Critical Care Nursing Skills Checklist

(for ICU/CCU, High Acuity/Step-Down)

Name:

Date:

Post-Basic Critical Care Education Completed

School Date Completed
BCIT
Mount Royal
SIAST
Centennial College
Other

Workshops/Courses Date Obtained/Comments Expiration Date if Applicable

CPR
ACLS
PALS
ENPC
NRP
TNCC
CTAS
ECG Interpretation
Other (Please indicate)

Fraser Health Critical Care Skills Checklist – revised Dec 2013 1

 Years of Experience
Employed (ESN) in clinical area of
Final preceptorship of hours in the clinical area of
New Grad
<2 yrs experience as an RN in ICU/CCU or High Acuity/Step-down Select Clinical Area
2- 5 yrs experience as an RN in ICU/CCU or High Acuity/Step-down Select Clinical Area
6 + yrs experience as an RN in ICU/CCU or High Acuity/Step-down Select Clinical Area
Other experience as an RN not in ICU/CCU or High Acuity/Step-down, specify area and years of experience

Currently employed: Full time: Part time: Casual: N/A:

Never
Review/ Can Perform Can Teach
GENERIC CRITICAL CARE NURSING SKILLS Performed
Assistance Independently Others
Required
Please indicate your experience with the following by ticking the appropriate column – describe experience as applicable
Airway Management – oral, nasal, endotracheal, tracheostomy
• Oral (insertion and removal)

• Nasal (insertion and removal)

• Endotracheal (assisting with insertion)

− ETT ties/tape
− ETT cuff management

− Elective/emergency extubation

• Manual ventilation

• Suctioning (including preoxygenation)

• Tracheostomy:

Fraser Health Critical Care Skills Checklist – revised Dec 2013 2

 Never Review/ Can Perform Can Teach
GENERIC CRITICAL CARE NURSING SKILLS Performed Assistance Independently Others
Required
Please indicate your experience with the following by ticking the appropriate column – describe experience as applicable
- dressing changes

- tie changes

- inner canula changes

Arterial Blood Gas Interpretation

Arterial Punctures – radial site

BiPAP

• Indications for use

• Set up

• Patient Monitoring

Spinal Precautions

• C-spine

• T-spine

• L-spine

Cardiac Arrest Management (Recognition and Treatment of Life-

Threatening Dysrhythmias)
• Defibrillation (Paddles/Remote)

Fraser Health Critical Care Skills Checklist – revised Dec 2013 3

 Never Review/ Can Perform Can Teach
GENERIC CRITICAL CARE NURSING SKILLS Performed Assistance Independently Others
Required
Please indicate your experience with the following by ticking the appropriate column – describe experience as applicable
• Cardioversion (assisting with)

• Transcutaneous Pacing (assisting with)

• Cardiac Arrest Drugs; first and second line

• Advanced Cardiac Life Support(ACLS), PALS

• Monitor/Defibrillators
• LP9P LP12 LP20 Transport
Chest Tube Management

- assist with insertion

- patient positioning and monitoring

- set-up, maintenance, monitoring of pleur-vac system

- tube securement and dressing changes

- safety implications for patient transport

- complications: accidental dislodgement, tension pneumo, etc.

ECG Monitoring and Interpretation: monitoring systems used

• Telemetry

• 3 Lead System

• 5 Lead System

Fraser Health Critical Care Skills Checklist – revised Dec 2013 4

 Never Review/ Can Perform Can Teach
GENERIC CRITICAL CARE NURSING SKILLS Performed Assistance Independently Others
Required
Please indicate your experience with the following by ticking the appropriate column – describe experience as applicable
• EASI 12 Lead (Philips)

• 12 Lead Infarction/Ischemia/Injury Patterns

• Pacemaker Rhythms

• ST/T Wave Analysis

Epidural Management

• Site Assessment, care

• Capping, tubing changes, removal (circle all applicable)

• Patient Monitoring Parameters

• Bolus (per anaesthesiologist)

• Continuous Infusion

Gastric Intestinal Tubes

• NG/OG/En Tube

• In an impaired airway

Glucometer Testing and Patient Management

Hemodynamic Monitoring

− Central Venous Pressure

Fraser Health Critical Care Skills Checklist – revised Dec 2013 5

 Never Review/ Can Perform Can Teach
GENERIC CRITICAL CARE NURSING SKILLS Performed Assistance Independently Others
Required
Please indicate your experience with the following by ticking the appropriate column – describe experience as applicable
− Arterial Catheters – transduced

 Assisting with insertion

 Dressing

 Blood sampling

 Removal

 Assessment/troubleshooting

Continuous Renal Replacement Therapy (CRRT)

Care and Management of:

- Porta-caths

- PICC lines

- percutaneous central lines

Venipuncture

Hemodynamic Pharmacology

• Amiodarone

• Dobutamine

• Dopamine

Fraser Health Critical Care Skills Checklist – revised Dec 2013 6

 Never Review/ Can Perform Can Teach
GENERIC CRITICAL CARE NURSING SKILLS Performed Assistance Independently Others
Required
Please indicate your experience with the following by ticking the appropriate column – describe experience as applicable
• Lidocaine

• Magnesium Sulphate

• Nitroglycerin

• Nitroprusside

• Norepinephrine

• Phenylephrine

• Procainamide

Pacemakers – Transvenous

• Assisting with insertion

• Pulse generator settings: programming/adjusting

• Dressing

• Patient monitoring parameters

• Connect/Disconnect

Patient Warming/Cooling devices

Thrombolytic Therapy/Antiplatelet Therapy (i.e. strept/TPA/RPA,

llb/llla platelet inhibitors
• Preparation and administration

Fraser Health Critical Care Skills Checklist – revised Dec 2013 7

 Never Review/ Can Perform Can Teach
GENERIC CRITICAL CARE NURSING SKILLS Performed Assistance Independently Others
Required
Please indicate your experience with the following by ticking the appropriate column – describe experience as applicable
• Patient monitoring considerations

Transport of Critically Ill Patient

• Patient preparation

• Equipment

• Patient monitoring considerations

• EHS/Staff (Critical Care-RN, Reg Resp.Tech., MD) attending during

transport
Scope of practice during transport:

"I hereby certify that the information given in this skills checklist is complete and true. I understand and
agree that any omission or misrepresentation with respect to the information given may be cause for
denial of employment, or if I am employed by Fraser Health, may cause for immediate termination of
employment”

Date: _________________________ Print Name or Sign: _______________________________

Fraser Health Critical Care Skills Checklist – revised Dec 2013 8