Pediatric Skills Checklist

SKILLS CHECKLIST

Pediatric
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. 
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Bacterial Endocarditis
Cardiac Catherization
Cardiomyopathy
Congenital Heart Disease
Congestive Heart Failure
Kawasaki's Disease
Myocarditis
Pericarditis
Asthma
Bronchiolitis
Bronchopulmonary Dysplasia (BPD)
Chronic Respiratory Disease
Croup
Epiglottitis
Pertussis
Pneumonia
Respiratory Synticial Virus (RSV)
Rheumatic Fever
Tuberculosis
Closed Head Injuries
Encephalitis
Epilepsy
Hydrocephalus
Reye's Syndrome
Seizures
Febrile Seizures
Meningitis
Multiple Sclerosis
Neuromuscular Diseases
Gastroenteritis
Dehydration - Mild/Moderate
Gastroesophageal Reflux
GI Bleed
Intestinal Parasites
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Intussusception
Juvenile Diabetes
Poison Ingestion/Overdose
Pyloric Stenosis
Tonsillitis
Ulcerative Colitis
Hypospadias
Urinary Tract Infection
Hemolytic Uremic Syndrome
Nephrotic Syndrome
Polycystic Kidney Disease
Hepatitis
Renal Failure
Wilm's Tumor
Clubfoot
Osteogenic Sarcoma
Osteomyelitis
Fractures - Pinned Traction
Devised Traction (casts, splints, braces)
Lupus
Adrenal Disorders
Cushing's Syndrome
Pituitary Disorders
Thyroid Dysfunction
Anemia
Hemophilia
Leukemia
Neutropenia
Sickle Cell Anemia
Bone Marrow Transplant
Hodgkin's Disease
Malignant Tumors
Radiation Implant
Childhood Communicable Diseases
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Cytomegalovirus (CMV)
Fever
Infectious Mononucleosis
Lyme Disease
HIV/AIDS
MRSA/VRE
Burns
Anorexia/Bulimia
Battered Child Syndrome
Child Abuse/Neglect
Failure to Thrive
Post-Operative Care
a. Abdominal Surgery
b. Orthopedic Surgery
c. Craniofacial Surgery
d. ENT Surgery
Multiple Trauma
Developmental Delay
Cleft Lip/Palate
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Albuterol (Ventolin)
Aminophylline
Amoxicillin
Ampicillin
Atropine
Carbamazepine (Tegretol)
Chemotherapeutic Agents
Chloral Hydrate
Clonazapam (Clonopin)
Corticosteroids
Diazepam (Valium)
Digoxin
Epinephrine
Gentamycin
Growth Hormone
Insulin
Lasix
Metaproterenol (Alupent)
Nitroglycerine
Phenobarbital
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Phenytoin (Dilantin)
Sodium Bicarbonate
Procainamide (Pronestyl)
Thyroid Replacement
Vancomycin
Continuous IV infusion
Eye/ear Installations
IM Injections
Metered Dose Inhalers
Nebulizer
Rectal Infusion/Suppository
SQ Injections
Z-track Injections
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Cast Care
Chemotherapy - Peds Protocols
Chest physiotherapy
Chest tube & drainage system
a. Care & maintenance
b. Troubleshooting
c. Removal
EKG/Arrhythmia Interpretation
Feedings
a. Breastfeeding - assist
b. Breastmilk handling/storage
c. Bottle
d. Continuous tube feeding
e. Gavage, intermittent
Foley/Straight Cath insertion & care
a. Male
b. Female
Gastric Lavage
Gastric Suction, low intermittent
Gastrostomy Tube/Site Care
Hemodialysis - care during/post
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Hemodynamic Monitoring, non-invasive
a. Auscultation
b. Doppler
c. Palpation
Interpretation of Lab Results
a. Blood gases
b. Bilirubin
c. CBC
d. Cultures
e. Electrolytes
f. Stool for occult blood
g. Thyroid Studies
h. Urine dipstick
Intestinal Tract Tube Insertion/Care
a. Gastrostomy button
b. Nasogastric
c. Nasojejunal
d. Orogastric tubes
Intravenous Infusions
a. Blood & Blood Products
i. Cryoprecipitate
ii. Packed RBCs
iii. Platelets
iv. Whole Blood
b. Central line care
i. Broviac
ii. Groshong
iiii. Hickman
iv. PICC
v. Portacath
vi. Quinton
c. Hyperalimentation
d. Intralipids
e. Peripheral IV insertion & care
i. Angiocath
ii. Butterfly
iii. Scalp Veins
iv. Saline Lock/Heparin Lock
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Isolation Procedures
Lumbar Puncture (assist with)
Oral Airway Insertion
Oxygen Therapy Administration
a. Oxyhood
b. Face mask
c. Nasal cannula
d. Trach Collar
e. Tent
f. Ambu Bag
Phototherapy Treatment
Peritoneal Dialysis
a. Automatic cycler
b. Manual
Splint Application
Specimen Collection
a. Blood
i. Central line
ii. Heel stick
iii. Venous stick
b. Cultures
i. Blood
ii. Wound
iii. Sputum
c. Urine
i. Catheter
ii. Diaper
iii. Suprapubic tap (assist)
iv. Urine bag
Suctioning
a. Bulb syringe
b. Oropharyngeal
c. Nasopharyngeal
d. Tracheostomy
e. Oral/Yankauer
Temperature
a. Axillary
b. Oral
c. Tympanic
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
d. Rectal
Traction Application
Wound/Ostomy Care
a. Colostomy care/bag change
b. Ileostomy care/bag change
c. Irrigations
d. Pressure Ulcers
i. Staging
ii. Care
e. Sterile Dressing changes
f. Surgical wounds with drains
Patient Controlled Analgesia (PCA)
Narcotic Agents
Non-narcotic agents
Non-pharmacological measures
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Ambulatory Infusion Pumps
Admission of patients to unit
Assess Breath Sounds
Assess Heart Sounds
Care Planning
Charge Nurse responsibilities
Computerized Charting
Fontanel Assessment
Head Circumference Measurement
Neurological Assessments
Patient Teaching
Thermal Environment Maintenance
Use of Restraints
Vital Signs
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Apnea Monitor
Glucometer
Oxygen Flow Meter
Pulse Oximeter
Specialty Beds
a. Air fluidized
b. Low air loss
c. Orthopedic
Traction Equipment
Computer Charting Systems
if you any Other Equipment, Please Specify below
 
Never Performed
Limited Experience
Comfortable Performing
Proficient
Pain assessment using pain scales
Epidural analgesia
IV conscious sedation
Patient controlled analgesia (PCA)
Narcotic Agents
Non-narcotic agents
Non-pharmacological measures
Do you speak any languages other than English?
Age Specific Skills
Check the box under EACH age group that you have experience with and are comfortable with for each skill below.
Understands the different communication needs for the age group & changes communication methods and terminology accordingly
Understands the different medications, dosages and possible side effects for the age group and administers medications appropriately
Understands the different safety risks for the age group and alters the environment accordingly
Understands the normal growth and development for the age group and adapts care accordingly
 
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