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Critical Care/ICU Skills Checklist
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
WORK SETTINGS
1
2
3
4
Burn Intensive Care Unit
1
2
3
4
Cardiac Intensive Care Unit
1
2
3
4
Cardiovascular Intensive Care Unit (CVICU)
1
2
3
4
Medical Intensive Care Unit
1
2
3
4
Neuro Intensive Care Unit
1
2
3
4
Surgical Intensive Care Unit
1
2
3
4
Trauma Intensive Care Unit
1
2
3
4
CARDIAC
1
2
3
4
Acute Coronary Syndrome
1
2
3
4
Congestive Heart Failure
1
2
3
4
Cardiogenic Shock
1
2
3
4
Cardiac Tamponade
1
2
3
4
Heart Sounds
1
2
3
4
Immediate Post-Op Open Heart (directly from OR)
1
2
3
4
Immediate Post-Op Open Heart (NOT directly from OR)
1
2
3
4
Heart Transplant
1
2
3
4
Open Chest Emergency
1
2
3
4
Sheath Removal
1
2
3
4
Pacemaker - Temporary/Permanent
1
2
3
4
Pacemaker - Epicardial
1
2
3
4
Hemodynamic Monitoring
1
2
3
4
SVO2 Monitoring
1
2
3
4
Intra-Aortic Balloon Pump
1
2
3
4
Ventricular Assist Device
1
2
3
4
ECMO
1
2
3
4
PULMONARY
1
2
3
4
Respiratory Failure
1
2
3
4
ARDS
1
2
3
4
Pneumothorax
1
2
3
4
Pulmonary Embolism
1
2
3
4
Pulmonary Edema
1
2
3
4
Fresh Tracheostomy
1
2
3
4
Chest Trauma
1
2
3
4
Post Thoracic Surgery
1
2
3
4
Lung Transplant
1
2
3
4
Intubation/Extubation
1
2
3
4
Modes of Ventilation (AC/PC/SIMV/CPAP)
1
2
3
4
Nitric Oxide
1
2
3
4
Interpretation of Arterial Blood Gases
1
2
3
4
Chest Tube Placement & Management
1
2
3
4
NEUROLOGICAL & PSYCHIATRIC
1
2
3
4
Stroke Scale Assessment
1
2
3
4
CVA
1
2
3
4
Brain Injury
1
2
3
4
Post Craniotomy
1
2
3
4
Spinal Cord Injury
1
2
3
4
Seizure Disorders
1
2
3
4
ICP Monitoring
1
2
3
4
Hypothermia Protocol
1
2
3
4
Substance Withdrawal
1
2
3
4
Suicide Precautions
1
2
3
4
GASTROINTESTINAL
1
2
3
4
GI Bleeding
1
2
3
4
GI Surgery
1
2
3
4
Liver Failure
1
2
3
4
Pancreatitis
1
2
3
4
Liver Transplant
1
2
3
4
Pancreas Transplant
1
2
3
4
RENAL/GENITOURINARY
1
2
3
4
Renal Failure
1
2
3
4
Renal Surgery
1
2
3
4
TURP
1
2
3
4
Renal Transplant
1
2
3
4
Arteriovenous Fistula/Shunt
1
2
3
4
Nephrostomy Tubes
1
2
3
4
Peritoneal Dialysis
1
2
3
4
Continuous Renal Replacement Therapy
1
2
3
4
ENDOCRINE METABOLIC
1
2
3
4
Diabetes - Hypo/Hyperglycemic Crisis
1
2
3
4
Diabetic Ketoacidosis
1
2
3
4
Pituitary Disorders
1
2
3
4
IV Insulin Protocols
1
2
3
4
Indwelling Insulin Pumps
1
2
3
4
MEDICATIONS
1
2
3
4
Anti-Arrhythmics
1
2
3
4
Anticoagulants (IV, oral, & injection)
1
2
3
4
Anti-Hypertensives
1
2
3
4
Anti-Psychotics
1
2
3
4
Anti-Seizure Medications
1
2
3
4
Benzodiazepines
1
2
3
4
Continuous IV Paralytics
1
2
3
4
Continuous IV Sedation
1
2
3
4
Procedural Sedation – Administration
1
2
3
4
Diuretics
1
2
3
4
Emergency Medications
1
2
3
4
Inhaled Medications
1
2
3
4
Insulin
1
2
3
4
IV Vasopressors
1
2
3
4
Narcotics/Opioid Analgesics (IV, oral, & injection)
1
2
3
4
Nitrates (Oral & Topical)
1
2
3
4
Non-Opioid Analgesics (IV, Oral, & Injection)
1
2
3
4
Reversal Agents
1
2
3
4
Steroids (IV, Oral, Inhaled)
1
2
3
4
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
1
2
3
4
IV THERAPY
1
2
3
4
Starting IVs
1
2
3
4
Central Line Blood Draws
1
2
3
4
Central Line/Implanted Line Care
1
2
3
4
TPN & Lipids
1
2
3
4
Blood Product Administration
1
2
3
4
Administration of Chemotherapy
1
2
3
4
CARDIAC MONITORING & EMERG. RESPONSE
1
2
3
4
Dysrhythmia Interpretation
1
2
3
4
Dysrhythmia Management
1
2
3
4
Obtain 12 Lead EKG
1
2
3
4
Interpret 12 Lead EKG
1
2
3
4
Management of Cardiac Arrest
1
2
3
4
Shock Management
1
2
3
4
Malignant Hyperthermia
1
2
3
4
Multisystem Organ Failure
1
2
3
4
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
National Patient Safety Goals/Core Measures
1
2
3
4
Fall Risk Assessment/Prevention
1
2
3
4
Pressure Ulcer Risk Assessment/Prevention
1
2
3
4
Restraints/Use of Least Restrictive Device
1
2
3
4
Patient/Family Teaching
1
2
3
4
Age Specific/Population-Based Care
1
2
3
4
Isolation Precautions
1
2
3
4
Infection Prevention
1
2
3
4
Pain Assessment & Management
1
2
3
4
Charge Experience
1
2
3
4
Interpretation and Communication of Lab Values
1
2
3
4
Specialty Beds
1
2
3
4
COMPUTERIZED CHARTING
1
2
3
4
Epic
1
2
3
4
Cerner
1
2
3
4
Eclipsys
1
2
3
4
McKesson
1
2
3
4
Meditech
1
2
3
4
Oasis
1
2
3
4
PointClickCare
1
2
3
4
Other Computerized System
1
2
3
4
Computerized Physician Order Entry
1
2
3
4
Bar Coding for Medication Administration
1
2
3
4
Yes
No
EMR Conversion
Yes
No
First Name
*
Last Name
*
Phone Number
*
Last 4 of Social Security Number
*
Email Address
*
Date Completed
*
+
By checking the "Agree" box and clicking “Submit” below you certify and acknowledge the information provided on this checklist is accurate to the best of your knowledge and an accurate representation of your abilities.
*
Agree