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PICU Skills Checklist
PICU Skills Checklist
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I hereby certify that all information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
Cardiovascular
Auscultation (rate, rhythm, volume)
Auscultation (rate, rhythm, volume)
*
1
2
3
4
Auscultation (rate, rhythm, volume)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Blood pressure/invasive
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Heart sounds/murmurs
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Perfusion
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Central venous pressure
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
EKG interpretation
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Non-invasive cardiac monitoring
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Pulmonary artery/capillary wedge
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Right/left atrial
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Bacterial endocarditis
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Cardiac arrest
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Cardiomyopathy
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Congenital heart defects/disease
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Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Hypovolemic shock
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Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Myocarditis
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Post cardiac surgery
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Digoxin
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Dobutamine (Dobutrex)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Dopamine (Intropin)
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Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Epinephrine (Adrenaline)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Heparin
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Isoproterenal
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Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Lidocaine (Xylocaine)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Nipride (Nitroprusside)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Mannitol
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Nitroglycerine (Tridil)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Sodium bicarbonate
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Pulmonary
Breath sounds
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Rate and work of breathing
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
X-ray reports
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Equipment & Procedures:
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Assist with extubation
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Assist with intubation
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Bulb syringe
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Endotracheal tube suctioning
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Nasal airway/suctioning
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Oral airway/suctioning
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Tracheostomy/suctioning
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Apnea monitor use
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Chest physiotherapy
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Assist with chest tube insertion/removal
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Chest tube set-up
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Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Obtaining blood gases
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Arterial
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Heel stick
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Peripheral
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Pulse oximeter use
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
(Anesthesia) bag & mask
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
(Self-inflating) bag & mask
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Isolette
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Nebulizer
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Nasal cannula
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Oxyhood
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Tent
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Trach collar
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Thoracentesis
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
CPAP/PEEP
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
High frequency jet ventilator
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
IMV
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Volume ventilator
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Epiglottitis
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Croup
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Foreign body aspiration
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Fresh tracheostomy
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Hemothorax
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Pneumothorax
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Pneumonia
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Respiratory distress
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Respiratory failure
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Status asthmaticus
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Aminophylline (Theophylline)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Prostaglandin
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Neurological
Assessment of neurological status
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Intracranial pressure monitoring
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Brain death/organ procurement
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Coma
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Encephalitis
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
External VP shunt
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Meningitis
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Neuromuscular disease
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Spinal cord injury
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Post neurosurgery
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Status epilepticus
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Use of anticonvulsant medication
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Medication Administration
Calculating drugs by infusion
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Dosage calculations
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Eye/ear installations
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
IM injections
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
IV medications
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Metered dose inhaler
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
SQ injections
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Knowledge of emergency drug reactions
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Other Skills
Charge nurse experience
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Age Specific
Newborn/Neonatal (up to 30 days)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Infant (30 days to 1 year)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Toddler (1 to 3 years)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Preschooler (3 to 5 years)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
School Age (5 to 12 years)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Adolescents (12 to 18 years)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Young Adults (18 to 39 years)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Middle Adults (40 to 64 years)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
Older Adults (65 & up)
*
Rate 1 out of 4
Rate 2 out of 4
Rate 3 out of 4
Rate 4 out of 4
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