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Pediatric PICU Skills Checklist

A Tribute To Nurses
 

The purpose of the following checklist is to assist in matching your skills with available assignments in order to meet both your needs and the needs of our client facilities. Please select the appropriate number for each skill level, patient care situation, or type of equipment.

Level of Experience:

  1. Theory, No Practice
  2. Intermittent Experience
  3. One/Two Year Consistent Experience
  4. Very Experienced, Able to Perform Without Supervision
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Name: Date:

AGE SPECIFIC CARE
Please indicate the level of experience with which you provide care for each age group in this specialty area.

 
A
B
C
D
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-School (3-6 years)
School Age (6-12 years)
Adolescent (12-18 years)
Young Adult (18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)

 

SKILLS
A
B
C
D
CARDIOVASCULAR        
ASSESSMENT        
  Auscultation (Rate, Rhythm, Volume)
  Blood Pressure/Non-Invasive
  Heart Sounds/Murmurs
  Perfusion
 
INTERPRETATION OF LAB RESULTS        
  Arterial Blood Gases
  Hemoglobin & Heatrocrit
 
EQUIPMENT & PROCEDURES        
  Basic EKG Interpretation
  Non-Invasive Cardiac Monitoring
 
CARE OF CHILD WITH        
  Bacterial Endocarditis
  Cardiac Arrest
  Cardiomyopathy
  Congenital Heart Defects/Disease
  Congestive Heart Failure
  Myocarditis
  Pericarditis
  Post Cardiac Cath
  Post Cardiac Surgery
  Rhuematic Fever
  Shock
  Medication - Digoxin (Lanolin)
 
PULMONARY        
ASSESSMENT        
  Breath Sounds
  Rate and Work of Breathing
 
EQUIPMENT & PROCUDURES        
  AIRWAY MANAGEMENT DEVICES SUCTIONING        
    Bulb Syringe
    Nasal Airway/Suctioning
    Oral Airway/Suctioning
    Tracheostomy/Suctioning
    Apnea Monitor
    Chest Physiotherapy
    Chest Tubes
    End Tidal CO2
    Oximeter
 
OXYGEN THERAPY DELIVERY SYSTEMS        
  Face Mask
  Hood
  Isolette
  Nasal Cannula
  Tent
  Trach Collar
  Water Seal Drainage System
 
CARE OF CHILD WITH        
  Asthma
  Bronchiolitis (RSV)
  Bronchopulmonary Dysplasia (BPD)
  Cystic Fibrosis
  Epiglottitis
  LTB/Croup
  Pertussis
  Pneumonia
  Tonsillitis
  Tuberculosis
 
MEDICATIONS        
  Alupent (Meraproteranol)
  Aminophylline (Theophylline)
  Isuprel (Isoproterenol)
  Ventolin (Albuterol)

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