Critical Care Skills Checklist

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(Critical Care)

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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

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

General Skills

Advanced directives:

★★★★

Patient/family teaching:

★★★★

Restrictive devices (restraints):

★★★★

Lift/transfer devices:

★★★★

Specialty beds:

★★★★

End of life care/palliative care:

★★★★

Wound assessment & care:

★★★★

Automated Medication Dispensing System, Pyxis, Omnicell, or other:

★★★★

Bar coding for medication administration:

★★★★

Blood Glucose Monitor (BGM):

★★★★

Cardioversion/defibrillation:

★★★★

Electronic ICU:

★★★★

National Patient Safety Goals:

Accurate patient identification:

★★★★

Effective communication:

★★★★

Interpretation & communication of lab values:

★★★★

Medication administration:

★★★★

Medication reconciliation:

★★★★

Labeling (medications & specimens):

★★★★

Anticoagulation therapy:

★★★★

Monitoring conscious sedation:

★★★★

Pain assessment & management:

★★★★

Infection control:

★★★★

Universal precautions:

★★★★

Isolation:

★★★★

Minimize risk for falls:

★★★★

Prevention of pressure ulcers:

★★★★

Use of rapid response teams:

★★★★

Awareness of HCAHPS:

★★★★

Cardiovascular

Assessment of heart sounds:

★★★★

Interpretation of arrhythmias:

★★★★

Performing 12 lead EKG's:

★★★★

Interpretation of 12 lead EKG:

★★★★

Interpretation of hemodynamic monitoring:

★★★★

Assist with Insertion & Management of:

CVC (Central Venous Catheter):

★★★★

Arterial line:

★★★★

Swanz Ganz catheter:

★★★★

Flow trac or Vigileo monitoring caths:

★★★★

Intra-Aortic Balloon Pump (IABP):

★★★★

Ventricular Assist Device (LVAD, RVAD):

★★★★

Maintenance & Management of:

Permanent pacemakers:

★★★★

Implantable Cardioverter Defibrillator (ICD):

★★★★

External pacemakers:

★★★★

Epicardial pacemaker wires:

★★★★

Discontinuing venous/arterial sheaths:

★★★★

Femostop/vasoseal:

★★★★

Care of Patients with:

Acute myocardial infarction:

★★★★

Pre/post: cardiac catheterization:

★★★★

Congestive heart failure:

★★★★

Cardiomyopathy:

★★★★

Dysrhythmias/conduction disturbances:

★★★★

Aortic aneurysm:

★★★★

Thoracic/abdominal surgery:

★★★★

Endoluminal graft:

★★★★

Cardiogenic shock:

★★★★

Hypertensive crisis:

★★★★

Pericarditis/endocarditis:

★★★★

MAZE procedure:

★★★★

Post open heart (CABG/valve):

★★★★

Cardiac contusion/trauma:

★★★★

Heart transplant:

★★★★

Cardiac tamponade:

★★★★

Medication Administration:

ACLS medications and protocols:

★★★★

Antidysrythmics:

★★★★

Antihypertensives:

★★★★

Vasoactive/vasopressor agents:

★★★★

Anesthetics (propofol/presedex):

★★★★

Thrombolytics (retavase/activase):

★★★★

Platelet inhibitors (ReoPro/Integrilin/Aggrastat):

★★★★

Flolan for pulmonary hypertension:

★★★★

Pulmonary

Assessment of breath sounds:

★★★★

Airway Management, Care & Maintenance of:

Oral/NT/ET airway:

★★★★

Tracheostomy:

★★★★

Arterial blood gas analysis/interpretation:

★★★★

Obtaining ABG blood sample/arterial line:

★★★★

Pulse oximetry:

★★★★

Ventilator Management:

BiPAP (Bi-level Positive Airway Pressure):

★★★★

Oscillation/high-frequency ventilation:

★★★★

Nitric:

★★★★

Interpretation of weaning parameters:

★★★★

Maintenance & management of pleural chest tubes:

★★★★

Care of Patient with:

Acute respiratory failure:

★★★★

Adult Respiratory Distress Syndrome (ARDS):

★★★★

Sudden Inflammation Respiratory Syndrome (SIRS):

★★★★

Inhalation injuries:

★★★★

Pneumonia:

★★★★

Pulmonary edema:

★★★★

Near drowning:

★★★★

Chronic Obstructive Pulmonary Disease (COPD):

★★★★

Pre/post thoracic surgery:

★★★★

Pulmonary embolism:

★★★★

Pulmonary/chest trauma:

★★★★

Pulmonary hypertension:

★★★★

Status asthmaticus:

★★★★

Medication Administration:

Rapid sequence intubation drugs/protocols:

★★★★

Nebulizer treatments: Ventolin, Atrovent:

★★★★

Neurology

Cranial nerve assessment:

★★★★

Glasgow coma scale:

★★★★

NIH stroke scale:

★★★★

NIH stroke certification:

★★★★

Seizure precautions:

★★★★

Skeletal traction:

★★★★

Cervical spine precautions/logroll positioning:

★★★★

Halo vest/halo traction:

★★★★

Monitoring of neuromuscular blocking agents/paralytics:

★★★★

Assist with lumbar puncture:

★★★★

Intracranial/Cerebral Perfusion Pressure Monitoring (ICP/CPP) via:

Ventriculostomy:

★★★★

Subarachnoid screw/bolt:

★★★★

Care of Patients with:

Lumbar drains:

★★★★

Cerebral aneurysm:

★★★★

Subarachnoid hemorrhage:

★★★★

Status epilepticus:

★★★★

TBI (Traumatic Brain Injury):

★★★★

Spinal cord injury:

★★★★

CerebroVascular Accident (CVA):

★★★★

Pre/post cranial surgery:

★★★★

Meningitis:

★★★★

Myasthenia gravis:

★★★★

Clipping and/or coilings of aneurysms:

★★★★

Pituitary Tumor:

★★★★

Medication Administration:

Steroids: Decadron, Solu-Medrol:

★★★★

Anticonvulsants: Dilantin, phenobarbital:

★★★★

Paralytic Agents: Norcuron, Pavalon, Nimbex, Tracrium, vecuronium:

★★★★

Mannitol:

★★★★

Antipsychotics: Haldol:

★★★★

Trauma & Burns

Mass casualty:

★★★★

Electrocution:

★★★★

Amputation:

★★★★

Gangrene:

★★★★

Multiple fractures:

★★★★

Thermoregulation: hypothermia/hyperthermia:

★★★★

Burns: Calculation of Total Body Surface Area (BSA):

Berdow Formula/ "Rule of Nines":

★★★★

Lund and Browder chart:

★★★★

Fluid resuscitation:

★★★★

Care & management of burns:

★★★★

Gastrointestinal

Small bore feeding tube insertion (Dobhoff or Keofeed):

★★★★

Nasogastric tube insertion:

★★★★

Post pyloric feeding tube insertion:

★★★★

Gastric lavage:

★★★★

Use of activated charcoal:

★★★★

Maintenance of gastric/jejunostomy tube:

★★★★

Stoma care:

★★★★

Maintenance & management of enteral tube feedings:

★★★★

Assisting/monitoring bedside procedures: endo/chest tubes/bronchs/trach insertion/PEG tubes:

★★★★

Care of Patients with:

Abdominal trauma:

★★★★

Acute gastrointestinal hemorrhage:

★★★★

Esophageal varices:

★★★★

Balloon tamponade devices (i.e. Blakemore tube):

★★★★

Peritonitis:

★★★★

Acute pancreatitis:

★★★★

Bowel obstruction:

★★★★

Liver/pancreas transplant:

★★★★

Medication Administration:

Antiemetics: Reglan, Zofran:

★★★★

H2 receptor antagonists:

★★★★

Renal

Foley catheter insertion:

★★★★

Suprapubic tube:

★★★★

Nephrostomy tube:

★★★★

Peritoneal dialysis:

★★★★

Continuous Arteriovenous Hemofiltration (CAVHD, CVVHD, SCUF, CRRT):

★★★★

Hemodialysis of the critically ill patient:

★★★★

Care of Patient with:

Acute renal failure:

★★★★

Chronic renal failure:

★★★★

AV fistulas, shunts & dialysis catheters:

★★★★

Nephrectomy:

★★★★

Renal transplant:

★★★★

Renal/urinary tract trauma:

★★★★

Endocrine

Diabetic Ketoacidosis (DKA):

★★★★

Hyperosmolar Hyperglycemic Nonketotic Coma (HHNK):

★★★★

Diabetes Insipidus (DI):

★★★★

Syndrome of Inappropriate Antidiuretic Hormone (SIADH):

★★★★

Administration & monitoring of insulin infusion:

★★★★

Use of Endo tool:

★★★★

Intravenous Management

Starting peripheral IV's:

★★★★

Care of patient with Peripherally-Inserted Central Catheter (PICC):

★★★★

Administration/monitoring of Total Parenteral Nutrition (TPN):

★★★★

Administration of blood/blood products:

★★★★

Administration of narcotics/sedatives: (fentanyl, Valium, Ativan, Versed, morphine):

★★★★

Bispectral monitoring:

★★★★

Tele-ICU (ICU-E)

Mentoring:

★★★★

Communication:

★★★★

Video assessment:

★★★★

Utilize tele-ICU system:

★★★★

Multi-tasking:

★★★★

Troubleshoot equipment:

★★★★

Giving directions over AV system:

★★★★

Interpretation of data:

★★★★

Critical thinking:

★★★★

Diplomacy:

★★★★

Other

Drug or chemical overdose (TCA, ethanol, ASA):

★★★★

Poisoning (CO, cyanide):

★★★★

Substance abuse (ETOH, stimulants, narcotics):

★★★★

Human Immunodeficiency Virus (HIV):

★★★★

Multisystem Organ Dysfunction Syndrome (MODS):

★★★★

Anaphylaxis:

★★★★

Disseminated Intravascular Coagulation (DIC):

★★★★

Septic shock:

★★★★

Cancer:

★★★★

Administration of chemotherapy:

★★★★

Monitoring of chemotherapy (does not initiate):

★★★★

Hyperbaric oxygenation:

★★★★

Organ/tissue donation procedures:

★★★★

Suicide precautions:

★★★★

Age Specific Competencies

Adolescent (ages 13-21 years):

★★★★

Young adult (ages 22-39 years):

★★★★

Adult (ages 40-64 years):

★★★★

Older adult (ages 65-79 years):

★★★★

Elderly (ages 80+ years):

★★★★

Please list any Additional Skills

Additional training:

Additional equipment: