Critical Care Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Cardiovascular
*
1
2
3
Any thoughts?
Abnormal heart sounds/murmurs
Auscultation (rate, rhythm)
Pulses/circulation checks
Use of doppler
Interpretation of enzymes/isoenzyme
Coagulation studies
Arterial line insertion
Central line insertion
Open Chest emergency
PA catheter/Swan-Ganz insertion
Pericardiocentesis
Internal cardioverter defibrillator
Cardioversion/Defibrillation
Cardiac index
Cardiac output
CVP monitoring
MAP monitoring
PA/Swan-Ganz
Pulmonary Vascular Resistance)
Radial a-line
SVO2 (mixed venous oxyhemoglobin)
SVR (systemic vascular resistance)
Arrhythmia interpretation
Lead placement
Rhythm strip assessment
Set/run/interpretation 12 lead EKG
Temporary external pacing
Temporary transvenous
Temporary epicardial wires
Abdominal aortic aneurysm repair
Acute MI
Cardiac arrest
Cardiac tamponade
CHF
Heart transplant
Immediate post open-heart surgery
Infective endocarditis
Myocardial contusion
Pericarditis
PTCA
Pre/post angioplasty
Pre/post cardiac cath
Ventricular assist devices
Balloon Pumps
Atropine
Digoxin (Lanoxin)
Dobutamine (Dobutrex)
Dopamine (Intropin)
Epinephrine (Adrenalin)
Inocor (Amrinone)
Isuprel
Lidocaine (Xylocaine)
Nipride (Nitroprusside)
Nitroglycerine (Tridil)
Sodium Bicarbonate
TPA (Alteplase)
Cardiac
*
1
2
3
4
Adventitious breath sounds
Rate and work of breathing
Interpretation of ABG's
Assist with intubation
Assist with extubation
Insertion of oral airway
Chest physiotherapy
Incentive spirometer
Use of Pleurevac chest drain system
Monitor pulse oximetry
Endotracheal tube suctioning
Oropharyngeal suctioning
Nasotracheal suctioning
Assist with bronchoscopy
Assist with chest tube insertion
Assist with emergency tracheostomy
Assist with thoracentesis
Ambu bag techniques
External CPAP
High frequency jet ventilation
IMV
PEEP
Pressure support
Troubleshooting with vents
Weaning from ventilator
Acute pneumonia
ARDS
Chest trauma
COPD
Cor pulmonale
ECMO
Inhalation injuries
Lobectomy
Lung transplant
Near drowning
Pneumonectomy
Pulmonary edema
Pulmonary embolism
Thoracotomy
Tracheostomy
TB (tuberculosis)
Alupent (Metaproterenol)
Corticosteroids
Neuro
*
1
2
3
4
Assess LOC
Use Glasgow coma scale
Cranial nerve assessment
Seizure precautions
Spinal precautions
Cervical traction
Halo traction
Assist with lumbar puncture
Hypo/hyperthermia regulation
ICP monitoring
Nerve stimulators
Aneurysm precautions
Basal skull fracture
Closed head injury
Coma
CVA
DT's
Encephalitis
Externalized VP shunts
Increased ICP
Intracranial Hemorrhage
Laminectomy
Meningitis
Metastatic tumor resection
Intracranial tumor resection
MS (multiple sclerosis)
Post craniotomy
Seizure disorder
Spinal cord injury
Ventriculostomy
Decadron (Dexamethasone)
Dilantin (Phenytoin)
Epidural administration
Magnesium Sulfate
Phenobarbital
Valium (Diazepam)
Gastrointestinal
*
1
2
3
4
Assessment of abdomen
Administration of tube feeding
Balloon tamponade
Feeding pump
Flexible feeding tube
Gravity feeding
Iced saline lavage
Salem sump to suction
Gastrostomy tube
Jejunostomy tube (J-tube)
T-Tube
Blunt trauma
Bowel obstruction
Colostomy
Esophageal bleeding
GI bleeding
GI surgery
Hepatitis
Ileostomy
Inflammatory bowel disease
Liver failure
Liver transplant
Pancreatitis
Paralytic ileus
Penetrating trauma
Aqua Mephyton (Vitamin K)
Inderal (Propranolol)
Kayexelate
Lactulose (Cephulac)
Pitressin (Vasopressin)
TPN and lipid administration
Peripheral Parenteral Nutrition
Renal
*
1
2
3
4
Bladder irrigation
Insertion/care of Foley catheter
Acute renal failure
End stage renal disease
Hemodialysis
Nephrectomy
Nephrectomy tube placement
Peritoneal dialysis
Renal rejection syndrome
Renal transplant
Supra-pubic catheter
TURP
Urinary diversion
UTI
Wound Care
*
1
2
3
4
Wound care irrigations
Sterile dressing changes
Burns
Pressure sores
Staged decubitus ulcers
Surgical wounds with drains (i.e.JP)
Traumatic wounds
IV Therapy
*
1
2
3
4
Start peripheral IV's
Drawing blood from central line
Drawing venous blood
Cryoprecipitate
Packed red blood cells
Plasma/albumin
Whole blood
IV calculations/titrate drip rates
Use of infusion pumps
Broviac
Groshong
Hickman
Portacath
Quinton
Other Responsibilities
*
1
2
3
4
Charge nurse responsibilities
Isolation procedures/precautions
Use of restraints
Blood glucose monitoring
Insulin administration
Assess insulin shock/diabetic coma
Oncology/chemotherapy admin.
Collection and handling of lab specimens
Anaphylactic shock
Hypovolemic shock
MAST suit/rotating tourniquets
Multi-system organ failure
Organ/tissue donation
Septic shock
Age Specific
*
1
2
3
4
Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)
Undertaking
*
The Information I Provided is True & Accurate
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