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Critical Care Skills Checklist
Level of Proficiency:
1. Can function independently
2. Experienced but may need review
3. Limited or no experience

By accurately filling out this checklist, you will help us match your skills and interest with available assignments. Please select the button in the column that best describes your experience level with each skill.

ICU
CCU
SICU
CVICU
BURN ICU PACU
PCU
Telemetry TRAUMA ICU ER
If other, please specify:
How many years have you worked in Critical Care?
Courses: (indicate details)
Have you had a formal critical care course?  Yes  No
If yes, where was it taken?
Did you receive a certificate of completion?  Yes  No
How many hours was the course:
Have you had an Arrhythmia course (either separate or part of a critical care course):
Yes  No
Are you IV Certified?  Yes  No
 
CARDIOVASCULAR 1 2 3     GASTROINTESTINAL 1 2 3  
Cardiovascular Assessment:     Gastrointestinal Assessment:    
Doppler     Auscultation    
Palpitation     Palpation    
Peripheral Perfusion     Care and Maintenance of:    
Auscultation of Heart Sound     Jepunostomy    
Infusion Pumps     Keofeed Tube    
IMED     Duo Tube    
IVAC     Feeding Tubes    
Other:     GOMCO Suction    
Initiation of Intravenous Therapy:     Sengstaken-Blakemore Tube    
External Jugular     Nasogastric Tubes    
Peripheral IV     Salem Sump    
Heparin Lock     Levine    
Interpretation of:           Nasointestinal Tubes    
Rhythm Strip     Miller-Abbot    
12-lead EKG     Cantor    
Cardio/Pulmonary Arrest     Enteral Feedings    
ACLS Protocol     Care of Patients With:          
Initial Resuscitation     Abdominal Distention    
Arrhythmia Treatment     Paralytic Illius    
V-Fib     GI Bleed    
V-Tach     Shock    
Ventricular     Hypovolemic    
Heart Blocks     Septic    
Arterial     Abdominal Surgery    
EKG     Colostomy    
Bedside Monitoring     Liver Transplants    
Obtaining 12-Lead EKG     Dehiscence    
Portable Monitoring     Multiple Abdominal Wounds & Drains:    
Defibrillation/Cardioversion     Hemovac    
Siemens     T-Tubes    
Care of Patients With:     Saratoga Sump    
Acute MI     Jackson Pratt    
Vascular Surgery     Other:    
Heart Transplant     MEDICATION ADMINISTRATION          
CHF     Atropine    
Cardiogenic Shock     Bretillium    
Cardiac Tamponade     Calcium Chloride    
Post Angioplasty     Versed    
Pacemakers     Valium    
Permanent     Verapamil    
Transthoracic     Tridil    
Temporary     Pronestyl    
Arterial     Streptokinase    
Ventricular     Pavulon    
A-V Sequential     Neosynephrine    
Transvenous     Morphine Sulfate    
Assist of Insertion and Care of:     Magnesium Sulfate    
Arterial Line     Levophed    
Chest Tubes     Lidocaine    
Central Venous Lines     KCL    
Emerson Suction     Digoxin    
Intra Aortic Balloon Pump     Dobutrex    
Medical Stenial Sump     Dopamine    
Oximetric     Epinephrine    
Swan-Ganz Lines     Heparin    
PA-Line     Innovor    
SVO2 Monitoring     Isuprel    
Principles of Hemodynamic Monitoring     Insulin    
Analysis of Wave Forms     Administration of:          
Obtaining Cardiac Outputs     Vasopressin    
Calculating Hemodynam     Phenobarbital    
RESPIRATORY           Mannitol    
Respiratory Assessment     Dilantin    
Ausculation     DDAVP    
Interpretation if CXR     Decadron    
Direct Arterial Puncture     Drug Calculations in:          
ABG Interpretation     MCG/MIN    
Percussion     MG/MIN    
Ventilators     MCG/KG/MIN    
Emerson     Equipment          
Bear     Roto Rest Bed    
Bird     Hypothermia Mattress    
MAI & II           Crutchfield Tongs    
Other:           Halo Traction    
Oxygen Therapy     Sryker Frame    
Assist with Intubation/Extubation     Maintenance of Rotorest
Therapy 		   
Ambu Bag/Ambu Techniques     Initiation of Rotorest
Therapy 		   
Masked CPAP     GENITOURINARY/RENAL          
Non-Rebreather     Insertion of Catheter    
Venti Mask     Male    
Aerosol     Female    
Nasal Canal     3-Way Foley    
Care of Patient With:           GU Assessment:    
Pneumothorax     Interpretation of Lab Values    
Pneumonia     Care of Patient With:          
Pulmonary Edema     Renal Transplant    
Chest Trauma     Nephrectomy    
AIDS     Acute/Chronic Renal Failure    
Adult Respiratory Distress Syndrome     Quinton Catheters    
Acute Respiratory Distress     Shunts    
Suctioning:     A-V Fistula    
Via Trach     Suprapubic Catheter    
Via ET     GU Irrigations:    
Nasal Tracheal     Intermittent    
Oral Pharyngeal     Continuos    
Airway Care & Maintenance     PRECAUTIONS          
Oral Airway     Universal Precautions    
Endotracheal Tube     Burn Care    
Nasal Airway     Sterile Dressing Changes    
Tracheostomy     Respiratory Isolation    
          Wound and Skin Isolation    
Reverse Isolation    


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