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Critical Care - ICU Skills Checklist

CRITICAL CARE - ICU SKILLS CHECKLIST This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Supplemental Health Care.

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Randi Brown
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770 views2 pages

Critical Care - ICU Skills Checklist

CRITICAL CARE - ICU SKILLS CHECKLIST This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Supplemental Health Care.

Uploaded by

Randi Brown
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CRITICAL CARE - ICU

SKILLS CHECKLIST
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining
factor in accepting your application to become an employee of Supplemental Health Care.

1 = No Experience 2 = Limited Experience 3 = Experienced 4 = Highly Skilled

RESPIRATORY 1 2 3 4 CARDIAC 1 2 3 4
Assessment of Breath Sounds Assessment of Heart Sounds
Administer O2 (NC, Mask) Use of Cardiac Monitors
Assist with Intubation Identify Lethal Dysrhythmias
Ventilate with Ambu-bag Telemetry
Suctioning Perform 12-lead EKG
Use of ETT CO2 detectors Basic 12-Lead Interpretation
Assist with Extubation Assist with Code
Use of Pressure Ventilators Defibrillation / Cardioversion
Use of Volume Ventilators Cardiac Arrest / CPR
Weaning Patient from Ventilator Assist with Open Chest Procedure
Use of IMV Emergency Medication Administration:
Use of CPAP Epinephrine
Use of PEEP Atropine
Use of Assist-control Lidocaine
Use of Blow-by Bretylium
Use of Pressure Support Bicarbonate
Use of Hi-freq Jet Ventilation TPA
Troubleshoot Ventilator Problems Vaso-active Drips:
Pulse Oximetry Dopamine
Perform Arterial Puncture Nipride
Draw Blood from Arterial Line Nitroglycerin
Interpret Arterial Blood Gases Inocor
Assist with Chest Tube Insertion Dobutamine
Assist with Chest Tube Removal Care of Patient With:
Assist with Thoracentesis Acute MI
Assist with Bronchoscopy Congestive Heart Failure
Assist with Cricothyroid Airway Pre / post Cardiac Cath
Assess Resp Complications Pre / post Cardiac Surgery
Care of Patient With: Cardiac Tamponade
Chest Injury Aneurysm
Hemo / Pneumo Permanent Pacemaker
Tracheostomy Temporary Pacemaker
ECMO Intra-aortic Balloon Pump (IABP)
ARDS Automatic Implanted Defibrillator
Pulmonary Edema Heart Transplant
Lung Transplant Cardiogenic Shock
Septic Shock
RENAL 1 2 3 4 Hypovolemic Shock
Care of Patient With: DIC
Acute Renal Failure Ventricular Assist Device
Chronic Renal Failure
Hemodialysis
Peritoneal Dialysis
Renal Transplant

Revised 10/2006 © 2006, SHC Services, Inc. CCU / ICU 1 of 2


CARDIAC 1 2 3 4 NEUROLOGY 1 2 3 4
Assist With Insertion and Setup: Neuro Assessment / Vital Signs
Arterial Lines Glasgow Coma Scale
Central Venous Catheter Assist with Lumbar Puncture
Pulmonary Artery Catheter Intracranial Pressure Monitoring
Pericardiocentesis Seizure Precautions
Placement of External Pacemaker Aneurysm Precautions
Intra-aortic Balloon (IABP) Use of Rotating Bed
Obtain/Interpret Hemodynamic Measurements: Use of Stryker Frame
Central Venous Pressure Epidural Medication Admin
Arterial Pressure (MAP) Care of Patient With:
PA Pressure Open / Closed Head Injury
PCW Pressure Acute CVA
Cardiac Output (thermodilution) Spinal Cord Injury
SVO2 Craniotomy
Intervene PA Catheter Problems Increased ICP
Obtain ABG Cerebral Aneurysm
Obtain Mixed Venous Gases Halo Traction / Cervical Tongs
Degenerative Diseases of CNS
OTHER 1 2 3 4 CNS Infections
Isolation Techniques Drug Overdose / DTs
Advance Directives
Postmortem Care GASTROINTESTINAL 1 2 3 4
Pre-operative Care / Preparation Assessment of Bowel Sounds
Post-anesthesia Care Identification of Abnormalities
Care of Patient With: Insert / Maintain Feeding Tubes
Multiple Trauma Insert / Maintain NG tubes
Burns Care of Patient With:
Oncology GI Bleed
Chemotherapy Esophageal Hemorrhage
AIDS Acute Pancreatitis
Ketoacidosis Open Abd Wound / Incision
Bone Marrow Transplant Peritoneal Lavage
Liver Transplant Abdominal Aortic Aneurysm

Age-Appropriate Care: Ability to adapt care to incorporate normal growth and development, adapt method
and terminology of client instructions as it relates to the age and comprehension level of the client, and to
ensure a safe environment - reflecting specific needs of the client and various age groups.

AGE 1 2 3 4 AGE 1 2 3 4
Newborn (birth-30 days) Adolescents (12 - 18 years)
Infant (30 days - 1 year) Young Adults (18 - 39 years)
Toddler (1 - 3 years) Middle Adults (39 - 64 years)
Preschooler (3 - 5 years) Older Adults (64+ years)
School Age (5 - 12 years)

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize
Supplemental Health Care to release this skills checklist to staffing clients of Supplemental Health Care.
Submit this skills self evaluation with your initial application. To be updated annually.

Applicant Signature Date

Applicant Name & Title (please print)

SHC Representative Signature Date


Print
Revised 10/2006 © 2006, SHC Services, Inc. CCU / ICU 2 of 2

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