Carolina Travel Nurses PICU Skills Checklist.
(888) 894-2900 (bus)
(888) 894-2073 (fax)
enter name above
Pediatrics ICU Skills Checklist
1
=
> 2 years experience
2
= 1-2 years experience
3
= < 1 year experience
4
= theory only
RESPIRATORY
CARDIAC
Croup
*
1
2
3
4
Cardiac Arrest / CPR
*
1
2
3
4
Asthma
*
1
2
3
4
Assessment of Heart Sounds
*
1
2
3
4
Bronchitis
*
1
2
3
4
Cardioversion
*
1
2
3
4
Oximeter
*
1
2
3
4
Swan Ganz
*
1
2
3
4
O
2
(NC, Mask, Tent)
*
1
2
3
4
ECMO
*
1
2
3
4
Assist with Intubation
*
1
2
3
4
A-Line
*
1
2
3
4
Ventilator / Weaning
*
1
2
3
4
12 Lead EKG Interpretation
*
1
2
3
4
Oral, Nasal, and ET Suctioning
*
1
2
3
4
Interpretation of Arrhythmias
*
1
2
3
4
Care of Tracheostomy
*
1
2
3
4
Hemodynamic Monitoring
*
1
2
3
4
Chest Physiotherapy
*
1
2
3
4
Defibrillation
*
1
2
3
4
Apnea Monitor
*
1
2
3
4
Pre/Post Cardiac Surgery
*
1
2
3
4
Ambu Bag
*
1
2
3
4
Care of Patient with PDA
*
1
2
3
4
Maintain Chest Tube
*
1
2
3
4
Care of Patient with CHF
*
1
2
3
4
ABG Interpretation
*
1
2
3
4
Care of Patient with DIC
*
1
2
3
4
Respiratory Distress Syndrome
*
1
2
3
4
Cyanotic Heart Disease
*
1
2
3
4
Near Drowning
*
1
2
3
4
Acyanotic Heat Disease
*
1
2
3
4
Cystic Fibrosis
*
1
2
3
4
Assist with Central Line Insertion
*
1
2
3
4
Bronch-Pulmonary Dysplasia
*
1
2
3
4
PTCA
*
1
2
3
4
Cardiogenic / Hypovolemic Shock
*
1
2
3
4
VASCULAR
Hemodialysis
*
1
2
3
4
GASTROINTESTINAL
Peritoneal Dialysis
*
1
2
3
4
NG Tube Insertion
*
1
2
3
4
Peripheral Pulses
*
1
2
3
4
Gastrostomy Tube
*
1
2
3
4
Fluid Overload
*
1
2
3
4
Jejunostomy Tube
*
1
2
3
4
Maintain Heparin Lock
*
1
2
3
4
Enterostomal Care
*
1
2
3
4
Normal Lab Values
*
1
2
3
4
Tracheoesophageal Fistula
*
1
2
3
4
Maintain Heparin Drip
*
1
2
3
4
Colostomy / Ileostomy
*
1
2
3
4
Ruptured Spleen
*
1
2
3
4
SHOCK
Gastroschisis
*
1
2
3
4
Cardiogenic
*
1
2
3
4
Necrotizing Enterocolitis
*
1
2
3
4
Hypovolemic
*
1
2
3
4
Chrons Disease
*
1
2
3
4
Septic
*
1
2
3
4
Dehydration
*
1
2
3
4
Anaphylatic
*
1
2
3
4
Phototherapy
*
1
2
3
4
Stool tests
*
1
2
3
4
OTHER
Multiple Abdominal Trauma
*
1
2
3
4
Leukemia
*
1
2
3
4
Ingestion of Poison
*
1
2
3
4
Burns
*
1
2
3
4
TRANSPLANTS
Terminal Illness
*
1
2
3
4
Heart
*
1
2
3
4
Anemia
*
1
2
3
4
Sickle Cell Disease
*
1
2
3
4
Lung
*
1
2
3
4
Hemophilia
*
1
2
3
4
HIV / AIDS
*
1
2
3
4
Kidney
*
1
2
3
4
Failure to Thrive
*
1
2
3
4
Suspected Child Abuse
*
1
2
3
4
Liver
*
1
2
3
4
Cleft Lip / Palate
*
1
2
3
4
(888) 894-2900 (bus)
(888) 894-2073 (fax)
Pediatrics ICU Skills Checklist
1
=
> 2 years experience
2
= 1-2 years experience
3
= < 1 year experience
4
= theory only
NEUROLOGICAL
ORTHOPEDIC
Neurological Assessment
*
1
2
3
4
Casts/Splints/Braces
*
1
2
3
4
Obtaining Glascow Scale
*
1
2
3
4
Arthritis
*
1
2
3
4
ICP Monitoring
*
1
2
3
4
Orthopedic Surgery
*
1
2
3
4
Seizure Activity
*
1
2
3
4
Multiple Fractures
*
1
2
3
4
Seizure Precautions
*
1
2
3
4
Body Cast
*
1
2
3
4
Spina Bifida
*
1
2
3
4
Stryker Frame
*
1
2
3
4
Meningitis
*
1
2
3
4
Circo-Electric Bed
*
1
2
3
4
Pre/Post Neuro Surgery
*
1
2
3
4
Skin Traction
*
1
2
3
4
V-P Shunt
*
1
2
3
4
Skeletal Traction
*
1
2
3
4
Hydrocephalus
*
1
2
3
4
Acute Spinal Cord Injury
*
1
2
3
4
GENITOURINARY / RENAL
Rocky Mountain Spotted Fever
*
1
2
3
4
Foley Insertion
*
1
2
3
4
Reyes Syndrome
*
1
2
3
4
Nephrostomy Tube
*
1
2
3
4
Assist with Lumbar Puncture
*
1
2
3
4
Suprapubic Tube
*
1
2
3
4
Maintain Thermal Environment
*
1
2
3
4
Electrolyte Imbalance / Replacement
*
1
2
3
4
GU Irrigation
*
1
2
3
4
MEDICATION ADMINISTRATION
Pre/Post Operative Nephrectomy
*
1
2
3
4
IV Push, Drip
*
1
2
3
4
TURP
*
1
2
3
4
IV Mixture
*
1
2
3
4
Shunts and Fistulas
*
1
2
3
4
Topical
*
1
2
3
4
Renal Failure / Trauma
*
1
2
3
4
Hyperalimentation
*
1
2
3
4
Pre/Post Operative GU Surgery
*
1
2
3
4
Lipids
*
1
2
3
4
Urinary Diversion
*
1
2
3
4
Chemotherapy
*
1
2
3
4
Peritoneal Dialysis
*
1
2
3
4
Drops (nose, eye, ear)
*
1
2
3
4
Rectal
*
1
2
3
4
MISCELLANEOUS
IV THERAPY
Start Peripheral IV
*
1
2
3
4
Universal Precautions
*
1
2
3
4
Regulate / Maintain IV
*
1
2
3
4
CPR
*
1
2
3
4
Mix IV's Using Additives
*
1
2
3
4
Drawing Venous Blood
*
1
2
3
4
Ostomy Care
*
1
2
3
4
USE OF IV INFUSION PUMPS
Hemovac
*
1
2
3
4
IVAC
*
1
2
3
4
Obtaining Cultures
*
1
2
3
4
IMED
*
1
2
3
4
Patient with Overdose
*
1
2
3
4
PCA
*
1
2
3
4
Diabetic Insulin Pump
*
1
2
3
4
Syringe
*
1
2
3
4
Patient with Diabetic Emergency
*
1
2
3
4
Discontinue Peripheral IV
*
1
2
3
4
Preparation / Administration of Emergency Drugs
*
1
2
3
4
Maintain / Discontinue PICC Line
*
1
2
3
4
Restraints
*
1
2
3
4
Maintain Hickman
*
1
2
3
4
Patient / Family Teaching
*
1
2
3
4
Subcutaneous Central Line
*
1
2
3
4
Weights
*
1
2
3
4
Assist with CVP Insertion
*
1
2
3
4
Pain Management
*
1
2
3
4
Maintain / Discontinue CVP
*
1
2
3
4
Fluid Resuscitation
*
1
2
3
4
Change CVP Dressing
*
1
2
3
4
Patient with DT's
*
1
2
3
4
Obtain CVP Reading
*
1
2
3
4
Doppler
*
1
2
3
4
Venous Puncture
*
1
2
3
4
Prevent / Treat Skin Breakdown
*
1
2
3
4
Arterial Puncture
*
1
2
3
4
Blood and Blood Products
*
1
2
3
4
YES
NO
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