Hudson Staffing Travel Nurses & Allied Health Careers
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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
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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 (54.210.61.41) 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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