Skill Checklists

Pediatric

This checklist was electronically signed on (Today’s date)

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

  • 1 = No Experience

  • 2 = Need Training

  • 3 = Able to perform with supervision

  • 4 = Able to perform independently

Work Settings

Pediatric MedSurg

Pediatric Step Down/Telemetry

Pediatric Oncology

Pediatric Ortho

Pediatric Neuro

Cardiovascular

Congenital Heart Disease/Repair

Pre Cardiac Surgery

Post Cardiac Surgery

Heart Sounds

Pulmonary

Reactive Airway Disease

RSV

Tuberculosis

Esophageal Atresia

Epiglottitis

Tonsillitis

Laryngotracheobronchitis (Croup)

ENT Surgery

Oxygen Delivery Systems

Tracheostomy Management

Oral Suctioning

Deep Suctioning

Management of Chest Tubes

Apnea Monitor

Home Ventilator Therapy

NEUROLOGIC/ORTHOPEDIC

Brain Injury

Spinal Cord Injury

Seizure Disorders

Meningitis

Neuromuscular Disease

Extremity Fracture/Cast

Post Vertebral Surgery

Traction - General

Traction - Halo

Pin Care

VP Shunts/Internal/External

Gastrointestinal

Inflammatory Bowel Disease

Cleft Lip/Palate

Inflammatory Bowel Disease

Colostomy/Ileostomy

Surgical Drains

Failure to Thrive

Feeding Intolerance

Gastroenteritis/Dehydration

Bowel Obstruction

Short Gut Syndrome

Breastfeeding Support/Handling of Breast Milk

RENAL/GENITOURINARY

Circumcision

Testicular Torsion

Glomerulonephritis

Renal Failure

Renal Transplant

Urinary Retention

Bladder Scan

Insertion/Management of Bladder Catheters

Management of Suprapubic Catheters

ENDOCRINE/METABOLIC

Diabetes - Hypo/Hyperglycemia

Diabetic Ketoacidosis

IV Insulin Pumps

Indwelling Insulin Pumps

Hyperbilirubinemia

Bili Bed

Oncology

Chemotherapy Administration

Hodgkin's Disease

Hemophilia

Sickle Cell Anemia

Leukemia

Solid Tumors

Bone Marrow Transplant

Infectious Diseases

Childhood Communicable Diseases

Hepatitis

HIV

Kawasaki Disease

Medications

Pediatric Dosage Calculations

Anti-Hypertensives

Anticoagulants

Anti-Seizure Medications

Benzodiazepines

Digoxin

Diurectics

Emergency Medications

Inhaled Medications

Insulin

Narcotics/Opioid Analgesics (IV/Oral/Injection)

Non-Opioid Analgesics (IV/Oral/Injection)

Procedural Sedation - Recovery

Reversal Agents

Steroids (IV/Oral/Inhaled)

Automated Medication Dispensing (i.e. Pyxis, Omnicell)

IV Therapy

Starting Ivs

Central Line Blood Draw

Central Line/Implanted Line Care

TPN/Lipids

Blood Product Administration

Administration of Chemotherapy

Cardiac Monitoring & Emerg. Response

Pediatric Early Warning Score (PEWS)/Rapid Response Team

Dysrhythmia Interpretation

Dysrhythmia Management

Professional Knowledge and Skills

National Patient Safety Goals/Core Measures

Recognize/Report Signs of Abuse

Fall Risk Assessment/Prevention

Pressure Ulcer Risk Assessment/Prevention

Restraints/Use of Least Restrictive Device

Normal Growth and Development

Age Specific/Population Based Care

Patient Family Teaching

Isolation Precautions

Infection Prevention

Reporting Communicable Diseases

Pain Assessment & Management

Charge Experience

Interpretation and Communication of Lab Values

EMR

Epic

Cerner

Eclipsys

McKesson

Meditech

Other Computerized System

Computerized Physician Order Entry

Bar Coding for Medication Administration

Age Specific Competencies

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)

Professional Knowledge and Skills

PALS

BLS

CPHON

Chemo Certification: Specify

PICC Certification: Specify

Other: Specify

I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.