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CC: Emergency Nursing CC-01: Multi-Systems Assessments
No. Competency Item NAC DEV COM DTE EXC
CC-01-01 Demonstrate knowledge and ability to apply critical thinking and clinical judgment to adapt health assessment to emergency nursing.
  Demonstrate ability to perform neurological assessment:          
CC-01-02
  • neurological vital signs
    • CC-01-03
  • generalized seizure activity
    • CC-01-04
  • glasgow coma scale
    • CC-01-05
  • level of consciousness
    		•
    CC-01-06
  • loss of consciousness
    		•
    CC-01-07
  • motor function
    		•
    CC-01-08
  • pupil reaction
    		•
    CC-01-09
  • oxygen saturation
    		•
    CC-01-10
  • sensory function
    		•
    CC-01-11
  • visual acuity.
    		•
      Demonstrate ability to perform peripheral neurovascular assessment:          
    CC-01-12
  • peripheral assessment
    • CC-01-13
  • color, sensation, movement (CSM) / colour, warmth, circulation, movement (CWCM)
    		•
      Demonstrate ability to perform respiratory assessment:          
    CC-01-14
  • accessory muscle use
    • CC-01-15
  • auscultation of lung fields
    		•
    CC-01-16
  • colour
    • CC-01-17
  • cough
    		•
    CC-01-18
  • cyanosis
    		•
    CC-01-19
  • expectorated secretions
    		•
    CC-01-20
  • jugular vein distention
    		•
    CC-01-21
  • oxygen saturation per monitor
    		•
    CC-01-22
  • peak flow
    		•
    CC-01-23
  • respiration – rate, rhythm, quality
    		•
    CC-01-24
  • tracheal deviation
    		•
    CC-01-25
  • tracheal tug
    		•
      Demonstrate ability to assess the cardiovascular system:          
    CC-01-26
  • application of ECG leads and monitoring
    • CC-01-27
  • application of external cardiac monitoring leads
    		•
    CC-01-28
  • auscultation of chest
    		•
    CC-01-29
  • blood pressure, postural, and palpable BP
    		•
    CC-01-30
  • heart rate, rhythm, and peripheral pulses
    		•
    CC-01-31
  • heart sounds (S1,S2)
    		•
    CC-01-32
  • capillary refill
    		•
    CC-01-33
  • perspiration
    		•
    CC-01-34
  • pitting edema
    		•
    CC-01-35
  • signs or symptoms of infection
    		•
      Demonstrate ability to perform a musculoskeletal assessment:          
    CC-01-36
  • soft tissue injuries / multiple system injuries / trauma
    		•
    CC-01-37
  • fractures
    		•
    CC-01-38
  • dislocations
    		•
    CC-01-39
  • degenerative disorders
    		•
    CC-01-40
  • mobility and ambulation
    		•
      Demonstrate ability to perform genitourinary assessment:          
    CC-01-41
  • assess patency of urinary catheter
    		•
    CC-01-42
  • bladder scanning
    		•
    CC-01-43
  • check external genitalia for signs of trauma
    		•
    CC-01-44
  • insert and remove catheter
    		•
    CC-01-45
  • lab findings
    		•
    CC-01-46
  • monitor urinary output
    		•
    CC-01-47
  • palpate for bladder distention
    		•
    CC-01-48
  • strain urine for calculi
    		•
      Demonstrate ability to complete a gynecological assessment:          
    CC-01-49
  • gravida, para, abortions
    		•
    CC-01-50
  • last normal menstrual period (LNMP)
    		•
    CC-01-51
  • vaginal discharge or blood loss
    		•
    CC-01-52
  • previous gynecological surgery
    		•
    CC-01-53
  • cramping, labor pains
    		•
    CC-01-54
  • length of last labor
    		•
    CC-01-55
  • previous premature births
    		•
    CC-01-56
  • birth control history
    		•
    CC-01-57
  • pregnancy testing.
    		•
    CC-01-58 Demonstrate the knowledge and ability to document and report assessment findings to the appropriate health professional.
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