Pediatric Emergency Room Skills Checklist

Skills Checklist

Pediatric ER 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
Newborn/Neonate (birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 years to 5 years)*
- 1
- 2
- 3
- 4
School Age Child (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 years to 39 years)*
- 1
- 2
- 3
- 4
General Skills
Standard Precautions*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
Pediatric Respiratory/Cardiac Arrest*
- 1
- 2
- 3
- 4
Adult Respiratory/Cardiac Arrest*
- 1
- 2
- 3
- 4
Crash Carts*
- 1
- 2
- 3
- 4
Defibrillators*
- 1
- 2
- 3
- 4
Care of Patient Restraints*
- 1
- 2
- 3
- 4
Automated Med Dispensing Systems*
- 1
- 2
- 3
- 4
List Types:
Automated Med Dispensing Systems*
- 1
- 2
- 3
- 4
List Types:
Care Planning & Discharge Planning*
- 1
- 2
- 3
- 4
Patient/Family Education*
- 1
- 2
- 3
- 4
Patient Head to Toe Assessment*
- 1
- 2
- 3
- 4
Cardiovascular
Cardiac Anormalies*
- 1
- 2
- 3
- 4
CHF / Pulmonary Edema*
- 1
- 2
- 3
- 4
Cardiogenic Shock*
- 1
- 2
- 3
- 4
Cardioversion*
- 1
- 2
- 3
- 4
Heart Sounds*
- 1
- 2
- 3
- 4
Pulmonary
Reactive Airway Disease*
- 1
- 2
- 3
- 4
Croup*
- 1
- 2
- 3
- 4
Pneumonia*
- 1
- 2
- 3
- 4
Epiglottitis*
- 1
- 2
- 3
- 4
Aspiration*
- 1
- 2
- 3
- 4
Airway Obstruction*
- 1
- 2
- 3
- 4
Hemo/Pneumothorax*
- 1
- 2
- 3
- 4
Chest Tube Placement/Management*
- 1
- 2
- 3
- 4
ABG Interpretation*
- 1
- 2
- 3
- 4
Neurological
Meningitis/Encephalitis*
- 1
- 2
- 3
- 4
Seizures - Febrile/Epileptic*
- 1
- 2
- 3
- 4
Lumbar Puncture*
- 1
- 2
- 3
- 4
Migraine*
- 1
- 2
- 3
- 4
Orthopedic
Fractures/Casting*
- 1
- 2
- 3
- 4
Open/Complex Factures*
- 1
- 2
- 3
- 4
Nursemaid's Elbow*
- 1
- 2
- 3
- 4
Apply/Manage Splints*
- 1
- 2
- 3
- 4
Circulation Checks*
- 1
- 2
- 3
- 4
Crutch Walking*
- 1
- 2
- 3
- 4
Car Seat Instruction for Casted Patient*
- 1
- 2
- 3
- 4
GASTROINTESTINAL
Abdominal Trauma/Peritoneal Lavage*
- 1
- 2
- 3
- 4
Abdominal Pain*
- 1
- 2
- 3
- 4
Constipation*
- 1
- 2
- 3
- 4
GI Bleeding*
- 1
- 2
- 3
- 4
Hepatitis/Liver Failure*
- 1
- 2
- 3
- 4
Poison Ingestion*
- 1
- 2
- 3
- 4
Endocrine/Metabolic
Hypoglycemia*
- 1
- 2
- 3
- 4
Hyperglycemia*
- 1
- 2
- 3
- 4
DKA*
- 1
- 2
- 3
- 4
Genitourinary
Acute Renal Failure*
- 1
- 2
- 3
- 4
UTI/Pyelonephritis*
- 1
- 2
- 3
- 4
Renal Trauma*
- 1
- 2
- 3
- 4
Testicular Torsion*
- 1
- 2
- 3
- 4
OB/GYN
Menstrual Pain*
- 1
- 2
- 3
- 4
Ovarian Cyst*
- 1
- 2
- 3
- 4
Ectopic Pregnancy*
- 1
- 2
- 3
- 4
Pelvic Inflammatory Disease/STD*
- 1
- 2
- 3
- 4
Sexual Assault*
- 1
- 2
- 3
- 4
Reporting Acts of Violence*
- 1
- 2
- 3
- 4
EENT
Foreign Body - Eye*
- 1
- 2
- 3
- 4
Foreign Body - Ear*
- 1
- 2
- 3
- 4
Foreign Body - Nose*
- 1
- 2
- 3
- 4
Epistaxis*
- 1
- 2
- 3
- 4
TRAUMA
Glasgow Coma Scale*
- 1
- 2
- 3
- 4
Trauma Code*
- 1
- 2
- 3
- 4
Trauma Team Member*
- 1
- 2
- 3
- 4
Brain Injury*
- 1
- 2
- 3
- 4
Spinal Cord Injury*
- 1
- 2
- 3
- 4
Spinal Precautions*
- 1
- 2
- 3
- 4
Facial/Dental Trauma*
- 1
- 2
- 3
- 4
Penetrating Trauma*
- 1
- 2
- 3
- 4
Blunt Trauma*
- 1
- 2
- 3
- 4
Traumatic Amputation*
- 1
- 2
- 3
- 4
Hypovolemic Shock*
- 1
- 2
- 3
- 4
Neurogenic Shock*
- 1
- 2
- 3
- 4
Anaphylactic Shock*
- 1
- 2
- 3
- 4
Septic Shock*
- 1
- 2
- 3
- 4
Burns - 2nd Degree*
- 1
- 2
- 3
- 4
Burns - 3rd Degree*
- 1
- 2
- 3
- 4
INFECTIOUS DISEASE/IMMUNOSUPPRESSION
Contagious/Infectious Patients*
- 1
- 2
- 3
- 4
Isolation*
- 1
- 2
- 3
- 4
Reporting Communicable Disease*
- 1
- 2
- 3
- 4
Neutropenia/Reverse Isolation*
- 1
- 2
- 3
- 4
PSYCHIATRIC
Pediatric Dose Calculations*
- 1
- 2
- 3
- 4
Anit-Arrhythmias*
- 1
- 2
- 3
- 4
Anticoagulants (IV, Oral, and Injection)*
- 1
- 2
- 3
- 4
Anti-Hypertensives*
- 1
- 2
- 3
- 4
Anti-Psychotics*
- 1
- 2
- 3
- 4
Anti-Seizure Medications*
- 1
- 2
- 3
- 4
Benzodiazepines*
- 1
- 2
- 3
- 4
Continuous IV Paralytics*
- 1
- 2
- 3
- 4
Continuous IV Sedation*
- 1
- 2
- 3
- 4
Procedural Sedation Administration*
- 1
- 2
- 3
- 4
Ketamine*
- 1
- 2
- 3
- 4
Emergency Medications*
- 1
- 2
- 3
- 4
Inhaled Medications*
- 1
- 2
- 3
- 4
Insulin*
- 1
- 2
- 3
- 4
IV Vasopressors*
- 1
- 2
- 3
- 4
Narcotics/Opioid Analgesics (IV, Oral, and Injection)*
- 1
- 2
- 3
- 4
Reversal Agents*
- 1
- 2
- 3
- 4
Steroids (IV, Oral, and Inhaled)*
- 1
- 2
- 3
- 4
Professional Knowledge and Skills
Recognizing/Reporting Abuse*
- 1
- 2
- 3
- 4
Triage*
- 1
- 2
- 3
- 4
Ambulance/Paramedic Radio*
- 1
- 2
- 3
- 4
Charge Experience*
- 1
- 2
- 3
- 4
EMTALA*
- 1
- 2
- 3
- 4
National Patient Safety Goals/Core Measures*
- 1
- 2
- 3
- 4
Fall Risk Assessment/Prevention*
- 1
- 2
- 3
- 4
Restraints/Use of Least Restrictive Device*
- 1
- 2
- 3
- 4
Patient/Family Teaching*
- 1
- 2
- 3
- 4
Car Seat Specific Standards/Teaching*
- 1
- 2
- 3
- 4
Pain Assessment and Management - Verbal/Non-Verbal*
- 1
- 2
- 3
- 4
Age/Developmentally Specific/Population Based Care*
- 1
- 2
- 3
- 4
Interpretation and Communication of Lab Values*
- 1
- 2
- 3
- 4
Please list the EMR systems you have used*
Computer Physician Order Entry*
- 1
- 2
- 3
- 4
Bar Coding for Medication Administration*
- 1
- 2
- 3
- 4
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY

Skills Checklist

Age of Patients Cared For

General Skills

Cardiovascular

Pulmonary

Neurological

Orthopedic

GASTROINTESTINAL

Endocrine/Metabolic

Genitourinary

OB/GYN

EENT

TRAUMA

INFECTIOUS DISEASE/IMMUNOSUPPRESSION

PSYCHIATRIC

Professional Knowledge and Skills