CRITICAL CARE NURSE SKILLS CHECKLIST
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Job Description: Staff Nurse - RN - ICU/CCU
Provides professional nursing care for assigned patients in the critical/coronary care unit. RN to assess, evaluates, assesses and documents the nursing process as needed. Education requires a minimum of an associate's degree and is licensed as a registered nurse with at least 2 years of clinical experience. Must be familiar with standard concepts, practices, and procedures within the critical care nursing field. Performs a variety of tasks. Works under general supervision; typically reports to a supervisor and/or manager. A certain degree of creativity and latitude is required.
KEY: For each criteria
Score 1: Two plus years Expert Experience
Score 2: One-Two Years Current Experience
Score 3: Less than one year or Intermittent Experience
Score 4: Theory, no experience

Procedure / Skill SCORE
1234
CARDIOVASCULAR
Assessment:
Admin of fluids on continuous pumps, blood and blood products
Arrhythmia analysis Heart sounds/murmurs
Pulse/Circulation Checks
Cardioversion monitoring
Care of Patients:
Cardiogenic/hypovolemis shock
Congestive Heart Failure
Acute Myocardial infarction
AAA Repair
Cardiogenic Shock
Cardiac Tamponade
Acute Coronary Syndrome
Intra-Aortic
TPA or Streptokinase
Post Interventional Cath Lab Procedure
Patient with overdose
PTCA
Vascular Disease
Pre and post angioplasty patient
Open Heart Surgery - Immediate-Post
Open Heart Transplant
Pacemaker Insertion & Management
Central Venous Catheters, Subclavian lines epidural cath
Post-op arterial catheters
Post-op pulmonary artery catheters
Equipment & Procedures:
Hemodynamic monitoring: Cardiac Index Systemic Vascular Resistance
Hemodynamic monitoring: Cardiac Output
Hemodynamic monitoring: Leveling Waveform Analysis
Open Chest Emergency
Pericardiocentesis
Tranesophageal Echocardiogram
Carioversion
SVO2 Monitoring
PA Catheter/SG Insertion/Removal
O/I hemodynamic measurement: Cardiac index systemic vascular
O/I hemodynamic measurement: Cardiac Output
O/I hemodynamic measurement: CVP
O/I hemodynamic measurement: PA Pressure
O/I hemodynamic measurement: PCW
Placement of 12 Lead EKG
Interpreting a 12 Lead EKG
Femoral Artery Sheath Removal
Pacemaker - Transthoracic
Preparation and calculation of dosages of IV drip medications
Preparation, dosage, and administration of emergency drugs
Intra-Aortic Balloon Pump
Swan Ganz (Tranducer set-up)
Ultrasonic Doppler
Medications:
Antiarrhythmics
Argatroban
Atropine
Betablockers
Bicarbonate
Calcium Channel Blockers
Digoxin
Dobutamine
Dopamine
Heparin/Coumadin
Integrilin
Magnesium
Nitroprusside
Nitroglycerine
Thrombolytics
Vasopressin
ENDOCRINE/METABOLIC
Assessment:
Blood/Urine Glucose
Care Of Patients:
Diabetic Ketoacidosis
Diabetic Mellitus
Insulin Shock
Adrenal Gland Disorder
Pituitary Gland Disorders
Equipment & Procedures:
Blood Glucose Monitoring
Medications:
Insulin/Insulin Drip
GASTROINTESTINAL
Assessment:
Bowel Sounds
Nutritional Status
Care of Patients:
Bowel Obstruction
Colostomy/Ileostomy
Trauma
ERCP
GI Bleeding
GI Surgery
Hepatitis
Inflammatory Bowel Disease (i.e. Crohns)
Liver Failure
Pre/Post Liver Transplant
Pancreatitis
Equipment & Procedures:
G Tube/J Tube Care
T Tube Care
Tube Feedings
Balloon Tamponade
Serum Ammonia/Amylase/LFT's
TPN/Lipids
Ice Saline Lavage
Medications:
Aquamephyton
Inderal
Kayexelate
Lactulose
GENITOURINARY / RENAL
Assessment:
Fluid and Electrolyte Balances
AV Fistula/Shunt
Care of Patients with:
Nephrectomy
Renal Transplant
Renal Rejection
Acute Renal Failure
CVVH/CVVHD
Hemodialysis
Peritoneal Dialysis
Acute Hepatitis
TPN
Enterostomal care
Equipment & Procedures:
Assisting with gastroscopy
Administration of fluid, blood and blood products
Bladder Catheter Insert - Irrigation
Suprapubic Catheter
Lab Result Interpretation:
BUN/Creatine/Electrolytes
INFECTIOUS DISEASE
Assessment:
Interpretation of Culture Results
Care Of Patients:
MRSA
VRE
Septic Shock
Specific Organ Infection
Equipment & Procedures:
Culture
Medications:
Aminoglycosides
Antifungal
Cephalosporin
Xigris
IV THERAPY / PHLEBOTOMY
Care Of Patients:
A Lines
CVP Lines
PA Lines
PICC Lines
Tunneled Lines
Equipment & Procedures:
Blood Products
Starting IV's
NEUROLOGICAL
Assessment of:
Neurological signs
Pathologic Reflexes
Glasgow Coma Scale
Care of patient with:
Carotid Endarterectomy
CNS infections
Cerebral Aneurysm
CVA
Degenerative Diseases of the Nervous System
Closed Head Trauma
Coma
Increased ICP/ICP Monitoring
Post Cranial Surgery
Spinal Cord Trauma/Injury
Unconscious
CNS infections/Meningitis
Post Craniotomy
Equipment & Procedures:
Crutchfield tongs
Halo traction
Hypo/Hyperthermia Blanket
Assist with Lumbar Puncture
Seizure Precautions
Spinal Precautions
Medications:
Haldol (Haloperidol)
Dilantin (Pehnoytoin)
Narcotic Analgesics
Morphine
Ativan
Nimbex (Cisatracurium)
Succinylcholine
Barbiturate Coma-Titration to Maintain
PULMONARY
Assessment of:
Respiratory System Breath sounds, Rate & Work of Breathing
ABG analysis mixed venous ABG analysis
Airway Management:
Ambu bag & mask techniques
Establishing an airway
Peak flow measurements
Face Mask/Nasal Cannula
Intubation/Extubation
Nitric Oxide
Assisting with bronchoscopy
Assisting with chest tube insertion care and maintenance
Suction of Endotracheal Tube
Respiratory Intervention & Complications:
Emergency Trach
Thoracentesis
Laryngospasm
Aspiration
Tension Pneumothorax
Care of patient with:
COPD
ARDS
Acute Pneumonia
Asthma
Thoracotomy/Lobectomy/Pneumonectomy
Tracheostomy
Chest Trauma