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RN - Emergency Room - Adult/General

RN - Emergency Room - Adult/General

This checklist was electronically signed on September 12, 2026

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

PATIENT RIGHTS

Communicate and obtain information while respecting patient rights, privacy, and confidentiality of information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involve the patient and family and respect their role in determining the nature of care to be provided
Comply with nursing staff responsibilities included in the hospital policy related to organ donation
Meet patients' and families' communication needs
Provide accurate information to patients and families on time

COMMUNICATION

Communicate with patients and their companions in a courteous manner
Understand the chain of communication, who to contact, and when
Listen actively to patient concerns and address them appropriately.
Cultural Sensitivity and Language Skills

NEUROLOGICAL ASSESSMENT

Cranial Nerves
Glasgow Coma Scale
Level of Consciousness
Reflex/Motor Deficits

NEUROLOGICAL EQUIPMENT AND PROCEDURE

Assist with Lumbar Puncture
Intracranial Pressure Monitoring
Use of Hyper/Hypothermia Blanket

CARE OF PATIENT WITH NEUROLOGICAL DISEASE

Aneurysm Precautions
Closed Head Injury
Coma
Transient Ischemic Attack/ Cerebrovascular Accident (CVA)
Spinal Cord Injury
Seizures Precautions

PULMONARY ASSESSMENT

Breath Sounds
Rate and Work of Breathing

INTERPRETATION OF PULMONARY LABORATORY RESULTS

Arterial Blood Gases
Blood Chemistry

PULMONARY EQUIPMENT AND PROCEDURES

Endoctracheal Tube/Suctioning
Nasal Airway/Suctioning
Oropharyngeal/Suctioning
Sputum Specimen Collection
Tracheostomy/Suctioning
Assist with Intubation
Assist with Extubation
Assist with Thoracentesis
Care of the Patient on a Ventilator
Assist with Set up and Insertion Chest Tube
Measuring and Emptying Chest Tube
Removal of Chest Tube
Measure Peak Flow
Incentive Spirometry
Bag and Mask
External CPAP
Face Masks
Inhalers
Nasal Cannula
Portable Oxygen Tank
Tracheostomy Collar
Oximetry

CARE OF PATIENT WITH PULMONARY DISEASE

Acute Respiratory Distress Syndrome (ARDS)
Bronchoscopy
Chronic Obstructive Pulmonary Disease (COPD)
Chest Trauma
Fresh Tracheostomy
Lobectomy
Pneumonectomy
Pneumonia
Pulmonary Embolism
Thoracotomy
Tuberculosis

CARDIOVASCULAR ASSESSMENT

Auscultation (Rate, Rhythm)
Doppler
Heart Sounds/Murmurs
Pulses/Circulation Checks
Blood Pressure

CARDIOVASCULAR EQUIPMENT AND PROCEDURES

Assist with Insertion and Set up of Arterial Line
Assist with Insertion and Set up of Central Venous Line
Assist with Insertion and Set up of PA Catheter/Swan-Ganz
Pacemaker
Cardioversion
Perform Emergency Defibrillation
Perform Cardiopulmonary resuscitation (CPR)

INTERPRETATION OF CARDIOVASCULAR LABORATORY RESULTS

Cardiac Enzymes and Isoenzymes
Coagulation Studies
12 Lead EKG Interpretation
Arrhythmia Interpretation

CARE OF PATIENT WITH CARDIOVASCULAR DISEASE

Aneurysm
Acute Myocardial Infarction
Angina
Cardiac Arrest
Congestive Heart Failure (CHF)
Myocarditis

GASTROINTESTINAL ASSESSMENT

Abdominal/Bowel Sounds
Nutritional
Fluid balance

INTERPRETATION OF GASTROINTESTINAL LABORATORY RESULTS

Serum Ammonia
Serum Amylase
Liver function Tests (LFTs)

GASTROINTESTINAL EQUIPMENT AND PROCEDURES

Administration of Tube Feeding
Feeding Pump
Flexible Feeding Tube (i.e., Corpak, Dobhoff)
Management of Gastrostomy Tube
Management of Jejunostomy Tube
T-Tube
TPN and Lipids Administration
Peripheral Parenteral Nutrition (PPN)
Placement of Nasogastric Tube
Salem Sump to Suction

CARE OF PATIENT WITH GASTROINTESTINAL DISEASE

Blunt Trauma
Bowel Obstruction
Colostomy/Ileostomy
GI Bleeding
GI Surgery
Hepatitis
Inflammatory Bowel Disease
Liver Failure
Paralytic Ileus
Penetrating Trauma

RENAL/GENITOURINARY ASSESSMENT

A-V Fistula/Shunt
Fluid and Electrolyte Imbalance

INTERPRETATION OF RENAL/GENITOURINARY LABORATORY RESULTS

BUN and Creatinine
Serum Electrolytes

RENAL/GENITOURINARY EQUIPMENT AND PROCEDURES

Bladder Irrigation
Insertion and Care of 3-way Foley - Female
Insertion and Care of 3-way Foley - Male
Insertion and Care of Supra-Pubic Catheter
Routine Specimen Collection
24-hour Specimen Collection

CARE OF PATIENT WITH RENAL/GENITOURINARY DISEASE

Hemodialysis
Nephrectomy
Peritoneal Dialysis
Renal failure
Renal Transplant
Transurethral Resection of the Prostate (TURP)
Urinary Diversion/Ileal Conduit Nephrostomy
Urinary Tract Infection

ENDOCRINE/METABOLIC ASSESSMENT

S/S Diabetic Coma
S/S Insulin Reaction

ENDOCRINE/METABOLIC EQUIPMENT AND PROCEDURES

Blood Glucose Measuring
Performing Finger Stick

CARE OF PATIENT WITH ENDOCRINE/METABOLIC DISEASE

Diabetes Mellitus
Diabetic Ketoacidosis
Disorders of Adrenal Gland (e.g., Addison's disease)
Disorders of Pituitary Gland (e.g., Diabetes Insipidus)
Drug Overdose
Hyperthyroidism (Grave's Disease)
Hypothyroidism
Insulin Shock

ORTHOPEDIC ASSESSMENT

Circulation checks
Gait
Range in motion
Skin

ORTHOPEDIC EQUIPMENT AND PROCEDURES

Continuous Passive Motion Devices
Set up Cast Application
Set up OCL Splinting
Cane
Cervical Collar
Gait Belt
Prosthetic
Transfer Boards
Walker
Assist with Closed Fracture
Assist with Dislocation Reductions

OBSTETRICS/GYNECOLOGY ASSESSMENT

Assist with Pelvic Exam

OBSTETRICS/GYNECOLOGY EQUIPMENT AND PROCEDURES

Pelvic Tray
Rape Kit
Reporting Acts of Violence
Abruptio Placenta
Disseminated Intravascular Coagulation (DIC)
Hemorrhage
Placenta Previa
Precipitous Delivery
Spontaneous Abortion

WOUND ASSESSMENT

Skin for Impending Breakdown
Stasis Ulcers
Surgical Wound Healing

WOUND EQUIPMENT AND PROCEDURES

Application of Steristrips
Assist with Staples
Assist with Sutures
Culdocentesis Tray
Set up Suture Tray
Staple Removal
Suture Removal

EENT ASSESSMENT

Set up Fluorescent/Woods Lamp Exam
Visual Acuity

EENT EQUIPMENT AND PROCEDURES

Application of Eye Patch
Ear Irrigation
Eye Irrigation
Morgan Lens Irrigation
Nasal Packing
Removal of Contact Lens

TRAUMA/SHOCK ASSESSMENT

Champion Trauma Score
Poison Index
Triage

TRAUMA/SHOCK EQUIPMENT AND PROCEDURES

Air Transport of Trauma Patient
Application of Mast Suit
Ground Transport

CARE OF PATIENT WITH TRAUMA/SHOCK

Animal Bites
Human Bites
Venomous Snake Bites
Venomous Spider Bites
Dehydration
Electrocution
Gunshot/Stab Wound
Hazardous Material Exposure
Heat Exhaustion/Stroke
Hypothermia
Major Trauma
Minor Trauma
Radiation Exposure
Anaphylactic Shock
Cardiogenic Shock
Hypovolemic Shock
Neurogenic Shock
Septic Shock
Traumatic Amputation
Burns: Rule of Nines
First Degree Burn
Second Degree Burn
Third Degree Burn

INTERPRETATION OF INFECTIOUS DISEASES LABORATORY RESULTS

CBC
SMA7

INFECTIOUS DISEASES EQUIPMENT AND PROCEDURES

Fever Management
Isolation

CARE OF PATIENT WITH INFECTIOUS DISEASES

HIV/AIDS

PAIN ASSESSMENT

Pain Level/Tolerance

CARE OF PATIENT WITH PAIN

Epidural Anesthesia/Analgesia
IV Conscious Sedation

PEDIATRIC EQUIPMENT AND PROCEDURES

Child Abuse/Recognition/Reporting
Obtaining Consent to Treat
Pediatric Arrest

CARE OF PATIENT WITH PEDIATRIC DISEASES

Epiglottitis
Near Drowning
Overdose/Poison Ingestion
Status Asthmaticus
Status Epilepticus

MISCELLANEOUS

Suicide Precautions
Disaster protocols
Charge experience

PHLEBOTOMY/IV THERAPY EQUIPMENT AND PROCEDURES

Auto transfusion
Administration of Cryoprecipitate
Administration of Packed Red Blood Cells
Administration of Plasma/Albumin
Administration of Whole Blood
Assist with Cut down
Drawing Venous Blood
Starting Angiocath IVs
Starting Butterfly IVs
Starting Heparin Lock

CARE OF PATIENT WITH IVs

Angiography
Broviac/Hickman
Groshong
PICC
Pericardiocentesis

MEDICATION

Antianginal
Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Anti-Infectives
Anti-Inflammatory/Analgesic Drugs
Antihyperlipidemic Drugs
Antihypertensive
Antineoplastic/Anti-Cancer Drugs
Biological Agents/Monoclonal Antibodies
CNS Stimulants
Diuretics
Electrolyte Therapy
Gastrointestinal Drugs
Hormones
Immune Globulins
Inotropic Drugs
Interferons
Interleukins
Immunosuppressants
Mental Health Medications
Muscle Relaxants
Narcotics/Opioids
Neurocognitive Drugs
Neuromuscular Blocking Agent
Ophthalmic
Pulmonary Drugs
Radiocontrast Agents
Steroids
Tocolytics
Vaccines

AGE-SPECIFIC COMPETENCIES

Newborn/Neonate (birth-30days)
Infant (31 days-1 year)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18- 39 years)
Middle adults (39- 64 years)
Older adults (64-79 years)
Elderly adults (80+ years)