TRAVELER SKILLS CHECKLIST. Critical Care. 0 = No Knowledge / 1 = Limited Knowledge / 2 = Proficient
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1 Medication Administration PO Sub q Rectal Topical Drops (i.e. eye, nose, ear) IM IV Push IV Drip Calculation of dosages Emergency drug actions and reactions IV Therapy Start peripheral IV - angio cath Start peripheral IV - butterfly Assist with cutdown Mixing IV's Rate calculation Central Lines PICC lines Broviac Groshong Hickman Portacath Quinton IMED pumps IVAC pumps Syringe pumps Drawing blood from central line Drawing venous blood TPN Lipids PPN (peripheral parental nutrition) Administration of blood and products Cryoprecipitate Packed red blood cells Plasma/Albumin Whole blood Page 1 of 11
2 Cardiovascular 12 lead EKG interpretation 12 lead EKG setup and complete Assessment Auscultation (rate, rhythm, volume) Heart sounds/murmurs Interpretation of cardiac enzymes/isoenzymes Interpretation of coagulation studies Pulses/circulation checks Arrhythmia interpretation Lead placement 5 electrode Lead placement: I, III, V-leads Lead placement: Lead II and MCL 1 Cardioversion - assist Cardioversion - perform Defibrillation - assist Defibrillation - perform Doppler Cardiovascular - Care of Patient Abdominal aortic aneurysm repair Acute MI Cardiac arrest Cardiac tamponade Cardiomyopathy Congestive Heart Failure EP study and ablation Fluid overload Heart transplant Immediate post open heart surgery Infective endocarditis Myocardial contusion Pericarditis Post AICD insertion Post arthrectomy (DCA) Post commissurotomy, valve repair and replacement Post percutaneous balloon valvuloplasty Post rotoblade Post stent placement Pre/post angioplasty Page 2 of 11
3 Pre/post cardiac cath Cardiovascular - Assist/set up Equipment and Procedures Arterial line Central line PA catheter/swan Ganz insertion Open chest emergency Pericardiocentesis Transesophageal echocardiogram Ventricular assist device (RVAD or LVAD) Cardiovascular - Cardiac equipment Intra aortic-balloon pump Automatic internal cardioverter defibrillator CAVH-D Cardiovascular - Pacemaker External Permanent Temporary Transthoracic (epicardial) Cardiovascular - Hemodynamic monitoring Cardiac index Cardiac output CVP readings Femoral sheath removal MAP PA/Swan-Ganz PCW pressure PVR Radial a-line SVO2 SVR Cardiovascular - Medications Amiodarone (Cordarone) Page 3 of 11
4 Atropine Bretylium (Bretylol) Digoxin (Lanoxin) Diltiazem (Cardizem) Dobutamine (Dobutrex) Dopamine (Intropin) Epinephrine (Adrenalin) Esmolol (Brevibloc) Heparin sc, IV drip Inocor (Amrinone) Lidocaine (Xylocaine) Metoprolol (Lopressor) Nipride (Nitroprusside) Nitroglycerin (Tridil) Procainamide (Pronestyl) Reteplase recombinant (Retavase) Streptokinase TPA Verapamil (Calan, Isoptin, Verelan) Respiratory Chest exam and auscultation Inspiratory/expiratory evaluation Pleurevac or Thoraclex drainage system Water seal drainage system Respiratory - Care of Patient Airway - establish ARDS Aspiration Assist with extubation Assist with intubation Bronchoscopy Chest trauma Chest tubes - insertion/setup Chest tubes - measuring output Chest tubes - removal Mediastinal Chest tubes - removal Plueral Collection of sputum specimen COPD Cor pulmonale Page 4 of 11
5 Emergency tracheostomy Fresh tracheostomy Laryngospasm Lobectomy Lung transplant Near drowning Pneumonectomy Pneumonia Pulmonary edema/hypertension Pulmonary embolism Status asthmaticus Tension Pneumothorax Thoracentesis Thoracotomy Tuberculosis Respiratory - Suctioning Suction - endotracheal Suction-nasopharyngeal Suction-oropharyngeal Suction-tracheostomy Respiratory - Ventilator care External CPAP High frequency jet ventilation IMV PEEP Pressure support Weaning modes Respiratory - Oxygen Therapy Ambu bag and mask ET Tube Face mask Nasal cannula Oximetry Portable oxygen tanks T-piece Trach collar Page 5 of 11
6 Respiratory - Blood Gases Obtaining from Aline Obtaining from femoral artery Obtaining from radial artery Interpretation of gases Respiratory - Blood Chemistry Interpretation of results Respiratory - Medications Alupent (Metaproterenol sulfate) Aminophylline (Theophylline) Bronkosol (Isoetharine hydrochloride) Corticosteriods Ventolin (Albuterol) Neurological Assessment Neurological status Cerebellar function Cranial nerves Glasgow coma scale Level of consciousness Pathological reflexes Reflex/motor deficits Visual or communications deficits Neurological Assessment - Equipment and Procedures Assist with Lumbar puncture Halo traction/cervical tongs Intracranial pressure monitoring Nerve stimulator Rotation bed Seizure precautions Spinal precautions Stryker frame Use of hyper/hypothermia blanket Page 6 of 11
7 Neurological Assessment - Care of Patient Aneurysm Basal skull fracture Closed head injury Coma CVA/TIA DT's Encephalitis Enternalized VP shunts Increased ICP Laminectomy Meningitis Metastatic tumor/intracranial tumor resection Multiple sclerosis Post craniotomy Spinal cord injury Ventriculostomy Neurological Assessment - Medications Barbiturate induced coma Decadron (Dexamethasone) Dilantin (Phenytoin) Epidural administration Phenobarbital Valium (Diazepam) Gastrointestinal Assessment-abdominal/bowel sounds Nutritional status Gastrointestinal - Interpretation of blood chemistry Serum ammonia Serum amylase LFTs Gastrointestinal - Equipment and Procedures Page 7 of 11
8 Insertion of nasogastric tube Administration of tube feeding -gravity Administration of tube feeding - pump Flexible feeding tube (i.e. Dobhoff) Balloon tamponade (Blakemore) Salem sump to suction Saline lavage Gastrointestinal - Management of: Gastrostomy tube Jejunostomy tube T-tube Gastrointestinal - Care of Patient Bowel obstruction Blunt trauma Colostomy ERCP Esophageal bleeding GI surgery GI bleeding Hepatitis Ileostomy Inflammatory bowel disease Liver failure Liver transplant Pancreatitis Paralytic ileus Penetrating trauma Gastrointestinal - Medications AquaMephyton (Vitamin K) Inderal (Propranolol) Kayexelate Lactulose (Cephulac) Pitressin (Vasopressin) Renal/Genitourinary Page 8 of 11
9 Assessment of fluid and electrolyte balance Assessment of A-V fistula/shunt Interpretation of serum electrolytes Interpretation of BUN and creatinine Renal/Genitourinary - Equipment and Procedures Bladder irrigation - continous Bladder irrigation - intermittent Insertion and care of 3 way foley Insertion and care of foley catheter - female Insertion and care of foley catheter - male Supra-pubic catheter Renal/Genitourinary - Care of Patient CAVH dialysis Hemodialysis Nephrectomy Peritoneal dialysis Renal failure Renal rejection syndrome Renal transplant TURP Urinary diversion (ileal conduit nephrostomy) Metabolic/Endocrine Insulin administration - IV drip Insulin pump Metabolic/Endocrine - Blood glucose monitoring Interpretation of lab results - glucose Interpretation of lab results - thyroid levels Performing finger stick Visual blood glucose strips Metabolic/Endocrine - Care of Patient Addison's disease Cushing's syndrome Page 9 of 11
10 Diabetes insipidus Diabetes mellitus Diabetic ketoacidosis Drug overdose Hyperthyoidism (Grave's disease) Hypothyroidism Insulin shock Thyroidectomy Thyroid gland disorders Wound and Skin Management Assessment - skin for impending breakdown Assessment - stasis ulcers Assessment - surgical wound healing Wound and Skin Management - Equipment and Procedures Air fluidized, low airloss beds Sterile dressing changes Wound care/irrigations Wound and Skin Management - Care of Patient Burns Pressure sores Staged decubitus ulcers Surgical wounds with drain(s) Traumatic wounds Pain Management Assessment of pain level IV conscious sedation Patient controlled analgesia (PCA) Miscellaneous- Care of the patient: Anaphylactic shock Disseminated intravascular coagulation (DIC) Hypovolemic shock Multi-system organ failure Page 10 of 11
11 Organ/tissue donation Patient in restraints Septic shock Able to assure a safe environment for the specific needs of various age groups A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Able to communicate and/or instruct patients according to their age, maturity, comprehension A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Evaluate age-appropriate behavior, motor skills and physiological norms A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Page 11 of 11
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