Critical Care Skills Checklist

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Critical Care Skills Checklist

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.

General Skills

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment of heart sounds
Interpretation of arrhythmias
Performing 12 lead EKG’s
Interpretation of 12 lead EKG
Interpretation of hemodynamic monitoring
CVC (Central Venous Catheter)( Assist with Insertion & Management of)
Arterial line( Assist with Insertion & Management of)
Swanz Ganz catheter( Assist with Insertion & Management of)
Flow trac or Vigileo monitoring caths( Assist with Insertion & Management of)
Intra-Aortic Balloon Pump (IABP)( Assist with Insertion & Management of)
Ventricular Assist Device (LVAD, RVAD)( Assist with Insertion & Management of)
Permanent pacemakers( Maintenance & Management of)
Implantable Cardioverter Defibrillator (ICD)( Maintenance & Management of)
External pacemakers( Maintenance & Management of)
Epicardial pacemaker wires( Maintenance & Management of)
Discontinuing venous/arterial sheaths( Maintenance & Management of)
Femostop/vasoseal( Maintenance & Management of)
Acute myocardial infarction( Care of Patients with)
Pre/post: cardiac catheterization( Care of Patients with)
Congestive heart failure( Care of Patients with)
Cardiomyopathy ( Care of Patients with)
Dysrhythmias/conduction disturbances( Care of Patients with)
Aortic aneurysm( Care of Patients with)
Thoracic/abdominal surgery( Care of Patients with)
Endoluminal graft( Care of Patients with)
Cardiogenic shock( Care of Patients with)
Hypertensive crisis( Care of Patients with)
Pericarditis/endocarditis( Care of Patients with)
MAZE procedure( Care of Patients with)
Post open heart (CABG/valve)( Care of Patients with)
Cardiac contusion/trauma( Care of Patients with)
Heart transplant( Care of Patients with)
Cardiac tamponade( Care of Patients with)
ACLS medications and protocols( Medication Administration)
Antidysrythmics( Medication Administration)
Antihypertensives( Medication Administration)
Vasoactive/vasopressor agents( Medication Administration)
Anesthetics (propofol/presedex)( Medication Administration)
Thrombolytics (retavase/activase)( Medication Administration)
Platelet inhibitors (ReoPro/Integrilin/Aggrastat)( Medication Administration)
Flolan for pulmonary hypertension( Medication Administration)
Pulmonary

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment of breath sounds
Oral/NT/ET airway( Airway Management, Care & Maintenance of)
Tracheostomy( Airway Management, Care & Maintenance of)
Arterial blood gas analysis/interpretation( Airway Management, Care & Maintenance of)
Obtaining ABG blood sample/arterial line( Airway Management, Care & Maintenance of)
Pulse oximetry( Airway Management, Care & Maintenance of)
BiPAP (Bi-level Positive Airway Pressure)( Ventilator Management)
Oscillation/high-frequency ventilation( Ventilator Management)
Nitric( Ventilator Management)
Interpretation of weaning parameters( Ventilator Management)
Maintenance & management of pleural chest tubes( Ventilator Management)
Acute respiratory failure( Care of Patient with)
Adult Respiratory Distress Syndrome (ARDS)( Care of Patient with)
Sudden Inflammation Respiratory Syndrome (SIRS)( Care of Patient with)
Inhalation injuries ( Care of Patient with)
Pneumonia( Care of Patient with)
Pulmonary edema ( Care of Patient with)
Near drowning( Care of Patient with)
Chronic Obstructive Pulmonary Disease (COPD)( Care of Patient with)
Pre/post thoracic surgery( Care of Patient with)
Pulmonary embolism ( Care of Patient with)
Pulmonary/chest trauma( Care of Patient with)
Pulmonary hypertension( Care of Patient with)
Status asthmaticus ( Care of Patient with)
Rapid sequence intubation drugs/protocols (Medication Administration )
Nebulizer treatments: Ventolin, Atrovent (Medication Administration)
Neurology

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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
Ventriculostomy( Intracranial/Cerebral Perfusion Pressure Monitoring (ICP/CPP) via)
Subarachnoid screw/bolt( Intracranial/Cerebral Perfusion Pressure Monitoring (ICP/CPP) via)
Lumbar drains( Care of Patients with)
Cerebral aneurysm( Care of Patients with)
Subarachnoid hemorrhage ( Care of Patients with)
Status epilepticus( Care of Patients with)
TBI (Traumatic Brain Injury)( Care of Patients with)
Spinal cord injury ( Care of Patients with)
CerebroVascular Accident (CVA)( Care of Patients with)
Pre/post cranial surgery ( Care of Patients with)
Meningitis( Care of Patients with)
Myasthenia gravis( Care of Patients with)
Clipping and/or coilings of aneurysms ( Care of Patients with)
Pituitary Tumor ( Care of Patients with)
Steroids: Decadron, Solu-Medrol( Medication Administration)
Anticonvulsants: Dilantin, phenobarbital ( Medication Administration)
Paralytic Agents: Norcuron, Pavalon, Nimbex, Tracrium, vecuronium
Mannitol ( Medication Administration)
Antipsychotics: Haldol( Medication Administration)
Trauma & Burns

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Mass casualty
Electrocution
Amputation
Gangrene
Multiple fractures
Thermoregulation: hypothermia/hyperthermia
Berdow Formula/ ‘Rule of Nines'( Burns: Calculation of Total Body Surface Area (BSA))
Lund and Browder chart( Burns: Calculation of Total Body Surface Area (BSA))
Fluid resuscitation ( Burns: Calculation of Total Body Surface Area (BSA))
Care & management of burns( Burns: Calculation of Total Body Surface Area (BSA))
Gastrointestinal

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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
Abdominal trauma( Care of Patients with)
Acute gastrointestinal hemorrhage( Care of the Patient with )
Esophageal varices ( Care of the Patient with )
Balloon tamponade devices (i.e. Blakemore tube)( Care of the Patient with )
Peritonitis ( Care of the Patient with )
Acute pancreatitis( Care of the Patient with )
Bowel obstruction( Care of the Patient with )
Liver/pancreas transplant( Care of the Patient with )
Antiemetics: Reglan, Zofran( Medication Administration)
H2 receptor antagonists( Medication Administration)
Renal

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Foley catheter insertion
Suprapubic tube
Nephrostomy tube
Peritoneal dialysis
Continuous Arteriovenous Hemofiltration (CAVHD, CVVHD, SCUF, CRRT)
Hemodialysis of the critically ill patient
Acute renal failure( Care of Patient with)
Chronic renal failure( Care of Patient with)
AV fistulas, shunts & dialysis catheters( Care of Patient with)
Nephrectomy( Care of Patient with)
Renal transplant( Care of Patient with)
Renal/urinary tract trauma( Care of Patient with)
Endocrine

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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)

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Mentoring
Communication
Video assessment
Utilize tele-ICU system
Multi-tasking
Troubleshoot equipment
Giving directions over AV system
Interpretation of data
Critical thinking
Diplomacy
Other

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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)

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