Cardiac Catheterization Skills Checklist

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Name
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Please indicate your overall practical experience level with each skill using the key below. All fields are required.

Key
None	No experience
Limited	Requires additional training
Moderate	Have performed and able to do without supervision
Well Skilled	Very experienced and able to perform independently
Proficient	Able to teach and supervise

Cardiovascular	None	Limited	Moderate	Well Skilled	Proficient
Assessment of heart sounds
Interpret Basic Arrythmias
Interpret 12 Lead EKG
Can perform emergency defibrillation
Can perform controlled cardioversion
Cardiac Arrest
Comfortable with:
CVP monitoring via water manometer
Radial art-lines (set up, monitor, etc.)
Interpretation of cardiac enzymes & iso enzymes
Interpretation of Caogs (APTT, PT, ACT)
Thrombolytic studies
Electrophysiological Studies (ablations)
Cardiac rehab
Patient teaching
Invasive Procedures	None	Limited	Moderate	Well Skilled	Proficient
Valvuloplasty
Intracoronary stent placement
Rotoblation
Atherectomies
Pediatric cardiac catheterization
Knowledge of insertion procedures
Temporary Pacemakers
Permanent Pacemakers
Intracoronary stents
IABP (intra-aortic balloon pump)
Administer first-line emergency drugs:
Atropine
Epinepherine
Lidocane
Bretylium
Administer the following drips:
Heparin
Lidocaine (Xylocaine)
Nitroglycerine (Tridil)
Nipride (Nitropusside)
Verapamil (Calan, Isoptin, Verelan)
Dopamine (Inotropin)
Dobutamine (Dobutrex)
Cardizem (Diltizem Hydrochloride)
Pulmonary	None	Limited	Moderate	Well Skilled	Proficient
Assessment of Breath Sounds
Assessment of Breathing Patterns
Pulse Oximetry
Orophyngeal Suctioning
Tracheostomy Suctioning
Sputum specimen collection via suctioning
Establishing an airway
Interpretation of ABGs
Ambuing Techniques
Assist with Intubation
Assist with Extubation
Care of Patient with:
Pulmonary Edema
Pulmonary Emboli
Chest Tubes
Neurology	None	Limited	Moderate	Well Skilled	Proficient
Assessment of level of consciousness
Understanding of Seizures Precautions
Comfortable with use of hypo/hyperthermia blanket
Care of Patient with:
Alzeheimers
Overdose
In Restraints
With emphysema
In Status Asthmaticus
With ARDS
Post-thoracotomy
Gastrointestinal	None	Limited	Moderate	Well Skilled	Proficient
Bowel Sounds Assessment
Insertion of a nasogastric tube
Renal	None	Limited	Moderate	Well Skilled	Proficient
Insertion of Straight and Foley Catheters
Three-Way Foley/Bladder Irrigation Mgmt With continuous epidural drip
Infusion Therapy	None	Limited	Moderate	Well Skilled	Proficient
Knowledge of long-term central lines (Hickman, Broviac, Groshong, PICC)
Use of infusion pump
Mix/administer IV meds
Proficient at:
IV insertion
Phlebotomy/Venous blood draw
Administration of blood and blood products
Misc	None	Limited	Moderate	Well Skilled	Proficient
Knowledge of normal serum lab values
Use of PCA pumps
Automatic BP Cuff
Titration of IV drips
Care of HIV/AIDS patients
Care of Diabetic patients
Knowledge of:
Isolation Techniques
Aseptic/Sterile Techniques
Age-Specific Competence	None	Limited	Moderate	Well Skilled	Proficient
Neonates/Newborns (birth - 30 days)
Infants (30 days - 1 year)
Toddler (1-3 years)
Preschooler (3 - 5- years)
Older Children (5 - 12 years)
Adolescents (12 - 18 years)
Young Adults (18 - 39 years)
Middle Adults (39 - 64 years)
Older Adults/Geriatrics (64+ years of age)

Preserving Higher Standards of Patient Care