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PAEDIATRICS SKILLS CHECKLIST 3 = Frequent experience, performs well 2 = Intermittent experience, may need minimal review 1 = Familiar with, need review 0 = Theory/No practice NEUROLOGY Assessment of LOC Assessment of Pupil Size and Response Assessment of Fontanels Assist With Lumbar Puncture Monitoring Intracranial Pressure Maintain A Neutral Thermal Environment Care of Patient With Seizures Care of Patient With Meningitis Care of Patient With Reyes Syndrome Care of Patient With Acute Head Injury Care of Patient With Hydrocephalus Care of Patient With V-P Shunt Care of Patient Post Craniotomy Care of Patient With Spina Bifida RESPIRATORY Assessment of Breath Sounds Interpretation of ABG’s Identify Rales, Rhonchi, Flaring, Retractions Set-Up/Assist With Chest Tube Insertion Maintenance of Chest Tube O2 Administration (NC, Oxyhood, Face Mask) Assist With Intubation Care of Patient On Ventilator Weaning Off Ventilator Oral, Nasal, and ET Suctioning Care of Tracheostomy Chest Physiotherapy Oximeter Apnea Monitor Ventilation With Ambu Bag Care of Patient With Respiratory Distress Syndrome Care of Patient With Broncho-Pulmonary Dysplasia Care of Patient With Croup Care of Patient With Asthma Care of Patient With Epiglottitis Care of Patient With Pneumonia Care of Patient With Cystic Fibrosis Care of Patient With Bronchitis Care of Patient With Near Drowning 3 2 0 1 CARDIOVASCULAR Assessment of Heart Sounds Assessment of Apical/Peripheral Pulses Place Patient on Monitor Obtain 12 Lead EKG Identify Arrhythmias Use of Doppler Use of Dynamap ECMO Defibrillation (Cardioversion) Care of Patient With PDA Care of Patient With CHF Care of Patient With DIC Care of Patient With Cyanotic Heart Disease Care of Patient With Acyanotic Heart Disease 3 2 0 1 Care of Patient With Pre/Post Cardiac Surgery Care of Patient in Hypovolemic Shock Care of Patient in Septic Shock Care of Patient in Cardiogenic Shock GASTROINTESTINAL Assessment of GI Functioning Insertion/Maintenance NG Tubes Stool Tests Administration of Tube Feedings Phototherapy Care of Patient In Dehydration Care of Patient With Chrons Disease Care of Patient With Tracheoesophageal Fistula Care of Patient With Necrotizing Enterocolitis Care of Patient With Gastroschisis Care of Patient With Multiple Abdominal Trauma Care of Patient With Ruptured Spleen 3 2 0 1 3 2 0 1 Care of Patient With Colostomy/ Ileostomy GENITOURINARY/RENAL/ENDOCRINE Assessment of Genitourinary Functioning Assessment of Renal Functioning Assessment of Endocrine Functioning Insertion Foley Catheter Test Urine for SG,pH, Glucose Peritoneal Dialysis 3 2 0 1 Taken from Nursing & Allied Health Personnel 1992 Nurses Rx, Inc. GENITOURINARY/RENAL/ENDOCRINE Monitor Blood Glucose Levels Care of Patient With Diabetic Emergency Care of Patient With Urinary Diversion Care of Patient Pre/Post Nephrectomy Care of Patient Pre/Post Genitourinary Surgery ORTHOPAEDIC Assessment of Circulation Application/Assist With Devices (Splints, Braces, Casts, etc.) Use of Stryker Frame Use of Circo-Electric Bed Skeletal Traction Skin Traction Body Cast Care of Patient With Multiple Fractures Care of Patient With Arthritis Care of Patient Pre/Post Orthopaedic Surgery PROCEDURES/EQUIPMENT Preparation of Emergency Drugs Administration of Emergency Drugs CPR Knowledge of Lab Values Fluid Resuscitation Pain Management Assist With Bone Marrow Aspiration Collection of Specimens Wound Care Dressing Changes Universal Precautions Application of Restraints Weights Patient/Family Teaching 3 2 0 1 MEDICATIONS/IV THERAPY Insert IV Maintain IV Calculate Rate IV Pump Central Venous Lines 3 2 0 1 Administration of IV Drips (Insulin, Dopamine, Aminophylline, etc.) Administration of Oral Medication Administration of Rectal Medication Administration of IM Medication Administration of Eye Medication Administration of Ear Medication Administration of TPN/Hyperal Administration of Lipids Administration of Blood/Blood Products Administration of Chemotherapy OTHER 3 2 0 1 Identify/Report Suspected Child Abuse Care of Overdosed Patient Care of Near Drowning Patient Care of Patient With Leukemia Care of Patient With Anaemia Care of Patient With Sickle Cell Disease Care of Patient With Hemophilia Care of Patient With AIDS Care of Patient With Failure to Thrive Care of Patient With Cleft Lip/Palate Care of Patient With Terminal Illness Care of Burned Patient Care of the Patient With Ingestion of Poison 3 2 0 1 3 2 0 1 EQUIPMENT EXPERIENCE: Please list all brands of equipment you have used in the following categories: Ventilators: _____________________________________________________________________________________________ Cardiac Monitors: _______________________________________________________________________________________ Infusion Pumps: _________________________________________________________________________________________ Other Monitors (Apnea, IV, etc.): ___________________________________________________________________________ ADDITIONAL SKILLS (Please list any additional experience or skills you may have that are not included above: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ SIGNATURE: _________________________________________________ DATE: _______________________________ Taken from Nursing & Allied Health Personnel 1992 Nurses Rx, Inc.