Monitoring
Medications
Lab Analysis
Equipment/Procedures
Assessment
Medical Staffing Partners
Please indicate level of experience: 1 = Can perform independently 2 = May need assistance one time 3 = May need assistance a few times 4 = No experience
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Please indicate current certifications:
ACLS
PALS
CNRN
BCLS
CCRN
TNPC
Other:
Tel: 800-896-4164 651-407-0300
Fax: 800-544-2602 651-407-8977
www.medicalstaffingpartners.com
Pediatrics/Pediatric Intensive Care Skills Checklist
1 2 43
Auscultation Abnormal Heart Sounds - gallop, murmurAuscultation Normal Heart Sounds
Angiocarth/Butterfly/Heparin LockPulses/Circulation
Cardiac Monitors - Calibration - Trouble-shootingArterial Line
Central LineCare of Cut Down Line
Doppler
Defibrillator
Infusion PumpsHeelstick
Intra-aortic Balloon Pumps
Insertion of Angiocath into Scalp Vein
Percutaneous Arterial/Venous LinesPCA Pump
Permanent Pacemaker
A-line/MAP
CVPCardiac Index/Output
PAP/PCWP/PVR/SVO2/SVR
Swan-Ganz Catheter
Temporary PacemakerSyringe Pump
Blood Counts12 Lead ECG
Cardiac Enzmes/Isoenzymes
Blood Pressure - auscultate/palpate
Administration of Blood/Blood ProductsCoagulation Studies
Anesthetic Drugs and Reversal AgentsDrug Calculations: mcg/kg/min; mg/min; mcg/min
Vasoactive Drug AdministrationPreparing/Administrating Emergency Meds During Arrest
12 Lead ECG Interpretation
Titrating Cardiovascular/Vasoactive Drugs
Arrhythmia Interpretation
Basic ECG Interpretation
Cardiovascular
Pericardiocentesis Tray
Monitoring
Medications
Lab Analysis
Equipment/Procedures
Assessment
Ventilator Parameters - IMV, PEEP, CPAP
1 2 43
Auscultation of Normal Breath SoundsAssessment of Retraction/Nasal Flaring
Apnea MonitorAmbu Bag
BronchoscopyArterial Blood Gas Kit
Bulb SyringeChest Tube and Drainage Systems
CPAP
Obtaining ABGs - a-line, radical artery
End Tidal CO2ECMO
ExtubationET Tubes
Incentive SpirometryFace Masks
Intubation
Arterial Blood Gases
CorticosteriodsBronchodilators
Inhalers
Weaning Tolerance
Nasal Airway
NebulizersNasal Cannulas
OximetryOral Airway
Oxygen Hood
Tel: 800-896-4164 651-407-0300
Fax: 800-544-2602 651-407-8977www.medicalstaffingpartners.com
Page 2 of 5
Pulmonary
Pediatrics/Pediatric Intensive Care Skills Checklist (Con't)
Auscultation Abnormal Breath Sounds - rales, rhonci
Portable OxygenOxygen Tent
Sputum CultureSuctioning - nasal, oral, ET tube, trach
ThoracentesisT-Piece
Tracheostomy
Tidal Volumes
Ventilators
Sputum Cultures
Prostaglandin
Monitoring
Medications
Lab Analysis
Equipment/Procedures
Assessment1 2 43
FontanelsCranial Nerves
Glasgow Coma Scale
External VP ShuntEpidural Catheter
Hyper/Hypothermia ManagementHalo Traction/Cervical Tongs
Intrathecal CatheterIntracranial Pressure Line
Barbiturate Blood LevelsLumbar Puncture
Pediatrics/Pediatric Intensive Care Skills Checklist (Con't)Neurology
Pain AssessmentLevel of Consciousness
Reflexes
BarbituratesAnalgesics
Epidural Infusions
Pain EvaluationNeuro Vital Signs
Patient with Spinal PrecautionsPatient with Seizure Precautions
SteroidsMedically Induced Coma
ICP
Page 3 of 5
Tel: 800-896-4164 651-407-0300
Fax: 800-544-2602 651-407-8977www.medicalstaffingpartners.com
Lab Analysis
Equipment/Procedures
Medications
Electrolytes
Assessment1 2 43
Auscultation of Bowel SoundsAbdominal Girth
AV Fistula/Shunt
Glucose
Assist with Breast FeedingAir Fluidized Beds
Breast Milk StorageBottle Feeding
Care of BurnsBreast Pumps
Chemstrips/DextrostixCast Care
Ammonia
CreatinineBUN
Occult BloodThyroid LevelsUrine ph and Specific Gravity
Pediatrics/Pediatric Intensive Care Skills Checklist (Con't)
ENT, GI, GU, Endocrine, Skin Integrity
Intake and OutputExamine Skin for Signs of Breakdown
Suck/Swallow
Feeding PumpsCircumcision Care
Feeding Tubes
IleostomyHemodialysis
Nasogastric TubeIsolette
Peritoneal DialysisOrogastric Tube
Sterile Dressing ChangeRadiant Warmer
G-Tube/J-Tube/T-TubeFoley Catheters - Male/Female Insertion
Glucose Monitoring
Surgical Incisions with Drains-JP, PenroseSuprapubic Catheter
Weaning to Open CribTraction
Amylase
Insulin Pump
Insulin Drip
Lipids AdministrationPPN - Peripheral Parenteral Nutrition
TPN - Total Parenteral Nutrition
Page 4 of 5
Tel: 800-896-4164 651-407-0300
Fax: 800-544-2602 651-407-8977www.medicalstaffingpartners.com
Miscellaneous
Pediatrics/Pediatric Intensive Care Skills Checklist (Con't)
By typing your name in this field you are certifying that all the information provided in this Pediatrics/Pediatric Intensive Care Skills Checklist is true, complete and correct to the best of your knowledge. You hereby authorize Medical Staffing Partners, Inc. to investigate all statements contained in this Checklist and you release any party from any claims based upon their providing information to Medical Staffing Partners, Inc.
Electronic Signature:
Tel: 800-896-4164 651-407-0300
Fax: 800-544-2602 651-407-8977www.medicalstaffingpartners.com
Immunizations:
1 2 43
Normal Growth and DevelopmentChemotherapy Administration
Reverse IsolationReporting Child Abuse/Neglect
Universal Precautions
Page 5 of 5
Hep BDtap
MMRHIB
Polio
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