CVICU Skills Checklist
   NAME  
   Email-Id
   DATE    
I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:

This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

 
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

 
Rating Stars (Click)
Cardiovascular 1
2
3
4
Normal Heart Tones (i.e.:S1,S2)
Abnormal heart tones(i.e.: murmur, gallop, friction rub)
Identification of PMI (Point Maximal Intensity)
Blood Pressure (non-invasive)
Pulses/Circulation via palpation
Pulses/Circulation via doppler
Inspection insertion site invasive lines
12-lead EKG interpretation
EKG Changes for MI
Rhythm interpretation
Incisional wound assessment
S/S DVT
Rating Stars (Click)
Provision of Care for: 1
2
3
4
Fresh Post-op CABG
Fresh Post-op AVR
Fresh Post-op MVR
AAA Repair
Heart Transplant
Post cardiac surgery complications
Fem-Pop Bypass
Fem-Fem Bypass
Myocardial contusion
Pericardial Window
Post AICD Insertion
Carotid Endarterectomy
Cardiac Arrest
MI
CHF
Pericardial Effusion
Cardiac Tamponade
Pericarditis
LVAD(Left Ventricular Assist Device)
RVAD(Right Ventricular Assist Device)
Rating Stars (Click)
Procedures: 1
2
3
4
Obtain Cardiac Output
PCWP Measurement
Obtain CVP Measurement
Removal of radial arterial line
Removal of femoral sheath
Venipuncture
Obtain lab specimens from A-line
Obtain lab specimens from Central Line
Perform 12-lead EKG
Proper Cardiac Monitor lead placement
Incisional Wound Care as applicable
Rating Stars (Click)
Management of: 1
2
3
4
IV conscious sedation
Blood and blood products
Identify blood transfusion reactions
Rating Stars (Click)
Hemodynamic Monitoring: 1
2
3
4
Management of Arterial Line
Management of PA/Swan-Ganz
Management of CVP Line
Management of multiple invasive lines
Zero and calibration of transducers
Assess adequate perfusion of affected
extremity with invasive lines
Rating Stars (Click)
Management of IABP: 1
2
3
4
Waveform interpretation
Determination of appropriate timing
Perfusion assessment of affected extremity
Recognize IABP complications
Rating Stars (Click)
Pacemaker: 1
2
3
4
PPM
Transvenous
Transcutaneous
Rating Stars (Click)
Management of Temporary Pacemaker: 1
2
3
4
Recognition of failure to sense, capture
Manipulation of TPM settings
Troubleshoot TPM settings
Management of epicardial wires
Rating Stars (Click)
Identification and interpretation of: 1
2
3
4
Arterial waveform
PA/Swan-Ganz waveform
PCWP waveform
CVP waveform
SVO2 Data
Rating Stars (Click)
Perform calculations for: 1
2
3
4
SVR
PVR
MAP
Rating Stars (Click)
Assist with: 1
2
3
4
Set-Up for Cardioversion
Cardioversion
Central Line insertion
CAVH-D
Emergency Open Chest
Arterial line insertion
PA/Swan-Ganz insertion
Chest Tube insertion
Chest Tube Removal
Emergency Tracheostomy
Pericardiocentesis
Transesophageal Echocardiogram
Thoracentesis
Emergency Intubation
Rating Stars (Click)
Pulmonary Assessment: 1
2
3
4
Auscultation of breath sounds
Identify adventitious lung sounds
Auscultate for confirmation of ET Tube placement
Implement Ventilator Acquired Pneumonia protocols
Assess and confirm proper vent settings
Manage Patient on machanical ventilation
Assist with post-extubation care
Application of BiPAP
Application of CPAP
Maintenance of pulmonary stability post-extubation
Application of Pulse Oximetry
Interpretation of Pulse Oximetry Values
Rating Stars (Click)
Procedures: 1
2
3
4
Perform ET Tube suctioning
Perform NT(Nasotracheal) suctioning
Perform suctioning of Tracheostomy
Collection of Sputum via NT Suction
Collection of Sputum Specimen via ET w/specimentrap
Assist with extubation of patient
Rating Stars (Click)
Chest Tubes: 1
2
3
4
Perform Chest Tube Set-up
Monitor & record output
Identify and troubleshoot clotted chest tube
Identify and troubleshoot patient bleeding
Identify presence of air leak
Rating Stars (Click)
Gastroenterology Assessment: 1
2
3
4
Bowel Sounds
Proper N/G Tube placement
Provision of care for GI Bleed
Rating Stars (Click)
Procedures: 1
2
3
4
Insertion of N/G Tube
Removal of N/G Tube
LIS (low intermittent suction)
Continuous Suction
Rating Stars (Click)
Endocrine Provision of Care for: 1
2
3
4
Diabetes mellitus
Diabetic ketoacidosis
Diabetes Insipidus
Addison’s Disease
Hyperthyroidism
Hypothyroidism
Insulin Shock
Rating Stars (Click)
Procedures: 1
2
3
4
Fingerstick blood glucose
Implementation of Sliding Scale
Rating Stars (Click)
Equipment: 1
2
3
4
Blood glucose monitoring
Use of Insulin Pen
Use of Lancet
Rating Stars (Click)
Neurology Assessment: 1
2
3
4
Cranial Nerves
Glasgow Coma Scale
Pathologic Reflexes
Reflex/Motor Deficits
Visual/Communication Deficits
Rating Stars (Click)
Provision of care for: 1
2
3
4
CVA
TIA
Encephalopathy
Renal Fluid Status
Rating Stars (Click)
Procedures: 1
2
3
4
CRRT
CAVH dialysis
Hemodialysis
Multisystem Perform comprehensive multi-system assessment
Rating Stars (Click)
Provision of Care for: 1
2
3
4
Hypovolemic Shock
Cardiogenic Shock
Septic Shock
Disseminated intravascular coagulation (DIC )
Organ/tissue donation
Implementation of Core Measures
Rating Stars (Click)
Labs Interpretation of: 1
2
3
4
ABGs
BUN/Creatinine
Electrolytes
Coagulation Studies
Cardiac Enzymes
Blood glucose
Thyroid Panel
CBC
Rating Stars (Click)
Patient Education: 1
2
3
4
Turn, cough, and deep breathing technique
Splinting technique post cardiac surgery
Use of incentive spirometer
Importance of increasing mobility post-cardiac surgery when applicable
Rating Stars (Click)
Cardiovascular Pharmacology Provision of Care: 1
2
3
4
Titrate vasopressors to effect/parameters
Assess for therapeutic response
Perform manage dosage drip calculations
Rating Stars (Click)
Medications: 1
2
3
4
Alupent (Metaproterenol)
Amicar
Aminophylline (Theophylline)
Amiodarone (Cordarone)
Atropine
Apresoline
Bretylium (Bretylol)
Corticosteroids
Digoxin (Lanoxin)
Diltiazem (Cardizem)
Dobutamine (Dobutrex)
Dopamine (Intropin)
Epinephrine (Adrenalin)
Esmolol (Brevibloc)
Heparin Drip
Inocor (Amrinone)
Levophed
Lidocaine
Metoprolol (Lopressor)
Neosynephrine
Nipride (Nitroprusside)
Nitroglycerin (Tridil)
Procainamide (Pronestyl)
Propofol (Diprivan)
Sodium Bicarbonate
Succinylcholine
Vasopressin
Verapamil (Calan, Isoptin, Verelan)
Vecuronium
Electrolyte Replacement Therapy
Rating Stars (Click)
Patient Advocacy: 1
2
3
4
Provide care for end-of-life decisions that families face in ICU such as withdrawal of life support
Adhere to legal procedures regarding notification of organ donation provider
Demonstrate Spiritual and Cultural Considerations for the Critical Care patient
Provide for the integration of comfort care and death with dignity
Demonstrate effective coping skills in caring for the critical care patient
Rating Stars (Click)
Age Specific: 1
2
3
4
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age(6-12 years)
Adolescent(12-18 years)
Young Adult(18-30 years)
Mature Adult(30-60 years)
Elderly (>60 years)