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Skills Checklist

Pediatric RN

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:
Care Planning & Discharge Planning*
- 1
- 2
- 3
- 4
Patient/Family Education*
- 1
- 2
- 3
- 4
Patient Head to Toe Assessment*
- 1
- 2
- 3
- 4
Normal Growth and Development*
- 1
- 2
- 3
- 4
Recognize Signs of Child Abuse/ Neglect*
- 1
- 2
- 3
- 4
Medication/ Immunization Schedule*
- 1
- 2
- 3
- 4
Cardiovascular
Blood Pressure (Invasive and Non-Invasive)*
- 1
- 2
- 3
- 4
Heart Sounds*
- 1
- 2
- 3
- 4
Murmurs*
- 1
- 2
- 3
- 4
Perfusion*
- 1
- 2
- 3
- 4
Interpretation of Lab Results (ABGs, Hgb/ Hct)*
- 1
- 2
- 3
- 4
Basic EKG Interpretation*
- 1
- 2
- 3
- 4
Non-Invasive Cardiac Monitoring*
- 1
- 2
- 3
- 4
CARE OF CHILD WITH
Bacterial Endocarditis*
- 1
- 2
- 3
- 4
Cardiac Arrest*
- 1
- 2
- 3
- 4
Cardiomyopathy*
- 1
- 2
- 3
- 4
Congenital heart Disease/Defects Cardiac Arrest*
- 1
- 2
- 3
- 4
Congestive Heart Failure*
- 1
- 2
- 3
- 4
Myocarditis*
- 1
- 2
- 3
- 4
Pericarditis*
- 1
- 2
- 3
- 4
Post Cardiac Cath*
- 1
- 2
- 3
- 4
Post Cardiac Surgery*
- 1
- 2
- 3
- 4
Rheumatic Fever*
- 1
- 2
- 3
- 4
Shock*
- 1
- 2
- 3
- 4
Medications
Digoxin*
- 1
- 2
- 3
- 4
PULMONARY
Breath Sounds*
- 1
- 2
- 3
- 4
Rate and Work of Breathing*
- 1
- 2
- 3
- 4
Airway Management Devices/ Suctioning*
- 1
- 2
- 3
- 4
Apnea Monitor*
- 1
- 2
- 3
- 4
Chest Physiotherapy*
- 1
- 2
- 3
- 4
Chest Tubes*
- 1
- 2
- 3
- 4
End Tidal CO2*
- 1
- 2
- 3
- 4
Oximeter*
- 1
- 2
- 3
- 4
Water Seal Drainage System*
- 1
- 2
- 3
- 4
OXYGEN DELIVERY SYSTEM
Face Mask*
- 1
- 2
- 3
- 4
Hood*
- 1
- 2
- 3
- 4
Isolette*
- 1
- 2
- 3
- 4
Nasal Cannula*
- 1
- 2
- 3
- 4
Tent*
- 1
- 2
- 3
- 4
Trach Collar*
- 1
- 2
- 3
- 4
CARE OF THE CHILD WITH
Asthma*
- 1
- 2
- 3
- 4
Bronchiolitis (RSV)*
- 1
- 2
- 3
- 4
Bronchopulmonary Dysplasia (BPD)*
- 1
- 2
- 3
- 4
Cystic Fibrosis*
- 1
- 2
- 3
- 4
Epiglottitis*
- 1
- 2
- 3
- 4
LTB/ Croup*
- 1
- 2
- 3
- 4
Pertussis*
- 1
- 2
- 3
- 4
Pneumonia*
- 1
- 2
- 3
- 4
Tonsillitis*
- 1
- 2
- 3
- 4
Tuberculosis*
- 1
- 2
- 3
- 4
MEDICATIONS
Alupent*
- 1
- 2
- 3
- 4
Aminophylline*
- 1
- 2
- 3
- 4
Isuprel*
- 1
- 2
- 3
- 4
Ventolin*
- 1
- 2
- 3
- 4
NEUROLOGICAL/ ORTHOPEDIC
Assess Level of Consciousness*
- 1
- 2
- 3
- 4
Application of Splints*
- 1
- 2
- 3
- 4
Cast*
- 1
- 2
- 3
- 4
ICP Monitoring*
- 1
- 2
- 3
- 4
Pinned Fractures*
- 1
- 2
- 3
- 4
Traction*
- 1
- 2
- 3
- 4
CARE OF THE CHILD WITH
Battered Child Syndrome*
- 1
- 2
- 3
- 4
Closed Head Injury*
- 1
- 2
- 3
- 4
Clubfoot*
- 1
- 2
- 3
- 4
Encephalitis*
- 1
- 2
- 3
- 4
Febrile Seizuers*
- 1
- 2
- 3
- 4
Meningitis*
- 1
- 2
- 3
- 4
Multiple Sclerosis*
- 1
- 2
- 3
- 4
Multiple Trauma*
- 1
- 2
- 3
- 4
Near Drowning*
- 1
- 2
- 3
- 4
Neuromuscular Disease*
- 1
- 2
- 3
- 4
Osteogenic Sarcoma*
- 1
- 2
- 3
- 4
Osteomyelitis*
- 1
- 2
- 3
- 4
Spinal Cord Injury*
- 1
- 2
- 3
- 4
MEDICATIONS
Clonazepam*
- 1
- 2
- 3
- 4
Corticosteroids*
- 1
- 2
- 3
- 4
Dilantin*
- 1
- 2
- 3
- 4
Phenobarbital*
- 1
- 2
- 3
- 4
Tegretol*
- 1
- 2
- 3
- 4
Valium*
- 1
- 2
- 3
- 4
GASTROINTESTINAL
Abdominal Assessment*
- 1
- 2
- 3
- 4
Nutritional Assessment*
- 1
- 2
- 3
- 4
Interpretation of Lab Results (serum electrolytes)*
- 1
- 2
- 3
- 4
Gastrostomy/ Button*
- 1
- 2
- 3
- 4
J-Tubes*
- 1
- 2
- 3
- 4
NG and Sump Tubes to Suction*
- 1
- 2
- 3
- 4
Penrose Drains*
- 1
- 2
- 3
- 4
Placement of Naso/ Orogastric Tube*
- 1
- 2
- 3
- 4
Would Irrigation/ Dressing Change*
- 1
- 2
- 3
- 4
FEEDINGS
Bottle*
- 1
- 2
- 3
- 4
Breast*
- 1
- 2
- 3
- 4
Central Hyperalimentation*
- 1
- 2
- 3
- 4
Gavage*
- 1
- 2
- 3
- 4
Peripheral Hyperalimentation*
- 1
- 2
- 3
- 4
CARE OF THE CHILD WITH
Anal Fissure*
- 1
- 2
- 3
- 4
Cleft Lip/ Palate*
- 1
- 2
- 3
- 4
Colostomy*
- 1
- 2
- 3
- 4
Diaphragmatic Hernia*
- 1
- 2
- 3
- 4
Failure to Thrive (FTT)*
- 1
- 2
- 3
- 4
Gastroenteritis/ Dehydration*
- 1
- 2
- 3
- 4
GE Reflux*
- 1
- 2
- 3
- 4
GI Bleeding*
- 1
- 2
- 3
- 4
Ileostomy*
- 1
- 2
- 3
- 4
Intestinal Parasites*
- 1
- 2
- 3
- 4
Necrotizing Enterocolitis*
- 1
- 2
- 3
- 4
Pyloric Stenosis*
- 1
- 2
- 3
- 4
Surgical Abdomen*
- 1
- 2
- 3
- 4
Ulcerative Colitis*
- 1
- 2
- 3
- 4
Ingestion of Foreign Body*
- 1
- 2
- 3
- 4
Ingestion of Poisons or Toxins*
- 1
- 2
- 3
- 4
ENDOCRINE/ METABOLIC
Assessment*
- 1
- 2
- 3
- 4
Interpretation of Lab Results (glucose, thyroid)*
- 1
- 2
- 3
- 4
Blood Glucose Testing*
- 1
- 2
- 3
- 4
CARE OF THE CHILD WITH
Adrenal Disorders*
- 1
- 2
- 3
- 4
Cushing's Syndrome*
- 1
- 2
- 3
- 4
Juvenile Disorders*
- 1
- 2
- 3
- 4
Pituitary Disorders*
- 1
- 2
- 3
- 4
Thyroid Malfunction*
- 1
- 2
- 3
- 4
MEDICATIONS
Growth Hormone*
- 1
- 2
- 3
- 4
Insulin*
- 1
- 2
- 3
- 4
Thyroid*
- 1
- 2
- 3
- 4
GENITOURINARY
Assessment of Fluid Balance*
- 1
- 2
- 3
- 4
Interpretation of Lab Results (creatinine, BUN, UA)*
- 1
- 2
- 3
- 4
Assist with Suprapubic Tap*
- 1
- 2
- 3
- 4
Collection of Urine Specimen*
- 1
- 2
- 3
- 4
CATHETER
Catheter care*
- 1
- 2
- 3
- 4
Insertion of Indwelling - Female*
- 1
- 2
- 3
- 4
Insertion of Indwelling - Male*
- 1
- 2
- 3
- 4
Straight Cath - Female*
- 1
- 2
- 3
- 4
Straight Cath - Male*
- 1
- 2
- 3
- 4
CARE OF THE CHILD WITH
Circumcision*
- 1
- 2
- 3
- 4
Glomerulonephritis*
- 1
- 2
- 3
- 4
Hemodialysis*
- 1
- 2
- 3
- 4
Hemolytic Uremic Syndrome (HUS)*
- 1
- 2
- 3
- 4
Hypospadias*
- 1
- 2
- 3
- 4
Ileal Conduit Urinary Diversion*
- 1
- 2
- 3
- 4
Infantile Polycystic Disease*
- 1
- 2
- 3
- 4
Kidney Transplant*
- 1
- 2
- 3
- 4
Nephrotic Syndrome*
- 1
- 2
- 3
- 4
Peritoneal Dialysis*
- 1
- 2
- 3
- 4
Renal Failure*
- 1
- 2
- 3
- 4
Urinary Tract Infection*
- 1
- 2
- 3
- 4
Wilm's Tumor*
- 1
- 2
- 3
- 4
CARE OF THE CHILD WITH
Anemia*
- 1
- 2
- 3
- 4
Bone Marrow Transplant*
- 1
- 2
- 3
- 4
Depressed Immune System*
- 1
- 2
- 3
- 4
Disseminated Intravascular Coagulation (DIC)*
- 1
- 2
- 3
- 4
Hemophilia*
- 1
- 2
- 3
- 4
Hodgkin's Lymphoma*
- 1
- 2
- 3
- 4
Infectious Mononucleosis*
- 1
- 2
- 3
- 4
Leukemia*
- 1
- 2
- 3
- 4
Malignant Tumors*
- 1
- 2
- 3
- 4
Sickle Cell Anemia*
- 1
- 2
- 3
- 4
Spleen Trauma/ Splenectomy*
- 1
- 2
- 3
- 4
MEDICATION
Prednisone*
- 1
- 2
- 3
- 4
Chemotherapy cert?*
- Yes
- No
MEDICATION ADMINISTRATION FOR CHILDREN
Calculation of Pediatric Doses*
- Yes
- No
Eye/ Ear Installations*
- Yes
- No
Knowledge of Emergency Drugs*
- Yes
- No
Knowledge of Routine Pediatric Drugs*
- Yes
- No
Metered Dose Inhaler*
- Yes
- No
PHLEBOTOMY/ IV THERAPY
Drawing Blood from Central Lines*
- Yes
- No
Drawing Venous Blood*
- Yes
- No
Starting IVs (angiocath, butterfly, heparin lock)*
- Yes
- No
ADMINISTRATION OF BLOOD/ BLOOD PRODUCTS
Cryoprecipitate*
- Yes
- No
Packed Red Blood Cells*
- Yes
- No
Whole Blood*
- Yes
- No
CARE OF THE CHILD WITH
Central Line/ Catheter/ Dressing*
- Yes
- No
Broviac*
- Yes
- No
Groshong*
- Yes
- No
Hickman*
- Yes
- No
Portacath*
- Yes
- No
Quinton*
- Yes
- No
Cutdown Line/ Dressing*
- Yes
- No
Peripheral Line/ Dressing*
- Yes
- No
INFECTIOUS DISEASE/ IMMUNOSUPPRESSION
Interpretation of Lab Results (blood count)*
- Yes
- No
Isolation*
- Yes
- No
Fever Management*
- Yes
- No
CARE OF THE CHILD WITH
AIDS*
- Yes
- No
Common Childhood-Communicable Diseases*
- Yes
- No
Cytomegalovirus (CMV)*
- Yes
- No
Hepatitis*
- Yes
- No
Kawasaki Disease*
- Yes
- No
Lyme Disease*
- Yes
- No
PSYCHIATRIC
Drug/ ETOH Overdose/ Withdrawal*
- Yes
- No
Psychiatric Hold*
- Yes
- No
Suicidal Patient*
- Yes
- No
Anorexia/ Bulimia*
- Yes
- No
Depression*
- Yes
- No
WOUND MANAGEMENT
Assess Skin for Impending Breakdown*
- Yes
- No
Assess Stasis Ulcers*
- Yes
- No
Surgical Wound Healing*
- Yes
- No
First Degree Burns*
- Yes
- No
Second Degree Burns*
- Yes
- No
Third Degree Burns*
- Yes
- No
Pressure Sores*
- Yes
- No
Stages Decubitus Ulcers*
- Yes
- No
Sterile Dressing Changes*
- Yes
- No
Surgical Wounds with Drain(s)*
- Yes
- No
Traumatic Wounds*
- Yes
- No
Use of Low Airloss Beds*
- Yes
- No
Wound Care/ Irrigations*
- Yes
- No
PAIN MANAGEMENT
Assessment of Pain Level/ Tolerance*
- Yes
- No
CARE OF THE CHILD WITH
Epidural Anesthesia/ Analgesia*
- Yes
- No
IV Conscious Sedation*
- Yes
- No
Narcotic Analgesia*
- Yes
- No
Please list the EMR systems you have used*
*
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.*
Will Eversoll*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY

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