | P a g e

Restraint/Seclusion Demonstrates the knowledge and skill of administering and managing a behavioral medicine patient in restraints/seclusion Recommended Method for Validation: (Test and Demonstration) Expected knowledge and technical ability:

Passes the Behavioral Restraint/Seclusion Exam on KDMCU

Demonstrates the correct technique in applying BEHM restraints


Restraint/Seclusion per Unit Policy Manual Section 09

Administrative Policy E-10 located on KDMC Intranet


155 | P a g e

Validation: Rotoblator Atherectomy To ensure the ability to perform necessary duties per Protocol Recommended Method for Validation: (Observe, verbalize, demonstrate) Expected knowledge and technical ability:

Demonstrates criteria for use of Rotoblator Atherectomy catheter-based procedure

Lists equipment necessary when using Rotoblator device

Demonstrates proper technique in set-up of Rotoblator device

Verbalizes possible complications during or after procedure

Demonstrates safe and proper technique in care of the customer receiving Rotoblator atherectomy

Verbalizes trouble shooting techniques for Rotoblator device

Demonstrates proper documentation of Rotoblator atherectomy procedure



Section: I (C-41) Management of the patient requiring Cardiac and Vascular Interventional Procedures

Rotoblator Atherectomy education per Company Representative

Unit-based trainers


156 | P a g e

Validation: TEE Probe Cleaning Care Delivery: Demonstrates ability to properly clean the TEE probe Recommended Method for Validation: (observe, verbalize, demonstrate) Expected knowledge and technical ability:

Verbalize significance of TEE probe cleaning

Identify equipment needed for probe cleaning

Verbalize proper procedure

Demonstrate proper technique for using TD-100 Automated Disinfector

Verbalize proper technique for manual probe cleaning if TD-100 is not available

Demonstrate proper documentation of cleaning

Demonstrate proper storage of cleaned probe


TD-100 TEE Automated Disinfector User’s Manual

Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL) Standards

Cardiac Imaging Team Members


157 | P a g e

Validation: TR Band Care Delivery: Demonstrates ability to utilize TR Band for patients with radial arterial access. Recommended Method for Validation: (observation, verbalize, demonstrate) Expected knowledge and technical ability:

Verbalize purpose of TR Band

Identify equipment needed for device use and removal

Verbalize proper monitoring and assessment requirements

Demonstrate proper technique for TR Band removal





TR Band Policy (pending)

TR Band User’s Manual

http://www.terumois.com/clinical/pdf/IFUs/TR_Band.pdf?bcsi_scan_51466D8033DF17A8=0&bcsi_scan_f

ilename=TR_Band.pdf

Cath Lab or HVRU Team Members

http://www.terumois.com/clinical/pdf/IFUs/TR_Band.pdf?bcsi_scan_51466D8033DF17A8=0&bcsi_scan_filename=TR_Band.pdf

http://www.terumois.com/clinical/pdf/IFUs/TR_Band.pdf?bcsi_scan_51466D8033DF17A8=0&bcsi_scan_filename=TR_Band.pdf


158 | P a g e

Trouble Shooting Pumps Demonstrates proper set up and troubleshooting for pumps commonly used in home health Recommended Method for Validation: (Demonstration, Verbalization) Expected knowledge and technical ability:

Demonstrates proper set up of pumps used in home health

Verbalizes troubleshooting tips r/t the different pumps


Unit policy and procedure


159 | P a g e

Validation: Unna Boot Demonstrates the ability to apply an Unna Boot. Demonstrates ability to provide proper education to patient/care giver regarding signs and symptoms of complications. Recommended Method for Validation: (observe, verbalize, and demonstrate) Expected knowledge and technical ability:

Recognizes situations when the Unna Boot may be a necessary treatment

Identify equipment required for the application of the Unna Boot

Demonstrate proper technique for application of the Unna Boot

Observe patient for therapeutic/non-therapeutic responses to treatment


Verbalize appropriate patient/family education of care of the patient


Unit in-service

Package instructions


160 | P a g e

Amnisure

Competency Statement: Care Delivery: Care Delivery: Demonstrates correct procedure for testing patient for

rupture of membranes using AmniSure®.

Recommended Method for Validation: Skills Demonstration


Understands the principle of the test

Demonstrates universal precautions when using AmniSure.

Educate the patient prior to and after procedure.

Document results on the appropriate flowsheet.

Able to correctly interpret the results:

If only a control line is visible, the test result is negative.

If both control and test lines are visible, the test result is positive.

If no lines are visible, the test result is invalid.

Notify the Primary Care Provider, Physician’s Assistant and/or Nurse Midwife of the results

Take the solvent vial by its cap and shake well to make sure all liquid in the vial has dropped on the bottom.

Open the solvent vial and put it in a vertical position.

Obtain sample of vaginal secretion by using a sterile polyester swab.

Ensure that the swab tip does not touch anything prior to insertion.

Hold the swab in the middle of the stick and, while the patient is lying on her back, carefully insert the tip of the swab into the vagina until the fingers contact the skin no more than 2-3 inches (5-7 cm) deep.

Withdraw the swab from the vagina after one minute.

Place the polyester tip into the vial and rinse the swab in the solvent by rotating for one minute.

Remove and dispose of the swab.

Tear open the foil pouch at the tear notches and remove the AmniSure® test strip.

Dip the white end of the test strip (marked with arrows) into the vial with solvent for no less than 5 minutes and no longer than 10 minutes. (Strong leakage of amniotic fluid will make the results visible early approximately 5 minutes but with a very small leak will take the full 10 minutes).


Lab Manual located on unit


161 | P a g e

Gastroccult

Competency Statement: Care Delivery: Demonstrates the ability to safely and accurately perform a gastroccult

test.




Understands quality control

Recognizes QC results for acceptability - color change to blue upon hemoccult/gastrocult developer


Lab Manuals located on the unit


162 | P a g e

Hemoccult

Competency Statement: Care Delivery: Demonstrates the ability to properly and safely perform an occult blood

test.




Educates the patient


Recognizes QC results for acceptability –

Always develops the test, reads and interprets the results, then decides whether the fecal specimen is

positive or negative for occult blood, before performing the Quality Control


Lab Manuals located on the unit


163 | P a g e

H. Pylori

Competency Statement: Care Delivery: Demonstrates the ability to correctly test patient for IgG antibodies to

Helicobacter pylori in whole blood using H. pylori test.



Demonstrates universal precautions when using H.pylori test.

Educate the patient prior to and after procedure .

Document results on the appropriate flowsheet .

Able to correctly interpret the results: a. Negative -One red line appears in the control region (C) No apparent red or pink line appears in the

test region (T). A negative results means that H.pylori IgG specific antibodies were not found in the sample or are below the detection limit of the test.

b. Positive -Two distinct red lines appear. One line should be in the control region ( C) and another line should be in the test region (T). A positive result means that H. pylori IgG specific antibodies were detected in the sample

Invalid – No line appears in the control region ( C). If this occurs, read the directions again and repeat the

test with a new test strip. If the result is still invalid, stop using the test kit and contact Inverness Medical

Technical Support at (800)637-3717

Allow the test device, sample, buffer and controls to reach room temperature (15-30 degrees C.) before testing.

Remove the test device from the foil pouch and use it as soon as possible. For best results, perform the test immediately after opening the foil pouch.

Place the test device on a clean and level surface.

For Whole Blood (Venipuncture) samples: o Hold the dropper upright and add 2 drops of whole blood (about 50 uL) to the sample well (S) of the

test device. o Then add 1 drop of Sample Buffer to the sample well. o Start timer. o For Whole Blood (Fingerstick) samples: o Add one capillary tube of blood (about 50 uL) to the sample well (S) of the test device. o Then add 1 drop of Sample Buffer to the sample well.

Start timer. Wait for the red line(s) to appear. The result should be read at 10 minutes. The background should be

clear before the result is read. NOTE: Low levels of H.pylori IgG specific antibodies might result in a weak line in the test region (T) after a

long period of time. Do not read the result after 15 minutes.

.References available for remediation:

Lab Manual located on the unit


164 | P a g e

INRatio

Competency Statement: Care Delivery: Care Delivery: Able to correctly test patients on warfarin OAT (Oral Anticoagulant

Therapy), the Prothrombin Time (PT) test results, reported in International Normalized Ratio (INR) units, to enable the

healthcare provider to adjust dosage for optimum anticoagulation.



Observes Universal/Standard precautions at all times.



Able to correctly interpret the results:

Notify the Primary Care Provider or Physician’s Assistant .

Prepare lancet device according to manufacturer’s instructions. Set it aside until finger puncture is needed (when INRatio

2 monitor is ready and shows a blood drop over an image of the test strip).

The test strip should be at room temp for 5 minutes before opening the foil pouch, once opened use the strip within 10 minutes.

Place monitor on a flat, stable surface.

Turn the monitor on by either method:

Press and hold the OK button-The monitor will automatically perform a self-test where all segments on the display will appear. The INSERT STRIP symbol will appear on the monitor display.

Insert a fresh test strip – The monitor will automatically perform a self-test where all segments on the display will appear.

The monitor will prompt you to confirm the strip’s code.

Open a test strip foil pouch and remove test strip

Insert the test strip into the monitor with “INRatio” readable at the bottom When a 5 digit combination of letters and numbers XXXXX appears on the display, check that this strip code matches the

Strip Code printed on the test strip foil pouch.

If it matches, press the OK

If it does not match, press the up/down arrows to select the correct digit, and press OK after each digit is entered.

After the fifth (5th

) digit is entered, check that the entire strip code matches the one on the foil pouch, and then press OK.

The monitor will count down for a few seconds and display the temperature symbol (a thermometer) as it warms up for the test

The monitor will beep and the display will prompt you to apply a blood sample (blood drop over a test strip).

The green sample target light will appear through the test strip sample well.

To improve circulation, prepare the hand by warming (using a hand warmer, rubbing hands under warm running water or

by rubbing hands briskly together).


165 | P a g e

Select a finger-stick site on a middle finger, on the side of the finger tip that faces the floor Clean the selected finger tip with alcohol. Allow to air dry completely.

***NOTE: Do not puncture the finger tip until the blood drop and test strip symbols appear on the INRatio2 Monitor Screen***

Perform the finger-stick, following the lancet instructions and the directions in the User’s Guide.

***NOTE: Avoid excessive “milking” (repetitive pressure) of the finger. Do not wipe away the first drop of blood Do not move the monitor during or after sample application***

Collect a large hanging drop of blood (approx. 15ul) by using gentle continuous pressure. Apply the blood to the sample well on the test strip above the green light by lowering the finger until just the tip of the blood drop touches the sample well on the test strip.

Wait while the monitor performs the test and calculates the results (approximately one (1) minute). The monitor will beep and the results will appear on the display when the test is complete. If an error message appears,

see User’s Guide Troubleshooting Section for proper action. Dispose of all materials that have come in contact with blood following proper infection control guidelines.

Reporting Results: Results are reported in units equivalent to the plasma reference method. Results may be displayed as INR units

alone, INR + PT seconds, INR + QC, or INR + PT + QC. The measuring range of the INRatio2 System is 0.7 to 7.5 INR units. Repeat testing. Any INR greater than 7.5 must

be sent to the main core lab for analysis. Expected values: Normal Range. The normal range for the INRatio2 System was determined by testing 126 normal (not anticoagulated) subjects: INR: 0.7-1.2 INR PT: 6.5-11.9 seconds

Critical Result: Refer to Critical Result Reporting Policy 4.5 or greater

Limitations of the procedure: The INRatio2 system is designed for use with fresh capillary whole blood. Plasma or anticoagulated whole blood or

venous blood should NOT be used. The drop of blood must be a minimum of 15 ul.

In vitro studies show the INRatio2 System to be sensitive to levels of heparin and low molecular weight heparin.

This test should not be used for patients on heparin therapy. Hematocrit ranges between 30-55% will not affect test results.

In vitro studies show no significant effect in samples containing up to 20 mg/dl of bilirubin and 500 mg/dl of

hemoglobin (hemolysis). No significant effect was seen in samples containing up to 1500 mg/dl of triglycerides (lipemia).




166 | P a g e

I-Stat

Competency Statement: Care Delivery: Care Delivery: Care Delivery: Demonstrates ability to perform i-STAT1 test.

Recommended Method for Validation: Skills Demonstration; Test


Proper cartridge maintenance, routine calibration/quality control, and operation of analyzer and

transmission of patient data to the central data station as applicable

Demonstrates universal precautions

Educates the patient prior to and after the procedure

Document results on the appropriate flowsheet

Correctly interprets results

Notifies primary care provider of results

Performs daily procedures of verifying performance of i-Stat by using the internal and external Electronic

Simulator every 24 hours

Checks cartridges for manufacturer and room temperature expiration dates

Collects blood specimen per hospital policyTurn analyzer on and choose 2-i-Stat cartridge

Scan operator id and patient id

Scan cartridge lot number

Dispense well mixed blood sample into sample well until it reaches the fill mark

Insert cartridge into analyzer

Document on appropriate form or in the proper system

Transmit results




167 | P a g e

NMP22

Competency Statement: Care Delivery: Care Delivery: Demonstrates knowledge and ability to properly perform a NMP22 test



Properly instructs the patient regarding the test

Follows the required safety regulations at all times

Stores the Alere NMP22 BladderChek Test correctly

Performs the NMP22 test correctly:

Collects voided urine sample

Keep sample at room temperature until time of testing

Test the urine sample within 2 hours of collection

Inspect the device packaging for perforation or tears

If test is stored refrigerated, bring the test material to room temperature

Uses four full drops without air bubbles to fall into the sample well

Read the test result at 30 minutes, NO LATER THAN 50 MINUTES

Discards dropper and test device in biohazard container

Reporting Results

Checks the procedural Control window. A line must appear for the test to be valid

Acknowledges that any complete line in the Test area is a Positive result when a Control line is

present

Acknowledges that the absence of any colored line in the Test area is a Negative result if a Control

line is present

Acknowledges that if no line appears in the procedural Control area or if the Test line is smeared

or incomplete the test is Incomplete.

Demonstrates appropriate Quality Control and how to evaluate the results

Understands Internal and External Controls

Acknowledges when external controls are appropriate




168 | P a g e

Urine Dip Test

Competency Statement: Care Delivery: Demonstrates ability to perform partial urinalysis (urine dip test) and

quality control checks





Recognizes QC results for acceptability - color change to blue upon hemoccult/gastrocult developer

After identifying patient, place patient information on the urine container prior to specimen collection

Collect FRESH urine specimen in a clean dry container. Mix well immediately before testing.

Remove one strip from bottle and replace cap. Completely immerse reagent areas of the strip in FRESH

urine and remove immediately to avoid dissolving out reagents.

While removing, run the edge of the entire length of the strip against the rim of the urine container to

remove excess urine. Hold the strip in a horizontal position to prevent possible mixing of chemicals from

adjacent reagent areas and/or contaminating the hands with urine.

Compare reagent areas to corresponding Color Chart on the bottle label at the time specified.

HOLD STRIP CLOSE TO THE COLOR BLOCKS AND MATCH




169 | P a g e

Activated Clotting Time

Competency Statement: Care Delivery: Demonstrates the ability prepare, collect, process and test Activated

clotting time



Demonstrates routine patient testing

Monitors the recording and reports the test results

Demonstrates knowledge regarding the function of the instrument, checks and maintenance

Demonstrates the ability to perform the test correctly

Demonstrates problem-solving skills with questionable results, QC failure, etc.

.References available for remediation:



170 | P a g e

Violent Restraint

Demonstrates the knowledge and skill of administering and managing a behavioral medicine patient in

restraints/seclusion

Recommended Method for Validation: (Test and Demonstration)


Passes the Behavioral Restraint/Seclusion Exam on KDMCU

Demonstrates the correct technique in applying BEHM restraints


Restraint/Seclusion per Unit Policy Manual Section 09

Administrative Policy E-10 located on KDMC Intranet


171 | P a g e

Validation: Neonatal Endotracheal Intubation Performance

To ensure the proper management neonatal endotracheal intubation



Demonstrates equipment selection: ET tube, stylet (if used), laryngoscope, bag and mask, oxygen, suction, tape and stethoscope

Demonstrate appropriate probe selection and connect to monitor Demonstrate proper intubation process within 20 seconds from blade insertion to correct tube

placement. o Once ET tube is placed, removes laryngoscope and begins to ventilate while firmly holding tube

so that position does not change. o Verbalizes appropriate centimeter marking at level of upper lip o Tapes tube securely while maintaining proper position o Shortens tube if more than 4 cm extends beyond the infant’s lips.

Verbalizes whether corrective action must be taken and takes the necessary steps if the tube is in the

esophagus or one of the bronchi. Demonstrates methods of placement verification by observation and auscultation of the chest and

abdominal areas for breath sounds and movement. Verbalizes expected breath sounds upon auscultation and expected observation assessment with

correctly placed tube References available for remediation:


Policy and Procedure ????



172 | P a g e

Arterial Catheter Insertion (A-line) Assist, Care, and Removal

Demonstrates the ability to safely assist with Arterial Catheter (A-line) insertion, care of patient with A-line and

removal of A-line



Verifies signed consent for procedure

Identify and obtain equipment needed for line insertion

Prepare equipment and monitoring equipment for insertion

Verbalize proper procedure to maintain patency of line after insertion

Identify waveforms

Demonstrate proper technique for A-line removal

Verbalize frequency of vascular checks after insertion and removal






Unit based trainers


173 | P a g e

Validation: LVAD

To ensure the ability to perform necessary radiation instrumentation duties per KDMC Administrative Policy and

Procedure

Recommended Method for Validation: (Observe, verbalize, demonstrate)


Demonstrates radiation safety by wearing appropriate protective equipment and monitoring devices

Demonstrates safe and proper technique in care of the customer receiving radioactive materials

Verbalizes proper procedure for clean-up of minor and major radioactive spills

Demonstrates the ability to perform all quality controls on each scanner in the department

Demonstrates the ability to perform and process all scans with optimal imaging results

Demonstrates proper technique when using Nuclear Medicine and PET Systems

Demonstrates proper usage of the computer system





Unit-based trainers


174 | P a g e

Urine Pregnancy Test

Competency Statement: Care Delivery: Demonstrates the ability to perform QuickVue One-Step HCG Urine Test which is a sensitive immunoassay for the qualitative detection of Human Chorionic Gonadotropin (HCG) in urine for the early detection of pregnancy.



Demonstrates universal precautions



JCAHO requires a temperature log to be used to ensure all reagents and test kits are kept at a suitable temperature. (59-86°F. – 15-30°C.) out of direct sunlight.

Notify the Primary Care Provider, Physician’s Assistant and/or Nurse Midwife of the results.

This test requires blue-spectrum differentiation and should not be attempted by individuals with blue

colorblindness. If you have not been tested for colorblindness, contact Employee Health before proceeding.

QuickVue® Urine hCG kit is to be stored at room temperature (15-30°C), out of direct sunlight. Stable until the expiration date listed on the box.Urine hCG controls should be stored at room temperature and must be at room temperatore prior to testing; stable until expiration date on box.

The person who sets up the test must also read the test and report the results.

Remove a QuickVue Test Cassette from the foil pouch just before use and place it on a clean, dry, level surface.

Label the cassette with patient name or control identifiers.

1 ml of urine collected in a clean, dry plastic or glass container is acceptable but first voided, morning specimens are usually the best because they typically contain the highest concentration of hCG. Bloody urine specimens and specimens exhibiting visible precipitates should be centrifuged and the supernatant used for testing. Specimens must be at room temperature prior to testing. Specimens must be gently missed prior to testing. (Note: A 70 ml urine specimen will take about 1 ½ hr to reach room temperature from chilled 8° C.)

Using a transfer pipette supplied with the kit, dispense three (3) drops of urine specimen into the round sample well on the Test Cassette. The Test Cassette should not be handled or moved until the test is complete and ready for reading.

Note: A new transfer pipette is used for each specimen and control.

Set a timer for 3 minutes


175 | P a g e

Urine specimens: Read result at 3 minutes. Results read after 3 minutes are to be considered invalid and the test must be re-run. This should be noted in the test log.

Record the results on the Urine hCG QuickVue® Test log

Positive results – the test is positive if one red colored line appears in the T (test) region and one blue colored line appears in the C (control) region .

Note: The line in the T (test) region may be lighter, darker or the same intensity as the line in the C (control) region.

Negative results – the test is negative if a blue colored line appears only in the C (control) region.

Equivocal results – if uncertain whether even a faint strip of color has developed in the T (test) region, don’t attempt to decide by committee. Call the test “Equivocal” and suggest retest on a follow-up sample.

Unreportable results – the test is invalid if no blue colored line appears in the C (control) region even if a red colored line appears in the T (test) region.

“Expected” or “normal” results are completely dependent upon the clinical circumstances. Healthy males should be “negative”.

Quality Control: 1.Internal Control – described in the test procedure above, is a function check endogenous to the analytical system, which provides effective, real time, quality control on a unit use basis. For every single analysis, Testing Personnel will verify with a check mark in the space provided on the requisition that the blue colored line appeared in the C (control) region of the device and the background was clear.

A. Internal Positive Control – The appearance of a blue Control Line in the C region of the device is a positive procedural control. Correct procedural technique, specimen flow and device performance are confirmed when a blue colored line appears in the C (control) region of the membrane. If the blue colored line fails to appear in the C (control) region, the test result is invalid.

B. Internal Negative Control – A clear background is an internal Negative procedural control. The background color should be white to light pink and should not interfere with the reading of the test result. If a more intensely red background color appears, it may interfere with the ability to read the test result, therefore the test should be repeated.

C. If the endogenous control fails, do NOT report the patient result! The specific failure will be documented by leaving the appropriate check box on the Log blank or empty. Notify your supervisor and/or POCC. Indicate in the designated Urine hCG QuickVue® Test log who was called along with the date and time of the call.

2.External Controls: A. CMS “Waived status

B. Nursing personnel authorized to perform the testing will run the positive and negative urine hCG controls on a rotational basis for each lot number of each shipment received regardless of whether the lot number has changed. Nursing Service or the Supervisor will ensure that those individuals who are authorized to perform the test run the assigned controls on a rotational basis.

C. These control trials must generate the expected reaction response.


176 | P a g e

Record results on the Urine hCG QuickVue® Test log. D. If a control fails to generate the expected reaction response, do not use the kit; complete the following

procedure: c. Repeat the Q.C. test d. Document the failed test result and repeat test on the designated laboratory test log. Notify the

Supervisor and the POCC immediately. e. Indicate in the designated Urine hCG QuickVue® Test log who was called along with the date and

time of the call. 3.When a new kit is opened, record the lot number in the designated laboratory test log. Check the new kit lot # against the previous lot #. Indicate on the log if the lot # is the same as the current lot or if it is a new lot #. Per KDMC Laboratory’s Quality Control Procedures and JCAHO Standards WT 1.3-1.5, Two (2) levels of an external control must be tested with each new QuickVue® hCG Urine kit and on each day of patient testing.



177 | P a g e

Validation: Impella Circulatory Assist Device

To ensure the ability to perform radiation instrumentation and necessary duties per KDMC Administrative Policy

and Procedure



Demonstrates criteria for use of the Impella catheter based procedure

Demonstrates safe and proper technique in care of the customer with an Impella device

Lists equipment necessary for set-up of Impella

Identify system components

Demonstrates proper technique in set-up of the Impella circulatory assist device (pump)

Demonstrates proper set-up of the Impella catheter and connection to pump device

Demonstrates the ability to manage the patient by observation and interpretation of hemodynamic

waveforms

Verbalizes troubleshooting techniques

Demonstrates proper documentation

Demonstrates management of patient and pump during transportation to designated area




Catheterization Laboratory Radiation Policy


Unit-based trainers

Impella education per Company Representative


178 | P a g e

Validation: Coronary Intravascular Ultrasound (IVUS)

To ensure the ability to perform radiation safety and necessary duties per KDMC Administrative Policy and

Procedure



Demonstrates criteria for use of IVUS device

Demonstrates safe and proper technique in care of the customer undergoing IVUS procedure

Lists equipment necessary for IVUS

Demonstrates proper technique in the set-up of equipment and catheter

Demonstrates the ability to operate image acquisition and image review from the ILAB touch panel

Demonstrates proper technique for finalizing and archiving the case

Verbalizes possible complications related to use of IVUS

Verbalizes troubleshooting techniques

Demonstrates proper documentation for use of IVUS




Catheterization Laboratory Radiation Policy


Unit-based trainers

IVUS education per Company Representative

2012 Clinical Competency Guide -...

Documents

Transcript of 2012 Clinical Competency Guide -...