Skills Checklist

Pediatrics Checklist

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WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Inpatient Acute Care Facility
Trauma Center
Academic/Teaching Facility
Outpatient Care Facility
Long term care/Skilled Nursing
Clinic/Ambulatory
Home Health Setting

GENERAL SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Normal growth & development
Immunizations
Provide safe environment for age specific care
Recognize signs of failure to thrive
Recognize signs of abuse/neglect
Advanced directives
Awareness of HCAHPS
Patient/family teaching
Lift/transfer devices
Specialty beds
Restrictive devices (restraints)
End of life care/pallative care
Wound assessment & care
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication administration
Diabetic care & education
Blood Glucose Monitoring (BGM)
Insulin administration
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration (PO,IM,IV,PR)
Labeling (medications & specimens)
Medication reconciliation
Anticoagulation therapy
Monitoring conscious sedation
Pain assessment & management
Use of PCA (IV, intrathecal, epidural)
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure ulcers

IV THERAPY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Starting & maintaining peripheral IVs
Blood draw: venous
Central line care (includes Broviac/PICC/Groshong/Hickman)
Blood draw: central line
Care & management of ports
TPN & lipids
Administration of blood & blood products
Administration of chemotherapy
Monitoring chemotherapy (does not initiate)

CARDIOVASCULAR EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Pediatric assessment
Cardiac monitoring & emergency care
Obtains 12 lead EKG
Basic EKG interpretation
Use of rapid response teams
Cardiac arrest/CPR
Administration of PALS protocols & medications
Use of Broslow system

CARE OF CHILD WITH:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Cogenital heart defects
Congestive heart failure
Post cardiac cath
Post cardiac surgery
Cardiomyopathy
Pericarditis
Shock
Rheumatic fever
Bacterial endocarditis
Asthma
RSV (Respiratory Syncytial Virus)
Bronchopulmonary Dysplasia (BPD)
Cystic fibrosis
Croup
Pneumonia
Epiglottitis
Tuberculosis
Battered child syndrome
Depression
TBI (Traumatic Brain Injury)
Encephalitis
Meningitis
Neuromuscular disease
Spinal cord injury
Seizures
Hydrocephalus
VP shunt
Epilepsy
Near drowning
Osteomylitis
Fractures
Post Harrington rod insertion
Anorexia/bulimia
Tracheoesophageal Fistula (TEF)
Gastroschisis/omphalocele
Necrotizing Enterocolitis (NEC)
Crohn’s disease
Cleft lip/palate
Gastroenteritis
Pyloric stenosis
Ulcerative colitis
GE reflux
GI bleeding
Intestinal parasites
Small bowel transplant
Surgical abdomen
Glomerular nephritits
Ilial conduit ureteral
Nephrotic syndrome
Wilm’s tumor
UTI
Hemolytic uremic syndrome
Kidney transplant
Anemia
Bone marrow transplant
Leukemia
Sickle cell disease
Hemophilia
Malignant tumors
Spleen trauma/spleenectomy
Neutropenic fever
Sepsis
Hodgkin’s

MEDICATIONS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Antidysrythmics
Antihypertensives
Cardiac glycoside (digoxin)
Alupent
Aminophylline (obsolete medication)
Ventolin
Inhaled corticosteroids
Respigam/synergis
Stimulants (Ritalin, Adderall)
Steroids (Decadron, Solu-Medrol)
Anticonvulsants (Dilantin, phenobarbital)
Insulin administration
Insulin pumps
Thyroid
Growth hormone

PULMONARY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Respiratory assessment
Rate & work of breathing

EQUIPMENT & PROCEDURES:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Oral/nasal suctioning
Tracheostomy care and suctioning
Chest Physiotherapy (CPT)
Pulse oximeter
Ventilator management
O2 (NC/mask/oxyhood)
Assist with chest tube insertion & management
Devised traction (splints, casts, braces)
Pinned traction
Feedings
Bottle
Breast
Gavage
Gastrostomy
Nasojejunal
Nasogastric and sump tubes to suction
Placement of oro/nasogastric tubes
Colostomy/ileostomy care
Assist with suprapubic tap
Peritoneal dialysis
Insertion & care of Foley catheter

NEUROLOGICAL EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Pediatric neurological assessment
Assist with lumbar puncture
ICP monitoring

ORTHOPEDICS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Assessment of circulation checks

GASTROINTESTINAL EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

GI assessment
Abdominal girth measurement

RENAL/GU EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Assessment of fluid balance

ENDOCRINE SYSTEM EXPERIENCE - CARE OF CHILD WITH:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Onset diabetes
Diabetic ketoacidosis
Adrenal disorders
Cushing’s syndrome
Pituitary disorders
Pancreas transplant
Thyroid malfunction

HEMATOLOGY/ONCOLOGY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Assist with bone marrow aspiration

INFECTIOUS DISEASES EXPERIENCE - CARE OF CHILD WIT

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Common childhood communicable diseases
HIV/CMV/AIDS
Hepatitis
Kawasaki disease

AGE-SPECIFIC COMPETENCIES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Newborn/neonate (birth-30 days)
Infants (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)