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 Pediatric Intensive Care Skills Checklist Back to  
This checklist will be used to assess your suitability for placement.
 
Experience Guide
1 - Not Applicable - minimal or no exposure to clinical aspect or care.
2 - Beginner - sufficient knowledge to understand the contextual nature of the function, able to perform routine functions independently, requires assistance when setting priorities in complex situations, needs to gain speed and flexibility to be competent.
3 - Competent - perceives situations and functions as a whole, has knowledge of the typical events to expect in a given situation and the appropriate responses, flexible in decision making.
4 - Proficient - considerable background and experience, can grasp situations intuitively, mastery in performance, incorporates elements of innovation and creativity in clinical experience.
 

 Cardiovascular
 Assessment   Experience
  1    2    3    4
  Auscultation (rate, Rhythm, Volume)     
  Blood Pressure/invasive (arterial Line)     
  Heart Sounds/murmurs     
  Perfusion     
 
 Equipment & Procedures   Experience
  1    2    3    4
  Central Venous Pressure     
  Ekg Interpretation     
  Invasive Hemodynamic Monitoring - Pulmonary Artery/capillary Wedge     
  Invasive Hemodynamic Monitoring - Right Atrial/left Atrial     
  Non-invasive Cardiac Monitoring     
 
 Care Of The Child With   Experience
  1    2    3    4
  Bacterial Endocarditis     
  Cardiac Arrest     
  Cardiac Transplant     
  Cardiogenic Shock     
  Cardiomyopathy     
  Congenital Heart Disease/defects     
  Hypobolemic Shock     
  Myocarditis     
  Post Cardiac Surgery     
  Post Interventional Cardiac Cath     
 
 Medication   Experience
  1    2    3    4
  Dobutamine (dobutrex)     
  Dopamine (intropin)     
  Epinephrine (adrenalin)     
  Nipride (nitroprusside)     
  Nitroglycerine (tridil)     
  Sodium Becarbonate     
 
 Pulmonary
 General   Experience
  1    2    3    4
  Assessment Of Breath Sounds     
  Assist With Intubations     
  Blood Gases Lab Results Interpretation     
  Bulb Syringe     
  Extubation     
  In-line Endotracheal Tube Suctioning     
  Nasal Airway/suctioning     
  Open Et Catheter Endotracheal Suctioning     
  Oral Airway/suctioning     
  Rate And Work Of Breathing     
  Tracheostomy/suctioning     
  X-ray Reports Interpretation     
 
 Equipment & Procedures   Experience
  1    2    3    4
  Apnea Monitor     
  Assist With Chest Tube Insertion     
  Assist With Chest Tube Removal     
  Assist With Chest Tube Set-up     
  Chest Physiotherapy     
  Ecmo (extracorporeal Membrane Sygenation)     
  End Tidal Co2     
  Obtaining Blood Gases Via Arterial     
  Obtaining Blood Gases Via Heelstick     
  Obtaining Blood Gases Via Peripheral     
  Oximeter     
  Thoracentesis     
 
 O2 Therapy & Medication Delivery   Experience
  1    2    3    4
  Bag (anesthesia) & Mask     
  Bag (self-inflating) & Mask     
  Isolette     
  Nasal Cannula     
  Nebulizer     
  Oxyhood     
  Tent     
  Trach Collar     
 
 Ventilator Care   Experience
  1    2    3    4
  Cpap/peep     
  High Frequency Jet Ventilator     
  Home Ventilator     
  Imv     
  Pressure Ventilator     
  Volume Ventilator     
  Weaning     
 
 Care Of Child With   Experience
  1    2    3    4
  Bronchiolitis (rsv)     
  Chronic Respiratory Disease     
  Epiglottitis     
  Flail Chest     
  Foreign Body Aspiration     
  Fresh Tracheostomy     
  Hemothorax     
  Ltb/croup     
  Pneumonia     
  Pneumothorax     
  Rds     
  Respiratory Failure     
  Severe Respiratory Distress     
  Status Asthmaticus     
 
 Medications   Experience
  1    2    3    4
  Aminophylline (theophylline)     
  Prostaglandin     
 
 Neurological
 General   Experience
  1    2    3    4
  Anitconvulsant Medication     
  Assessment neurological Status     
  Intracranial Pressure Monitoring     
 
 Care Of Child With   Experience
  1    2    3    4
  Brain Death/organ Procurement     
  Coma     
  Encephalitis     
  Externalized Vp Shunt/reservoirs     
  Head Trauma     
  Meningitis     
  Neuromuscular Disease     
  Post Neurosurgery     
  Spinal Cord Injury     
  Status Epilepticus     
 
 Orthopedics
 General   Experience
  1    2    3    4
  Specialized Orthopedic Bed     
 
 Care Of Child With   Experience
  1    2    3    4
  Cervical Traction     
  Pinned Fractures     
  Post Vertebral Surgery     
 
 Gastrointestinal
 Assessment   Experience
  1    2    3    4
  Abdominal     
  Nutritional     
 
 Equipment & Procedures   Experience
  1    2    3    4
  Abdominal Decompression Devices     
  Assist With Breast Feeding     
  Bottle Feeding     
  Breast Milk Handling & Storage     
  Gavage Feeding     
  Test For Occult Blood     
 
 Placement Of Intestinal Tubes   Experience
  1    2    3    4
  Gastrostomy/button     
  Jejunal     
  Nasogastric/orogastric     
 
 Care Of Child With   Experience
  1    2    3    4
  Be Reflux     
  Fresh Ostomy     
  Gastroenteritis/sever Dehydration     
  Gi Bleeding     
  Hepatic Failure     
  Hepatitix     
  Necrotizing Enterocolitis (nec)     
  Pancreatitis     
  Post Abdominal Surgery     
  Stress Ulcer     
  Surgical Abdomen     
 
 Renal/genitourinary
 General   Experience
  1    2    3    4
  Assesment Of Fluid Balance     
 
 Test Urine And Interpretation Of Lab Results For   Experience
  1    2    3    4
  Glucose     
  Labstix     
  Occult Blood     
  Ph     
  Specific Gravity     
 
 Collection Of Urine Specimens   Experience
  1    2    3    4
  Assist With Supra-pubic Tap     
  Catheter     
  Diaper/bag     
 
 Insertion & Care Of Straight And Foley Cater   Experience
  1    2    3    4
  Female     
  Male     
 
 Care Of The Child With   Experience
  1    2    3    4
  Acute Renal Failure     
  Cavh     
  Diabetes Insipidus (di)     
  Hemodialysis     
  Hemolytic Uremic Syndrome (hus)     
  Nephritis     
  Nephrotic Syndrome     
  Peritoneal Dialysis     
  Post Renal Transplant     
  Syndrome Inappropriate Adh (siadh)     
 
 Endocrine/metabolic
 General   Experience
  1    2    3    4
  Assessment Of Electrolyte Balance     
  Blood Glucose Testing Equipment & Procedures     
  Medication - Insulin     
 
 Care Of Child With   Experience
  1    2    3    4
  Diabetic Ketoacidosis     
  Hyperbilirubinemia     
  Hyper/hypocalcemia     
  Thyroid Dysfunction     
 
 Wound Management
 Assessment   Experience
  1    2    3    4
  Skin For Impending Breakdown     
  Stasis Ulcers     
  Surgical Wound Healing     
 
 Equipment & Procedures   Experience
  1    2    3    4
  Air Fluidized, Low Airloss Beds     
  Sterile Dressing Changes     
  Wound Care/irrigations     
 
 Care Of The Child With   Experience
  1    2    3    4
  First Degree Burns     
  Pressure Sores     
  Second Degree Burns     
  Staged Decubitius Ulcers     
  Surgical Wounds With Drain(s)     
  Third Degree Burns     
  Traumatic Wounds     
 
 Oncology
 General   Experience
  1    2    3    4
  Chemotherapy     
  Reverse Isolation     
 
 Assessment   Experience
  1    2    3    4
  Nutritional Status     
  Pain Control