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Intensive Care RN

This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

  • 0 = Not Applicable
  • 1 = No Experience
  • 2 = Some Experience
  • 3 = Intermittent Experience
  • 4 = Experienced
  • 5 = Very Experienced
*Required
n/a
1
2
3
4
5

* Required

Age of Patients Cared For

Newborn/Neonate (birth to 30 days)*

Infant (1 month to 1 year)*

Toddler (1 year to 3 years)*

Preschooler (3 years to 5 years)*

School Age Child (5 years to 12 years)*

Adolescents (12 years to 18 years)*

Young Adults (18 years to 39 years)*

Middle Adults (39 years to 64 years)*

Older Adults (64 years to 79 years)*

Elderly Adults (over 79+ years)*

General Skills

Draw Blood Cultures*

Perform Blood Draw*

Discontinue ART Line*

Discontinue PICC Line*

Initiate IV Access*

Adult Respiratory/ Cardiac Arrest*

Standard Precautions*

Isolation Precautions*

Pediatric Respiratory/Cardiac Arrest*

Defibrillators*

Care of Patients in Restraints*

Pain Management*

Automated Med Dispensing Systems*

Care Planning*

Discharge Planning*

Patient/Family Education*

Electronic Documentation*

Patient Head to Toe Assessment*

Dressing Changes*

Knowledge of Normal Serum Lab Values*

Obtaining Cultures (Blood, Sputum, Swab)*

Administration of Blood & Blood Products*

PCA Pumps*

Infusion Pump:

Calculate mcg/min and mcg/kg/min*

Titrating Medications*

Neuro General Skills

Cranial Nerve Assessment*

ICP Monitoring*

Assessment of Neuro Signs*

Glasgow Coma Scale*

NIH Stroke Scale*

Assessment of Reflex and Motor Deficits*

Assessment of Visual/Communication Deficits*

Seizure Precautions*

Assist with Lumbar Puncture*

Crutchfield Tongs*

Halo Traction*

Stryker Frame*

Hypo/Hyperthermia Blanket*

Neuro - Care of Patients With

Meningitis*

Encephalitis*

Hydrocephalus*

Multiple Sclerosis*

Neuromuscular Disease*

Coma*

CVA/TIA*

Hemorrhagic Stroke*

Ischemic Stroke*

Metastatic Tumor*

Seizure Activity*

Overdose*

Neuro Injury/Trauma*

Spinal Cord Injury*

Burr Holes*

Ventriculostomy*

VP Shunt*

Pre/Post Neuro Surgery*

Cranial Hemorrhage*

Neuro - Knowledge and Use Of

Anti-seizure Meds*

Sedatives*

Analgesics*

Cardiac General Skills

Interpretation of 12 lead EKG*

Interpretation of Arrhythmias*

Assessing Heart Sounds/Murmurs*

Defibrillation/Cardioversion*

Permanent Pacemaker*

Temporary Pacemaker*

External Pacemaker*

Transthoracic (Epicardial) Pacemaker*

AICD*

Interpretation of Hemodynamic Monitoring*

Central Venous Pressure Monitoring (CVP)*

Continuous Cardiac Output Monitoring (CCO)*

Intermittent Thermodilution Cardiac Output*

Cardiac Index*

Art-Line (Transducer set-up, D/C)*

PA/Swan-Ganz (Transducer set-up, D/C)*

EKOS (EkoSonic Endovascular System)*

Transcatheter Aortic Valve Implantation/Replacement (TAVI/TAVR)*

Ventricular Assist Devices (LVAD/RVAD/Impella)*

Intra-Aortic Balloon Pump*

SVO2 Monitoring*

Sheath Removal*

Interpretation of Cardiac Enzymes*

Cardiac - Care of Patients With

Aneurysm*

Acute MI/Unstable Angina*

Post MI*

Pericarditis*

CHF*

Cardiogenic/Hypovolemic Shock*

Pre-Cardiac Surgery*

Post-Cardiac Surgery*

Valve Replacement*

Pre-Cardiac Cath*

Post-Cardiac Cath*

Percutaneous Transluminal Coronary Angioplasty*

Heart Transplant*

Acute Coronary Syndrome*

Cardiac Tamponade*

Cardiomyopathy*

Carotid Endarterectomy*

ECMO*

EVAR (Endovascular Aneurysm Repair)*

Femoral Popliteal Bypass*

Multi-System Organ Failure*

Cardiac - Knowledge and Use Of

Atropine*

Bretylol*

Bumex*

Digoxin*

Dopamine*

Dobutrex*

Heparin Drip (Precautions & Maintenance):*

Inderal*

Inocor*

Isuprel*

Lidocaine*

Nipride*

Nitroglycerin*

Pronestyl*

Titrate Morphine*

Thrombolytic Agents*

Magnesium Sulfate*

Versed*

Prep/Titration of Emergency Drugs*

Respiratory General Skills

Establishing an Airway*

Oxygen Delivery Systems*

Chest Tubes (Emerson/Pleuravac)*

Pulse Oximetry*

Assessing Breath Sounds*

Assessing Rate and Work of Breathing*

End Tidal CO2*

Interpretation of ABG*

Drawing ABG Blood Sample from Art- Line*

Use of Intermittent Positive Pressure Breathing*

Use of Pressure Support*

Suctioning*

Ventilators*

Respiratory - Care of Patients With

COPD*

ARDS*

Pre/Post Thoracic Surgery*

Chest Trauma*

Pulmonary Embolism*

Pulmonary Edema*

Tension Pneumothorax*

Pneumonia*

Inhalation Injuries*

Lung Transplant*

Proning*

Tracheostomy*

Cricoidectomy*

Extubation*

Intubation*

Tuberculosis*

Anaphylactic Shock*

Sickle Cell Anemia*

Respiratory - Knowledge and Use Of

Bronchodilators*

Corticosteroids*

Nitric Oxide*

Gastrointestinal General Skills

NG Tube Insertion*

Gastrostomy Tube*

Jejunostomy Tube*

Enterostomal Care*

Gastrointestinal - Care of Patients With

PEG Tube*

Colostomy*

Pancreatitis*

Pancreatic Cancer*

GI Bleed*

Blunt Trauma*

Esophageal Bleeding*

Bowel Obstruction*

Whipple Procedure*

Liver Transplant*

Liver Cancer*

Liver Failure*

Abdominal Wounds/ Post-Surgery*

Hepatitis*

Paralytic Ileus*

Cholecystitis*

Endoscopic Retrograde Cholangio-Pancreatography*

Gastrointestinal - Knowledge and Use Of

Antiemetics*

Proton Pump Inhibitors*

TPN/Hyperalimentation*

Genitourinary/Renal General Skills

Foley/Straight Catheter Insertion*

GU Irrigations (Continuous and Intermittent)*

Nephrostomy Tube*

Suprapubic Tube*

Electrolyte Imbalance/Replacement*

Genitourinary/Renal - Care of Patients With

T.U.R.P.*

Shunts & Fistulas*

Nephrectomy*

Renal Transplant*

Renal Failure*

End Stage Renal Disease*

Suprapubic Cath*

Urinary Tract Infection*

Peritoneal Dialysis*

CAVH Dialysis*

Hemodialysis*

Continuous Renal Replacement Therapy*

Renal Trauma*

Endocrine General Skills

Diabetic Teaching*

Endocrine - Care of Patients With

Hyper/Hypoglycemia*

Diabetic Ketoacidosis*

Diabetes Insipidus*

Adrenal Gland Disorders*

Pituitary Gland Disorders*

Thyroid Gland Disorders*

Endocrine - Knowledge and Use Of

Insulin (IV, SQ)*

D50*

Vascular General Skills

Peripheral Pulses*

Dopplers*

Peripheral IV Insertion, Care and Maintenance*

Assisting with Insertion of Central Lines*

Care and Maintenance of Central Lines*

Assist with IV Cutdown*

Musculoskeletal

Care of Patient with Multiple Traumas*

Circulation Checks*

Rhabdomyolysis*

Amputation*

External Fixation*

Skeletal/Skin Traction*

Assessing for Skin Breakdown*

Care of Patient Skin Ulcers*

Fasciotomy*

Paraplegia*

Quadriplegia*

Other

Care of Sepsis Patient*

Care of Oncology Patient*

Chemotherapy Administration*

Disseminated Intravascular Coagulation*

Care of Patient with Burns*

Care of Patient with HIV/AIDS*

Hyperbaric Oxygenation*

Suicide Precautions*

Post Mortem Cares*

Application Agreement

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.

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