Emerald Health Services: Skills Checklist: Pediatric

Pediatric Skills Checklist

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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.

1 = Never Performed 2 = Limited Experience 3 = Comfortable Performing 4 = Proficient

CARE OF PATIENTS WITH	1	2	3	4
Polycystic Kidney Disease
Hepatitis
Renal Failure
Wilm's Tumor
Clubfoot
Osteogenic Sarcoma
Osteomyelitis
Fractures - Pinned Traction
Devised Traction (casts, splints, braces)
Lupus
Adrenal Disorders
Cushing's Syndrome
Pituitary Disorders
Thyroid Dysfunction
Anemia
Hemophilia
Leukemia
Neutropenia
Sickle Cell Anemia
Bone Marrow Transplant
Hodgkin's Disease
Malignant Tumors
Radiation Implant
Childhood Communicable Diseases
Cytomegalovirus (CMV)
Fever
Infectious Mononucleosis
Lyme Disease
HIV/AIDS
MRSA/VRE
Burns
Anorexia/Bulimia
Battered Child Syndrome
Child Abuse/Neglect
Failure to Thrive
Post-Operative Care
a. Abdominal Surgery
b. Orthopedic Surgery
c. Craniofacial Surgery
e. ENT Surgery
Multiple Trauma
Developmental Delay
Cleft Lip/Palate

MEDICATION ADMINISTRATION	1	2	3	4
Albuterol (Ventolin)
Aminophylline
Amoxicillin
Ampicillin
Atropine
Carbamazepine (Tegretol)
Chemotherapeutic Agents
Chloral Hydrate
Clonazapam (Clonopin)
Corticosteroids
Diazepam (Valium)
Digoxin
Epinephrine
Gentamycin
Growth Hormone
Insulin

MEDICATION ADMINISTRATION	1	2	3	4
Lasix
Metaproterenol (Alupent)
Nitroglycerine
Phenobarbital
Phenytoin (Dilantin)
Sodium Bicarbonate
Thyroid Replacement
Vancomycin
Continuous IV infusion
Eye/ear Installations
IM Injections
Metered Dose Inhalers
Nebulizer
Rectal Infusion/Suppository
SQ Injections
Z-track Injections

PROCEDURES/SKILLS	1	2	3	4
Cast Care
Chemotherapy - Peds Protocols
Chest physiotherapy
Chest tube & drainage system
a. Care & maintenance
b. Troubleshooting
c. Removal
EKG/Arrhythmia Interpretation
Feedings
a. Breastfeeding - assist
b. Breastmilk handling/storage
c. Bottle
d. Continuous tube feeding
e. Gavage, intermittent
Foley/Straight Cath insertion & care
a. Male
b. Female
Gastric Lavage
Gastric Suction, low intermittent
Gastrostomy Tube/Site Care
Hemodialysis - care during/post
Hemodynamic Monitoring, non-invasive
a. Auscultation
b. Doppler
d. Palpation
Interpretation of Lab Results
a. Blood gases
b. Bilirubin
c. CBC
d. Cultures
e. Electrolytes
f. Stool for occult blood
g. Thyroid Studies
h. Urine dipstick
Intestinal Tract Tube Insertion/Care
a. Gastrostomy button
b. Nasogastric
c. Nasojejunal
d. Orogastric tubes
Intravenous Infusions
a. Blood & Blood Products
- Cryoprecipitate
- Packed RBCs
- Platelets
-Whole Blood
b. Central line care
- Broviac
- Groshong
- Hickman
- PICC
- Portacath
- Quinton
c. Hyperalimentation
d. Intralipids
e. Peripheral IV insertion & care
- Angiocath
- Butterfly
- Scalp Veins
f. Saline Lock/Heparin Lock

PROCEDURES/SKILLS	1	2	3	4
Isolation Procedures
Lumbar Puncture (assist with)
Oral Airway Insertion
Oxygen Therapy Administration
a. Oxyhood
b. Face mask
c. Nasal cannula
d. Trach Collar
e. Tent
f. Ambu Bag
Phototherapy Treatment
Peritoneal Dialysis
a. Automatic cycler
b. Manual
Splint Application
Specimen Collection
a. Blood
- Central line
- Heel stick
- Venous stick
b. Cultures
- Blood
- Wound
- Sputum
c. Urine
- Catheter
- Diaper
- Suprapubic tap (assist)
- Urine bag
Suctioning
a. Bulb syringe
b. Oropharyngeal
c. Nasopharyngeal
d. Tracheostomy
e. Oral/Yankauer
Temperature
a. Axillary
b. Oral
c. Tympanic
d. Rectal
Traction Application
Wound/Ostomy Care
a. Colostomy care/bag change
b. Ileostomy care/bag change
c. Irrigations
d. Pressure Ulcers
- Staging
- Care
e. Sterile Dressing changes
f. Surgical wounds with drains
Pain assessment using pain scales
Epidural Analgesia
IV Conscious Sedation
Patient Controlled Analgesia (PCA)
Narcotic Agents
Non-narcotic agents
Non-pharmacological measures

ASSESSMENT/OTHER	1	2	3	4
Abdominal Girth Measurement
Admission of patients to unit
Assess Breath Sounds
Assess Heart Sounds
Care Planning
Charge Nurse responsibilities
Circulation Checks
Computerized Charting
Fontanel Assessment
Head Circumference Measurement
Neurological Assessments
Patient Teaching
Thermal Environment Maintenance
Use of Restraints
Vital Signs

EQUIPMENT	1	2	3	4
Apnea Monitor
Glucometer
Infusion Pumps (specific brands)
-
-
Oxygen Flow Meter
Pulse Oximeter
Specialty Beds
a. Air fluidized
b. Low air loss
c. Orthopedic
Traction Equipment

Do you speak any languages other than English?	Yes	No

If yes, which language(s)?

Age Specific Skills Check the box under EACH age group that you have experience with and are comfortable with for each skill below.	Neonates (0-30 days)	Infants (1 mo-1 yr)	Toddlers (1-3 yrs)	Preschool (4-6 yrs)	School Age (7-12 yrs)	Adolescent (13-18 yrs)	Young Adult (19-39 yrs)	Middle Adults (40-64 yrs)	Older Adults (65+ yrs)
Understands the different communication needs for the age group & changes communication methods and terminology accordingly
Understands the different medications, dosages and possible side effects for the age group and administers medications appropriately
Understands the different safety risks for the age group and alters the environment accordingly
Understands the normal growth and development for the age group and adapts care accordingly

I hereby certify that ALL information I have provided to Emerald, on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

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