Pediatric Skills Checklist

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

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Please indicate your level of experience
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/non-invasive A B C D
    c. Heart sounds/murmurs A B C D
    d. Perfusion A B C D
  2. Interpretation of lab results
    a. Arterial blood gases A B C D
    b. Hemoglobin & hematocrit A B C D
  3. Equipment & procedures
    a. Basic EKG interpretation A B C D
    b. Non-invasive cardiac monitoring A B C D
  4. Care of the child with:
    a. Bacterial endocarditis A B C D
    b. Cardiac arrest A B C D
    c. Cardiomyopathy A B C D
    d. Congenital heart defects/disease A B C D
    e. Congestive heart failure A B C D
    f. Myocarditis A B C D
    g. Pericarditis A B C D
    h. Post cardiac cath A B C D
    i. Post cardiac surgery A B C D
    j. Rheumatic fever A B C D
    k. Shock A B C D
  5. Medication - Digoxin (Lanoxin) 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. Equipment & procedures
    a. Airway management devices/suctioning  
      (1) Bulb syringe A B C D
      (2) Nasal airway/suctioning A B C D
      (3) Oral airway/suctioning A B C D
      (4) Tracheostomy/suctioning A B C D
    b. Apnea monitor A B C D
    c. Chest physiotherapy A B C D
    d. Chest tubes A B C D
    e. End tidal CO2 A B C D
    f. Oximeter A B C D
    g. Oxygen therapy delivery systems  
      (1) Face mask A B C D
      (2) Hood A B C D
      (3) Isolette A B C D
      (4) Nasal cannula A B C D
      (5) Tent A B C D
      (6) Trach collar A B C D
    h. Water seal drainage system A B C D
  3. Care of the child with:  
    a. Asthma A B C D
    b. Bronchiolitis (RSV) A B C D
    c. Bronchopulmonary dysplasia (BPD) A B C D
    d. Cystic fibrosis A B C D
    e. Epiglottitis A B C D
    f. LTB/croup A B C D
    g. Pertussis A B C D
    h. Pneumonia A B C D
    i. Tonsillitis A B C D
    j. Tuberculosis A B C D
  4. Medications
    a. Alupent (Meraproteranol) A B C D
    b. Aminophylline (Theophylline) A B C D
    c. Isuprel (Isoproterenol) A B C D
    d. Ventolin (Albuterol) A B C D

C. NEUROLOGICAL/ORTHOPEDICS
  1. Assessment - level of consciousness A B C D
  2. Equipment & procedures
    a. Application of splints A B C D
    b. Assist with lumbar puncture A B C D
    c. Cast A B C D
    d. ICP monitoring A B C D
    e. Pinned fractures A B C D
    f. Traction A B C D
  3. Care of the child with:
    a. Battered child syndrome A B C D
    b. Closed head trauma A B C D
    c. Clubfoot A B C D
    d. Encephalitis A B C D
    e. Febrile seizures A B C D
    f. Meningitis A B C D
    g. Multiple sclerosis A B C D
    h. Multiple trauma A B C D
    i. Near drowning A B C D
    j. Neuromuscular disease A B C D
    k. Osteogenic sarcoma A B C D
    l. Osteomyelitis A B C D
    m. Spinal cord injury A B C D
  4. Medications
    a. Clonopin (Clonazapam) A B C D
    b. Corticosteroids A B C D
    c. Dilantin (Phenytoin) A B C D
    d. Phenobarbital A B C D
    e. Tegretol (Carbamazepine) A B C D
    f. Valium (Diazepam) A B C D

D. GASTROINTESTINAL
  1. Assessment  
    a. Abdominal A B C D
    b. Nutritional A B C D
  2. Interpretation of lab results - Serum electrolytes A B C D
  3. Equipment & procedures
    a. Feedings
      (1) Bottle A B C D
      (2) Breast A B C D
      (3) Central hyperalimentation A B C D
      (4) Gavage A B C D
      (5) Peripheral hyperalimentation A B C D
    b. Gastrostomy/button A B C D
    c. I-tubes A B C D
    d. Jejunal feeding A B C D
    e. NG and sump tubes to suction A B C D
    f. Penrose drains A B C D
    g. Placement of naso/orogastric tube A B C D
    h. Wound irrigation/dressing change A B C D
  4. Care of the child with:
    a. Anal fissure A B C D
    b. Cleft lip/palate A B C D
    c. Colostomy A B C D
    d. Diaphragmatic hernia A B C D
    e. Failure to thrive (FTT) A B C D
    f. Gastroenteritis/dehydration A B C D
    g. GE reflux A B C D
    h. GI bleeding A B C D
    i. Ileostomy A B C D
    j. Intestinal parasites A B C D
    k. Necrotizing enterocolitis (NEC) A B C D
    l. Pyloric stenosis A B C D
    m. Surgical abdomen A B C D
    n. Ulcerative colitis A B C D

E. RENAL/GENITOURINARY
  1. Assessment - fluid balance A B C D
  2. Interpretation of lab results  
    a. BUN & creatinine A B C D
    b. Urinalysis A B C D
  3. Equipment & procedures
    a. Assist with suprapubic tap A B C D
    b. Catheter insertion  
      (1) Catheter care A B C D
      (2) Female A B C D
      (3) Indwelling A B C D
      (4) Male A B C D
      (5) Straight A B C D
      c. Collection of urine specimen A B C D
  4. Care of the child with:
    a. Circumcision A B C D
    b. Glomerularnephritis A B C D
    c. Hemodialysis A B C D
    d. Hemolytic uremic syndrome (HUS) A B C D
    e. Hypospadias A B C D
    f. Ileal conduit ureteral A B C D
    g. Infantile polycystic disease A B C D
    h. Kidney transplant A B C D
    i. Nephrotic syndrome A B C D
    j. Peritoneal dialysis A B C D
    k. Renal failure A B C D
    l. Urinary tract infection A B C D
    m. Wilm's tumor A B C D

F. ENDOCRINE/METABOLIC
  1. Assessment A B C D
  2. Interpretation of lab results  
    a. Blood glucose A B C D
    b. Thyroid studies A B C D
  3. Equipment & procedures
    a. Blood glucose testing: type
  4. Care of the child with:
    a. Adrenal disorders A B C D
    b. Cushing's syndrome A B C D
    c. Juvenile diabetes A B C D
    d. Pituitary disorders A B C D
    e. Thyroid malfunction A B C D
  5. Medications
    a. Growth hormone A B C D
    b. Insulin A B C D
    c. Thyroid A B C D

G. HEMATOLOGY/ONCOLOGY
  1. Assessment of nutritional status A B C D
  2. Interpretation of lab results
    a. Blood chemistry A B C D
    b. Blood counts A B C D
  3. Equipment & procedures - reverse isolation A B C D
  4. Care of the child with:
    a. Anemia A B C D
    b. Bone marrow transplant A B C D
    c. Depressed immune system A B C D
    d. Disseminated intravascular coagulation (DIC) A B C D
    e. Hemophilia A B C D
    f. Hodgkin's disease A B C D
    g. Infectious mononucleosis A B C D
    h. Leukemia A B C D
    i. Malignant tumors A B C D
    j. Sickle cell anemia A B C D
    k. Spleen trauma/splenectomy A B C D
  5. Medications
    a. Chemotherapy certification? Yes No
    b. Prednisone A B C D

H. MEDICATION ADMINISTRATION FOR CHILDREN
  1. Calculation of pediatric doses A B C D
  2. Eye/ear installations A B C D
  3. Knowledge of emergency drugs A B C D
  4. Knowledge of routine pediatric drugs A B C D
  5. Metered dose inhaler A B C D

I. PHLEBOTOMY/IV THERAPY
  1. Equipment & procedures  
    a. Administration of blood/blood products  
      (1) Cryoprecipitate A B C D
      (2) Packed red blood cells A B C D
      (3) Whole blood A B C D
    b. Drawing blood from central line A B C D
    c. Drawing venous blood A B C D
    d. Starting IVs
      (1) Angiocath A B C D
      (2) Butterfly A B C D
      (3) Heparin lock A B C D
  2. Care of the child with:
    a. Central line/catheter/dressing
      (1) Broviac A B C D
      (2) Groshong A B C D
      (3) Hickman A B C D
      (4) Portacath A B C D
      (5) Quinton A B C D
    b. Cutdown line/dressing A B C D
    c. Peripheral line/dressing A B C D

J. INFECTIOUS DISEASES
  1. Interpretation of lab results - blood count A B C D
  2. Equipment & procedures  
    a. Fever management A B C D
    b. Isolation A B C D
  3. Care of the child with:
    a. AIDS A B C D
    b. Common childhood - communicable diseases A B C D
    c. Cytomegalo virus (CMV) A B C D
    d. Hepatitis A B C D
    e. Kawasaki disease A B C D
    f. Lyme disease A B C D

K. MISCELLANEOUS
  1. Assessment
    a. Normal growth and development A B C D
    b. Normal laboratory values A B C D
    c. Recognize signs of abuse or neglect A B C D
  2. Medication - immunization schedule A B C D
  3. Care of the child with:
    a. Anorexia/bulimia A B C D
    b. Craniofacial reconstruction A B C D
    c. Depression A B C D
    d. ENT surgery A B C D
    e. Eye surgery A B C D
    f. Ingestion of foreign body A B C D
    g. Ingestion of poison or toxins A B C D
    h. Plastic surgery A B C D
    i. Suicidal threats/actions A B C D

L. WOUND MANAGEMENT
  1. Assessment  
    a. Skin for impending breakdown A B C D
    b. Stasis ulcers A B C D
    c. Surgical wound healing A B C D
  2. Equipment & procedures  
    a. 1st degree burns (throughout body) A B C D
    b. 2nd degree burns A B C D
    c. 3rd degree burns A B C D
    d. Pressure sores A B C D
    e. Staged decubitus ulcers A B C D
    f. Sterile dressing changes A B C D
    g. Surgical wounds with drain(s) A B C D
    h. Traumatic wound care A B C D
    i. Use of air fluidized, low airloss beds A B C D
    j. Wound care/irrigations A B C D

M. PAIN MANAGEMENT
  1. Assessment of pain level/tolerance A B C D
  2. Care of the child with:  
    a. Epidural anesthesia/analgesia A B C D
    b. IV conscious sedation A B C D
    c. Narcotic analgesia A B C D

AGE SPECIFIC PRACTICE CRITERIA
Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.

A. Newborn/Neonate (birth - 30 days)
F. Adolescents (12 - 18 years)
B. Infant (30 days - 1 year)
C. Toddler (1 - 3 years)
D. Preschooler (3 - 5 years)
E. School age children (5 - 12 years)  


EXPERIENCE WITH AGE GROUPS: A B C D E F
Able to adapt care to incorporate normal growth and development.
Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level.
Can ensure a safe environment reflecting specific needs of various age groups.


My experience is primarily in: (Please indicate number of years.)
Medical year(s) Neurology year(s)
Surgical year(s)
Telemetry year(s)
Orthopedics year(s) Psychiatry year(s)
Oncology year(s) Rehabilitation year(s)
Other (specify) year(s)

Certification: (mo/day/yr)
BCLS Exp. date:      
NRP Exp. date:      
PALS Exp. date:      
Other (type): Exp. date:
Computerized charting system:
Medication administration system:
 

The information I have given is true and accurate to the best of my knowledge. I hereby authorize Berean Healthcare Staffing to release this Pediatric Skills Checklist to Client facilities of Berean Healthcare Staffing in relation to consideration of my employment with those facilities.



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