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Neonatal Intensive Care Skills Checklist

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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