Surgical Intensive Care Unit (SICU)
Name
Email
LAST 4 OF SSN
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
Comprehensive head-to-toe assessment
Hemodynamic monitoring and interpretation
Continuous cardiac monitoring and rhythm interpretation
Recognition and management of patient deterioration
Neurological assessment and GCS monitoring
Vital signs monitoring and documentation
Intake and output monitoring
Pain and sedation assessment
Immediate postoperative recovery and monitoring
Care following major abdominal surgery
Care following thoracic surgery
Care following vascular surgery
Postoperative bleeding and hemorrhage management
Surgical wound and dressing care
Drain management (JP, Hemovac, etc.)
Ostomy care
Recognition of postoperative complications
Mechanical ventilator management
Ventilator settings and alarm monitoring
Endotracheal tube and tracheostomy care
Open and closed suctioning
Arterial blood gas (ABG) interpretation
Oxygen therapy and respiratory assessment
Ventilator-associated pneumonia prevention
Extubation readiness and post-extubation monitoring
Arterial line monitoring and care
Central venous catheter (CVC) care
Vasopressor and inotropic medication administration
Recognition and management of shock
Sepsis screening and monitoring
Blood product administration
ECG interpretation
Temporary pacing wire monitoring, if applicable
Peripheral IV insertion and management
Central line dressing changes and infection prevention
PICC line care
Chest tube management
Foley catheter insertion and care
Nasogastric/orogastric tube management
Enteral feeding administration
Surgical drain monitoring
Renal function and electrolyte monitoring
Continuous renal replacement therapy (CRRT), if applicable
Insulin infusion and glucose monitoring
Sedation and analgesia infusion management
Delirium assessment and prevention
Seizure precautions and monitoring
Nutrition support
Pressure injury prevention and wound management
BLS certification
ACLS certification
Code Blue response
Rapid Response Team activation
Emergency medication administration
Infection prevention and isolation precautions
Medication safety
Patient safety, handoff, and documentation
Electronic medical record (EMR) documentation
Accurate shift handoff using SBAR
Multidisciplinary team collaboration
Patient and family education
Discharge and transfer coordination
Documentation of interventions and patient response
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.
