ICU Skills Checklist

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ICU 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.

Cardiac

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Defibrillation/Cardioversion
Assisting with Insertion of Central Lines
Pacemakers‐External
Permanent or Temporary Pacemaker
Cardiac Arrest/CPR
A‐Line (Transducer setup‐D/C)
Swan Ganz (Transducer setup‐D/C)
Balloon Pump (IABP)
SVO2 Monitoring
Automatic Internal Cardioverter Defibrillator
Care of patient with

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Aneurysm
Acute MI/Unstable Angina
Cardiogenic/Hypovolemic Shock
Pre/Post Cardiac Surgery
Heart Transplant
PTCA
COPD
ARDS
Pulmonary Embolism
Pulmonary Edema
Pneumonia
Inhalation Injuries
CVA
Seizure Disorder
Overdose
Neuro Injury/Trauma
Pre/Post Neuro Surgery
Cranial Hemorrhage
Aphasia
Multiple Sclerosis
Pancreatitis
GI Bleed
Esophageal Bleeding
Bowel Obstruction
Liver Transplant
Paralitic Ileus
TURP
Shunts and Fistulas
Nephrectomy
Renal Transplant
Renal Trauma
Use and Administration of the following

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Atropine
Bretylolr
Bumex
Digoxin
Dopamine
Dobutrex
Inderal
Inocor
Isuprel
Lidocaine
Neosynephrine/Nipride
NTG
Pronestyl
Titrate Morphine
Verapamil
Thrombolitic Agents
Prep/Titration of Emergency Drugs
Aminophylline
Corticosteroids
Bronkosol
Ventolin
Alupent
Decadron
Dilantin
Magnesium Sulfate
Phenobarbital
Steroids
Valium
Versed
Respiratory

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Lung Transplant
Establishing an Airway
Pulse Oximetry
Interpretation of ABG
Drawing ABG Blood Sample from A‐Line
Incentive Spirometer
Neurology

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Assessment of Neuro Signs
Use of Glascow Coma Scale
Seizure Precautions
Assist with Lumbar Puncture
ICP Monitoring
Crutchfield Tongs
Halo Traction
Stryker Frame
Assessment of Sensory‐Motor Function
Cervical Traction
Cranial Nerve Assessment
LOC Assessment
Pre/Post Neuro Surgical Care
Visual Acuity Measurement
Vascular

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Peripheral Pulses
Fluid Overload
Starting IV’s
Subcutaneous Central Line
Hickman/Broviac/Groshong Catheters
Mainenance of Heparin Lock
TPN/Hyperalimentation
Air Occlusive Dressing
Infusion Pump
Peritoneal Dialysis
Hemodialysis
Heparin Drip ‐ Precautions and Maintenance
Gastrointestinal

No Experience Need Traning Able to perform with Supervision Able to perform Independently
NG Tube Insertion
Gastronomy Tube
Jejunoostomy Tube
Enterostomal Care
Genito Urinary/Renal

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Foley Catheter Insertion
GU Irrigations
Nephrostomy Tube
Suprapubic Tube
Electrolyte Imbalance/Replacement
Other

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Oncology
Chemotherapy
Isolation Techniques
Hyperbaric Oxygenation
Fingerstick Blood Glucose monitoring
Equipment

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Bear I
Bear II
Bear V
Bennett 7200
CPAP
Emerson
EMV
MA‐I
MA‐II
Monihan
Ohio 560
PEEP
Pressure Pre‐Set
Servo 900b
Servo 900c
Servo 900e
Siemens
Hewlett‐Packard
Spacelab
Marquette
Mennen
Lifecare
Nihon‐Koder
Age Specific Competencies

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Infant (Birth – 1 year)
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (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.