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ICU/CVICU

RN Skills Checklist: ICU/CVICU Units

Name:
Classification:
Date:

Self-Assessment Scale:
1 = No Experience
2 = Limited Experience
3 = Experienced

Care of Trauma Patient

Air Transport:

Hemodynamic Stablization:

Gun Shot Wounds:

Auto Accident:

Injuries from Sharp Objects:

Injuries from Natural Disasters:

Care of Burn Patient

First Degree:

Second Degree:

Third Degree:

Dressing Procedure:

Debridement:

Care of Patient in Isolation

Respiratory Isolation:

Wound and Skin:

Reverse:

Use of Universal Precautions:

Aids Patients:

Infectious Diseases:

Care of Patient with Respiratory Disease/Injury

Assessment of Respiratory System:

Pulmonary Edema:

COPD (acute and chronic):

ARDS:

Pneumothorax:

Thoracentesis:

Patient with Chest Tubes:

Care of Patient with Chest Injury:

Care of Patient with Acute Respiratory Failure:

Care of Patient with Thoracic Surgery:

Procedures/Equipment

Assist with Intubation:

Assist with Extubation:

Trachectomy Care:

Draw ABG�s: Radial Artery:

Draw ABG�s: Arterial Line:

Draw ABG�s: Femoral Line:

Analysis of ABG�s:

Care of Patient on O2 Via: Masks/Cannula:

Care of Patient on O2 Via: Ttube:

Care of Patient on O2 Via: Ambu Bag:

Care of Patient on O2 Via: Cuffed ET Tube:

Care of Patient on O2 Via: Uncuffed ET Tube:

Care of Patient on O2 Via: Tracheostomy:

Care of Patient on Ventilator (Peep, Cuff Care, Mouth Care, Suctioning, Weaning):

Continuous O2 Sat and CO2 Monitoring Equipment:

Assist with and Setting up Arterial Line:

Assist with and Setting up for Bronchoscopy:

Airway Suctioniing: Oralpharyngeal:

Airway Suctioniing: Nasaltracheal:

Airway Suctioniing: Endotracheal:

NebulizerSet Up:

IPPB:

Assist with Set Up of Chest Tubes:

Use of Chest Drainage Systems:

Chest Phiotherapy:

Care of Patient with Neurological Disease/Injury

Neuro Assessment:

Monitor Neuro Vital Signs:

Cerebral Aneurysm:

Use of Glasgow Coma Scale:

Acute Head Injury:

Acuta/Chronic CVA/TIA:

Unconscious Patient:

Spinal Cord Injury:

Neurosurgical Patient: Pre/Post-op Craniotomy:

Monitor Intracranial Pressure:

CNS Infections(Encephalitis, Meningitis, Abscess):

Degenerative Disease of Nervous System (MS, Guillain-Barre Syndrome, Myasthenia Gravis):

Care of Patient with Seizures:

Use of Hyper/Hypothermia Mattress:

Care of Pt. with: Crutchifield Tongs:

Care of Patient with: Halo Traction:

Brain Death Criteria, Organ Procurement:

Rehabilitation of the Neuro Patient:

Phenobarbital:

Mannitol:

Decadron:

Dilantin:

Paralytics:

Care of Patient in Shock

Anaphylactic:

Cardiogenic:

Septic:

Hypovolemic:

Multisystem Failure:

Care of Patient with Cardiovascular Problems

Acute MI, CHF, Angina:

Intra-Aortic Balloon Pump:

Care of Cardiac Surgical Patient:

Care of Vascular Surgical Patient:

Use of Cardiac Monitor:

Pre/Post Op Open Heart Surgery:

Pre/Post Op Aneurysms (Ventricular or Aortic):

Cardiopulmonary Arrest:

Pre/Post Op Cardiac Transplant:

Pre/Post Op Femoral Popliteal Bypass:

Care of Patient with Cardiac Infections:

Pre/Post Angioplasty:

Care of Patient with Cardiac Valve Disease:

Use of Autotransfusion Systems:

Recognizing Arrythmias:

Obtain and Interpret 12 Lead ECG:

Assist with Pericardiocentesis:

Cardioversion:

Defribrillation:

Care of Patient Receiving Streptokinase:

Care of Patient with Pacemaker:

Assist with Insertion of Permanent Pacemaker:

Assist with Insertion of Temporary Pacemaker:

Use of Non-Invasive Pacemaker:

Set Up and Care for

Central Venous Catheter:

Subclavian Lines:

IABP:

Swan Ganz Catheter:

Arterial Catheter:

Obtain and Interpret

Central Venous Pressure (CVP):

Pulmonary Capillary Wedge Pressure(PCWP):

SVO2:

Pulmonary Artery Pressure (PA):

Cardiac Output (CO):

Cardiac Index (CI):

Preparation, Calculation and Administration of

Emergency Cardiac Drugs:

Bretylium:

Dopamine:

Digitalis:

Atropine:

Epinephrine:

Lidocaine:

Nipride:

Isuprel:

Sodium Bicarbonate:

Dobutrex:

Tridil:

Verapamil:

Procainamide:

Dobutamine:

Esmolol:

Pronestyl:

Heparin:

Care of Patient with Gastrointestinal/Renal Problems

Acute and Chronic Renal Failure:

Pre/Post Op Nephrectomy:

CVVHD CVAHD:

Care of Patient on Peritoneal Dialysis:

Care of Patient on Hemodialysis:

Care of Patient with Suprapubic Catheter:

Care of Patient with Nephrostomy Tube:

Assessment of fluid and Electrolyte:

Colostomy Care:

Diabetic Teaching:

Hyperbaric Oxygenation:

Accucheck:

Care of Patient with Oncologic Disease

Administering Chemotherapy:

Implanted IV devices:

Hospice Care:

Miscellaneous

Administration of Blood and Blood Products:

Use of Continuous Infusion Pumps:

IV Therapy:

Inserting IVs:

Heparin Lock:

Set Up for Cut Down:

Obtaining Venous Blood:

Use of and Care for Patient with Hemovac:

Buck�s Traction:

Skeletal Traction:

Use of Doppler:

Organ Harvest:

Obtaining Blood, Urine, Sputum Cultures:

Administering IV Anticoagulants:

Care of Patients with Overdose:

Care of Patients with DTs:

List Certifications	Expiration Date
BCLS
ACLS
PALS
CCRN

Please check each area below for each age group for which you have expertise in providing age appropriate nursing care:

A Neonate (birth - 30 days)
B Child (31 days � 12 years)
C Adolescent (over 12 years � 18 years)
D Adult (over 18 years � 64 years)
E Geriatric (over 64 years)

EXPERIENCE WITH AGE GROUPS:	A	B	C	D	E
Able to adapt care to incorporate normal growth and development.
Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level.
Can ensure a safe environment reflecting specific needs of various age groups.

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