Intensive Care Unit RN Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 - 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

TYPE OF FACILITY EXPERIENCE
TYPES OF ICU EXPERIENCE
AGE OF PATIENTS CARED FOR
GENERAL SKILLS

Automated Med Dispensing Systems

Electronic Documentation

IV Pumps

CRRT Equipment

MEDICATION ADMINISTRATION
CARDIOVASCULAR
Care of the Patient With:
Shock:
Pacemaker:
Hemodynamic Monitoring:
PULMONARY
Care of the Patient With:
NEUROLOGICAL
ORTHOPEDICS
GASTROINTESTINAL
RENAL/GENITOURINARY
ENDOCRINE/METABOLIC
INFECTIOUS DISEASE
ONCOLOGY
WOUND MANAGEMENT
Burns:
CARDIAC MONITORS