PEDIATRIC SKILLS CHECKLIST
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Job Description: Staff Nurse - RN - Pediatrics
Evaluates, create and implement patient plan of care, and documents all nursing care for pediatric patients. May assists doctors, NP's, PA's, during examinations and procedures. Administers medications within the scope of practice of the registered nurse. Establish patient care goals and provides necessary teaching to patient and family to understand condition, medications, and self-care skills. Requires a minimum of an associate's degree and a license in the state of employment as a registered nurse. Utilizes ones experience and judgment to plan and accomplish goals. Performs a variety of tasks and direct patient care. Reports to a manager or charge nurse of the designated unit.
KEY: For each criteria
Score 1: Two plus years Expert Experience
Score 2: One-Two Years Current Experience
Score 3: Less than one year or Intermittent Experience
Score 4: Theory, no experience
CRITERIA
SCORE
1
2
3
4
CARDIOVASCULAR
Assessment
Auscultation (rate, rhythm)
Blood pressure/non-invasive
Heart sounds/murmurs
Perfusion
Interpretation of lab results
Arterial blood gases
Hemoglobin & hematocrit
Equipment & procedures
Basic EKG interpretation
Non-invasive cardiac monitoring
Care of the child with
Bacterial endocarditis
Cardiac arrest
Cardiomyopathy
Congenital heart defects/disease
Congestive heart failure
Myocarditis
Pericarditis
Post cardiac cath
Post cardiac surgery
Rheumatic fever
Shock
Medication - Digoxin (Lanoxin)
PULMONARY
Assessment
Breath sounds
Rate and work of breathing
Equipment & procedures
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 the 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)
NEUROLOGICAL/ORTHOPEDICS
Assessment - level of consciousness
Equipment & procedures
Application of splints
Assist with lumbar puncture
Cast
ICP monitoring
Pinned fractures
Traction
Care of the child with
Battered child syndrome
Closed head trauma
Clubfoot
Encephalitis
Febrile seizures
Meningitis
Multiple sclerosis
Multiple trauma
Near drowning
Neuromuscular disease
Osteogenic sarcoma
Osteomyelitis
Spinal cord injury
Medications
Clonazepam (Klonopin)
Corticosteroids
Dilantin (Phenytoin)
Phenobarbital
Tegretol (Carbamazepine)
Valium (Diazepam)
GASTROINTESTINAL
Assessment
Abdominal
Nutritional
Interpretation of lab results - Serum electrolytes:
Equipment & procedures
Feedings
Bottle
Breast
Central hyperalimentation
Gavage
Peripheral hyperalimentation
Gastrostomy/button
I-tubes
Jejunal feeding
NG and sump tubes to suction
Penrose drains
Placement of naso/orogastric tube
Wound irrigation/dressing change
Care of the child with
Anal fissure
Cleft lip/palate
Colostomy
Diaphragmatic hernia
Failure to thrive (FTT)
Gastroenteritis/dehydration
GE reflux
GI bleeding
Ileostomy
Intestinal parasites
Necrotizing enterocolitis (NEC)
Pyloric stenosis
Surgical abdomen
Ulcerative colitis
RENAL/GENITOURINARY
Assessment - fluid balance
Interpretation of lab results
BUN & creatinine
Urinalysis
Equipment & procedures
Assist with suprapubic tap
Catheter insertion
Catheter care
Female
Male
Straight
Collection of urine specimen
Care of the child with
Circumcision
Glomerularnephritis
Hemodialysis
Hemolytic uremic syndrome (HUS)
Hypospadias
Ileal conduit ureteral
Infantile polycystic disease
Kidney transplant
Nephrotic syndrome
Peritoneal dialysis
Renal failure
Urinary tract infection
Wilm's tumor
ENDOCRINE/METABOLIC
Assessment
Interpretation of lab results
Blood glucose
Thyroid studies
Equipment & procedures
Blood glucose testing: type
Care of the child with
Adrenal disorders
Cushing's syndrome
Juvenile diabetes
Pituitary disorders
Thyroid malfunction
Medications
Growth hormone
Insulin
Thyroid
HEMATOLOGY/ONCOLOGY
Assessment of nutritional status
Interpretation of lab results
Blood chemistry
Blood counts
Equipment & procedures - reverse isolation
Care of the child with
Anemia
Bone marrow transplant
Depressed immune system
Disseminated intravascular coagulation (DIC)
Hemophilia
Hodgkin's disease
Infectious mononucleosis
Leukemia
Malignant tumors
Sickle cell anemia
Spleen trauma/splenectomy
Medications
Chemotherapy certification?
Prednisone
MEDICATION ADMINISTRATION FOR CHILDREN
Calculation of pediatric doses
Eye/ear installations
Knowledge of emergency drugs
Knowledge of routine pediatric drugs
Metered dose inhaler
PHLEBOTOMY/IV THERAPY
Equipment & procedures
Administration of blood/blood products
Cryoprecipitate
Packed red blood cells
Whole blood
Drawing blood from central line
Drawing venous blood
Starting IVs
Angiocath
Butterfly
Heparin lock
Care of the child with
Central line/catheter/dressing
Broviac
Groshong
Hickman
Portacath
Quinton
Cutdown line/dressing
Peripheral line/dressing
INFECTIOUS DISEASES
Interpretation of lab results - blood count
Equipment & procedures
Fever management
Isolation
Care of the child with
AIDS
Common childhood - communicable diseases
Cytomegalo virus (CMV)
Hepatitis
Kawasaki disease
Lyme disease
MISCELLANEOUS
Assessment
Normal growth and development
Normal laboratory values
Recognize signs of abuse or neglect
Medication - immunization schedule
Care of the child with
Anorexia/bulimia
Craniofacial reconstruction
Depression
ENT surgery
Eye surgery
Ingestion of foreign body
Ingestion of poison or toxins
Plastic surgery
Suicidal threats/actions
WOUND MANAGEMENT
Assessment
Skin for impending breakdown
Stasis ulcers
Surgical wound healing
Equipment & procedures
1st degree burns (throughout body)
2nd degree burns
3rd degree burns
Pressure sores
Staged decubitus ulcers
Sterile dressing changes
Surgical wounds with drain(s)
Traumatic wound care
Use of air fluidized, low airloss beds
Wound care/irrigations
PAIN MANAGEMENT
Assessment of pain level/tolerance
Care of the child with
Epidural anesthesia/analgesia
IV conscious sedation
Narcotic analgesia
Pediatric experience is primarily in: (Please indicate number of years.)
Medical
years
Surgical
years
Telemetry
years
Orthopedics
years
Oncology
years
Neurology
years
Psychiatry
years
AGE SPECIFIC CARE
Please indicate the frequency with which you provide care for each age group inthis specialty area.
1
2
3
4
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)
JCAHO:
I acknowledge and understand JCAHO's list of "Do Not Use Abbreviations" :
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The information I have given is true and accurate to the best of my knowledge. I have read and fully understand the job description. By signing below or submitting electronically, I attest that the information provided within this skills checklist represents a full and complete disclosure of information, and is true and correct to the best of my knowledge and belief. I hereby authorize Sagent Healthstaff to release this skills checklist to client facilities for employment purposes.
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Date: (mm/dd/yyyy) :