Critical Care Skills Checklist

Name(Required)

Proficiency:

1 = Minimal Experience
2 = Limited Experience
3 = Competent
4 = Highly Skilled

Cardiac

Interpretation of 12 Lead EKG(Required)
Interpretation of Arrhythmias(Required)
Defibrillation / Cardioversion(Required)
Assisting with Insertion of Central Lines(Required)
External Pacemakers(Required)
Permanent Pacemakers(Required)
Temporary Pacemakers(Required)
Cardiac Arrest / CPR(Required)
Interpretation of Hemodynamic Monitoring(Required)
Art-Line (Transducer set-up, D/C)(Required)
Swan-Ganz (Transducer set-up, D/C)(Required)
Balloon Pump (IABP)(Required)
SVO2 Monitoring(Required)
Sheath Removal - Femoral(Required)
Automatic Internal Cardioverter Defib(Required)
Aneurysm(Required)
Acute MI / Unstable Angina(Required)
CHF(Required)
Cardiogenic / Hypovolemic Shock(Required)
Pre / Post Cardiac Surgery(Required)
PTCA(Required)
Atropine(Required)
Bretylol(Required)
Amiodarone(Required)
Digoxin(Required)
Dopamine(Required)
Dobutrex(Required)
Bicarbonate(Required)
Inocor(Required)
Diltiazem(Required)
Lidocaine(Required)
Neosynephrine / Nipride(Required)
Nitroglycerin(Required)
Pronestyl(Required)
Titrate Morphine(Required)
Verapamil(Required)
Esmolol(Required)
Metoprolol(Required)
Retavase(Required)
Epinephrine(Required)
Phenobarbital(Required)
Streptokinase(Required)
Valium(Required)
Versed(Required)
Alteplase(Required)

Vascular

Peripheral Pulses(Required)
Fluid Overload(Required)
Ultrasonic Doppler(Required)
Starting IV's(Required)
Assist with IV Cutdown(Required)
Subcutaneous Central Line(Required)
Hickman / Broviac / Groshong Catheters(Required)
Maintenance of Heparin Lock(Required)
TPN / Hyperalimentation(Required)
Air Occlusive Dressing(Required)
Knowledge of Normal Serum Lab Values(Required)
Administration of Blood & Blood Products(Required)
Infusion Pump(Required)
Peritoneal Dialysis(Required)
Hemodialysis(Required)
Heparin Drip (Precautions & Maintenance)(Required)

Gastrointestinal

NG Tube Insertion(Required)
Gastrostomy Tube(Required)
Jejunostomy Tube(Required)
Enterostomal Care(Required)
Pancreatitis(Required)
GI Bleed(Required)
Esophageal Bleeding(Required)
Bowel Obstruction(Required)
Whipple Procedure(Required)
Liver Transplant(Required)
Paralytic Ileus(Required)
E.R.C.P.(Required)

Genitourinary / Renal

Foley Catheter Insertion(Required)
GU Irrigations(Required)
Nephrostomy Tube(Required)
Suprapubic Tube(Required)
Electrolyte Imbalance / Replacement(Required)
T.U.R.P.(Required)
Shunts & Fistulas(Required)
Nephrectomy(Required)
Renal Transplant(Required)
Renal Failure(Required)
Renal Trauma(Required)

Respiratory

Establishing an Airway(Required)
Ambuing Techniques(Required)
Chest Tubes (Emerson / Pleur-evac)(Required)
Pulse Oximetry(Required)
Interpretation of ABG(Required)
Drawing ABG Blood Sample from Art-Line(Required)
Use of IPPB(Required)
Use of Pressure Support(Required)
Incentive Spirometer(Required)
COPD(Required)
ARDS(Required)
Pre / Post Thoracic Surgery(Required)
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Pulmonary Embolism(Required)
Pulmonary Edema(Required)
Pneumonia(Required)
Inhalation Injuries(Required)
Aminophylline(Required)
Corticosteroids(Required)
Bronkosol(Required)
Bentolin(Required)
Alupent(Required)

Neurology

Assessment of Neuro Signs(Required)
Glasgow Coma Scale(Required)
Seizure Precautions(Required)
Assist with Lumbar Puncture(Required)
ICP Monitoring(Required)
Crutchfield Tongs(Required)
Halo Traction(Required)
Stryker Frame(Required)
CVA(Required)
Seizure Activity(Required)
Overdose(Required)
Neuro Injury / Trauma(Required)
Pre / Post Neuro Surgery(Required)
Cranial Hemorrhage(Required)

Transplants

Heart(Required)
Lung(Required)
Other(Required)
Oncology(Required)
Chemotherapy(Required)
Isolation Techniques(Required)
Diabetic Teaching(Required)
Hyperbaric Oxygenation(Required)
Accucheck(Required)

Age Specific Competency

Newborn / Neonate (Birth - 30 days)(Required)
Infant (30 days - 1 year)(Required)
Toddler (1 - 3 years)(Required)
Preschooler (3 - 5 years)(Required)
School Age Children (5 - 12 years)(Required)
Adolescents (12 - 18 years)(Required)
Young Adults (18 - 39 years)(Required)
Middle Adults (39 - 64 years)(Required)
Older Adults (64 - 79 years)(Required)
Elderly Adults (Over 79+ years)(Required)

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