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/depts/uwhealth/ambulatory-education/checklists/resources/Internal-Medicine-Checklist-12122017.pdf

201712353

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UWHC,UWMF,

Learning and Development,

Departments & Programs,UW Health,Ambulatory Education,Checklists - Core and Department Specific,Resources

Internal Medicine

Internal Medicine - Departments & Programs, UW Health, Ambulatory Education, Checklists - Core and Department Specific, Resources



Internal Medicine Clinical Training Checklist

Name: ___________________________ ID: _________ Clinic: ______________ Start Date: ________ Due Date: ________
Area of Orientation

Discussed/
Observed
(D/O)
Preceptor’s
Initials
Date
Completed
Online Training
ξ Depo-Provera Injection Training for new staff
ξ Complete the TB CBT in LDS titled “TB Skin Test Administration and
Reading”.

ξ Complete the ENT CBT in LDS titled “Ear, Nose and Throat Skills
Toolkit (CSE ENT)”

ξ Complete the SBAR CBT in LDS titled “CSE SBAR”
UW Health Initiatives
ξ Motivational Interviewing 1 Training for RNs
Employee is able to collect data relevant to the following adult systems:
ξ Cardiovascular
ξ Pulmonary
ξ Neurological
ξ GI, GU
ξ GYN
ξ Psychosocial
ξ Appropriately cares for Adults 18 - 44 years
ξ Appropriately cares for Mid-adults 4 5- 65 years
ξ Appropriately cares for Later adults 65 - 85 years
ξ Appropriately cares for Older adults 85 + years
Female Interview /Health Education – Can discuss with patient & gather
data

ξ Menstrual history and LMP
ξ Family planning issues
ξ Sexual concerns
ξ Expedited partner therapy

V 12/12/2017 Draft Ambulatory RN Orientation Review
2
Area of Orientation


Discussed/
Observed
(D/O)
Preceptor’s
Initials
Date
Completed
ξ Adverse effects of drugs (alcohol, caffeine, nicotine, illicit drugs)
ξ Breast self-exam
ξ Contraception (options, use of chosen method, effectiveness, risks,
benefits)

ξ Infertility and preconception counseling
ξ Prevention and treatment of sexually transmitted infections
ξ Normal and abnormal PAP tests
ξ Hormone replacement therapy
ξ Special needs of perimenopausal, premenopausal and postmenopausal
patient

Male Interview
ξ Erectile dysfunction
ξ Prostate and testicular cancer
ξ Last testicular exam or practice of self exams
ξ Signs and symptoms Benign Prostatic Hyperplasia (BPH): weak stream,
straining, nocturia, double voiding, dribbling

ξ Prevention and treatment of sexually transmitted infections
ξ Expedited partner therapy
ξ Signs and symptoms hematuria and retention
ξ Proper collection of STD specimens
ξ Signs and symptoms urinary infections
Skills
ξ Urinary catheters – insertion
ξ Sputum or throat cultures
ξ Urine culture
ξ Stool, gastrocult or hemmocult
ξ IV insertion and cares for a patient with a venous access device
ξ Review IV fluids, medication and pharmacy policies
ξ Fluid therapy/administers fluids per policy
ξ Dressing change/cares for the patient with wound

V 12/12/2017 Draft Ambulatory RN Orientation Review
3
Area of Orientation


Discussed/
Observed
(D/O)
Preceptor’s
Initials
Date
Completed
ξ ACE wrap and cares for the patient with ACE wrap
ξ Warm and cold compresses & cares for the patient with compresses
ξ Tennis elbow splint application
ξ Apply air splint brace
ξ Measures and educates patient for crutches
Anticoagulation Initiative – RN only
ξ RN only - Complete LDS course “Anticoagulation Management with
Warfarin Guidelines”

ξ Attend live training program “Anticoagulation Management with
Warfarin Guidelines”offered quarterly (optional)

ξ RN only - Develop warfarin management plan for a minimum of 5
patients requiring dose adjustments – cases must be reviewed and
approved by anticoagulation champion or responsible physician.
Case 1. 2. 3. 4. 5.

ξ Demonstrate patient teaching using the Warfarin booklet (HFFY #6900)
Medication/Vaccine Administration
ξ Staff administering allergy injections will have training completed by the
Allergy Department. Manager or supervisor needs to coordinate with
Allergy Dept to schedule.

ξ Adult > 18 years: intradermal ________ & ________
ξ Adult >18 years: subcutaneous ________ & ________
ξ Adult >18 years: intramuscular ________ & ________
ξ Appropriately performs TB testing and reading
ξ Edit/Enter Result, i.e., PPD, rabies vaccine
ξ Enroll in WI Prescription Drug Monitoring Program Database Access at
http://dsps.wi.gov/pdmp/

ξ Employee understands the UWMF policy of drawing up a medication
from a vial and labeling the syringe

ξ Employee is able to identify different drug classes and locate resources for
drug information


V 12/12/2017 Draft Ambulatory RN Orientation Review
4
Area of Orientation


Discussed/
Observed
(D/O)
Preceptor’s
Initials
Date
Completed
ξ MEDICATION REFILLS - Properly refills medication according to
clinics or provider’s protocol – review .rfp smart phrases

Telephone Calls and Triage
ξ Demonstrates knowledge of telephone call documentation requirements;
use of smart phrases

ξ Demonstrates knowledge and use of MyChart messages
ξ Review HIPPA and telephone calls; leaving a voice message
ξ Able to complete consults/referrals to other departments as needed and
provide patient with appropriate resources

ξ Triage resources: Has knowledge of resources appropriate for the age
population

o Telephone Triage Protocols for Nurses by Julie Briggs
o Telephone Triage for Obstetrics and Gynecology by Vicki E. Long
o External Resources available on HealthLink and Health Facts for
You documents on UConnect.

ξ Conduct telephone triage; assessing patient’s/parent’s concerns and
provide the best disposition for the situation

ξ Preceptor to review a minimum of 10 triage calls within first month for
completeness, disposition, and documentation

Department Specific Skills/Procedures
ξ Fit and apply orthotic device(s):ace wrap, wrist/finger splint, shoulder
ξ immobilizer, cervical collar, sling, rib belt, air cast

ξ Lesion removal
ξ Suture and staple removal
ξ Proper and complete labeling of specimens and paperwork (as needed)
ξ Ear irrigation
ξ Eye irrigation
ξ Nebulizer treatments

V 12/12/2017 Draft Ambulatory RN Orientation Review
5
Area of Orientation


Discussed/
Observed
(D/O)
Preceptor’s
Initials
Date
Completed
ξ Catheterization (male and female)
ξ Use of MDI/ Aerochamber
ξ EKG
ξ Peak flow meter
ξ Pulse oximetry
ξ Vision screening
ξ Hearing screening
ξ Demonstrates ability to use HealthLink forms