Road Trip Nursing - PEDIATRIC SKILLS CHECKLIST

Road Trip Nursing
333 1st. St. North -- Suite 200
Jacksonville Beach, FL 32250
Fax:(888) 794-5038

Key - for each box mark:		1 - Limited or no experience	2 - Somewhat experienced but may need review
		3 - Can function independently	4 - Competent to supervise

	1 2 3 4			1 2 3 4
System		\|	Medications
General Health Status		\|	Epinephrine
Assessment		\|	Digoxin
Growth and Development		\|	Sodium Bicarbonate
Procedures		\|	Pulmonary
Application of Restraints		\|	Assessment
Care of Child with		\|	Breath/Lung Sounds
ENT Surgery		\|	Breathing Patterns
Suicide Ideation/Attempt		\|	Cough/Secretions
Medications		\|	Skin/Nail Color
Pediatric Drug Actions and Reactions		\|	Lab Values
Cardiovascular		\|	Blood Gases
Assessment		\|	Aminophylline Levels
Heart Sounds/Murmurs		\|	Procedures
Auscultation (rate, rhythm)		\|	Airway Management/Suctioning
Perfusion		\|	Extubation
Lab Values		\|	Tracheostomy Suctioning
Hemoglobin and Hematocrit		\|	Assist with
Cardiac Enzymes and Isoenzymes		\|	Chest Tube Removal
Electrolytes		\|	Emergency Tracheostomy
Procedures		\|	Intubation
Monitoring � Non-invasive		\|	Oral Airway Insertion
Arrhythmia Interpretation		\|	Chest Physiotherapy
Care of a Child with		\|	End Tidal O2
Cardiac Arrest		\|	Intervention for
Cardiogenic Shock		\|	Respiratory Complications
Congenital Heart Disease/Defects		\|	Aspiration
Congestive Heart Failure		\|	Laryngospasm
Hypovolemic Shock		\|	Obtaining Blood Gases
Pericarditis		\|
Post Cardiac Catheterization		\|
Post Cardiac Surgery		\|
Rheumatic Fever		\|
Pacemaker		\|
		\|



	1 2 3 4			1 2 3 4
Equipment		\|	Procedures
Apnea Monitor		\|	Assist with Lumbar Puncture
PleurEvac or Thoraclex Drainage		\|	Seizure Precautions
Water Seal Drainage		\|	Spinal Precautions
Chest Tubes		\|	Measuring Intracranial Pressure
O2 Therapy Delivery Systems		\|	Equipment
Ambu Bag and Mask		\|	Hyper/Hypothermia Blanket
Isolette		\|	Care of Child with
Nasal Cannula		\|	Club Foot
Nebulizer		\|	Increased ICP
Oxyhood		\|	Neuromuscular Disease
Tent		\|	Osteomyelitis
Trach Collar		\|	Osteogenic sarcoma
Nebulizers		\|	Spinal Cord Injury
Care of a Child with		\|	CNS Infections
Acute Pneumonia		\|	Medications
Asthma		\|	Anti-convulsants
Bronchiolitis		\|	Valium
Chronic Respiratory Disease		\|	Musculoskeletal/Integumentary
Cystic Fibrosis		\|	Assessment
Epiglottitis		\|	Circulation Checks
Laryngotracheal Bronchitis/Croup		\|	Gait/Mobility
Near Drowning		\|	ROM/Joint Movement
Inhalation Injuries		\|	Strength
Tonsilitis		\|	Posture
Medications		\|	Skin Integrity
Aminophylline		\|	Procedures
Corticosteroids		\|	Crutch Walking
Isuprel		\|	Pin Care
Ventolin (Albuterol)		\|	Cast Care
Neurological		\|	Use of Assistive Devices
Assessment		\|	Body Mechanics
Cranial Nerves		\|	Burn Care
Level of Consciousness		\|
Pathologic Reflexes		\|
Reflex/Motor Reflexes		\|
Visual or Communication Deficits		\|
		\|



	1 2 3 4			1 2 3 4
Equipment		\|	Equipment
Special Beds		\|	Feeding Pumps
Traction		\|	Drains
Prostheses		\|	Tubes
K-Pad		\|	N/G
Splints/Immobilizers		\|	T-Tube
TENS		\|	Care of Child with
Support Devices		\|	Anal Fissure
Cervical Collar		\|	Cleft Lip/Palate
Sling		\|	Trauma
Walker		\|	Bowel Obstruction
Wheelchair		\|	Diaphragmatic Hernia
Care of Patient with		\|	GE Reflux
Amputation		\|	GI Bleeding
Arthroscopic Surgery		\|	GI Surgery
Cast		\|	Gastroenteritis/Dehydration
Pinned Fractures		\|	Hepatitis
Burns		\|	Fresh -ostomy
Skin Grafts		\|	Inflammatory Bowel Disease
Medications		\|	Liver Failure
Analgesics		\|	Pancreatitis
Muscle Relaxants		\|	Pyloric Stenosis
Topical Agents		\|	Medications/Supplements
Gastrointestinal		\|	AquaMephyton (Vitamin K)
Assessment		\|	Anti-emetics
Bowel Sounds		\|	Anti-spasmotics
Nutritional Status/Weight		\|	Tube Feeding Solutions
Lab Values		\|	Kayexelate
Serum Ammonia		\|	Renal/Genitourinary
Serum Amylase		\|	Assessment
Liver Function Tests		\|	Fluid and Electrolyte Status
Procedures		\|	Lab Values
Feedings		\|	Electrolytes
Bottle		\|	BUN and Creatinine
Gavage		\|	Urine Values
Lavage		\|	Procedures
Management of		\|	Peritoneal Dialysis
T-tube		\|
TPN and Lipids Administration		\|
PPN (Peripheral Parenteral Nurtition)		\|
NG Tube Insertion		\|
Paracentesis		\|
Enemas		\|
		\|



	1 2 3 4			1 2 3 4
Care of a Child with		\|	Medications
Renal Failure		\|	Insulins
Circumcision		\|	Long-acting
Glomerularnephritis		\|	Medium-acting
Hemodialysis		\|	Short-acting
Hypospadias		\|	Oral Antihyperglycemics
Ileal Conduit		\|	Glucogon
Peritoneal Dialysis		\|	Thyroid Replacement
Nephrectomy		\|	Steroids-Adrenocorticosteroids
Nephrotic Syndrome		\|	Hematology/Oncology
Hemolytic Uremic Syndrome		\|	Assessment
Polycystic Disease		\|	Tumor Classifications
Renal Transplant		\|	Lab Values
Urinary Tract Infection		\|	Blood Count Markers
Wilm�s Tumor		\|	Blood Chemistry
Medications		\|	Procedures
KCl		\|	Patient/Family Counseling
Diuretics		\|	Grieving Process
Endocrine/Metabolic		\|	Altered Image
Assessment		\|	Patient Teaching
Mental Status		\|	Relaxation Techniques
Diabetic Coma		\|	Imagery
Insulin Reaction		\|	Side Effects of Chemotherapy
Lab Values		\|	Bone Marrow Aspiration
Thyroid Studies		\|	Care of a Child with
Blood Glucose		\|	Bone Marrow Transplant
Glucose Tolerance		\|	Anemia
Fasting Blood Sugar		\|	DIC
Ketone Bodies		\|	Hemophilia
Serum Calcium		\|	Hodgkin�s Disease
Equipment		\|	Immunosuppressed Conditions
Insulin Pumps		\|	Inpatient Chemotherapy
Care of a Child with		\|	Leukemias
Diabetes Mellitus		\|	Sickle Cell Anemia/Crisis
Diabetic Ketoacidosis		\|	Malignant Tumors
Disorders of Adrenal Glands		\|	Medications
Disorders of Pituitary Gland		\|	Antineoplastic Agents
Disorders of Thyroid Gland		\|	Chemotherapeutic Agents
Insulin Shock		\|	Anticoagulant Agents
		\|	Anticoagulant Antidotes

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize PPR to release this information to client facilities of PPR in relation to consideration of my employment to those facilities.



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