24 Hour Staffing Solutions

24 Hour Solutions Inc.

Nursing Agency

415-648-6091

 

CRITICAL CARE CHECK-LIST

 

Last Name:  ____________________   First Name:  _______________  Middle Initial:  _____

Classification:  __________________   Total Years of Experience:  ___________

 

 

Clinical Skill Competency:

Indicate clinical skill competency and level of proficiency for all procedures/equipment in the last 12 months.

 

SKILL LEVELS:

0 = No experience. Theory only.

1 = Limited competence/proficiency. Supervision required.

2 = Acceptable competence/proficiency.

3 = Competent/proficient. Have performed frequently
and independently during past 2 years.

 

AGE SPECIFIC COMPETENCY:

 

Neonates/Newborns (birth - 30 days)

 

Adolescents (12 - 18 years)

 

Infants (30 days - 1 year)

 

Toddler (1 - 3 years)

 

Preschooler (3 - 5 years)

 

Older Children (5 - 12 years)

 

Young Adults (18 - 39 years)

 

Middle Adults (39 - 64 years)

 

Older Adults/Geriatrics (64+ years)

EXPERIENCE:

 

Neuro (NEURO)

 

Cardiovascular (CARDIO)

 

Telemetry (TELE)

 

Respiratory (RESP)

 

GastroIntestinal (GI)

 

Renal (GU)

 

Substance Abuse

 

Orthopedic (ORTHO)

 

Burns

 

Abuse/Violence

CHARTING:

 

Computer

 

DARE

 

APIE

 

SOAPIE

 

FOCUS

 

Discharge Planning

 

Utilization Review

 

Chart Review/Audit

NEUROLOGICAL PROBLEMS:

Perform advanced neuro assessment:

 

Cranial nerves

 

Reflexes

 

Visual or communication deficits

Intracranial pressure monitoring and care of patient:

 

Positioning

 

Temperature regulation

 

Medications

Recognition/intervention of complications:

 

CSF leak

 

Clot

 

Herniation

 

Use of rotating bed, Stryker frame

 

Care of patient with halo traction/
cervical tongs

 

Care of patient with barbiturate-
induced coma

CARDIOVASCULAR PROBLEMS:

 

Obtaining 12 lead EKG

 

Arrhythmia interpretation

 

Arrest - initial resuscitation

 

CPR and emergency drug therapy

 

Defibrillation/cardioversion

 

Titration of vasoactive drugs

Assist with the insertion/care of:

 

Arterial line, SG cath

Care of patient with pacemakers:

 

Assist with insertion

 

Permanent and/or temporary

 

Care of patient withe acute myocardial
infarction

 

TPA administration

 

Prepare for PTCA

 

Management of cardiogenic shock

 

Care of patient with intra aortic
balloon pump

 

Care of patient with CAVH-D

 

Care of patient on ventricular assist
device

 

(RVAD or LVAD)

Titrating cardiovascular drugs:

 

DOPAMINE

 

DOBUTREX

 

ISUPREL

 

EPINEPHRINE

 

LEVOPED

 

NIPRIDE

 

TRIDIL

 

LIDOCAINE

 

DIGITALIS

 

Streptokinase

 

PTCA

Care of an open heart patient:

 

Immediate post-op

 

24-48 hour post-op

 

Care of heart transplant patient

 

Assist with open chest procedure

 

Care of patient with MAST suit/rotating
tourniquets

 

Care of patient with abdominal aortic
aneurysm

 

Computation of cardiac outputs

Interpretation of Swan Ganz reading:

 

P.A. pressure

 

PCWP

Care of patient in shock:

 

Septic

 

Hypovolemic

 

Cardiogenic

RESPIRATORY PROBLEMS:

Identify/Intervene in respiratory complications:

 

Pneumothorax

 

Aspiration

 

Pulmonary edema

 

Laryngospasm

 

Assisting with intubation/extubation

 

Obtaining arterial blood gases from
arterial line

 

Arterial blood gases interpretation

 

Arterial puncture for ABG's

Care of intubated patient:

 

Suctioning

 

Aspiration

 

ETT care

 

Cuff pressures

 

Use of volume ventilators

 

Use of pressure ventilators

Troubleshoot ventilator complications:

 

High pressure alarm

 

Low exhale volume

 

Weaning patient from ventilator

Modes of ventilation:

 

IMV

 

CPAP

 

PEEP

 

Assist-control

 

Blowby

 

Pressure support

 

High frequency jet ventilation

 

Care of patient after thoracic surgery

 

Assist with chest tube
insertion/set up/removal

 

Assist with thoracentesis

 

Assist with bronchoscopy

 

Care of patient with tracheostomy

 

Care of patient in pulmonary edema

 

Care of patient with ECMO

 

Care of patient with ARDS

 

Care of patient with lung transplant

 

Use of chest drainage system

GASTROINTESTINAL PROCEDURE

GASTROINTESTINAL PROBLEMS:

 

Sengstaken-Blakemore tubes

 

Miller/Abbott tubes

 

Multiple abdominal surgeries

 

Care of patient with multiple
abdominal wounds and drains

 

CVVHD

RENAL PROBLEMS:

 

Care of patient in acute renal failure

 

Care of patient on hemodialysis

 

Care of patient with ileal/conduit

 

Perform Peritoneal dialysis

SUBSTANCE ABUSE:

 

Care of EWAL tube

 

Closed system lavage

 

Administration of activated
charcoal/Ipecac

ORTHOPEDIC:

 

Casts

 

Splints

 

Immobilizing joints/extremities

 

First aid

 

Bier block or IV Xylocaine uses

 

Insertion of pins/external fixation

 

Application of:

 

Clavical strap

 

Shoulder immobilizer

 

Knee immobilizer

 

Ace wrap to joints

MISCELLANEOUS:

 

Administration of total parenteral nutrition

 

Care of patient on universal
isolation precautions

 

Hypothermia management

 

Reverse isolation

Care of burn patients:

 

1st degree

 

2nd degree

 

3rd degree

EXPERIENCE WITH SPECIAL EQUIPMENT:

 

EKG machines

02 Equipment:

 

Ventilators

 

H cylinders

 

E cylinders

 

Compressed air

 

Nebulizer set-up

 

T-tube

 

Ventimask

 

Nasal Cannula

 

BIPAP

 

Continuous aerosol

 

Nonrebreather

 

Ambu Bag

 

Oximizer

EXPERIENCE SETTING UP TRAYS:

 

Suture set

 

Cut down

 

C.V.P./A Line

 

Chest tube

 

Peritioneal Lavage

 

Pelvic exam

 

Trach tray

 

Procto/endo/bronchotray

EXPERIENCE WITH SPECIAL PROCEDURES:

Chest Tubes:

 

Emerson

 

Pleur-Evac

 

Laryngoscope

 

Endo tubes

 

Ambu bags

 

Tracheotomy

 

Pacemakers:

 

Trans-thoracic

 

Percutaneous

 

Rotating tourniquets

 

Hickman-Broviac catheters

 

Cardioversion/defibrillation

 

Cardiac Monitoring/Drugs

 

 

 

I am certifying that the information provided in this Clinical Skills Checklist is true, correct and complete. I understand that any misrepresentation, omission or falsification on this application is sufficient cause for termination of employment.

 

PRINT NAME: _______________________  SIGNATURE: _____________________  DATE:  _______