Skill Checklists
Cardiovascular Intensive Care Unit (CVICU)
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
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
Adolescent (12-18 years)
Infant (Birth to 1 year)
Mature Adult (30-60 years)
Pre-school (3-6 years)
School Age (6-12 years)
Toddler (1-3 years)
Years’ Experience in Clinical Specialty
Young Adult ( 18-30 years)
12-lead EKG interpretation
Abnormal heart tones (i.e.: murmur, gallop, friction rub)
Blood Pressure (non-invasive)
EKG Changes for MI
Identification of PMI (Point Maximal Intensity)
Incisional wound assessment
Pulses/Circulation via Doppler
Pulses/Circulation via palpation
Rhythm interpretation
S/S DVT
Arterial line insertion
Cardioversion
CAVH-D
Central Line insertion
Chest Tube Removal
Emergency Intubation
Emergency Open Chest
Emergency Tracheostomy
PA/Swan-Ganz insertion
Pericardiocentesis
Set-Up for Cardioversion
Thoracentesis
Transesophageal Echocardiogram
Assess adequate perfusion of affected extremity with invasive line
Hemodynamic Monitoring
Management of Arterial Line
Management of CVP Line
Management of multiple invasive lines
Management of PA/Swan-Ganz
Zero and calibration of transducers
Arterial waveform
CVP waveform
PA/Swan-Ganz waveform
PCWP waveform
SVO2 Data
Determination of appropriate timing
Perfusion assessment of affected extremity
Recognize IABP complications
Waveform interpretation
Management of epicardial wires
Manipulation of TPM settings
Recognition of failure to sense, capture
Troubleshoot TPM settings
Blood and blood products
Identify blood transfusion reactions
IV conscious sedation
PPM
Transcutaneous
Transvenous
MAP
PVR
SVR
Incisional Wound Care as applicable
Obtain Cardiac Output
Obtain CVP Measurement
Obtain lab specimens from A-line
Obtain lab specimens from Central Line
PCWP Measurement
Perform 12-lead EKG
Proper Cardiac Monitor lead placement
Removal of femoral sheath
Removal of radial arterial line
Venipuncture
AAA Repair
Cardiac Arrest
Cardiac Tamponade
Carotid Endarterectomy
CHF
Fem-Fem Bypass
Fem-Pop Bypass
Fresh Post-op AVR
Fresh Post-op CABG
Fresh Post-op MVR
Heart Transplant
LVAD(Left Ventricular Assist Device)
MI
Myocardial contusion
Pericardial Effusion
Pericardial Window
Pericarditis
Post AICD Insertion
Post cardiac surgery complications
RVAD(Right Ventricular Assist Device)
Alupent (Metaproterenol)
Amicar
Aminophylline (Theophylline)
Amiodarone (Cordarone)
Apresoline
Atropine
Bretylium (Bretylol)
Copy of Vasopressin4
Digoxin (Lanoxin)
Diltiazem (Cardizem)
Dobutamine (Dobutrex)
Dopamine (Intropin)
Electrolyte Replacement Therapy
Epinephrine (Adrenalin)
Esmolol (Brevibloc)
Heparin Drip
Inocor (Amrinone)
Levophed
Metoprolol (Lopressor)
Neosynephrine
Nipride (Nitroprusside)
Nitroglycerin (Tridil)
Procainamide (Pronestyl)
Propofol (Diprivan)
Sodium Bicarbonate
Succinylcholine
Vasopressin4
Vecuronium
Verapamil (Calan, Isoptin, Verelan)
Assess for therapeutic response
Titrate vasopressors to effect/parameters
Blood glucose monitoring
Use of Insulin Pen
Use of Lancet
Fingerstick blood glucose
Implementation of Sliding Scale
Addison’s Disease
Diabetes Insipidus
Diabetes mellitus
Diabetic ketoacidosis
Hyperthyroidism
Hypothyroidism
Insulin Shock
Bowel Sounds
Proper N/G Tube placement
Continuous Suction
Insertion of N/G Tube
LIS (low intermittent suction)
Removal of N/G Tube
ABG's
Blood glucose
BUN/Creatinine
Cardiac Enzymes
CBC
Coagulation Studies
Electrolytes
Thyroid Panel
Cardiogenic Shock
Disseminated intravascular coagulation (DIC)
Hypovolemic Shock
Implementation of Core Measures
Organ/tissue donation
Septic Shock
Cranial Nerves
Glasgow Coma Scale
Pathologic Reflexes
Reflex/Motor Deficits
Visual/Communication Deficits
CVA
Encephalopathy
TIA
Adhere to legal procedures regarding notification of organ donation provider
Demonstrate effective coping skills in caring for the critical care patient
Demonstrate Spiritual and Cultural Considerations for the Critical Care patient
Provide care for end-of-life decisions that families face in ICU such as withdrawal of life support
Provide for the integration of comfort care and death with dignity
Importance of increasing mobility post-cardiac surgery when applicable
Splinting technique post cardiac surgery
Turn, cough, and deep breathing technique
Use of incentive spirometer
Application of BiPAP
Application of CPAP
Application of Pulse Oximetry
Assess and confirm proper vent settings
Assist with post-extubation care
Auscultate for confirmation of ET Tube placement
Auscultation of breath sounds
Identify adventitious lung sounds
Implement Ventilator Acquired Pneumonia protocols
Interpretation of Pulse Oximetry Values
Maintenance of pulmonary stability post-extubation
Manage patient on mechanical ventilation
Identify and troubleshoot clotted chest tube
Identify and troubleshoot patient bleeding
Identify presence of air leak
Monitor & record output
Perform Chest Tube Set-up
Assist with extubation of patient
Collection of Sputum Specimen via ET w/specimen trap
Collection of Sputum via NT Suction
Perform ET Tube suctioning
Perform NT(Nasotracheal) suctioning
Perform suctioning of Tracheostomy
CAVH dialysis
CRRT
Hemodialysis 4
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.
