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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
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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: ______________________
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