Critical Care

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

General Skills

Advanced directives *

Patient/family teaching *

Restrictive devices (restraints) *

Lift/transfer devices *

Specialty beds *

End of life care/palliative care *

Wound assessment & care *

Automated Medication Dispensing System, Pyxis, Omnicell, or other *

Bar coding for medication administration *

Blood Glucose Monitor (BGM) *

Cardioversion/defibrillation *

Electronic ICU *

National Patient Safety Goals *

Accurate patient identification *

Effective communication *

Interpretation & communication of lab values *

Medication administration *

Medication reconciliation *

Labeling (medications & specimens) *

Anticoagulation therapy *

Monitoring conscious sedation *

Pain assessment & management *

Infection control *

Universal precautions *

Isolation *

Minimize risk for falls *

Prevention of pressure ulcers *

Use of rapid response teams *

Awareness of HCAHPS *

Cardiovascular

Assessment of breath sounds *

Interpretation of arrhythmias *

Performing 12 lead EKGs *

Interpretation of 12 lead EKG *

Interpretation of hemodynamic monitoring *

CVC (Central Venous Catheter) *

Arterial line *

Swanz Ganz catheter *

Flow trac or Vigileo monitoring caths *

Intra-Aortic Balloon Pump (IABP) *

Ventricular Assist Device (LVAD, RVAD) *

Permanent pacemakers *

Implantable Cardioverter Defibrillator (ICD) *

External pacemakers *

Epicardial pacemaker wires *

Discontinuing venous/arterial sheaths *

Femostop/vasoseal *

Acute myocardial infarction *

Pre/post: cardiac catheterization *

Congestive heart failure *

Cardiomyopathy *

Dysrhythmias/conduction disturbances *

Aortic aneurysm *

Thoracic/abdominal surgery *

Endoluminal graft *

Cardiogenic shock *

Hypertensive crisis *

Pericarditis/endocarditis *

MAZE procedure *

Post open heart (CABG/valve) *

Cardiac contusion/trauma *

Heart transplant *

Cardiac tamponade *

ACLS medications and protocols *

Antidysrythmics *

Antihypertensives *

Vasoactive/vasopressor agents *

Anesthetics (propofol/presedex) *

Thrombolytics (retavase/activase) *

Platelet inhibitors (ReoPro/Integrilin/Aggrastat) *

Flolan for pulmonary hypertension *

Pulmonary

Assessment of breath sounds *

Oral/NT/ET airway *

Tracheostomy *

Arterial blood gas analysis/interpretation *

Obtaining ABG blood sample/arterial line *

Pulse oximetry *

BiPAP (Bi-level Positive Airway Pressure) *

Oscillation/high-frequency ventilation *

Nitric *

Interpretation of weaning parameters *

Maintenance & management of pleural chest tubes *

Acute respiratory failure *

Adult Respiratory Distress Syndrome (ARDS) *

Sudden Inflammation Respiratory Syndrome (SIRS) *

Inhalation injuries *

Pneumonia *

Pulmonary edema *

Near drowning *

Chronic Obstructive Pulmonary Disease (COPD) *

Pre/post thoracic surgery *

Pulmonary embolism *

Pulmonary/chest trauma *

Pulmonary hypertension *

Status asthmaticus *

Rapid sequence intubation drugs/protocols *

Nebulizer treatments: Ventolin, Atrovent *

Neurology

Cranial nerve assessment *

Glasgow coma scale *

NIH stroke scale *

NIH stroke certification *

Seizure precautions *

Skeletal traction *

Cervical spine precautions/logroll positioning *

Halo vest/halo traction *

Monitoring of neuromuscular blocking agents/paralytics *

Assist with lumbar puncture *

Ventriculostomy *

Subarachnoid screw/bolt *

Lumbar drains *

Cerebral aneurysm *

Subarachnoid hemorrhage *

Status epilepticus *

TBI (Traumatic Brain Injury) *

Spinal cord injury *

CerebroVascular Accident (CVA) *

Pre/post cranial surgery *

Meningitis *

Myasthenia gravis *

Clipping and/or coilings of aneurysms *

Pituitary Tumor *

Steroids: Decadron, Solu-Medrol *

Anticonvulsants: Dilantin, phenobarbital *

Paralytic Agents: Norcuron, Pavalon, Nimbex, Tracrium, vecuronium *

Mannitol *

Antipsychotics: Haldol *

Trauma & Burns

Mass casualty *

Electrocution *

Amputation *

Gangrene *

Multiple fractures *

Thermoregulation: hypothermia/hyperthermia *

Berdow Formula/Rule of Nines *

Lund and Browder chart *

Fluid resuscitation *

Care & management of burns *

Gastrointestinal

Small bore feeding tube insertion (Dobhoff or Keofeed) *

Nasogastric tube insertion *

Post pyloric feeding tube insertion *

Gastric lavage *

Use of activated charcoal *

Maintenance of gastric/jejunostomy tube *

Stoma care *

Maintenance & management of enteral tube feedings *

Assisting/monitoring bedside procedures: endo/chest tubes/bronchs/trach insertion/PEG tubes *

Abdominal trauma *

Acute gastrointestinal hemorrhage *

Esophageal varices *

Balloon tamponade devices (i.e. Blakemore tube) *

Peritonitis *

Acute pancreatitis *

Bowel obstruction *

Liver/pancreas transplant *

Antiemetics: Reglan, Zofran *

H2 receptor antagonists *

Renal

Foley catheter insertion *

Suprapubic tube *

Nephrostomy tube *

Peritoneal dialysis *

Continuous Arteriovenous Hemofiltration (CAVHD, CVVHD, SCUF, CRRT) *

Hemodialysis of the critically ill patient *

Acute renal failure *

Chronic renal failure *

AV fistulas, shunts & dialysis catheters *

Nephrectomy *

Renal transplant *

Renal/urinary tract trauma *

Endocrine

Diabetic Ketoacidosis (DKA) *

Hyperosmolar Hyperglycemic Nonketotic Coma (HHNK) *

Diabetes Insipidus (DI) *

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) *

Administration & monitoring of insulin infusion *

Use of Endo tool *

Intravenous Management

Starting peripheral IVs *

Care of patient with Peripherally-Inserted Central Catheter (PICC) *

Administration/monitoring of Total Parenteral Nutrition (TPN) *

Administration of blood/blood products *

Administration of narcotics/sedatives: (fentanyl, Valium, Ativan, Versed, morphine) *

Bispectral monitoring *

Tele-ICU (ICU-E)

Mentoring *

Communication *

Video assessment *

Utilize tele-ICU system *

Multi-tasking *

Troubleshoot equipment *

Giving directions over AV system *

Interpretation of data *

Critical thinking *

Diplomacy *

Other

Drug or chemical overdose (TCA, ethanol, ASA) *

Poisoning (CO, cyanide) *

Substance abuse (ETOH, stimulants, narcotics) *

Human Immunodeficiency Virus (HIV) *

Multisystem Organ Dysfunction Syndrome (MODS) *

Anaphylaxis *

Disseminated Intravascular Coagulation (DIC) *

Septic shock *

Cancer *

Administration of chemotherapy *

Monitoring of chemotherapy (does not initiate) *

Hyperbaric oxygenation *

Organ/tissue donation procedures *

Suicide precautions *

Age Specific Competencies

Adolescent (ages 13-21 years) *

Young adult (ages 22-39 years) *

Adult (ages 40-64 years) *

Older adult (ages 65-79 years) *

Elderly (ages 80+ years) *

Critical Care

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