Critical Care Skills Checklist Name* First Last Email* Phone*Proficiency: 1 = Minimal Experience 2 = Limited Experience 3 = Competent 4 = Highly SkilledCardiacInterpretation of 12 Lead EKG*1234Interpretation of Arrhythmias*1234Defibrillation / Cardioversion*1234Assisting with Insertion of Central Lines*1234External Pacemakers*1234Permanent Pacemakers*1234Temporary Pacemakers*1234Cardiac Arrest / CPR*1234Interpretation of Hemodynamic Monitoring*1234Art-Line (Transducer set-up, D/C)*1234Swan-Ganz (Transducer set-up, D/C)*1234Balloon Pump (IABP)*1234SVO2 Monitoring*1234Sheath Removal - Femoral*1234Automatic Internal Cardioverter Defib*1234Aneurysm*1234Acute MI / Unstable Angina*1234CHF*1234Cardiogenic / Hypovolemic Shock*1234Pre / Post Cardiac Surgery*1234PTCA*1234Atropine*1234Bretylol*1234Amiodarone*1234Digoxin*1234Dopamine*1234Dobutrex*1234Bicarbonate*1234Inocor*1234Diltiazem*1234Lidocaine*1234Neosynephrine / Nipride*1234Nitroglycerin*1234Pronestyl*1234Titrate Morphine*1234Verapamil*1234Esmolol*1234Metoprolol*1234Retavase*1234Epinephrine*1234Phenobarbital*1234Streptokinase*1234Valium*1234Versed*1234Alteplase*1234VascularPeripheral Pulses*1234Fluid Overload*1234Ultrasonic Doppler*1234Starting IV's*1234Assist with IV Cutdown*1234Subcutaneous Central Line*1234Hickman / Broviac / Groshong Catheters*1234Maintenance of Heparin Lock*1234TPN / Hyperalimentation*1234Air Occlusive Dressing*1234Knowledge of Normal Serum Lab Values*1234Administration of Blood & Blood Products*1234Infusion Pump*1234Peritoneal Dialysis*1234Hemodialysis*1234Heparin Drip (Precautions & Maintenance)*1234GastrointestinalNG Tube Insertion*1234Gastrostomy Tube*1234Jejunostomy Tube*1234Enterostomal Care*1234Pancreatitis*1234GI Bleed*1234Esophageal Bleeding*1234Bowel Obstruction*1234Whipple Procedure*1234Liver Transplant*1234Paralytic Ileus*1234E.R.C.P.*1234Genitourinary / RenalFoley Catheter Insertion*1234GU Irrigations*1234Nephrostomy Tube*1234Suprapubic Tube*1234Electrolyte Imbalance / Replacement*1234T.U.R.P.*1234Shunts & Fistulas*1234Nephrectomy*1234Renal Transplant*1234Renal Failure*1234Renal Trauma*1234RespiratoryEstablishing an Airway*1234Ambuing Techniques*1234Chest Tubes (Emerson / Pleur-evac)*1234Pulse Oximetry*1234Interpretation of ABG*1234Drawing ABG Blood Sample from Art-Line*1234Use of IPPB*1234Use of Pressure Support*1234Incentive Spirometer*1234COPD*1234ARDS*1234Pre / Post Thoracic Surgery*1234Pulmonary Embolism*1234Pulmonary Edema*1234Pneumonia*1234Inhalation Injuries*1234Aminophylline*1234Corticosteroids*1234Bronkosol*1234Bentolin*1234Alupent*1234NeurologyAssessment of Neuro Signs*1234Glasgow Coma Scale*1234Seizure Precautions*1234Assist with Lumbar Puncture*1234ICP Monitoring*1234Crutchfield Tongs*1234Halo Traction*1234Stryker Frame*1234CVA*1234Seizure Activity*1234Overdose*1234Neuro Injury / Trauma*1234Pre / Post Neuro Surgery*1234Cranial Hemorrhage*1234TransplantsHeart*1234Lung*1234Other*1234Oncology*1234Chemotherapy*1234Isolation Techniques*1234Diabetic Teaching*1234Hyperbaric Oxygenation*1234Accucheck*1234Age Specific CompetencyNewborn / Neonate (Birth - 30 days)*1234Infant (30 days - 1 year)*1234Toddler (1 - 3 years)*1234Preschooler (3 - 5 years)*1234School Age Children (5 - 12 years)*1234Adolescents (12 - 18 years)*1234Young Adults (18 - 39 years)*1234Middle Adults (39 - 64 years)*1234Older Adults (64 - 79 years)*1234Elderly Adults (Over 79+ years)*1234