Pediatric RN Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Name:(Required)

Email(Required)

Date(Required)

Send to(Required)

AGE OF PATIENTS CARED FOR

Newborn/ Neonate (birth to 30 days)(Required)

Infant (31 days to 12 months)(Required)

Toddler/Preschool (13 months to 5 years)(Required)

School Age Child/adolescent (6 years to 18 years)(Required)

Young Adults Middle Adult (19 years to 64 years)(Required)

Older Adults/Elderly (65+ years)(Required)

GENERAL SKILLS

Care of Patient in Restraints

Automated Med Dispensing Systems

Accudose

Metro

Omnicell

Promanager Rx

Pyxis

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

CARDIOVASCULAR GENERAL SKILLS

Hemoglobin & Hematocrit Interpretation(Required)

Basic EKG Interpretation(Required)

Non-Invasive Cardiac Monitoring(Required)

CARDIOVASCULAR-Care of Child with:

Cardiomyopathy(Required)

Congenital Heart Disease/Defects(Required)

Congestive Heart Failure(Required)

Bacterial Endocarditis(Required)

Rheumatic Fever(Required)

Post cardiac cath(Required)

Pre/Post Cardiac Surgery(Required)

Shock(Required)

RESPIRATORY GENERAL SKILLS

Arterial Blood Gas Interpretation(Required)

Apnea Monitor(Required)

Airway Management Devices/Suctioning(Required)

Bulb Syringe(Required)

Chest Physiotherapy(Required)

Chest Tubes(Required)

Nasal/Oral Airway/Suctioning(Required)

Tracheostomy/Suctioning(Required)

Face Mask(Required)

Hood/Tent(Required)

Pulse Oximeter(Required)

Isolette(Required)

Nasal Cannula(Required)

Trach Collar(Required)

RESPIRATORY-Care of Child With:

Asthma(Required)

Bronchopulmonary Dysplasia (BPD)(Required)

Croup(Required)

Cystic Fibrosis(Required)

ENT Surgery(Required)

Epiglottitis(Required)

Esphogeal Atresia(Required)

RSV(Required)

Home Ventilator Therapy(Required)

Pertussis(Required)

Pneumonia(Required)

Tonsillitis(Required)

Tuberculosis(Required)

NEURO GENERAL SKILLS

Assessment - Level of Consciousness(Required)

Assist with Lumbar Puncture(Required)

ICP Monitoring(Required)

NEURO-Care of Child with:

Closed Head Trauma(Required)

Encephalitis(Required)

Febrile Seizures(Required)

Meningitis(Required)

Multiple Sclerosis(Required)

Near Drowning(Required)

Neuromuscular Disease(Required)

Spinal Cord Injury(Required)

Traction - Halo/General(Required)

VP Shunt - Internal/External(Required)

GASTROINTESTINAL GENERAL SKILLS

Bottle Feeding(Required)

Breast Feeding(Required)

Gavage(Required)

Gastrostomy/Button(Required)

J-Tubes(Required)

NG to Suction(Required)

Placement of Naso/Orogastric Tube(Required)

GASTROINTESTINAL-Care of Child With:

Anal Fissure(Required)

Cleft Lip/Palate(Required)

Colostomy/Ileostomy(Required)

Gastroenteritis/Dehydration(Required)

Diaphragmatic Hernia(Required)

Failure to Thrive (FTT)(Required)

Pyloric Stenosis(Required)

GE Reflux(Required)

GI Bleeding(Required)

Inflammatory Bowel Disease(Required)

Intestinal Parasites(Required)

Necrotizing Enterocolitis (NEC)(Required)

Surgical Abdomen(Required)

RENAL GENERAL SKILLS

RENAL-Care of Child With:

Renal Failure(Required)

Circumcision(Required)

Dialysis(Required)

Kidney Transplant(Required)

HUS (Hemolytic Uremic Syndrome)(Required)

Insertion/management of catheters(Required)

Pyelonephritis/UTI(Required)

Glomerulonephritis(Required)

Testicular Torsion(Required)

Wilm's Tumor(Required)

ORTHOPEDIC GENERAL SKILLS

Assessment of C/M/S(Required)

Casts/Splints(Required)

Traction(Required)

Use of Assistive Devices(Required)

ORTHOPEDIC-Care of Patient With:

Fractures(Required)

Osteogenesis Imperfecta(Required)

Osteomyelitis(Required)

Club Foot(Required)

Assessment - Pain Level Using Age Appropriate Scales(Required)

ENDOCRINE/METABOLIC GENERAL SKILLS

Knowledge of Lab work-Thyroid Studies(Required)

Blood Glucose Testing(Required)

ENDOCRINE/METABOLIC-Care of Child With:

Adrenal Disorders(Required)

Cushing's Syndrome(Required)

Diabetes Mellitus(Required)

Diabetic Ketoacidosis(Required)

Indwelling Insulin Pumps(Required)

Bili Bed(Required)

Pituitary Disorders(Required)

Thyroid Malfunction(Required)

HEMATOLOGY/ONCOLOGY-Care of Child With:

Anemia(Required)

Bone Marrow Transplant(Required)

Depressed Immune System(Required)

Disseminated Intravascular Coagulation (DIC)(Required)

Hemophilia(Required)

Hodgkin's Disease(Required)

Infectious Mononucleosis(Required)

Leukemia(Required)

Malignant Tumors(Required)

Sickle Cell Anemia(Required)

Spleen Trauma/Splenectomy(Required)

Solid Tumors(Required)

INFECTIOUS DISEASES GENERAL SKILLS

INFECTIOUS DISEASES-Care of Child With:

Fever(Required)

HIV/AIDS(Required)

Common Childhood Communicable Diseases(Required)

Cytomegalovirus (CMV)(Required)

CRE(Required)

VRE(Required)

MRSA(Required)

C Difficile(Required)

Hepatitis(Required)

Kawasaki Disease(Required)

Lyme Disease(Required)

MEDICATION KNOWLEDGE AND USE OF

Calculation of Pediatric Doses(Required)

Eye/Ear Installations(Required)

Metered Dose Inhaler(Required)

Anticoagulants(Required)

Antiemetics(Required)

Anti Seizure Medication(Required)

Benzodiazepines(Required)

Bronchodilators(Required)

Corticosteroids(Required)

Chemotherapy(Required)

Digoxin(Required)

Diuretics(Required)

Growth Hormone(Required)

Inhaled Medications(Required)

Insulin(Required)

Narcotics/Opioid Analgesics (IV/Oral/Injection)(Required)

Non-Opioid Analgesics(Required)

Procedural Sedation(Required)

Reversal Agents(Required)

Steroids (IV/Oral/Inhaled)(Required)

Thyroid Medications(Required)

MISCELLANEOUS

Normal Growth & Development(Required)

Recognize Signs of Abuse or Neglect(Required)

Immunization Schedule(Required)

WOUND MANAGEMENT

Assessment-Skin for Impending Breakdown(Required)

1st Degree Burns(Required)

2nd Degree Burns(Required)

3rd Degree Burns(Required)

Pressure Sores(Required)

Staged Decubitus Ulcers(Required)

Stasis Ulcers(Required)

Sterile Dressing Changes(Required)

Surgical Wound Healing(Required)

Surgical Wounds with Drain(s)(Required)

Drains

Penrose(Required)

JP(Required)

Traumatic Wound Care(Required)

Use of Air Fluidized, Low Airloss Beds(Required)

Wound Care/Irrigations(Required)