PPR Healthcare Staffing, Inc. 333 1st. St. North -- Suite 200 Jacksonville Beach, FL 32250 Fax:(888)794-5038

PEDIATRIC INTENSIVE CARE SKILLS CHECKLIST
Name:	Date:
Instructions: Use the following Answer Key to indicate the extent of your previous experience:

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		|	Hemodynamic Monitoring – Invasive
General Health Status		|	Mean Arterial (MAP)
Assessment		|	Central Venous (CVP)
Growth and Development		|	Pulmonary Artery/Capillary Wedge
Signs and Symptoms of Neglect/Abuse		|	Cardiac Index
Procedures		|	Cardiac Output
Application of Restraints		|	SVO2
Care of Child with		|	Monitoring – Non-invasive
ENT Surgery		|	12 Lead EKG Interpretation
Anorexia/Bulimia		|	Arrhythmia Interpretation
Ingestions/Overdose		|	Lead Placement
Kawasaki Disease		|	Rhythm Strip Assessment
Suicide Ideation/Attempt		|	Equipment
Medications		|	Auto Internal Cardioverter/Defibrillator
Pediatric Drug Actions and Reactions		|	Cardiac Monitor
Cardiovascular		|	Care of a Child with
Assessment		|	Bacterial Endocarditis
Abnormal Heart Sounds/Murmurs		|	Cardiac Arrest
Auscultation (rate, rhythm)		|	Cardiogenic Shock
Perfusion		|	Cardiomyopathy
Lab Values		|	Congenital Heart Disease/Defects
Cardiac Enzymes and Isoenzymes		|	Congestive Heart Failure
Electrolytes		|	Hypovolemic Shock
Procedures		|	Myocarditis
Assist with		|	Pericarditis
Arterial Line Insertion		|	Post Cardiac Catheterization
Central Line Insertion		|	Post Cardiac Surgery
Pulmonary Arterial		|	Rheumatic Fever
Catheter/Swan-Ganz Insertion		|	Pacemaker
Umbilical Artery Catheter/Umbilical		|	Cardioversion
Vein Catherter Insertion		|	Defibrillation
Cardioversion		|	Heart Transplant
Click here to Continue		|	Click here to Continue

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		2
	1     2     3     4			1     2     3     4
Medications		|	Equipment
Dobutamine (Dobutrex)		|	Apnea Monitor
Dopamine		|	PleurEvac or Thoraclex Drainage
Epinephrine		|	Water Seal Drainage
Nipride (Nitroprusside)		|	O2 Therapy Delivery Systems
Nitroglucerine		|	Ambu Bag and Mask
Sodium Bicarbonate		|	Isolette
Pulmonary		|	Nasal Cannula
Assessment		|	Nebulizer
Breath/Lung Sounds		|	Oxyhood
Breathing Patterns		|	Tent
Cough/Secretions		|	Trach Collar
Skin/Nail Color		|	Ventilator Management
Lab Values		|	CPAP
Blood Gases		|	High Frequency Jet Ventilation
Aminophylline Levels		|	IMV
Procedures		|	PEEP
Airway Management/Suctioning		|	Pressure Ventilator
Endotracheal Suctioning		|	Volume Ventilator
Extubation		|	Weaning Modes
Nasal Airway Suctioning		|	Nebulizers
Sputum Specimen Collection		|	Oximeter
Tracheostomy Suctioning		|	Care of a Child with
Assist with		|	Acute Pneumonia
Bronchoscopy		|	Bronciolitis
Chest Tube Insertion and Removal		|	Chronic Respiratory Disease
Emergency Tracheostomy		|	Epiglottitis
Thoracentesis		|	Flail Chest
Intubation		|	Foreign Body Aspiration
Oral Airway Insertion		|	Fresh Tracheostomy
Chest Physiotherapy		|	Hemothorax
End Tidal O2		|	Laryngotracheal Bronchitis/Croup
ECMO (Extracorporeal		|	Pneumothorax
Membrane Oxygenation)		|	Respiratory Distress Syndrome
Intervention for Respiratory		|	Respiratory Failure
Complications		|	Status Asthmaticus
Aspiration		|	Near Drowning
Laryngospasm		|	Pulmonary Edema
Obtaining Blood Gases		|	Inhalation Injuries
Click here to Continue		|	Chest Wall Injuries
			Click here to Continue

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		3
	1     2     3     4			1     2     3     4
Medications		|	Procedures
Aminophylline		|	Crutch Walking
Corticosteroids		|	Pin Care
Prostaglandin		|	Cast Care
Neurological		|	Use of Assistive Devices
Assessment		|	Body Mechanics
Cranial Nerves		|	Burn Care
Glasgow Coma Scale		|	Equipment
Level of Consciousness		|	Special Beds
Pathologic Reflexes		|	Traction
Reflex/Motor Reflexes		|	Prostheses
Visual or Communication Deficits		|	K-Pad
Procedures		|	Splints/Immobilizers
Assist with Lumbar Puncture		|	TENS
Seizure Precautions		|	Support Devices
Spinal Precautions		|	Cane
Measuring Intracranial Pressure		|	Cervical Collar
Equipment		|	Gain Belt
Hyper/Hypothermia Blanket		|	Sling
Care of Child with		|	Walker
Skull Fracture		|	Wheelchair
Closed Head Injury		|	Care of Patient with
Coma		|	Amputation
Cranial Hemorrhage		|	Arthroscopic Surgery
Externalized VP Shunts		|	Cast
Increased ICP		|	Pinned Fractures
Meningitis		|	Burns
Neuromuscular Disease		|	Skin Grafts
Intracranial Tumor		|	Medications
Spinal Cord Injury		|	Analgesics
Craniotomy		|	Muscle Relaxants
CNS Infections		|	Topical Agents
Medications		|	Gastrointestinal
Anti-convulsants		|	Assessment
Musculoskeletal/Integumentary		|	Bowel Sounds
Assessment		|	Nutritional Status/Weight
Circulation Checks		|	Lab Values
Gait/Mobility		|	Serum Ammonia
ROM/Joint Movement		|	Serum Amylase
Strength		|	Liver Function Tests
Posture		|	Click here to Continue
Skin Integrity		|
Click here to Continue

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		4
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Procedures		|	Renal/Genitourinary
Feedings		|	Assessment
Tube		|	Fluid and Electrolyte Status
Bottle		|	Lab Values
Breast Milk Handling		|	BUN and Creatinine
Gavage		|	Electrolytes
Lavage		|	Urine Values
Management of		|	Procedures
T-tube		|	Insertion and Management of
TPN and Lipids Administration		|	Foley and Straight Catheters
PPN (Peripheral Parenteral Nurtition)		|	Peritoneal Dialysis
NG Tube Insertion		|	Equipment
Paracentesis		|	Catheters
Enemas		|	Specimen Collection
Equipment		|	Care of a Child with
Feeding Pumps		|	Acute Renal Failure
Drains		|	Chronic Renal Failure
Tubes		|	Hemodialysis
N/G		|	Peritoneal Dialysis
T-Tube		|	Nephrectomy
G-Tube		|	Nephrotic Syndrome
Care of Child with		|	Hemolytic Uremic Syndrome
Blunt Trauma		|	Renal Transplant
Bowel Obstruction		|	Renal Rejection Syndrome
GI Bleeding		|	Urinary Tract Infection
GI Surgery		|	Medications
Gastroenteritis/Dehydration		|	KCl
Hepatitis		|	Diuretics
Fresh -ostomy		|	Endocrine/Metabolic
Inflammatory Bowel Disease		|	Assessment
Liver Failure		|	Mental Status
Liver Transplant		|	Diabetic Coma
Pancreatitis		|	Insulin Reaction
Penetrating Trauma		|	Lab Values
Medications/Supplements		|	Thyroid Studies
AquaMephyton (Vitamin K)		|	Blood Glucose
Anti-emetics		|	Glucose Tolerance
Anti-spasmotics		|	Fasting Blood Sugar
Tube Feeding Solutions		|	Ketone Bodies
Kayexelate		|	Serum Calcium
Click here to Continue		|	Click here to Continue

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		5
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Procedures		|	Care of a Child with
Glucose Monitoring		|	Bone Marrow Transplant
Finger Stick		|	Anemia
Equipment		|	DIC
Insulin Pumps		|	Immunosuppressed Conditions
Glucose Monitoring Devices		|	Inpatient Chemotherapy
Electronic		|	Leukemias
Blood Glucose Sticks		|	Sickle Cell Anemia/Crisis
Care of a Child with		|	Malignant Tumors
Diabetes Mellitus		|	Medications
Diabetic Ketoacidosis		|	Antineoplastic Agents
Disorders of Adrenal Glands		|	Chemotherapeutic Agents
Disorders of Pituitary Gland		|	Anticoagulant Agents
Disorders of Thyroid Gland		|	Anticoagulant Antidotes
Insulin Shock		|	SKILLS
Disorders of Parathyroid Gland		|	IV Therapy
Medications		|	Peripheral Line
Insulins		|	Insertion
Long-acting		|	Angiocath
Medium-acting		|