Emerald Health Services: Skills Checklist: Critical Care

Critical Care Skills Checklist

Name *

Telephone *		--

Who is your recruiter? *

Who referred you? *

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.

1 = Never Performed 2 = Limited Experience 3 = Comfortable Performing 4 = Proficient

	My primary critical care experience has been in:	ICU	CCU	MICU	SICU	Neuro	Trauma

CARE OF PATIENTS WITH	1	2	3	4
GI Bleed
Inflammatory Bowel Disease
Pancreatitis
Paralytic Ileus
Peritonitis
TURP
Urinary Tract Infection
Adrenal Disorders
Hyperthyroidism
Hypothyroidism
Pituitary Disorders
Multisystem Organ Failure
DIC
Hypothermia
Heat Exhaustion/Stroke
Amputation
Orthopedic Injuries
Osteomyelitis
Anaphylactic Shock
Cardiogenic Shock
Hypovolemic Shock
Neurogenic Shock
Septic Shock
First Degree Burns
Second Degree Burns
Third Degree Burns
Drug Overdose
Delirium Tremens
Bone Marrow Transplant
Leukemia
HIV/AIDS
MRSA/VRE
Electrocution
Hazardous Material Exposure
Malignant Tumors
Near Drowning
Brain Death/Organ Procurement
Blunt Trauma
Chest Trauma
Gun Shot/Stab Wound-Abdomen
Gun Shot/Stab Wound-Chest
Gun Shot/Stab Wound-Head
Multiple Trauma
Renal Trauma
Cardiothoracic Surgery
GI Surgery
Neurosurgery
Vascular Surgery
Transfusion Reaction

MEDICATION ADMINISTRATION	1	2	3	4
Adenosine
Albuterol (Ventolin)
Aminophylline
Amiodarone (Cardarone)
Amrinone (Inocor)
Aquamephyton
Atropine
Bretylium
Charcoal
Chemotherapeutic agents
Corticosteroids
Dobutamine
Diazepam (Valium)
Digoxin
Diltiazem
Epinephrine
Esmolol
Insulin
Ipecac
Isoetharine (Bronkosol)
Kayexelate
Lactulose
Lasix
Lidocaine
Mannitol
Metaproterenol (Alupent)

MEDICATION ADMINISTRATION	1	2	3	4
Metroprolol (Lopressor)
Nitroprusside
Nitroglycerine
Paralytic Agents
Phenobarbital
Phenytoin (Dilantin)
Procainamide (Pronestyl)
Propranolol (Inderal)
Sodium Bicarbonate
Streprokinase
Terbutaline
TPA
Vasopressin
Verapamil
Continuous IV Infusion
CAD Pump
Eye/ear instillations
IM injections
Insulin Pump
IV Push
Metered Dose Inhalers
Nebulizer
Rectal infusion
Suppository
SQ injections
Z track injections

PROCEDURES/SKILLS	1	2	3	4
Admission of patients to unit
A-V Fistula Care
Brace/Splint Application
Bronchoscopy (assist with)
Foley/Straight Cath insertion & care
a. male
b. female
Bladder irrigation
Care of suprapubic catheter
Cardioversion
Cast care
Cast application (assist with)
Charge Nurse responsibilities
Chemotherapy
Chest physiotherapy
Chest tube & drainage system
a. set up
b. assist with insertion
c. care & maintenance
d. troubleshooting
e. removal
CAVH
EKG Intrepretation
a. 12 lead
b. arrhythmias
c. lead placement
Emergency Tracheostomy-assist
Extubation
Continuous Tube Feeding
Gavage, intermittent Tube Feeding
Femoral Artery Sheath Mgmt/Removal
Gastric Lavage, Iced Saline
Gastric Suction
a. intermittent
b. continuous
Glascow Coma Scale
Halo Traction/Cervical Tongs
Hemodialysis - Care during/post
Hemodynamic Monitoring, Invasive
a. Swan-Ganz cath insertion assist
b. Swan-Ganz cath care
c. MAP
d. CVP
e. PAWP/Wedge/PA
f. Cardiac Output
g. Cardiac Index
h. SVO2
i. Arterial line insertion assist
j. Arterial line care
Hemodynamic Monitoring, Non-invasive
a. auscultation
b. doppler
c. automatic BP cuff
d. palpation
Interpretation of Lab Results
a. Blood gases
b. Blood chemistry
c. Cardiac enzymes/isoenzymes
d. CBC
e. Coagulation studies
f. Cultures
g. Electrolytes
h. Urine dipstick
Intestinal Tract Tube Insertion/Care
a. Gastrostomy tubes
b. Jejunostomy tubes
c. Nasogastric tubes
d. Orogastric tubes
e. T-tubes (care only)
Intraaortic Balloon Pump
Intracranial Pressure Monitoring
Intravenous Infusions
a. Blood & Blood Products
- albumin
- auto infusion
- cryoprecipitate
- fresh frozen plasma
- packed RBCs
- whole blood

PROCEDURES/SKILLS	1	2	3	4
Intravenous Infusions (continued)
b. Central line care
- Broviac
- Groshong
- Hickman
- PICC
- Portacath
- Quinton
c. Hyperalimentation
d. Intralipids
e. Peripheral IV insertion & care
- Angiocath
- Butterfly
f. Saline Lock/Heparin Lock
Intubation (assist with)
Isolation Procedures
Lumbar Puncture (assist with)
Nerve Stimulators
Neurological Assessments
Nursing Assessment Care Planning
Oral Airway Insertion
Oxygen Therapy Administration
a. Bag & mask
b. ET tube
c. External CPAP
d. Face mask
e. Nasal cannula
f. Trach Collar
g. BiPAP
h. ambu bag
Pacemaker
a. external
b. permanent
c. temporary
d. transthoracic
Peritoneal Dialysis
a. automatic cycler
b. manual
Peritoneal Lavage
Restraints
Specimen Collection
a. Blood
- femoral arterial stick
- radial arterial stick
- arterial line
- central line
- venous stick
b. Cultures
c. Sputum
d. Urine
Suctioning
a. ET tube - closed
b. ET tube - open
c. Nasal-pharyngeal
d. Tracheostomy
e. Oral/Yankauer
Temperature
a. Axillary
b. Oral
c. Tympanic
Suicide Precautions
Thoracentesis/Paracentesis-assist
Ventricular Assist Device (RVAD,LVAD)
Vent weaning/interpret parameters
Wound/Ostomy Care
a. Colostomy care/bag change
b. Ileostomy care/bag change
c. Irrigations
d. Pressure ulcers
- staging
- care
e. Stasis ulcers
f. Staple insertion - assist
g. Sterile dressing changes
h. Steristrip application
i. Surgical wounds with drains
j. Suturing - assist with

PAIN MANAGEMENT	1	2	3	4
Pain assessment using pain scales
Epidural analgesia
IV conscious sedation
Patient controlled analgesia (PCA)

PAIN MANAGEMENT	1	2	3	4
Narcotic Agents
Non-narcotic agents
Non-pharmacological measures

EQUIPMENT	1	2	3	4
Automatic BP cuffs
Cardiac Monitor
Centrifuge
Defibrillator
Femoral Hemostasis Devices
Glucometer
Hypo/Hyperthermia blanket
Infusion Pumps (specific brands)
-
-
-
Oxygen Analyzer
Oxygen Blender

EQUIPMENT	1	2	3	4
Pulse Ox
Specialty Beds
a. Air fluidized
b. Low air loss
c. Rotating
d. Stryker
e. other specify
Ventilator
a. CPAP
b. High frequency jet
c. Pressure
d. T-piece
e. Volume

Do you speak any languages other than English?	Yes	No

If yes, which language(s)?

Age Specific Skills Check the box under EACH age group that you have experience with and are comfortable with for each skill below.	Neonates (0-30 days)	Infants (1 mo-1 yr)	Toddlers (1-3 yrs)	Preschool (4-6 yrs)	School Age (7-12 yrs)	Adolescent (13-18 yrs)	Young Adult (19-39 yrs)	Middle Adults (40-64 yrs)	Older Adults (65+ yrs)
Understands the different communications needs for the age group & changes communication methods and terminology accordingly
Understands the different medications, dosages and possible side effects for the age group and administers medications appropriately
Understands the different safety risks for the age group and alters the environment accordingly
Understands the normal growth and development for the age group and adapts care accordingly

I hereby certify that ALL information I have provided to Emerald, 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.

Home | Employers | Benefits | Join Us | Contact