Skill Checklists
Perfusionist
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
Acute Care/Hospital
Ambulatory Care/Clinic
Ambulatory Surgery Center
Surgical Hospital
Surgery Clinic
Meditech
Allscripts
Athenahealth
eClinicalWorks
EPIC
CERNER
Soarian
Neutropenic Precautions
Droplet Precautions
N95 Masks
Case Setup
COVID-19 Client/Precautions
Interpretation of Diagnostics and Lab Studies
Interpretation of Hemodynamic Monitoring
Client Prep
Patient/Family Teaching
Place Client on Monitor
Procedure Set-Up
Radiation/Environmental Safety
Resuscitation Techniques and Therapy
Sterile and Aseptic Technique
Time-Out Procedure
Tissue/Organ Donation
Monitor Vital Signs
Volume Management
Intra-surgical Team Communication
Crash Cart
Defibrillator
Medication Safety Practices
Albumin
Emergency Release Blood
FFP/Cryoprecipitate
Platelets
PRBC
Whole Blood
BiPAP
CPAP
Portable Oxygen
Monitoring Lab Values
Atrial Arrythmias
Bradycardia
Cyanotic
Document Rhythms and Post Strips
Heart Blocks
Life Threatening Arrythmias
Normal Sinus Rhythm
Paced Rhythm
STEMI
Tachycardia
Newborn (0 to 1)
Toddler (1 to 3)
Preschool (3 to 5)
School age (6 to 12)
Adolescent (13 to 18)
Adult (19 to 65)
Elderly (over 65)
GEM
ISTAT
Glucometer
TEG
Malignant Hyperthermia
Understands the Affects of Anesthesia Drugs
Assist with IA/IV Therapy
Infusion and PCA Pumps
Prepare Sterile Field and Equipment
Prepare/Maintain Sterile Field and Equipment
Rapid Infuser
IAPB
Acid/Base Management
Adequacy of Coronary Perfusion
After-Load
Assist the Percutaneous Insertion of the IAB in the OR
Cardioplegia
Change Circuits in a Crisis Situation
Choose Appropriate Cannula Types
Choose Appropriate Disposables and Hardware
Choose Appropriate Prime Additives
Choose Proper Anticoagulation
Clotted Filter
Clotted Oxygenator
Clotted Reservoir
Diastolic Filling
Emergency Crisis
Femoral Cannulation
Hook up Balloon Line and Transducer to the IABP
IABP Monitoring
IABP Set-up
Manage Hemodynamic Parameters While on CPB
Manage Patients' Anticoagulation
Manage Respiratory Dynamics and Interpreting Blood Gases
Massive Air Embolism
Pre-Load
Proper Timing of Intra-Aortic Balloon Pump
Retrograde Cerebral Perfusion
Set up Anticoagulation System
Set Up Transducer
Special Needs Patients
SVR
System and Zeroing the Arterial Line of the IABP
Systemic Hypothermia
Thromboelastography(TEG)
Troubleshoot Problems with Timing of the IABP
Understanding Pharmacology of Cardiac Drugs
Autotransfusion System
Calculating Estimated Blood Loss
Choose Correct Parameters for Autotransfusion System
Communicate with Surgeon/Anesthesiologist of Problems
Knowledge of Relative vs. Absolute Contamination of Recovered Blood
Process Red Cells in Manual and Automatic Modes o
Process Red Cells in Autotransfusion System Without Spillage
Set up Autotransfusion System
Understanding/Controlling Hemodilution and Effects
Using Topical Irrigations and Hemostatic Agents
Washing Processed Red Cells (using correct amount)
Cardiac
Thoracic
Transplant
Vascular
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.
