Critical Care Skills Checklist Printed Name: Please enter your experience level according to the Answer Key below: »Answer Key 1 = No Experience 2 = Less than one year of consistent experience 3 = One year of consistent experience 4 = Over two years of consistent experience 5 = Able to teach and supervise » CARDIOVASCULAR Assessment Abnormal heart sounds/murmurs Auscultation (rate, rhythm) Blood pressure/non-invasive Doppler Pulses/circulation check Interpretation of Lab Results Cardiac enzymes and isoenzymes Coagulation studies Equipment and Procedures Assist with: Arterial line insertion Central line insertion Open chest emergency PA catheter/Swan-Ganz insertion Pericardiocentesis Transesophageal echocardiogram Automatic internal cardioverter defibrillator Cardioversion CAVH-D Hemodynamic monitoring Cardiac index Cardiac output CVP monitoring Femoral artery sheath removal MAP PA/Swan-Ganz PCW pressure PVR Radial A-line SVO2 SVR Intra aortic balloon pump Monitoring 12-lead EKG interpretation Arrhythmia interpretation Lead placement Rhythm strip assessment Set up and run 12-lead EKG Pacemaker External Permanent Temporary Transthoracic (epicardial) Ventricular assist device (RVAD or LVAD) Care of the Patient With: Abdominal aortic aneurysm repair Acute MI Cardiac arrest Cardiac tamponade Congestive heart failure EP study and ablation Heart transplant Immediate post open-heart surgery Infective endocarditis Myocardial contusion Pericarditis Post AICD insertion Post arthrectomy (DCA) Postcommissurotomy, valve repair, valve Post intracoronary stent placement Post percutaneous balloon valvuloplasty Post rotoblade Pre/post angioplasty Pre/post cardiac cath Medications Amiodarone (Cardarone) Atropine Bicarbonate Bretylium (Bretylol) Digoxin (Lanoxin) Diltiazem (Cardizem) Dobutamine (Dobutrex) Dopamine (Intropin) Epinephrine (Adrenalin) Esmolol (Brevibloc) Inocor (Amrinone) Lidocaine (Xylocaine) Metoprolol (Lopressor) Nipride (Nitroprusside) Nitroglycerine (Tridil) Procainamide (Pronestyl) Reteplase recombinant (Retavase) Streptokinase TPA (Alteplase) Verpamil (Calan, Isoptin, Verelan) » PULMONARY Assessment Adventitious breath sounds Rate and work of breathing Interpretation of Lab Results Arterial blood gases Equipment and Procedures Air leak troubleshooting Mediastinal chest tube removal Pleural chest tube removal Airway management devices/suctioning Endotracheal tube/suctioning Extubation Nasal airway/suctioning Oximetry Sputum specimen collection Tracheostomy/suctioning Assist with: Bronchoscopy Chest Tube Insertion Emergency tracheostomy Thoracentesis Establishing an airway Assist with intubation Oral airway insertion Identification/intervention for respiratory complications Aspiration Laryngospasm Tension Pneumothorax Use of Pleurevac or Thoraclex drainage Use of water seal drainage O2 therapy and medication delivery systems Ambu bag and mask ET tube Face masks Nasal cannula Portable O2 tank Trach collar Ventilator managemet External CPAP High frequency jet ventilation IMV PEEP Pressure support Weaning modes and T-piece weaning Care of the Patient With: Acute pneumonia ARDS Chest trauma COPD Cor pulmonale Fresh tracheostomy Lobectomy Lung transplant Near drowning Pneumonectomy Pulmonary edema/hypertension Pulmonary embolism Status asthmaticus Thoracotomy Tuberculosis Medications Alupent (Metaproterenol) Aminophylline Bronkosol (Isoetharine hydrochloride) Corticosteroids Ventolin (Albuterol) » NEUROLOGICAL Assessment Cranial nerves Glasgow coma scale Level of consciousness Pathologic reflexes Reflex/motor deficits Visual or communication deficits Equipment and Procedures Assist with lumbar punctures Halo traction/cervical tongs Intracranial pressure monitoring Nerve stimulators Rotating bed Seizure precautions Spinal precautions Stryker frame Use of hyper/hypothermia blanket Care of the Patient With: Anuerysm precautions Basal skull fracture Closed head injury Coma CVA DTs Encephalitis Externalized shunts Increased ICP Laminectomy Meningitis Metastatic tumor/intracranial tumor resection MS Post craniotomy Spinal cord injury Ventriculostomy Medications Barbiturate induced coma Decadron (Dexamethasone) Dilantin (Phenytoin) Epidural administration Phenobarbital » GASTROINTESTINAL Assessment Abdominal/bowel sounds Nutritional Interpretation of Lab Results Serum ammonia Serum amylase LFTs Equipment and Procedures Administration of tube feeding Balloon Tamponade (Sengstaken Blakemore) Feeding pump Flexible feeding tube (i.e., Corpak, Dobhoff) Gravity feeding Iced saline lavage Management of: Gastrostomy tube Jejunostomy tube T-tube TPN and lipids administration PPN (peripheral parenteral nutrition) Placement of NG tube Salem sump to suction Care of the Patient With: Blunt trauma Bowel obstruction Colostomy ERCP Esophageal bleeding GI bleeding Hepatitis Ileostomy Inflammatory bowel disease Liver failure Liver transplant Pancreatitis Paralytic ileus Penetrating trauma Medications AquaMephyton (Vitamin K) Inderal (Propranolol) Kayexelate Lactulose (Cephulac) Pitressin (Vasopressin) » RENAL / GENITOURINARY Assessment A-V fistula/shunt Fluid status Interpretation of Lab Results BUN and creatinine Serum electrolytes Equipment and Procedures Bladder irrigation Insertion and care of straight and Foley catheter 3-way Foley Female Male Supra-pubic Care of the Patient With: Acute renal failure CAVH dialysis Hemodialysis Nephrectomy Peritoneal dialysis Renal rejection syndrome Renal transplant TURP Urinary diversion (ileal conduit nephrostomy) Urinary tract infection » ENDOCRINE / METABOLIC Interpretation of Lab Results Blood glucose Thyroid studies Equipment and Procedures Blood glucose measuring device: Type Blood glucose monitoring Performing finger stick Care of the Patient With: Diabetes mellitus Diabetic ketoacidosis Disorders of adrenal gland (e.g., Addison.s) Disorders of pituitary gland (e.g., DI) Drug overdose Hyperthyroidism (Grave.s disease) Hypothyroidism Insulin shock Thyroidectomy . disorders of thyroid gland Medication Insulin pump » WOUND MANAGEMENT Assessment Skin for impending breakdown Stasis ulcers Surgical wound healing Equipment and Procedures Air fluidized, low airloss beds Sterile dressing changes Wound care/irrigations Care of the Patient With: Burns Pressure sores Staged decubitus ulcers Surgical wounds with drain(s) Traumatic wounds » PHLEBOTOMY / IV THERAPY Equipment and Procedures Administration of blood products Cryoprecipitate Packed red blood cells Plasma/albumin Whole blood Drawing blood from central line Drawing venous blood Starting IVs Angiocath Butterfly Heparin lock Care of the Patient With: Central line/catheter/dressing . Broviac Groshong Hickman Portacath Quinton Peripheral line dressing » PAIN MANAGEMENT Assessment Pain level/tolerance Care of the Patient With: Epidural anesthesia/analgesia IV conscious sedation Patient-controlled analgesia » MISCELLANEOUS Care of the Patient With: Anaphylactic shock Disseminated intravascular coagulation (DIC) Hypovolemic shock Multi-system organ failure Organ/tissue donation Septic shock » AGE SPECIFIC PRACTICE CRITERIA Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care. Newborn/neonate (birth-30 days) Infant (30 days . 1 year) Toddler (1-3 years) Preschooler (3-5 years) School age children (5-12) Adolescents (12-18 years) Young adults (18-39 years) Middle adults (39-64 years) Older adults (64+ years) EXPERIENCE WITH AGE GROUPS: A    B    C    D   E    F   G    H Able to adapt care to incorporate normal growth and development. Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level Can ensure a safe environment reflecting specific needs of various age groups » My experience is primarily in: Medical year(s) Surgical year(s) Trauma year(s) Neuro year(s) Burn year(s) Cardiothoracic year(s) Cardiovascular year(s) PACU year(s) NICU year(s) PICU year(s) Other () year(s) The information that I have given is true and correct to the best of my knowledge. Signature: Date: Return to top