1 Medical Surgical-Telemetry Exam Content Outline Exam Objective: To measure the overall clinical knowledge of the Registered Nurse in the Medical Surgical-Telemetry setting. Knowledge Domains Medical Surgical-Telemetry RN. Cardiovascular Dysrhythmia Interpretation Endocrine 9% 13% 10% Gastrointestinal 7% 15% General Knowledge 12% 7% Neurological 10% 7% 7% Pharmacology Professional Issues Pulmonary Renal/Genitourinary Any unlawful use or reproduction of this data and Content will be prosecuted to the fullest extent of the law.
2 I. Cardiovascular A. Knowledge of dietary education related cardiac disease process. B. Knowledge of how to recognize changes in ECG and appropriate interventions. C. Knowledge of pathophysiology of common cardiac disease processes, including discharge teaching. D. Knowledge of appropriate procedures for obtaining vital signs and blood specimens related to patient history and status. E. Knowledge of common cardiac medications used in the Medical surgical setting, including: 1. Appropriate assessments prior to administering medications 2.
3 Indications 3. Side effects F. Knowledge of contraindications for anticoagulant medication therapy. G. Knowledge of protocols and when to initiate treatment for emergency situations. H. Knowledge of treatment protocols for myocardial infarction. II. Dysrhythmia Interpretation A. Sinus Rhythms 1. Normal Sinus Rhythm 2. Sinus Bradycardia 3. Sinus Tachycardia B. Atrial Rhythms 1. Atrial Flutter 2. Atrial Fibrillation 3. Premature Atrial Contractions Any unlawful use or reproduction of this data and Content will be prosecuted to the fullest extent of the law.
4 C. Ventricular Rhythms 1. Premature Ventricular Contractions 2. Ventricular Fibrillation 3. Ventricular Tachycardia 4. Asystole D. Paced Rhythms E. Determining heart rate III. Endocrine A. Knowledge of pathophysiology, assessment findings, and treatment protocols for common endocrine disease processes: 1. Diabetes 2. Electrolyte imbalances 3. Hypoglycemia 4. Pancreatitis B. Knowledge of contraindications related to antidiabetic medications. C. Knowledge of diabetic education for: 1. Dietary considerations 2. Insulin requirements related to secondary diseases processes D.
5 Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. Parathyroidectomy 2. Subtotal thyroidectomy IV. Gastrointestinal A. Knowledge of common gastrointestinal post-operative complications. B. Knowledge of treatment of care for Jackson-Pratt (JP) drains. Any unlawful use or reproduction of this data and Content will be prosecuted to the fullest extent of the law. C. Knowledge of pathophysiology, assessment findings, and treatment protocols for common gastrointestinal disease processes: 1.
6 Upper GI bleed 2. Lower GI bleed 3. Gastric ulcers 4. Diarrhea 5. Diverticulitis D. Knowledge of normal and abnormal lab values related to gastrointestinal disease processes. V. General Knowledge A. Knowledge of principles of TB skin testing. B. Knowledge of treatment and monitoring of patient on PCA pump, including reversal agents. C. Knowledge of principles of isolation precautions: 1. Proper hand hygiene protocols 2. Personal Protective Equipment (PPE). D. Knowledge of dietary education for celiac disease. E. Knowledge of normal and abnormal lab values for common laboratory tests.
7 F. Knowledge of blood and blood products administration including adverse reactions. G. Knowledge of calculating intake and output. H. Knowledge of principles of assessment for a patient with restraints. I. Knowledge of signs and symptoms of suicidal ideations. J. Knowledge of caring for non-ambulatory patient. K. Knowledge of appropriate procedures for obtaining vital signs and blood specimens related to patient history and status. Any unlawful use or reproduction of this data and Content will be prosecuted to the fullest extent of the law.
8 VI. Neurological A. Knowledge of treatment protocols for: 1. Seizures 2. Falls 3. Hemorrhagic CVA. B. Knowledge of assessment findings for neurological conditions: 1. Increased intracranial pressure 2. Increased sodium levels 3. Stroke C. Knowledge of dietary considerations for dysphagia. D. Knowledge of principles of Glasgow Coma scale. VII. Pharmacology A. Knowledge of parenteral dosage calculations. B. Knowledge of medication administration principles: 1. Drug classifications and indications 2. Patient education 3.
9 Dietary considerations/contraindications 4. Toxicity 5. Baseline vital signs 6. Subcutaneous injection sites C. Knowledge of side effects of tuberculosis medications. D. Knowledge of medication contraindications based on patient status. E. Knowledge of anticoagulant antidote medication administration. F. Knowledge of narcotic reversal agent medication administration. G. Knowledge of how to monitor for adverse side effects. H. Knowledge of medication contraindications related to known drug allergies. Any unlawful use or reproduction of this data and Content will be prosecuted to the fullest extent of the law.
10 VIII. Professional Issues A. Knowledge of principles and protocols for advance directives. B. Knowledge of protocols for suspected coworker substance abuse. C. Knowledge of principles of cultural diversity and protocols for communicating with non-English speaking patients. D. Knowledge of principles of patient privacy and HIPAA guidelines. E. Knowledge of appropriate procedures for wasting narcotics. F. Knowledge of prioritizing patient assessments. G. Knowledge of principles for obtaining informed consents. IX. Pulmonary A.
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