Carolina Travel Nurses Critical Care Skills Checklist.
(888) 894-2900 (bus)
(888) 894-2073 (fax)
enter name above
CRITICAL CARE SKILLS CHECKLIST
1
=
> 2 years experience
2
= 1-2 years experience
3
= < 1 year experience
4
= theory only
PULMONARY
PULMONARY
EQUIPMENT and PROCEDURES
PATIENT CARE WITH
Ventilator management
Tuberculosis
*
1
2
3
4
Weaning modes & T-piece weaning
*
1
2
3
4
Pneumonectomy
*
1
2
3
4
IMV
*
1
2
3
4
Chest trauma
*
1
2
3
4
External CPAP
*
1
2
3
4
COPD
*
1
2
3
4
PEEP
*
1
2
3
4
Lobectomy
*
1
2
3
4
High frequency jet ventilation
*
1
2
3
4
Pulmonary embolism
*
1
2
3
4
Pressure support
*
1
2
3
4
Acute pneumonia
*
1
2
3
4
Establishing an airway
Fresh tracheostomy
*
1
2
3
4
Oral way insertion
*
1
2
3
4
Thoracotomy
*
1
2
3
4
Assist with intubation
*
1
2
3
4
Lung transplant
*
1
2
3
4
Airway management devices/suctioning
Near drowning
*
1
2
3
4
Oximetry
*
1
2
3
4
Cor pulmonale
*
1
2
3
4
Extubation
*
1
2
3
4
Pulmonary edema/hypertension
*
1
2
3
4
Tracheostomy/suctioning
*
1
2
3
4
ARDS
*
1
2
3
4
Endotracheal tube/suctioning
*
1
2
3
4
Status asthmaticus
*
1
2
3
4
Sputum specimen collection
*
1
2
3
4
Nasal airway/suctioning
*
1
2
3
4
EXPERIENCE WITH ASSESSMENT
O
2
therapy & medication delivery systems
Rate and work of breathing
*
1
2
3
4
Trach collar
*
1
2
3
4
Breath Sounds
*
1
2
3
4
Face masks
*
1
2
3
4
ET tube
*
1
2
3
4
MEDICATIONS
Portable O
2
tank
*
1
2
3
4
Corticosteroids
*
1
2
3
4
Ambu bag and mask
*
1
2
3
4
Ventolin (Albuterol)
*
1
2
3
4
Nasal cannula
*
1
2
3
4
Alupent (Metaproterenol)
*
1
2
3
4
Identification/intervention for respiratory complications
Bronkosol (Isoetharine hydrochloride)
*
1
2
3
4
Use of water seal drainage
*
1
2
3
4
Aminophylline (Theophylline)
*
1
2
3
4
Tension pneumothorax
*
1
2
3
4
Aspiration
*
1
2
3
4
INTERPRETATION OF LAB RESULTS
Use of Pleurevac or Thoraclex drainage
*
1
2
3
4
Arterial blood gases
*
1
2
3
4
Laryngospasm
*
1
2
3
4
Assist with:
Emergency tracheostomy
*
1
2
3
4
Chest tube insertion
*
1
2
3
4
Bronchoscopy
*
1
2
3
4
Thoracentesis
*
1
2
3
4
Air leak troubleshooting
Pleural chest tube removal
*
1
2
3
4
Mediastanial chest tube removal
*
1
2
3
4
(888) 894-2900 (bus)
(888) 894-2073 (fax)
CRITICAL CARE SKILLS CHECKLIST
1
=
> 2 years experience
2
= 1-2 years experience
3
= < 1 year experience
4
= theory only
CARDIOVASCULAR
CARDIOVASCULAR
EXPERIENCE WITH ASSESSMENT
PATENT CARE WITH
Auscultation (rate, rhythm)
*
1
2
3
4
Heart transplant
*
1
2
3
4
Blood pressure/non-invasive
*
1
2
3
4
Cardiac arrest
*
1
2
3
4
Doppler
*
1
2
3
4
Pre/Post cardiac cath
*
1
2
3
4
Abnormal heart sounds/murmurs
*
1
2
3
4
Abdominal aortic aneurysm repair
*
1
2
3
4
Pulses/circulation checks
*
1
2
3
4
Acute MI
*
1
2
3
4
Myocardial contusion
*
1
2
3
4
EQUIPMENT and PROCEDURES
Cardiac tamponade
*
1
2
3
4
Pacemaker
Pericarditis
*
1
2
3
4
Temporary
*
1
2
3
4
EP study and ablation
*
1
2
3
4
Permanent
*
1
2
3
4
Immediate post open-heart surgery
*
1
2
3
4
External
*
1
2
3
4
Pre/Post angioplasty
*
1
2
3
4
Transthoracic (epicardial)
*
1
2
3
4
Post AICD insertion
*
1
2
3
4
Monitoring
Post percutaneous balloon valvuloplasty
*
1
2
3
4
Set up and run 12 lead EKG
*
1
2
3
4
Infective endocarditis
*
1
2
3
4
Lead placement
*
1
2
3
4
Post commissurotomy, valve repair, valve replacement
*
1
2
3
4
Arrhythmia interpretation
*
1
2
3
4
Post rotoblade
*
1
2
3
4
Rhythm strip assessment
*
1
2
3
4
Post arthrectomy (DCA)
*
1
2
3
4
12 lead EKG interpretation
*
1
2
3
4
Post intracoronary stent placement
*
1
2
3
4
CAVH-D
*
1
2
3
4
Congestive heart failure (CHF)
*
1
2
3
4
Assist with:
Open chest emergency
*
1
2
3
4
MEDICATIONS
Pericardiocentesis
*
1
2
3
4
Streptokinase
*
1
2
3
4
Transesophageal echocardiogram
*
1
2
3
4
Digoxin (Lanoxin)
*
1
2
3
4
Arterial line insertion
*
1
2
3
4
Atropine
*
1
2
3
4
Central line insertion
*
1
2
3
4
Nipride (Nitroprusside)
*
1
2
3
4
PA catheter/Swan-Ganz insertion
*
1
2
3
4
Esmolol (Brevibloc)
*
1
2
3
4
Bicarbonate
*
1
2
3
4
Intra aortic balloon pump
*
1
2
3
4
Verapamil (Calan, Isoptin, Verelan)
*
1
2
3
4
Ventricular assist device (RVAD or LVAD)
*
1
2
3
4
Inocor (Amrinone)
*
1
2
3
4
Cardioversion
*
1
2
3
4
Bretylium (Bretylol)
*
1
2
3
4
Automatic internal cardioverter defibrillator
*
1
2
3
4
Metoprolol (Lopressor)
*
1
2
3
4
Amiodarone (Cardarone)
*
1
2
3
4
Hemodynamic monitoring
TPA (Alteplase)
*
1
2
3
4
Radial a-line
*
1
2
3
4
Epinephrine (Adrenalin)
*
1
2
3
4
MAP
*
1
2
3
4
Dobutamine (Dobutrex)
*
1
2
3
4
SVR
*
1
2
3
4
Diltiazem (Cardizem)
*
1
2
3
4
PVR
*
1
2
3
4
Reteplase recombinant (Retavase)
*
1
2
3
4
Cardiac index
*
1
2
3
4
Nitroglycerine (Tridil)
*
1
2
3
4
Femoral artery sheath removal
*
1
2
3
4
Dopamine (Intropin)
*
1
2
3
4
SVO
2
*
1
2
3
4
Procainamide (Pronestyl)
*
1
2
3
4
PA/Swan-Ganz
*
1
2
3
4
CVP monitoring
*
1
2
3
4
INTERPRETATION OF LAB RESULTS
PCW pressure
*
1
2
3
4
Coagulation studies
*
1
2
3
4
Cardiac output
*
1
2
3
4
Cardia enzymes & isoenzymes
*
1
2
3
4
(888) 894-2900 (bus)
(888) 894-2073 (fax)
CRITICAL CARE SKILLS CHECKLIST
1
=
> 2 years experience
2
= 1-2 years experience
3
= < 1 year experience
4
= theory only
GASTROINTESTINAL
GENITOURINARY / RENAL
EXPERIENCE WITH ASSESSMENT
EXPERIENCE WITH ASSESSMENT
Abdominal/bowel sounds
*
1
2
3
4
Fluid balance
*
1
2
3
4
Nutritional
*
1
2
3
4
Arterio venous fistula/shunt
*
1
2
3
4
INTERPRETATION OF LAB RESULTS
LFTs
*
1
2
3
4
INTERPRETATION OF LAB RESULTS
Serum amylase
*
1
2
3
4
Serum electrolytes
*
1
2
3
4
Serum ammonia
*
1
2
3
4
BUN & creatinine
*
1
2
3
4
EQUIPMENT and PROCEDURES
Placement of nasogastric tube
*
1
2
3
4
EQUIPMENT and PROCEDURES
Salem pump to suction
*
1
2
3
4
Catheter care
Flexible feeding tube (Dobhoff, Corpak, etc.)
*
1
2
3
4
Supra-public
*
1
2
3
4
Management of:
3 way Foley
*
1
2
3
4
T-tube
*
1
2
3
4
Bladder irrigations
Gastrostomy tube
*
1
2
3
4
Supra-public
*
1
2
3
4
Jejunostomy tube
*
1
2
3
4
Intermittent
*
1
2
3
4
PPN (peripheral parenteral nutrition)
*
1
2
3
4
Continuous
*
1
2
3
4
TPN and lipids administration
*
1
2
3
4
Specimen Collection
Administration of tube feeding
Routine
*
1
2
3
4
Gravity feeding
*
1
2
3
4
Twenty Four Hour
*
1
2
3
4
Feeding pump
*
1
2
3
4
Insertion and care of straight and Foley catheter-Male
Saline lavage
*
1
2
3
4
Male
*
1
2
3
4
Balloon tampondae (Sengstaken Blakemore)
*
1
2
3
4
Female
*
1
2
3
4
PATENT CARE WITH
Liver failure
*
1
2
3
4
PATENT CARE WITH
Hepatitis
*
1
2
3
4
Renal failure
*
1
2
3
4
GI surgery
*
1
2
3
4
Urinary tract infection/Urinary diversion
*
1
2
3
4
GI bleeding
*
1
2
3
4
Hemodialysis
*
1
2
3
4
Bowel obstruction
*
1
2
3
4
Peritoneal dialysis
*
1
2
3
4
Blunt trauma
*
1
2
3
4
TURP
*
1
2
3
4
Inflammatory bowel disease
*
1
2
3
4
Nephrectomy
*
1
2
3
4
Colostomy
*
1
2
3
4
Renal rejection syndrome
*
1
2
3
4
Penetrating trauma
*
1
2
3
4
CAVH dialysis
*
1
2
3
4
ERCP
*
1
2
3
4
Renal transplant
*
1
2
3
4
Paralytic ileus
*
1
2
3
4
Urinary diversion (ileal conduit nephrostomy)
*
1
2
3
4
Ileostomy
*
1
2
3
4
Pancreatitis
*
1
2
3
4
Liver transplant
*
1
2
3
4
Esophageal bleeding
*
1
2
3
4
MEDICATIONS
Pitressin (Vasopressin)
*
1
2
3
4
Kayexelate
*
1
2
3
4
AquaMephyton (Vitamin K)
*
1
2
3
4
Lactulose (Cephulac)
*
1
2
3
4
Inderal (Propranolol)
*
1
2
3
4
(888) 894-2900 (bus)
(888) 894-2073 (fax)
CRITICAL CARE SKILLS CHECKLIST
1
=
> 2 years experience
2
= 1-2 years experience
3
= < 1 year experience
4
= theory only
METABOLIC / ENDOCRINE
WOUND MANAGEMENT
PATENT CARE WITH
EXPERIENCE WITH ASSESSMENT
Hypothyroidism
*
1
2
3
4
Surgical wound healing
*
1
2
3
4
Thyroidectomy
*
1
2
3
4
Skin for impending breakdown
*
1
2
3
4
Hyperthyroidism (Grave's Disease)
*
1
2
3
4
Stasis ulcers
*
1
2
3
4
Diabetes ketoacidosis
*
1
2
3
4
Diabetes mellitus
*
1
2
3
4
EQUIPMENT and PROCEDURES
Addison's disease
*
1
2
3
4
Wound care / irrigations
*
1
2
3
4
Drug overdose
*
1
2
3
4
Sterile dressing changes
*
1
2
3
4
Insulin shock
*
1
2
3
4
Air fluidized, low airloss beds
*
1
2
3
4
Disorders of pituitary gland
*
1
2
3
4
PATENT CARE WITH
EQUIPMENT and PROCEDURES
Traumatic wounds
*
1
2
3
4
Performing finger stick
*
1
2
3
4
Burns
*
1
2
3
4
Blood glucose monitoring
*
1
2
3
4
Pressure sores
*
1
2
3
4
Blood glucose measuring devices
*
1
2
3
4
Staged decubitus ulcers
*
1
2
3
4
Surgical wounds with drains
*
1
2
3
4
INTERPRETATION OF LAB RESULTS
Thyroid studies
*
1
2
3
4
IV THERAPY / PHLEBOTOMY
Blood glucose
*
1
2
3
4
EQUIPMENT and PROCEDURES
MEDICATION
Drawing venous blood
*
1
2
3
4
Insulin drip
*
1
2
3
4
Drawing blood from central line
*
1
2
3
4
Starting IV's
PAIN MANAGEMENT
Heparin lock
*
1
2
3
4
Butterfly
*
1
2
3
4
EXPERIENCE WITH ASSESSMENT
Angiocath
*
1
2
3
4
Assessment of pain level/tolerance
*
1
2
3
4
Administration of blood/blood products
Plasma
*
1
2
3
4
PATIENT CARE WITH
Packed red blood cells
*
1
2
3
4
IV conscious sedation
*
1
2
3
4
Albumin
*
1
2
3
4
Patient controlled analgesia
*
1
2
3
4
Cryoprecipate
*
1
2
3
4
Epidural anesthesia/analgesia
*
1
2
3
4
Whole blood
*
1
2
3
4
OTHER
PATIENT CARE WITH
Peripheral line dressing
*
1
2
3
4
PATIENT CARE WITH
Organ/tissue donation
*
1
2
3
4
Central line/catheter/dressing
Hypovolemic shock
*
1
2
3
4
Quinton
*
1
2
3
4
Anaphylactic shock
*
1
2
3
4
Hickman
*
1
2
3
4
Septic shock
*
1
2
3
4
Groshong
*
1
2
3
4
Disseminated intravascular coagulation
*
1
2
3
4
Broviac
*
1
2
3
4
Multi-system organ failure
*
1
2
3
4
Portacath
*
1
2
3
4
(888) 894-2900 (bus)
(888) 894-2073 (fax)
CRITICAL CARE SKILLS CHECKLIST
1
=
> 2 years experience
2
= 1-2 years experience
3
= < 1 year experience
4
= theory only
NEUROGICAL
EXPERIENCE WITH ASSESSMENT
Reflex/motor deficits
*
1
2
3
4
Pathologic reflexes
*
1
2
3
4
Cranial nerves
*
1
2
3
4
Level of consciousness
*
1
2
3
4
Glasgow coma scale
*
1
2
3
4
Visual or communication deficits
*
1
2
3
4
PATENT CARE WITH
Multiple sclerosis
*
1
2
3
4
Spinal cord injury
*
1
2
3
4
Aneurysm precautions
*
1
2
3
4
Meningitis
*
1
2
3
4
DTs
*
1
2
3
4
Coma
*
1
2
3
4
Post craniotomy
*
1
2
3
4
Encephalitis
*
1
2
3
4
Basal skull fracture
*
1
2
3
4
Increased ICP
*
1
2
3
4
Laminectomy
*
1
2
3
4
Closed head injury
*
1
2
3
4
Metastic tumor/intracranial tumor resection
*
1
2
3
4
CVA
*
1
2
3
4
Externalized VP shunts
*
1
2
3
4
Ventriculostomy
*
1
2
3
4
MEDICATIONS
Epidural administration
*
1
2
3
4
Valium (Diazepam)
*
1
2
3
4
Barbiturate induced coma
*
1
2
3
4
Dilantin (Phenytoin)
*
1
2
3
4
Decadron (Dexamethasone)
*
1
2
3
4
Phenobarbital
*
1
2
3
4
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NO
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