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Skills Checklist

Pediatric ICU Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

  • 1
    = No theory and/or experience
  • 2
    = Limited Experience
  • 3
    = Experienced/minimal support needed to perform
  • 4
    = Proficient

  • 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

  • COLLECTION OR 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 MANAGMENT

  • 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

  • MM slash DD slash YYYY

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