Berean Healthcare Staffing - Travel Nursing Pediatric Intensive Care RN Skills Checklist

Pediatric Intensive Skills Checklist

This profile is for use by Pediatric Intensive 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. Heart sounds/murmurs		A B C D
		d. Perfusion		A B C D
	2. Equipment & procedures
		a. Central venous pressure		A B C D
		b. Non-invasive cardiac monitoring		A B C D
		c. EKG interpretation		A B C D
		d. Invasive hemodynamic monitoring
			(1) Pulmonary artery/capillary wedge	A B C D
			(2) Right atrial/left atrial	A B C D
	3. Care of the child with:
		a. Bacterial endocarditis		A B C D
		b. Cardiac arrest		A B C D
		c. Cardiac transplant		A B C D
		d. Cardiogenic shock		A B C D
		e. Cardiomyopathy		A B C D
		f. Congenital heart disease/defects		A B C D
		g. Hypovolemic shock		A B C D
		h. Myocarditis		A B C D
		i. Post cardiac surgery		A B C D
		j. Post interventional cardiac cath		A B C D
	4. Medication
		a. Dobutamine (Dobutrex)		A B C D
		b. Dopamine (Intropin)		A B C D
		c. Epinephrine (Adrenalin)		A B C D
		d. Nipride (Nitroprusside)		A B C D
		e. Nitroglycerine (Tridil)		A B C D
		f. 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. 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) Endotracheal tube suctioning
				(a) In-line suction	A B C D
				(b) Open ET catheter suction	A B C D
			(4) Extubation		A B C D
			(5) Nasal airway/suctioning		A B C D
			(6) Oral airway/suctioning		A B C D
			(7) Tracheostomy/suctioning		A B C D
		b. Apnea monitor			A B C D
		c. Chest physiotherapy			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. End tidal CO₂			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
		h. Oximeter			A B C D
		i. O₂ therapy & medication delivery
			(1) Bag (anesthesia) & mask		A B C D
			(2) Bag (self-inflating) & mask		A B C D
			(3) Isolette		A B C D
			(4) Nasal cannula		A B C D
			(5) Nebulizer		A B C D
			(6) Oxyhood		A B C D
			(7) Tent		A B C D
			(8) Trach collar		A B C D
		j. Thoracentesis			A B C D
		k. 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) Pressure ventilator		A B C D
			(6) Volume ventilator		A B C D
			(7) Weaning		A B C D
	4. Care of the child with:
		a. Bronchiolitis (RSV)			A B C D
		b. Chronic respiratory disease			A B C D
		c. Epiglottitis			A B C D
		d. Flail chest			A B C D
		e. Foreign body aspiration			A B C D
		f. Fresh tracheostomy			A B C D
		g. Hemothorax			A B C D
		h. LTB/croup			A B C D
		i. Pneumonia			A B C D
		j. Pneumothorax			A B C D
		k. RDS			A B C D
		l. Respiratory failure			A B C D
		m. Severe respiratory distress			A B C D
		n. Status asthmaticus			A B C D
	5. Medications
		a. Aminophylline (Theophylline)			A B C D
		b. Prostaglandin			A B C D


C. NEUROLOGICAL

	1. Assessment - Neurological status		A B C D
	2. Equipment & procedures
		a. Intracranial pressure monitoring	A B C D
	3. Care of the child with:
		a. Brain death/organ procurement	A B C D
		b. Coma	A B C D
		c. Encephalitis	A B C D
		d. Externalized VP shunt/reservoirs	A B C D
		e. Head trauma	A B C D
		f. Meningitis	A B C D
		g. Neuromuscular disease	A B C D
		h. Post neurosurgery	A B C D
		i. Spinal cord injury	A B C D
		j. Status epilepticus	A B C D
	4. Medication - Anticonvulsant medication		A B C D


D. ORTHOPEDICS

	1. Equipment & procedures
		a. Specialized orthopedic bed	A B C D
	2. Care of the child with:
		a. Cervical traction	A B C D
		b. Pinned fractures	A B C D
		c. Post vertebral surgery	A B C D


E. GASTROINTESTINAL

	1. Assessment
		a. Abdominal		A B C D
		b. Nutritional		A B C D
	2. Equipment & procedures
		a. Abdominal decompression devices		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. Placement of intestinal tubes
			(1) Gastrostomy/button	A B C D
			(2) Jejunal	A B C D
			(3) Nasogastric/orogastric	A B C D
		d. Test for occult blood		A B C D
	3. Care of the child with:
		a. Fresh ostomy		A B C D
		b. Gastroenteritis/severe dehydration		A B C D
		c. GE reflux		A B C D
		d. GI bleeding		A B C D
		e. Hepatic failure		A B C D
		f. Hepatitis		A B C D
		g. Necrotizing enterocolitis (NEC)		A B C D
		h. Pancreatitis		A B C D
		i. Post abdominal surgery		A B C D
		j. Stress ulcer		A B C D
		k. Surgical abdomen		A B C D


F. RENAL/GENITOURINARY

	1. Assessment of fluid balance			A B C D
	2. Interpretation of lab results
		a. 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. Insertion & care of straight and Foley catheter
			(1) Female	A B C D
			(2) Male	A B C D
		c. Supra-pubic		A B C D
	4. Care of the child with:
		a. Acute renal failure		A B C D
		b. CAVH		A B C D
		c. Diabetes insipidus (DI)		A B C D
		d. Hemodialysis		A B C D
		e. Hemolytic uremic syndrome (HUS)		A B C D
		f. Nephritis		A B C D
		g. Nephrotic syndrome		A B C D
		h. Peritoneal dialysis		A B C D
		i. Post renal trasplant		A B C D
		j. Syndrome inappropriate ADH (SIADH)		A B C D


G. ENDOCRINE/METABOLIC

	1. Assessment of electrolyte balance		A B C D
	2. Equipment & procedures
		a. Blood glucose testing - type
	3. Care of the child with:
		a. Diabetic ketoacidosis	A B C D
		b. Hyper/hypocalcemia	A B C D
		c. Hyperbilirubinemia	A B C D
		d. Thyroid dysfunction	A B C D
	4. Medication - Insulin		A B C D


H. 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. Air fluidized, low airloss beds		A B C D
		b. Sterile dressing changes		A B C D
		c. Wound care/irrigations		A B C D
	3. Care of the child with:
		a. Burns
			(1) First degree	A B C D
			(2) Second degree	A B C D
			(3) Third degree	A B C D
		b. Pressure sores		A B C D
		c. Staged decubitus ulcers		A B C D
		d. Surgical wounds with drain(s)		A B C D
		e. Traumatic wounds		A B C D


I. ONCOLOGY

	1. Assessment
		a. Nutritional status	A B C D
		b. Pain control	A B C