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C r i t i c a l  C a r e
S k i l l s  C h e c k l i s t

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 answer the questions below and select the column that best describes your experience level with each skill.

Back to Skills Checklist Index

ICU

CCU

MICU

SICU

CVICU

BURN ICU

TRAUMA ICU

PACU

ER

PCU

NICU

Telemetry

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