CRITICAL CARE CHECKLIST


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Please indicate your level of experience:
A. Theory, No Practice
B. Intermittent Experience
C. One to Two Years Experience
D. Over Two Years Experience

 
Cardiovascular:

1. Assessment
a. Abnormal heart sounds/murmurs.................... ABCD
b. Auscultation (rate, rhythm)............................. ABCD
c. Blood pressure/non-invasive.......................... ABCD
d. Doppler........................................................ ABCD
e. Pulses/circulation checks................................ ABCD
2. Interpretation of lab results
a. Cardiac Enzymes & isoenzymes..................... ABCD
b. Coagulation studies........................................ ABCD
3. Equipment & procedures
a. Assist with
     (1) Arterial line insertion................................ ABCD
     (2) Central line insertion................................ ABCD
     (3) Open chest emergency............................ ABCD
     (4) PA catheter/Swan-Ganz insertion............ ABCD
     (5) Pericardiocentesis................................... ABCD
     (6) Transesophageal echocardiogram............ ABCD
b. Autonomic internal cardioverter defibrillator... ABCD
c. Cardioversion................................................ ABCD
d. CAVH-D...................................................... ABCD
e. Hemodynamic Monitoring
     (1) Cardiac index.......................................... ABCD
     (2) Cardiac output........................................ ABCD
     (3) CVP monitoring...................................... ABCD
     (4) Femoral artery sheath removal................. ABCD
     (5) MAP...................................................... ABCD
     (6) PA/Swan-Ganz....................................... ABCD
     (7) PCW pressure........................................ ABCD
     (8) PVR....................................................... ABCD
     (9) Radial a-line............................................ ABCD
     (10) SVO2................................................... ABCD
     (11) SVR..................................................... ABCD
f. Intra aortic balloon pump................................ ABCD
g. Monitoring
     (1) 12 lead EKG interpretation...................... ABCD
     (2) Arrhythmia interpretation......................... ABCD
     (3) Lead placement....................................... ABCD
     (4) Rhythm strip assessment.......................... ABCD
     (5) Set-up and run 12 lead EKG................... ABCD
h. Pacemaker
     (1) External.................................................. ABCD
     (2) Permanent............................................... ABCD
     (3) Temporary.............................................. ABCD
     (4) Transthoracic (epicardial)........................ ABCD
i. Ventricular assist device (RVAD, LVAD)....... ABCD
4. Care of the patient with:
a. Abdominal aortic aneurysm repair.................. ABCD
b. Acute MI...................................................... ABCD
c. Cardiac arrest................................................ ABCD
d. Cardiac tamponade....................................... ABCD
e. Congestive heart failure.................................. ABCD
f. EP study and ablation..................................... ABCD
g. Heart transplant............................................. ABCD
h. Immediate post open-heart surgery................. ABCD
i. Infective endocarditis...................................... ABCD
j. Myocardial contusion...................................... ABCD
k. Pericarditis.................................................... ABCD
l. Post AICD insertion........................................ ABCD
m. Post arthrectomy........................................... ABCD
n. Post valve repair or replacement..................... ABCD
o. Post intracoronary stent placement................. ABCD
p. Post percutaneous ballon valvuloplasty........... ABCD
q. Post rotoblade............................................... ABCD
r. Pre/post angioplasty....................................... ABCD
s. Pre/post cardiac cath...................................... ABCD
Pulmonary

1. Assessment
a. Adventitious breath sounds............................. ABCD
b. Rate and work of breathing............................ ABCD
2. Interpretation of lab results
a. Arterial blood gases....................................... ABCD
3. Equipment & procedures
a. Air leak troubleshooting
     (1) Mediastinal chest tube removal................ ABCD
     (2) Pleural chest tube removal....................... ABCD
b. Airway management devices/suctioning
     (1) Endotracheal tube/suctioning.................... ABCD
     (2) Extubation............................................... ABCD
     (3) Nasal airway/suctioning........................... ABCD
     (4) Oximetry................................................. ABCD
     (5) Sputum specimen collection................... ABCD
     (6) Tracheostomy/suctioning......................... ABCD
c. Assist with
     (1) Bronchoscopy......................................... ABCD
     (2) Chest tube insertion................................. ABCD
     (3) Emergency tracheostomy......................... ABCD
     (4) Thoracentesis.......................................... ABCD
d. Establshing an airway
     (1) Assist with intubation............................... ABCD
     (2) Oral airway insertion............................... ABCD
e. Identify/intervention for resp. complications
     (1) Aspiration............................................... ABCD
     (2) Laryngospasm......................................... ABCD
     (3) Tension Pneumothorax............................ ABCD
     (4) Use of Pleurevac or Thoraclex drainage... ABCD
     (5) Use of water seal drainage....................... ABCD
f. O2 therapy & medication delivery systems
     (1) Ambu bag and tank................................. ABCD
     (2) ET tube................................................... ABCD
     (3) Face mask.............................................. ABCD
     (4) Nasal Cannula......................................... ABCD
     (5) Portable O2 tank.................................... ABCD
g. Ventilator management
     (1) External CPAP....................................... ABCD
     (2) High frequency jet ventilation................... ABCD
     (3) IMV....................................................... ABCD
     (4) PEEP...................................................... ABCD
     (5) Pressure support..................................... ABCD
     (6) Weaning modes & T-piece weaning........ ABCD
4. Care of the patient with:
a. Acute pneumonia........................................... ABCD
b. ARDS........................................................... ABCD
c. Chest trauma................................................. ABCD
d. COPD.......................................................... ABCD
e. Cor Pulmonale............................................... ABCD
f. Fresh tracheostomy........................................ ABCD
g. Lobectomy.................................................... ABCD
h. Lung transplant.............................................. ABCD
i. Near drowning................................................ ABCD
j. Pneumonectomy............................................. ABCD
k. Pulmonary edema/ypertension........................ ABCD
l. Pulmonary embolism....................................... ABCD
m. Status asthmaticus......................................... ABCD
n. Thoracotomy................................................. ABCD
o. Tuberculosis.................................................. ABCD
5. Medications
a. Atrovent (Metaproterenol)............................. ABCD
b. Aminophylline (Theophylline)......................... ABCD
c. Bronkosol (Isoetharine hydrocloride).............. ABCD
d. Corticosteroids.............................................. ABCD
e. Ventolin (Albuterol)....................................... ABCD
Neurological

1. Assessment
a. Cranial nerves................................................ ABCD
b. Glasgow coma scale...................................... ABCD
c. Level of consciousness................................... ABCD
d. Pathologic reflexes......................................... ABCD
e. Reflex/motor deficits...................................... ABCD
f. Visual or communication deficits...................... ABCD
2. Equipment & procedures
a. Assist with lumbar puncture............................ ABCD
b. Halo traction/ cervical tongs........................... ABCD
c. Intracranial pressure monitoring...................... ABCD
d. Nerve stimulators........................................... ABCD
e. Rotating bed.................................................. ABCD
f. Seizure precautions......................................... ABCD
g. Spinal precautions.......................................... ABCD
h. Styker frame.................................................. ABCD
i. Use of hyper/hypothermia blanket................... ABCD
3. Care of the patient with:
a. Aneurysm precautions.................................... ABCD
b. Basal skull fracture......................................... ABCD
c. Closed head injury......................................... ABCD
d. Coma............................................................ ABCD
e. CVA............................................................. ABCD
f. DT's............................................................... ABCD
g. Encephalitis.................................................... ABCD
h. Externalized VP shunts................................... ABCD
i. Increased ICP................................................ ABCD
j. Laminectomy.................................................. ABCD
k. Meningitis...................................................... ABCD
l. Metastatic tumor/intracranial tumor resection... ABCD
m. Multiple sclerosis.......................................... ABCD
n. Post craniotomy............................................. ABCD
o. Spinal cord injury........................................... ABCD
p. Ventriculostomy............................................. ABCD
4. Medications
a. Barbiturate induced coma............................... ABCD
b. Decadron (Dexamethasone)........................... ABCD
c. Dilantin (Phenytoin)........................................ ABCD
d. Epidural administration................................... ABCD
e. Phenobarbital................................................. ABCD
f. Valium (Diazepam)......................................... ABCD
Gastrointestinal

1. Assessment
a. Abdominal/bowel sounds............................... ABCD
b. Nutritional..................................................... ABCD
2. Interpretation of lab results
a. Serum ammonia............................................. ABCD
b. Serum amylase.............................................. ABCD
c. LFT's............................................................ ABCD
3. Equipment & procedures
a. Administration of tube feeding........................ ABCD
b. Ballon tamponade.......................................... ABCD
c. Feeding pump................................................ ABCD
d. Flexible feeding tube....................................... ABCD
e. Gravity feeding............................................... ABCD
f. Iced saline lavage............................................ ABCD
g. Management of
     (1) gastrostomy tube..................................... ABCD
     (2) jejunostomy............................................ ABCD
     (3) T-tube.................................................... ABCD
     (4) TPN and lipids administration.................. ABCD
     (5) PPN (peripheral parenteral nutrition)........ ABCD
h. Placement of nasogastric tube......................... ABCD
i. Salem sump to suction..................................... ABCD
4. Care of the patient with:
a. Blunt trauma.................................................. ABCD
b. Bowel obstruction.......................................... ABCD
c. Colostomy..................................................... ABCD
d. ERCP........................................................... ABCD
e. Esophageal bleeding....................................... ABCD
f. GI bleeding..................................................... ABCD
g. GI surgery..................................................... ABCD
h. Hepatitis........................................................ ABCD
i. Ileostomy........................................................ ABCD
j. Inflammatory bowel disease............................ ABCD
k. Liver failure................................................... ABCD
l. Liver transplant............................................... ABCD
m. Pancreatitis................................................... ABCD
n. Paralytic Ileus................................................ ABCD
o. Penetrating trauma......................................... ABCD
5. Medications
a. AquaMephyton (Vitamin K)........................... ABCD
b. Inderal (Propranolol)..................................... ABCD
c. Kayexelate.................................................... ABCD
d. Lactulose (Cephulac)..................................... ABCD
e. Pitressin (Vasopressin)................................... ABCD
 Renal/Genitourinary

1. Assessment
a. AV fistula / shunt............................................ ABCD
b. Fluid status.................................................... ABCD
2. Interpretation of lab results
a. BUN & creatinine.......................................... ABCD
b. Serum electrolytes......................................... ABCD
3. Equipment & Procedures
a. Bladder irrigation........................................... ABCD
b. Insertion & care of straight and Foley catheter
     (1) 3-way Foley........................................... ABCD
     (2) Female.................................................... ABCD
     (3) Male....................................................... ABCD
c. Supra-pubic.................................................. ABCD
4. Care of the patient with:
a. acute renal failure........................................... ABCD
b. CAVH dialysis.............................................. ABCD
c.Hemodialysis.................................................. ABCD
d. Nephrectomy................................................ ABCD
e. Peritoneal dialysis.......................................... ABCD
f. Renal rejection syndrome................................ ABCD
g. Renal transplant............................................. ABCD
h. TURP........................................................... ABCD
i. Urinary diversion............................................ ABCD
j. Urinary tract infection..................................... ABCD
Endocrine/Metabolic

1. Interpretation of lab results
a. Blood glucose................................................ ABCD
b. Thyroid studies.............................................. ABCD
2. Equipment & procedures
a. Blood glucose monitoring............................... ABCD
b. Performing finger stick................................... ABCD
3. Care of the patient with:
a. Diabetes mellitus............................................ ABCD
b. Diabetic ketoacidosis..................................... ABCD
c. Disorders of adrenal gland.............................. ABCD
d. Disorders of pituitary gland............................ ABCD
e. Drug overdose............................................... ABCD
f. Hyperthyroidism............................................. ABCD
g. Hypothyroidism............................................. ABCD
h. Insulin shock.................................................. ABCD
i. Thyroidectomy................................................ ABCD
4. Medication
a. Insulin pump.................................................. ABCD
Wound Management

1. Assessment
a. Skin for impending breakdown....................... ABCD
b. Stasis ulcers................................................... ABCD
c. Surgical wound healing................................... ABCD
2. Equipment & procedures
a. Air fluidized, low airloss beds......................... ABCD
b. Sterile dressing changes................................. ABCD
c. Wound care/irrigations................................... ABCD
3. Care of the patient with:
a. Burns............................................................. ABCD
b. Pressure sores............................................... ABCD
c. Staged decubitus ulcers.................................. ABCD
d. Surgical wounds with drain(s)......................... ABCD
e. Traumatic wounds.......................................... ABCD
Phlebotomy/IV therapy

1. Equipment & procedures
a. Administration of blood/blood products
     (1) Cryoprecipitate....................................... ABCD
     (2) Packed red blood cells............................ ABCD
     (3) Plasma/Albumin...................................... ABCD
     (4) Whole blood........................................... ABCD
b. Drawing blood from central line..................... ABCD
c. Drawing venous blood................................... ABCD
d. Starting IV's
     (1) Angiocath............................................... ABCD
     (2) Butterfly.................................................. ABCD
     (3) Heparin lock........................................... ABCD
2. Care of the patient with:
a. Central line/catheter/dressing
     (1) Broviac................................................... ABCD
     (2) Groshong................................................ ABCD
     (3) Hickman................................................. ABCD
     (4) Portacath................................................ ABCD
     (5) Quinton.................................................. ABCD
b. Peripheral line dressing................................... ABCD
Pain Management

1. Assessment of pain level/tolerance............ ABCD
2. Care of the patient with:
a. Epidural anesthesia/analgesia.......................... ABCD
b. IV conscious sedation.................................... ABCD
c. Patient controlled analgesia............................. ABCD
Miscellaneous

1. Care of the patient with:
a. Anaphylatic shock.......................................... ABCD
b. Disseminated intravascular coagulation........... ABCD
c. Hypovolemic shock....................................... ABCD
d. Multisystem organ failure................................ ABCD
e. Organ/tissue donation..................................... ABCD
f. Septic shock................................................... ABCD

 

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