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Skills Checklist

Neonatal Intensive Care 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

  • NEUROLOGICAL

  • NEUROLOGICAL- CARE OF NEONATE WITH:

  • CARDIOVASCULAR

  • CARDIOVASCULAR- CARE OF NEONATE WITH:

  • Knowledge and Use of

  • RESPIRATORY

  • AIRWAY MANAGEMENT:

  • O2 THERAPY DELIVERY SYSTEMS:

  • OBTAINING LABS:

  • USE OF VENTILATORS:

  • RESPIRATORY- CARE OF NEONATE WITH:

  • Knowledge and Use of

  • GASTROINTESTINAL

  • FEEDINGS:

  • PLACEMENT OF INTESTINAL TUBES:

  • GASTROINTESTINAL- CARE OF NEONATE WITH:

  • COLLECTION OF URINE SPECIMENS:

  • CATHETER:

  • RENAL/GU/METABOLIC/ENDOCRINE- CARE OF NEONATE WITH:

  • INFECTIOUS DISEASES

  • KNOWLEDGE OF LAB RESULTS:

  • INFECTIOUS DISEASE- CARE OF NEONATE WITH:

  • Knowledge and Use of

  • MEDICATION SKILLS/KNOWLEDGE AND USE OF

  • PAIN MANAGEMENT

  • ADMINISTRATION OF BLOOD/BLOOD PRODUCTS

  • DELIVERY SYSTEMS:

  • MANAGING IV THERAPY:

  • IV THERAPY/PHLEBOTOMY- CARE OF THE NEONATE WITH:

  • OTHER/MISC:

  • GESTATIONAL AGE:

  • THERMOREGULATION:

  • WEIGHTS:

  • MM slash DD slash YYYY

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