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University of Puerto Rico

Medical Science Campus

School of Nursing

Graduate Department

NRSG- 6636 Intervencin de Enfermera con Personas en Estado Crtico de

Salud~ Fase II

CLINICALSKILLSANDCLINICALPROCEDURESFORCLINICALPRACTICE

Name: ___________________________

Skills/Procedure Date ScoreFacult

ySign

ObservationsHeart sounds

Pulmonic area Aortic area Erbs point

Tricuspid area Apical area

Peripheral Pulses

Cardiac rhythm

12-Lead EKG

Procedure Analysis

Transcutaneous Pacemaker

ProcedureCardioversion

Defibrillation

Hemodynamic

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Skills/Procedure Date ScoreFacult

ySign

Observations Wave form analysis Normal and damped Central Venous

Pressure (CVP)

Pulmonary Artery (PA) Pulmonary Capillary

Wedge Pressure

(PCWP)

Cardiac Output (CO) Mean arterial

pressure (MAP)

Care of the line and

insertion site

Dressing changes

Assist with insertion:

Arterial linesPacemakerCentral line

Clinical Management:

Acute kidney Injury

ARDS

Gastrointestinal

Hemorrhage

Diabetic Ketoacidosis

Hyperglycemichyperosmolar state

Shock Syndrome

Hypovolemic Septic Neurogenic

Trauma

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Skills/Procedure Date ScoreFacult

ySign

Observations Brain injury Thoracic injury Abdominal injury Pelvic fracture Genitourinary injury Burn

Airway management

Breath sounds

NormalAbnormalCrackles (rales)RhonchiWheezesDiminished breathsounds

Pulse oximetry

Chest tube

ABGs analysis:

Respiratory/metabolicalkalosis

Respiratory/metabolicacidosis

CompensatedPartially compensatedNon-compensated

Peripheral nerve stimulator

Ventilator settings

Tidal volume (VT)Respiratory Rate (f)

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Skills/Procedure Date ScoreFacult

ySign

ObservationsOxygen concentration

(FIO2)

Positive end-expiratorypressure (PEEP)

Pressure support (PS)I:E ratioSensitivityHigh pressure limit

Ventilator Modes

Continuousmandatory ventilation

(CMV)

SynchronousIntermittent

mandatory ventilation

(SIMV)

Pressure-controlledinverse ratioventilation

Pressure supportventilation (PSV)

Constant positive airway

pressure (CPAP)

Level of consciousness

Intraventricular catheter

managementIntracraneal pressure (ICP)

measure

Cerebral perfusion pressure

(CPP)

Delirium assessment

Pain assessment

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Skills/Procedure Date ScoreFacult

ySign

ObservationsSedation/Agitation

assessment

Insulin management

Labs interpretation

Rubric: 2 - Excellent performance; 1 Satisfactory performance; 0 - Needimprovement; NR, need to repeat the skill or procedure

I certify that I have completed and have been assessed on all of the above

clinical skills and clinical procedures as indicated in each column above.

__________________________ _______________

Signature of Student Date

I certify that the above student has fulfilled and passed the required clinical

skills and clinical procedures during their clinical practice.

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_________________________ _______________

Signature of Faculty Date

Comments:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Rev. M.I.F. January/2013