PPR Healthcare Staffing, Inc.
333 1st. St. North -- Suite 200
Jacksonville Beach, FL 32250
Fax:(888) 794-5038
PEDIATRIC SKILLS CHECKLIST
First Name:
Last Name:
Phone:
Email:
SSN (last 4 only):
Date:
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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