NICU Skills Checklist

Instructions:

Please rate your experience / frequency (within the last year) using the following scale (check the appropriate boxes below):

  • 0 = No Experience / Observed Only
  • 1 = Limited Experience / Rarely Done (<6 times/year)
  • 2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
  • 3 = Experienced / Frequently Done (daily or weekly)

NICU Skills Checklist

  • AGE OF PATIENTS CARED FOR

  • GENERAL SKILLS

  • NEUROLOGICAL

  • NEUROLOGICAL-Care of Neonate with:

  • KNOWLEDGE AND USE OF

  • CARDIOVASCULAR

  • CARDIOVASCULAR-Care of Neonate with:

  • KNOWLEDGE AND USE OF

  • RESPIRATORY

  • CHEST TUBE CARE AND MAINTENANCE

  • 02 THERAPY DELIVERY SYSTEMS

  • OBTAINING BLOOD SAMPLES

  • USE OF VENTILATORS

  • RESPIRATORY-Care of Neonate with:

  • KNOWLEDGE AND USE OF

  • GASTROINTESTINAL

  • FEEDINGS

  • PLACEMENT OF INTESTINAL TUBES

  • GASTROINTESTINAL-Care of Neonath with:

  • RENAL/GU/METABOLIC/ENDOCRINE

  • COLLECTION OF URINE SPECIMENS

  • RENAL/GU/METABOLIC/ENDOCRINE-Care of Neonate with:

  • INFECTIOUS DISEASES

  • INFECTIOUS DISEASE-Care of Neonate with:

  • KNOWLEDGE AND USE OF

  • MEDICATION SKILLS/KNOWLEDGE & USE

  • PAIN MANAGEMENT

  • IV THERAPY/PHLEBOTOMY

  • DELIVERY SYSTEMS

  • MANAGING IV THERAPY

  • IV THERAPY/PHLEBOTOMY-Care of the Neonate with:

  • GESTATIONAL AGE

  • CONSENTS

  • FAMILY TEACHING/EDUCATION

  • THERMOREGULATION

  • WEIGHTS