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CRITICAL CARE COMPETENCY SELF ASSESSMENT

Name
Date
Please choose your level of experience in each of the following.
 
GENERAL SKILLS
Advanced directives


End of life care


Emergency codes


Disaster protocols


Universal precautions


Infection control


Blood Glucose Monitoring (BGM)


Insulin administration


Diabetes mellitus


Isolation


Prevention of pressure ulcers


Wound care


Minimize risk for falls


Patient family teaching


Restraints


Organ donor protocols


Specialty beds


Lift/transfer devices


Consent for treatment of a minor


O2 therapy and delivery


Use of rapid response teams


Treatments of dysrythmias


Cardiac arrest/CPR


Pulse oximetry


Use of Doppler


Cobra criteria


 
IV THERAPY
Use of PCA (IV, intrathecal, epidural)


Starting & maintaining peripheral IV’s


Blood draw: venous


Blood draw:   central line


Central line care


Care & management of ports


Care & management of PICC/Groshong/Hickman


TPN & Lipids


Monitoring chemotherapy (does not initiate)


Administration of blood/blood products


Conscious sedation


 
2024 NATIONAL PATIENT SAFETY GOALS
NPSG.01.01.01
• Identify patients correctly



• Use patients name and date of birth


• Make sure correct patient gets the correct medicine and treatment


Improve staff communication
 
NPSG.02.03.01
Get important test results to the right staff person on time.



Use medicines safely
 
NPSG.03.04.01
Before a proceedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up.



NPSG.03.05.01
Take extra care with patients who take medicines to thin their blood.



NPSG.03.06.01
Record and pass along correct information about a patient’s medicines. Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient. Give the patient written information about the medicines they need to take. Tell the patient it is important to bring their up-to-date list of medicines every time they visit their doctor.



Use Alarms Safely  
NPSG.06.01.01
Make improvements to ensure that alarms on medical equipment are heard and responded to on time.



Prevent infection  
NPSG.07.01.01
Use the hand cleaning guidelines from the Centers of Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning



Identify patient safety risks  
NPSG.15.01.01
Reduce the risk for suicide.



Improve health care equity  
NPSG.16.01.01
Improving health care equity is a quality and patient safety priority. For example, health care disparities in the patient population are identified and a written plan describes ways to improve health care equity.



Prevent mistakes in surgery  
UP.01.01.01
Make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body.



UP.01.02.01
Mark the correct place on the patients body where the surgery is to be done.



UP.01.03.01
Pause before the surgery to make sure that a mistake is not being made.



 
COMPUTERIZED CHARTING
Health Connect


Meditech


Cerner


McKesson


EPIC


Camis


Affinity


Wellsoft – ER


T-System – ER


Automated medication dispensing


Bar coding for medication administration


 

CARDIOVASCULAR

Assessment

 
Heart sounds


Performing 12 lead EKG’s


Interpretation of 12 lead EKG


Hemodynamic monitoring


Interpretation of arrhythmias


Care of patient with:

 
Congestive heart failure


Cardiomyopathy


Aortic aneurysm


Acute myocardial infarction


Pre/post: cardiac catheterization


Dysrhythmias/conduction disturbances


Thoracic/Abdominal surgery


Endoluminal graft


Cardiogenic shock


Hypertensive crisis


Post open heart (CABG/valve)


Pericarditis/endocarditis


MAZE procedure


Cardiac tamponade


Cardiac contusion/trauma


Heart transplant


Cardiac valvular disease


Pacemaker-permanent, automatic internal cardioverter defibrillator (AICD)


Assist with insertion & management of:

 
Swanz Ganz catheter


Arterial line


Central venous catheter


Ventricular assist device


Intra-Aortic balloon pump


Maintenance & management of:

 
External pacemakers


Permanent pacemakers


ICD-inplantable cardioverter defibrillator


Discontinuing venous/arterial sheaths


Femostop-vassoseal


Medications:

 
Preload reduction agents


Afterload reduction agents


Diuretics


Vasodilators


Vasopressor agents


Inotropic agents


Anti-arrhythmic agents


Antihypertensives


Calcium channel blockers


Thrombolytics


Anticoagulants


Antiplalelets


   

PULMONARY

 
Assessment of breath sounds


Airway management


Acute pulmonary embolus


Assisting with intubation/extubation


Airway management care & maintenance of

 
Oral/NT airway/suctioning


Endotracheal tube/suctioning


Tracheostomy/suctioning


Obtaining ABG blood sample analysis & interpretation


Pulse oximetry


Ventilator management           


BiPAP


SIMV/IMV (Synchronized/intermittent mandatory ventilation)


External CPAP


PCV (pressure control ventilation)


PEEP (positive end expiration pressure)


Inverse ratio ventilation


High-frequency jet ventilation


Weaning modes & T-piece weaning


Care of the patient with

 
Acute pneumonia


Pulmonary edema (hypertension)


Acute respiratory failure


Adult respiratory distress syndrome (ARDS)


Chronic obstructive pulmonary disease (COPD)


Near drowning


Lung transplant           


Pre/post thoracic surgery


Chest trauma


Status asthmaticus


Pharmacology – use & administration of

 
Rapid sequence intubation drugs/protocols


Aminophylline


Nebulizer treatments


   

GASTROINTESTINAL

 
Assessment of abdominal/bowel sounds


Interpretation of lab results


Nasogastric tube insertion/feedings


Gastric Lavage


Maintenance of gastric/jejunostomy tube


Use of activated charcoal


Stoma care


Maintenance & management of eternal tube feedings


TPN & lipids administration


Insertion of post-pyloric feeding tubes


Care of patient with  
Abdominal trauma


GI bleeding


Peritonitis


Esophageal varices/bleeding


Balloon tamponade devices


Bowel obstruction


Hepatitis/hepatic failure


Acute pancreatitis


Liver/pancreas transplant


Pharmacology – use & administration of

 
Antiemetics:  raglan, zofran


H2 receptor antagonists


   

ENDOCRINE/METABOLIC

 
Interperation of lab results


Administration/monitoring of insulin infusion


Diabetic ketoacidosis (DKA)


Disorders of pituatory gland


Drug overdose


Disorders of thyroid gland


Diabetes mellitus


Hyperosmolar hyperglycemic non ketotic coma (HHNK)


   

OTHER

 
Electrocution


Amputation


Gangrene


Multiple fractions


Thermoregulation


Fluid resuscitation


Wound care


Multi-system organ failure


Mass casualty


Septic shock


Anaphylactic shock


Hypovolemic shock


   
NEUROLOGY  
Cranial nerve assessment


Glasgow coma scale


Intracranial/cerebral perfusion pressure monitoring (ICP/CPP) via


Ventriculostomy


Subarachnoid screw/bolt


Intrathecal catheters


Seizure precautions


Cervical spine precautions/logroll positioning


Halo vest/halo traction


Use of kinetic bed


Skeletal traction


Assist with lumbar puncture


Care of patient with

 
Cerebral aneurysm


Head injury


Spinal cord injury


Pre/post cranial surgery


Meningitis


Status Epilepticus


Laminectomy


Externalized V.P. shunts


Pituitary tumor


Pharmacology-use & administration of

 
Steriods


Anticonvulsants


Paralytic agents:norcuron, pavulon


Nimbex, tracrium


Mannitol


Antipsychotics: haldol


   

GENITOURINARY/RENAL

 
Interpretation of lab results


Foley catheter insertion/care 3 way foley/female/male


Maintenance & management of fluid & electrolyte balance


Suprapubic tube


Nephrostomy tube


Continuous arteriovenous


hemofiltration (CAVHD, CVVHD, SCUF)


Care of patient with

 
Acute renal failure


AV fistulas, shunts, & dialysis catheters


Hemodialysis


Neprectomy


Renal transplant          


Renal/urinary tract trauma


   
AGE SPECIFIC COMPETENCIES
Newborn (birth – 30 days)


Infant (30 days – 1 year)


Toddler (ages 1 – 3 years)


Preschooler (ages 3 – 5 years)


Childhood (ages 6 – 12 years)


Adolescents (ages 12 – 21 years)


Young Adults (ages 21 – 39 years)


Adults (ages 40 – 64 years)


Older Adults (ages 65 – 79 years)


Elderly (ages 80+ years)         


YEARS EXPERIENCE

Please indicate number of years of experience in the following disciplines.

Medical years
Surgical years
Neurology years
CCU/ICU years
Telemetry years
ER–Trauma years
PACU years
Cardiothoracic years
Case Management years
Other years
 

All the information on this page is true and accurate to the best of my knowledge. By completing this form, I am authorizing Professional Staffing to release this information to the appropriate client facilities in consideration of employment as a registry, local traveler of full traveler.

 


Please Enter Your Name and Date and then click the Submit Button

 

 



 
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