Pediatric Intensive Care 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)

Pediatric Intensive Care RN Skills Checklist

  • AGE OF PATIENTS CARED FOR

  • GENERAL SKILLS

  • CARDIOVASCULAR GENERAL SKILLS

  • Invasive Hemodynamic Monitoring:

  • Cardiovascular- Care of the Child with:

  • Medications Knowledge and Use of

  • RESPIRATORY GENERAL SKILLS

  • Obtaining Blood Gases:

  • Airway Management:

  • Suctioning:

  • Chest Tube (Assist With):

  • O2 Therapy:

  • Ventilators:

  • Respiratory- Care of Child with:

  • Medications Knowledge and Use of

  • NEURO GENERAL SKILLS

  • Neuro- Care of Child with:

  • Medications Knowledge and Use of

  • GASTROINTESTINAL GENERAL SKILLS

  • Gastrostomy/Button:

  • Gastrointestinal- Care of Child with:

  • Medications Knowledge and Use of

  • RENAL/GENITOURINARY GENERAL SKILLS

  • Interpretation Of Lab Results (UA/BUN/Creatinine):

  • Collection of Urine Specimens:

  • Renal/Genitourinary- Care of Child with:

  • ENDOCRINE/METABOLIC GENERAL SKILLS

  • Endocrine/Metabolic- Care of Child with:

  • Medications Knowledge and Use of

  • ORTHOPEDICS GENERAL SKILLS

  • Orthopedics- Care of Child with:

  • WOUND MANAGEMENT

  • Burns:

  • ONCOLOGY GENERAL SKILLS

  • Interpretation Of Lab Result:

  • Oncology- Care of Child with:

  • Medications Knowledge and Use of

  • INFECTIOUS DISEASES GENERAL SKILLS

  • Obtain Culture Specimens:

  • Infectious Diseases- Care of Child with:

  • PHLEBOTOMY/IV THERAPY

  • Phlebotomy/IV- Care of Child with:

  • PAIN MANAGEMENT GENERAL SKILLS

  • Pain Management- Care of Child with:

  • Medication Knowledge and Use of

  • MISCELLANEOUS

  • Miscellaneous- Care of Child with:

  • Medication Administration for Children

  • YEARS OF EXPERIENCE IN EACH OF THE FOLLOWING PEDIATRIC AREAS