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Hudson Staffing Travel Nurses| Critical Care / ICU Online Checklist
Critical Care / ICU Online Checklist
Thank you for your decision to apply for a travel nursing position with
Hudson Staffing
! Before we can offer you a nursing employment opportunity in the Critical Care / ICU field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.
GENERAL INFORMATION
Note:
*
Denotes a required field.
Please enter your full name as it appears on your Social Security Card:
First Name
Middle Name
Last Name
*
Please enter the Last Four digits of your Social Security Number:
-
-
*
Please check here if you do not hold a valid social security card.
Please provide your contact information:
Phone Number
*
E-mail Address
*
Confirm E-mail Address
*
Type your e-mail address again above.
This profile is for use by healthcare professionals in the Critical Care / ICU discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
Cardiac
1
2
3
4
Acute Coronary Syndrome
Congestive Heart Failure
Cardiogenic Shock
Cardiac Tamponade
Heart Sounds
Immediate Post-Op Open Heart (directly from OR)
Immediate Post-Op Open Heart (NOT directly from OR)
Heart Transplant
Open Chest Emergency
Sheath Removal
Pacemaker - Temporary/Permanent
Pacemaker - Epicardial
Hemodynamic Monitoring
SVO2 Monitoring
Intra-Aortic Balloon Pump
Ventricular Assist Device
ECMO
PULMONARY
1
2
3
4
Respiratory Failure
ARDS
Pneumothorax
Pulmonary Embolism
Pulmonary Edema
Fresh Tracheostomy
Chest Trauma
Post Thoracic Surgery
Lung Transplant
Intubation/Extubation
Modes of Ventilation (AC/PC/SIMV/CPAP)
Nitric Oxide
Interpretation of Arterial Blood Gases
Chest Tube Placement & Management
Neurological & Psychiatric
1
2
3
4
Stroke Scale Assessment
CVA
Brain Injury
Post Craniotomy
Spinal Cord Injury
Seizure Disorders
ICP Monitoring
Hypothermia Protocol
Substance Withdrawal
Suicide Precautions
GASTROINTESTINAL
1
2
3
4
GI Bleeding
GI Surgery
Liver Failure
Pancreatitis
Liver Transplant
Pancreas Transplant
RENAL/GENITOURINARY
1
2
3
4
Renal Failure
Renal Surgery
TURP
Renal Transplant
Arteriovenous Fistula/Shunt
Nephrostomy Tubes
Peritoneal Dialysis
Continuous Renal Replacement Therapy
Endocrine Metabolic
1
2
3
4
Diabetes - Hypo/Hyperglycemic Crisis
Diabetic Ketoacidosis
Pituitary Disorders
IV Insulin Protocols
Indwelling Insulin Pumps
MEDICATIONS
1
2
3
4
Anti-Arrhythmics
Anticoagulants (IV, oral, & injection)
Anti-Hypertensives
Anti-Psychotics
Anti-Seizure Medications
Benzodiazepines
Continuous IV Paralytics
Continuous IV Sedation
Procedural Sedation – Administration
Diuretics
Emergency Medications
Inhaled Medications
Insulin
IV Vasopressors
Narcotics/Opioid Analgesics (IV, oral, & injection)
Nitrates (Oral & Topical)
Non-Opioid Analgesics (IV, Oral, & Injection)
Reversal Agents
Steroids (IV, Oral, Inhaled)
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
IV THERAPY
1
2
3
4
Starting IVs
Central Line Blood Draws
Central Line/Implanted Line Care
TPN & Lipids
Blood Product Administration
Administration of Chemotherapy
CARDIAC MONITORING & EMERG. RESPONSE
1
2
3
4
Dysrhythmia Interpretation
Dysrhythmia Management
Obtain 12 Lead EKG
Interpret 12 Lead EKG
Management of Cardiac Arrest
Shock Management
Malignant Hyperthermia
Multisystem Organ Failure
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
National Patient Safety Goals/Core Measures
Fall Risk Assessment/Prevention
Pressure Ulcer Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Patient/Family Teaching
Age Specific/Population-Based Care
Isolation Precautions
Infection Prevention
Pain Assessment & Management
Charge Experience
Interpretation and Communication of Lab Values
Specialty Beds
EMR
1
2
3
4
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
EMR Conversion
Yes
No
CERTIFICATIONS
BLS
ACLS
PALS
TNCC
CCRN
Telemetry Certificate/Course
Critical Care Course
Please read and agree to the statements below by marking the checkbox.
You will not be able to submit until you have marked the checkbox.
*
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 authorize Hudson Staffing to release this Critical Care / ICU Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.
Privacy Note:
Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (3.235.176.80) which will be used as a digital signature.
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Hudson Staffing
Phone:
1(866)256-8773
E-mail:
info@hudsonstaffing.net
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