ICU RN Skills Checklist - CrossMed Healthcare

Skills Checklist

ICU RN Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1

= No theory and/or experience
2

= Limited Experience
3

= Experienced/minimal support needed to perform
4

= Proficient

Age of Patients Cared For
Newborn/Neonate (birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 years to 5 years)*
- 1
- 2
- 3
- 4
School Age Child (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 years to 39 years)*
- 1
- 2
- 3
- 4
Middle Adults (39 years to 64 years)*
- 1
- 2
- 3
- 4
Older Adults (64 years to 79 years)*
- 1
- 2
- 3
- 4
Elderly Adults (over 79+ years)*
- 1
- 2
- 3
- 4
General Skills
Draw Blood Cultures*
- 1
- 2
- 3
- 4
Perform Blood Draws*
- 1
- 2
- 3
- 4
Discontinue ART Line*
- 1
- 2
- 3
- 4
Discontinue PICC Line*
- 1
- 2
- 3
- 4
Initiate IV Access*
- 1
- 2
- 3
- 4
Adult Respiratory/Cardiac Arrest*
- 1
- 2
- 3
- 4
Standard Precautions*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
Pediatric Respiratory/Cardiac Arrest*
- 1
- 2
- 3
- 4
Defibrillators*
- 1
- 2
- 3
- 4
Care of Patients in Restraints*
- 1
- 2
- 3
- 4
Pain Management*
- 1
- 2
- 3
- 4
Automated Med Dispensing Systems*
- 1
- 2
- 3
- 4
List Types:
Care Planning*
- 1
- 2
- 3
- 4
Discharge Planning*
- 1
- 2
- 3
- 4
Patient/Family Education*
- 1
- 2
- 3
- 4
Patient Head to Toe Assessment*
- 1
- 2
- 3
- 4
Dressing Changes*
- 1
- 2
- 3
- 4
Knowledge of Normal Serum Lab Values*
- 1
- 2
- 3
- 4
Obtaining Cultures (Blood, Sputum, Swab)*
- 1
- 2
- 3
- 4
Administration of Blood and Blood Products*
- 1
- 2
- 3
- 4
PCA Pumps*
- 1
- 2
- 3
- 4
Infusion Pump
Calculate mcg/min and mcg/kg/min*
- 1
- 2
- 3
- 4
Titrating Medications*
- 1
- 2
- 3
- 4
Neuro General Skills
Cranial Nerve Assessment*
- 1
- 2
- 3
- 4
ICP Monitoring*
- 1
- 2
- 3
- 4
Assessment of Neuro Signs*
- 1
- 2
- 3
- 4
Glascow Coma Scale*
- 1
- 2
- 3
- 4
Stroke Scale*
- 1
- 2
- 3
- 4
Assist with Lumbar Puncture*
- 1
- 2
- 3
- 4
Crutchfield Tongs*
- 1
- 2
- 3
- 4
Halo Traction*
- 1
- 2
- 3
- 4
Stryker Frame*
- 1
- 2
- 3
- 4
Seizure Precautions*
- 1
- 2
- 3
- 4
Neuro – Care of Patient with:
Meningitis*
- 1
- 2
- 3
- 4
Coma*
- 1
- 2
- 3
- 4
CVA/TIA*
- 1
- 2
- 3
- 4
Seizure Activity*
- 1
- 2
- 3
- 4
Overdose*
- 1
- 2
- 3
- 4
Neuro Injury/Trauma*
- 1
- 2
- 3
- 4
Pre/Post Neuro Surgery*
- 1
- 2
- 3
- 4
Cranial Hemorrhage*
- 1
- 2
- 3
- 4
Knowledge of anti-seizure meds*
- 1
- 2
- 3
- 4
Knowledge and use of sedatives*
- 1
- 2
- 3
- 4
Knowledge and use of Analgesics*
- 1
- 2
- 3
- 4
Cardiac General Skills
Interpretation of 12 lead EKG*
- 1
- 2
- 3
- 4
Interpretation of Arrhythmias*
- 1
- 2
- 3
- 4
Defibrillation/Cardioversion*
- 1
- 2
- 3
- 4
Permanent Pacemaker*
- 1
- 2
- 3
- 4
Temporary Pacemaker*
- 1
- 2
- 3
- 4
AICD*
- 1
- 2
- 3
- 4
Art-Line (Transducer Set-Up)*
- 1
- 2
- 3
- 4
Swan-Ganz (Transducer Set-Up)*
- 1
- 2
- 3
- 4
Balloon Pump (IABP)*
- 1
- 2
- 3
- 4
SVO2 Monitoring*
- 1
- 2
- 3
- 4
Sheath Removal*
- 1
- 2
- 3
- 4
Interpretation of Cardiac Enzymes*
- 1
- 2
- 3
- 4
Cardiac – Care of Patient with:
Aneurysm*
- 1
- 2
- 3
- 4
Acute MI/Unstable Angina*
- 1
- 2
- 3
- 4
CHF*
- 1
- 2
- 3
- 4
Cardiogenic/Hypovolemic Shock*
- 1
- 2
- 3
- 4
Pre/Post Cardiac Surgery*
- 1
- 2
- 3
- 4
Percutaneous Transluminal Coronary Angioplasty*
- 1
- 2
- 3
- 4
Heart Transplant*
- 1
- 2
- 3
- 4
Knowledge and Use Of:
Atropine*
- 1
- 2
- 3
- 4
Bretylol*
- 1
- 2
- 3
- 4
Bumex*
- 1
- 2
- 3
- 4
Digoxin*
- 1
- 2
- 3
- 4
Dopamine*
- 1
- 2
- 3
- 4
Dobutrex*
- 1
- 2
- 3
- 4
Heparin Drip (Precautions and Maintenance)*
- 1
- 2
- 3
- 4
Inderal*
- 1
- 2
- 3
- 4
Isuprel*
- 1
- 2
- 3
- 4
Nipride*
- 1
- 2
- 3
- 4
Nitroglycerin*
- 1
- 2
- 3
- 4
Pronestyl*
- 1
- 2
- 3
- 4
Titrate Morphine*
- 1
- 2
- 3
- 4
Thrombolytic Agents*
- 1
- 2
- 3
- 4
Magnesium Sulfate*
- 1
- 2
- 3
- 4
Versed*
- 1
- 2
- 3
- 4
Inocor*
- 1
- 2
- 3
- 4
Respiratory General Skills
Establishing an Airway*
- 1
- 2
- 3
- 4
Oxygen Delivery Systems*
- 1
- 2
- 3
- 4
Chest Tubes*
- 1
- 2
- 3
- 4
Pulse Oximetry*
- 1
- 2
- 3
- 4
Interpretation of ABG*
- 1
- 2
- 3
- 4
User of Intermittent Positive Pressure Breathing*
- 1
- 2
- 3
- 4
Use of Pressure Support*
- 1
- 2
- 3
- 4
Suctioning*
- 1
- 2
- 3
- 4
Ventilators*
- 1
- 2
- 3
- 4
Drawing ABG Blood Sample from Art-Line*
- 1
- 2
- 3
- 4
Respiratory – Care of Patient with:
COPD*
- 1
- 2
- 3
- 4
ARDS*
- 1
- 2
- 3
- 4
Pre/Post Thoracic Surgery*
- 1
- 2
- 3
- 4
Pulmonary Embolism*
- 1
- 2
- 3
- 4
Pulmonary Edema*
- 1
- 2
- 3
- 4
Pneumonia*
- 1
- 2
- 3
- 4
Inhalation Injuries*
- 1
- 2
- 3
- 4
Lung Transplant*
- 1
- 2
- 3
- 4
Knowledge and Use of
Bronchodilators*
- 1
- 2
- 3
- 4
Corticosteroids*
- 1
- 2
- 3
- 4
Gastrointestinal General Skills and Patient Care of:
NG Tube Insertion*
- 1
- 2
- 3
- 4
Gastrostomy Tube*
- 1
- 2
- 3
- 4
Jejunostomy Tube*
- 1
- 2
- 3
- 4
Enterostomal Care*
- 1
- 2
- 3
- 4
PEG Tube Pancreatitis*
- 1
- 2
- 3
- 4
GI Bleed*
- 1
- 2
- 3
- 4
Esophageal Bleeding*
- 1
- 2
- 3
- 4
Bowel Obstruction*
- 1
- 2
- 3
- 4
Whipple Procedures*
- 1
- 2
- 3
- 4
Liver Transplant*
- 1
- 2
- 3
- 4
Hepatitis*
- 1
- 2
- 3
- 4
Paralytic Ileus*
- 1
- 2
- 3
- 4
Endoscopic Retrograde Cholangio-Pancreatography*
- 1
- 2
- 3
- 4
Knowledge and Use of:
Antiemetics*
- 1
- 2
- 3
- 4
Proton Pump Inhibitors*
- 1
- 2
- 3
- 4
TPN/Hyperalimentation*
- 1
- 2
- 3
- 4
Genitourinary/Renal General Skills
Foley/Straight Catheter Insertion*
- 1
- 2
- 3
- 4
GU Irrigations (Continuous and Intermittent)*
- 1
- 2
- 3
- 4
Nephrostomy Tube*
- 1
- 2
- 3
- 4
Suprapubic Tube*
- 1
- 2
- 3
- 4
Electrolyte Imbalance/Replacement*
- 1
- 2
- 3
- 4
Genitourinary/Renal Care of Patient with:
TURP*
- 1
- 2
- 3
- 4
Shunts and Fistulas*
- 1
- 2
- 3
- 4
Nephrectomy*
- 1
- 2
- 3
- 4
Renal Transplant*
- 1
- 2
- 3
- 4
Renal Failure*
- 1
- 2
- 3
- 4
Peritoneal Dialysis*
- 1
- 2
- 3
- 4
Hemodialysis*
- 1
- 2
- 3
- 4
Continuous Renal Replacement Therapy*
- 1
- 2
- 3
- 4
Renal Trauma*
- 1
- 2
- 3
- 4
Endocrine General Skill and Patient Care with:
Diabetic Teaching*
- 1
- 2
- 3
- 4
Hyper/Hypoglycemia*
- 1
- 2
- 3
- 4
Diabetic Ketoacidosis*
- 1
- 2
- 3
- 4
Vascular General Skills
Peripheral Pulses*
- 1
- 2
- 3
- 4
Dopplers*
- 1
- 2
- 3
- 4
Peripheral IV Insertion, Care and Maintenance*
- 1
- 2
- 3
- 4
Care and Maintenance of Central Lines*
- 1
- 2
- 3
- 4
Assisting with Insertion of Central Lines*
- 1
- 2
- 3
- 4
Assist with IV Cutdown*
- 1
- 2
- 3
- 4
Other:
Care of Patient with Trauma Wounds*
- 1
- 2
- 3
- 4
Care of Oncology Patient*
- 1
- 2
- 3
- 4
Chemotherapy Administration*
- 1
- 2
- 3
- 4
Care of Patient with Burns*
- 1
- 2
- 3
- 4
Care of Patient with HIV/AIDS*
- 1
- 2
- 3
- 4
Hyperbaric Oxygenation*
- 1
- 2
- 3
- 4
Suicide Precautions*
- 1
- 2
- 3
- 4
Post Mortem Cares*
- 1
- 2
- 3
- 4
Please list the EMR systems you have used*
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Your Recruiter*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY
Untitled

Skills Checklist

Age of Patients Cared For

General Skills

Infusion Pump

Neuro General Skills

Neuro – Care of Patient with:

Cardiac General Skills

Cardiac – Care of Patient with:

Knowledge and Use Of:

Respiratory General Skills

Respiratory – Care of Patient with:

Knowledge and Use of

Gastrointestinal General Skills and Patient Care of:

Knowledge and Use of:

Genitourinary/Renal General Skills

Genitourinary/Renal Care of Patient with:

Endocrine General Skill and Patient Care with:

Vascular General Skills

Other: