PICU Skills Checklist

Fill Out and Submit your Skills Checklist
Skills Checklist
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1No Experience
2Need Training
3Able to perform with supervisione
4Able to perform independently
WORK SETTINGS
PICU
0
Pediatric CVICU
0
Pediatric Step Down
0
Pediatric PACU
0
CARDIOVASCULAR
Congenital Heart Disease/Repair
0
Post Cardiac Surgery (Directly from OR)
0
Post Cardiac Surgery (NOT Directly from OR)
0
Post Diagnostic/Interventional Cardiac Cath
0
Heart Failure/Cardiogenic Shock
0
Cardiac Transplant
0
Hemodynamic Monitoring
0
Arrhythmia Interpretation
0
Pacemaker - Temporary/Permanent
0
SVO2 Monitoring
0
Intra-Aortic Balloon Pump
0
Ventricular Assist Device
0
ECMO
0
PULMONARY
Respiratory Distress Syndrome/Resp. Failure
0
Reactive Airway Disease
0
ENT Surgery
0
Epiglottis
0
Cystic Fibrosis
0
Tuberculosis
0
Intubation/Extubation
0
Endotracheal Tube Management
0
Tracheostomy Management
0
Modes of Ventilation: AC/PC/SIMV/CPAP
0
Modes of Ventilation: Jet/Oscillator
0
Nitric Oxide
0
Hemo/Pneumothorax
0
NEUROLOGIC/ORTHOPEDIC
Brain Injury
0
Craniotomy
0
Spinal Cord Injury
0
Seizure Disorders
0
ICP Monitoring
0
VP Shunt
0
Meningitis
0
Neuromuscular Disease
0
Post Vertebral Surgery
0
Traction - General
0
Traction - Halo
0
GASTROINTESTINAL
Acute Surgical Abdomen
0
GI Bleeding
0
Pancreatitis
0
Hepatic Failure
0
Ostomy Management
0
Management of Gastric Tubes
0
Breast Milk Handling/Storage
0
RENAL/GENITOURINARY
Nephrotic Syndrome
0
Renal Transplant
0
Renal Replacement Therapy
0
Peritoneal Dialysis
0
ENDOCRINE/METABOLIC
Diabetes - Hypo/Hyperglycemic Crisis
0
Diabetic Ketoacidosis
0
IV Insulin Pumps
0
Indwelling Insulin Pumps
0
TRAUMA/OTHER
Blunt/Penetrating Trauma
0
Burns
0
Craniofacial Reconstruction
0
Near Drowning
0
Poison Ingestion/Overdose
0
Bites-Animal/Snake/Human
0
Suicide Precautions
0
Wound Management/VAC
0
Specialty Beds
0
ONCOLOGY
Bone Marrow Transplant
0
Immunosuppressive Disorder
0
Hemophilia Crisis
0
Sickle Cell Crisis
0
MEDICATIONS
Pediatric Dosage Calculations
0
Anti-Arrhythmics
0
Anticoagulants (IV, Oral & Injection)
0
Anti-Hypertensives
0
Anti-Seizure Medications
0
Benzodiazepines
0
Continuous IV Paralytics
0
Continuous IV Sedation
0
Procedural Sedation - Administration
0
Diuretics
0
Emergency Medication
0
Inhaled Medications
0
Insulin
0
IV Vasopressors
0
Narcotics/Opioid Analgesics (IV, Oral & Injection)
0
Non-Opioid Analgesics (IV, Oral & Injection)
0
Reversal Agents
0
Steroids (IV, Oral, Inhaled)
0
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
0
IV THERAPY
Starting Ivs
0
Central Line Blood Draw
0
Central Line/Implanted Line Care
0
TPN/Lipids
0
Blood Product Administration
0
Administration of Chemotherapy
0
CARDIAC MONITORING & EMERG. RESPONSE
Dysrhythmia Interpretation
0
Dysrhythmia Management
0
Management of Cardiac Arrest
0
Shock Management
0
Malignant Hyperthermia
0
Multisystem Organ Failure
0
PROFESSIONAL KNOWLEDGE AND SKILLS
National Patient Safety Goals/Core Measures
0
Recognize/Report Signs of Abuse
0
EMTALA
0
Fall Risk Assessment/Prevention
0
Pressure Ulcer Risk Assessment/Prevention
0
Restraints/Use of Least Restrictive Device
0
Normal Growth and Development
0
Age Specific/Population Based Care
0
Patient Family Teaching
0
Isolation Precautions
0
Infection Prevention
0
Reporting Communicable Diseases
0
Pain Assessment & Management
0
Charge Experience
0
Interpretation and Communication of Lab Values
0
Age Specific Competencies
Infant (Birth - 1 year)
0
Preschooler (ages 2-5 years)
0
Childhood (ages 6-12 years)
0
Adolescents (ages 13-21 years)
0
Young Adults (ages 22-39 years)
0
Adults (ages 40-64 years)
0
Older Adults (ages 65-79 years)
0
Elderly (ages 80+ years)
0
EMR
Epic
0
Cerner
0
Eclipsys
0
McKesson
0
Meditech
0
Other Computerized System
0
Computerized Physician Order Entry
0
Bar Coding for Medication Administration
0
EMR Conversion
Certifications

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