Berean Healthcare Staffing - Travel Nursing Neonatal Intensive Care Skills Checklist

Neonatal Intensive Care Skills Checklist

This profile is for use by Neonatal Intensive Care nurses with more than one year's experience in their discipline and specialty.

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A. Theory, no practice	C. One - two years experience
B. Intermittent experience	D. Two plus years experience


A. CARDIOVASCULAR

	1. Assessment
		a. Auscultation (rate, rhythm, volume)	A B C D
		b. Blood pressure/invasive (arterial line)	A B C D
		c. Blood pressure/non-invasive	A B C D
		d. Heart sounds/murmurs	A B C D
		e. Perfusion	A B C D
		f. Pulses	A B C D
	2. Equipment & procedures
		a. EKG interpretation	A B C D
		b. Defibrillation/cardioversion	A B C D
		c. Invasive hemodynamic monitoring	A B C D
		d. Central venous pressure	A B C D
	3. Care of the neonate with:
		a. Cardiac arrest	A B C D
		b. Cardiac transplant	A B C D
		c. Cardiomyopathy	A B C D
		d. Congenital heart disease/defects	A B C D
		e. Hemodynamic instability	A B C D
		f. Hypovolemic shock	A B C D
		g. Post cardiac surgery	A B C D
		h. Post interventional cardiac cath	A B C D
	4. Medications
		a. Dobutamine	A B C D
		b. Dopamine	A B C D
		c. Epinephrine	A B C D
		d. Nipride	A B C D
		e. Sodium bicarbonate	A B C D


B. PULMONARY

	1. Assessment
		a. Breath sounds			A B C D
		b. Rate and work of breathing			A B C D
	2. Interpretation of lab results
		a. Blood gases			A B C D
		b. Interpretation of x-ray reports			A B C D
	3. Equipment & procedures
		a. Airway management
			(1) Assist with intubation		A B C D
			(2) Bulb syringe		A B C D
			(3) CPAP (nasal prongs)		A B C D
			(4) Endotracheal tube stabilization		A B C D
			(5) Endotracheal tube suctioning
				a) In-line suction	A B C D
				b. Open ET catheter suction	A B C D
			(6) Extubation		A B C D
			(7) Intubation		A B C D
			(8) Nasal airway/suctioning		A B C D
			(9) Oral airway/suctioning		A B C D
			(10) Tracheostomy/suctioning		A B C D
		b. Apnea monitor			A B C D
		c. Cardiac resuscitation			A B C D
		d. Chest tube (assist with)
			(1) Insertion		A B C D
			(2) Removal		A B C D
			(3) Set-up		A B C D
		e. ECMO (extracorporeal membrane oxygenation)			A B C D


	f. O₂ therapy delivery systems
		(1) Bag (anesthesia) & mask	A B C D
		(2) Bag (self-inflating) & mask	A B C D
		(3) Nasal cannula	A B C D
		(4) Nebulizer	A B C D
		(5) Oxyhood	A B C D
		(6) Tent	A B C D
		(7) Trach collar	A B C D
	g. Obtaining blood gases
		(1) Arterial	A B C D
		(2) Heelstick	A B C D
		(3) Peripheral	A B C D
		(4) Umbilical line	A B C D
	h. Thoracentesis		A B C D
	i. Use of artificial surfactant		A B C D
	j. Ventilator care
		(1) CPAP/PEEP	A B C D
		(2) High frequency jet ventilator	A B C D
		(3) Home ventilator	A B C D
		(4) IMV	A B C D
		(5) Oscillating	A B C D
		(6) Pressure ventilator	A B C D
		(7) Volume ventilator	A B C D
	k. Weaning		A B C D
4. Care of the neonate with:
	a. Bronchopulmonary dysplasia (BPD)		A B C D
	b. Cardiogenic/hypovolemic shock		A B C D
	c. Diaphragmatic hernia		A B C D
	d. Fresh tracheostomy		A B C D
	e. Meconium aspiration		A B C D
	f. Persistent pulmonary hypertension (PPHN)		A B C D
	g. Pneumothorax		A B C D
	h. Respiratory distress syndrome (RDS)		A B C D
	i. Respiratory failure		A B C D
5. Medications
	a. Aminophylline		A B C D
	b. Prostaglandin		A B C D


C. NEUROLOGICAL

	1. Assessment
		a. Intracranial pressure monitoring	A B C D
		b. Neurological status	A B C D
	2. Care of the neonate with:
		a. Brain death/organ procurement	A B C D
		b. Externalized VP shunt/reservoirs	A B C D
		c. Increased intracranial pressure	A B C D
		d. Meningitis	A B C D
		e. Seizures	A B C D
	3. Medication - Anticonvulsant medication		A B C D


D. GASTROINTESTINAL

	1. Assessment
		a. Abdominal girth		A B C D
		b. Bowel sounds		A B C D
		c. Palate		A B C D
		d. Suck/swallow		A B C D
	2. Equipment & procedures
		a. Care of gastrostomy tube		A B C D
		b. Feedings
			(1) Assist with breast feeding	A B C D
			(2) Bottle	A B C D
			(3) Breast milk handling/storage	A B C D
			(4) Gavage	A B C D
		c. Hospital grade electric breast pump		A B C D
		d. Placement of intestinal tubes
			(1) Jejunal gastro	A B C D
			(2) Nasogastric/orogastric	A B C D
		e. Test for occult blood		A B C D
	3. Care of the neonate with:
		a. Cleft palate		A B C D
		b. Colostomy/ileostomy		A B C D
		c. Gastroschisis/omphalocele		A B C D
		d. GI bleeding		A B C D
		e. Inguinal hernia		A B C D
		f. Necrotizing enterocolitis (NEC)		A B C D
		g. Post abdominal surgery		A B C D
		h. Reflux precautions		A B C D
		i. Tracheoesophageal fistula (TEF)		A B C D


E. ENDOCRINE/METABOLIC

	1. Assessment
		a. Finnegan		A B C D
		b. Fluid & electrolyte balance		A B C D
	2. Interpretation of lab results
		a. Bilirubin		A B C D
		b. Test urine and interpret
			(1) Glucose	A B C D
			(2) Labstix	A B C D
			(3) Occult blood	A B C D
			(4) pH	A B C D
			(5) Specific gravity	A B C D
	3. Equipment & procedures
		a. Collection of urine specimens
			(1) Assist with supra pubic tap	A B C D
			(2) Catheter	A B C D
			(3) Diaper/bag	A B C D
		b. Phototherapy for jaundice		A B C D
		c. Post circumcision care		A B C D
	4. Care of the neonate with:
		a. Acute renal failure		A B C D
		b. DIC (disseminated intra vascular coagulation)		A B C D
		c. Disorders of internal/external organs		A B C D
		d. Drug addiction/withdrawal		A B C D
		e. Hypo/hyperkalemia		A B C D
		f. Hypo/hypernatremia		A B C D
		g. IDM (infant of a diabetic mother)
			(1) Hyperglycemia	A B C D
			(2) Hypoglycemia	A B C D
		h. Malformations of the GU tract, kidney		A B C D
		i. Peritoneal dialysis		A B C D


F. INFECTIOUS DISEASES

	1. Interpretation of lab results
		a. CBC/differential	A B C D
		b. Culture reports	A B C D
		c. Maternal lab results	A B C D
	2. Equipment & procedures
		a. Assist with lumbar puncture	A B C D
		b. Collect culture specimens	A B C D
		c. Isolation techniques	A B C D
		d. Standard (universal) precautions	A B C D
	3. Care of the neonate with:
		a. Hepatitis surface antigen+ mother	A B C D
		b. HIV positive mother	A B C D
		c. Neonatal sepsis	A B C D
	4. Medications - Immunizations
		a. HBIG	A B C D
		b. HBV	A B C D
		c. HIB	A B C D
		d. Polio	A B C D
		e. DPT	A B C D
		f. RespiGam/synergis prophylaxis	A B C D


G. PHLEBOTOMY/IV THERAPY

	1. Equipment & procedures
		a. Administration of blood/blood products