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EP20b, Competency Form Critical Care .pdf Initial Validation of Clinical Competency Critical Care Nursing Employee Name: ____________________________ Unit: _____________________ Hire Date: ______________ Clinical Competency Advanced Directive Age & Developmentally Appropriate Care Arrest Situation Arterial Line: Insertion, Maintenance, Bloodsampling and Removal Bispectral Index Monitoring (BIS) Bladder Scanner Blood and/or Blood Components Cardiac Monitoring/Telemetry Monitoring Central Line, PICC or Implanted Catheter Central Line Removal Chest Tubes (include. Insertion and Removal) Common Equipment Completing an Admission Assessment Continuous Mixed Venous Saturation Monitoring Coretrak Enteral Access System Crash Cart Curlin Infusion Pump with Drug Library Direct Observation Glucose Epidural, Intrapleural, Intrathecal, Interscalene Analgesia Extubation Feeding Tube Femo Stop Date Completed Validator’s Initials Method Clinical Competency Date Completed Validator’s Initials Hand Held Nebulizer Hill-Rom TotalCare SpO2RT Bed System Intracranial Monitoring: Ventrix, Cordis EVD and Licox Intubation: Endo/Naso IV Start Mechanical Ventilation Medication Administration Ostomy Obtaining a 12 Lead ECG using Mobile Cart Pain Assessment PA Catheter: Insertion PA Catheter: Care and Maintenance PA Catheter: Removal Patient-Controlled Analgesia (PCA, PCEA) Philips Heartstream XL Defibrillator/Monitor POCT: Whole Blood Glucose Port-a-Cath Ranger Fluid Warmer/Rapid Infuser Restraints Saline/Heparin Lock Skin and Wound Protocol Suture or Staple Removal 1 Method EP20b, Competency Form Critical Care .pdf Tuberculin Skin Test Tracheobronchial Suctioning Tracheostomy University Hospital Pneumatic Tube System Vacuum Assisted Wound Closure Venipuncture Modules Date Completed Validator’s Initials Method Clinical Competency Date Completed Validator’s Initials Method Date Completed Validator’s Initials Method Clinical Competency Date Completed Validator’s Initials Method Burn Injury Care of the Open Heart Surgery Patient (SICU/SSDU only) Critical Care Drip Titration Hemodynamic Insulin Protocol Mechanical Ventilation Neuromuscular Module Temporary Pacemaker Required reading Mosby’s: Post Surgical Postoperative Care: Immediate Recovery Period (Extended Text) Test Basic Knowledge Assessment Tool (BKAT, ECG, Medication Calculation) Validation Method Key: Post-Test (PT) Interview (I) Document (D) Skills Lab (SL) Direct Observation (DO) Packet (P) Employee Signature: ________________________________ Date: ______________________ Supervisor/Educator Signature: _______________________________ Date: ______________________ 2