Skill Checklists

PICU

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

PICU

Pediatric CVICU

Pediatric Step Down

Pediatric PACU

Cardiovascular

Congenital Heart Disease/Repair

Post Cardiac Surgery (Directly from OR)

Post Cardiac Surgery (NOT Directly from OR)

Post Diagnostic/Interventional Cardiac Cath

Heart Failure/Cardiogenic Shock

Cardiac Transplant

Hemodynamic Monitoring

Arrhythmia Interpretation

Pacemaker - Temporary/Permanent

SVO2 Monitoring

Intra-Aortic Balloon Pump

Ventricular Assist Device

ECMO

Pulmonary

Respiratory Distress Syndrome/Resp. Failure

Reactive Airway Disease

ENT Surgery

Epiglottis

Cystic Fibrosis

Tuberculosis

Intubation/Extubation

Endotracheal Tube Management

Tracheostomy Management

Modes of Ventilation: AC/PC/SIMV/CPAP

Modes of Ventilation: Jet/Oscillator

Nitric Oxide

Hemo/Pneumothorax

NEUROLOGIC/ORTHOPEDIC

Brain Injury

Craniotomy

Spinal Cord Injury

Seizure Disorders

ICP Monitoring

VP Shunt

Meningitis

Neuromuscular Disease

Post Vertebral Surgery

Traction - General

Traction - Halo

Gastrointestinal

Acute Surgical Abdomen

GI Bleeding

Pancreatitis

Hepatic Failure

Ostomy Management

Management of Gastric Tubes

Breast Milk Handling/Storage

RENAL/GENITOURINARY

Nephrotic Syndrome

Renal Transplant

Renal Replacement Therapy

Peritoneal Dialysis

ENDOCRINE/METABOLIC

Diabetes - Hypo/Hyperglycemic Crisis

Diabetic Ketoacidosis

IV Insulin Pumps

Indwelling Insulin Pumps

TRAUMA/OTHER

Blunt/Penetrating Trauma

Burns

Craniofacial Reconstruction

Near Drowning

Poison Ingestion/Overdose

Bites-Animal/Snake/Human

Suicide Precautions

Wound Management/VAC

Specialty Beds

Oncology

Bone Marrow Transplant

Immunosuppressive Disorder

Hemophilia Crisis

Sickle Cell Crisis

Medications

Pediatric Dosage Calculations

Anti-Arrhythmics

Anticoagulants (IV, Oral & Injection)

Anti-Hypertensives

Anti-Seizure Medications

Benzodiazepines

Continuous IV Paralytics

Continuous IV Sedation

Procedural Sedation - Administration

Diuretics

Emergency Medication

Inhaled Medications

Insulin

IV Vasopressors

Narcotics/Opioid Analgesics (IV, Oral & Injection)

Non-Opioid Analgesics (IV, Oral & Injection)

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

Dysrhythmia Interpretation

Dysrhythmia Management

Management of Cardiac Arrest

Shock Management

Malignant Hyperthermia

Multisystem Organ Failure

Professional Knowledge and Skills

Recognize/Report Signs of Abuse

National Patient Safety Goals/Core Measures

EMTALA

Fall Risk Assessment/Prevention

Pressure Ulcer Risk Assessment/Prevention

Restraints/Use of Least Restrictive Device

Normal Growth and Development

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

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)

EMR

Epic

Cerner

Eclipsys

McKesson

Meditech

Other Computerized System

Computerized Physician Order Entry

Bar Coding for Medication Administration

EMR Conversion - yes

Certifications

BLS

PALS

ACLS

PEARS

ENPC

CEN

TNCC

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.