Skills Checklist - Infection Prevention RN

This Skills Checklist is a self-evaluation to assess your recent experience in various clinical settings focusing on the past 2 years.

0 = No Experience
1 = Some Experience
2 = Intermittent Experience
3 = Experienced
4 = Very Experienced

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AGE OF PATIENTS CARED FOR

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Neonate < 23 Weeks
Neonate 23-28 Weeks
Neonate 29-32 Weeks
Neonate > 32 Weeks
Full Term Newborn

NEUROLOGICAL

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Assessment Of Neurological Status
Intracranial Pressure Monitoring

NEUROLOGICAL- CARE OF NEONATE WITH:

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Spina Bifida
Myelomeningocele
Brain Death/Organ Procurement
Externalized VP Shunt/Reservoirs
Intraventricular Hemorrhage
Increased Intracranial Pressure
Meningitis
Seizures
Anticonvulsant Medications

CARDIOVASCULAR

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Assessment/Auscultation (rate, rhythm, volume)
Blood Pressure/Invasive (arterial line)
Blood Pressure/Non-invasive
Heart Sounds/Murmurs
Perfusion
Pulses
EKG Interpretation/Rhythm Recognition
Defibrillation/Cardioversion
Invasion Hemodynamic Monitoring
Central Venous Pressure

CARDIOVASCULAR- CARE OF NEONATE WITH:

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Cardiac Arrest
Cardiac Transplant
Cardiomyopathy
Congenital Heart Disease/Defects
Hemodynamic Instability
Cardiogenic/Hypovolemic Shock
Post Cardiac Surgery
Post Cardiac Cath
Hyper/Hypotension

Knowledge and Use of

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Vasopressin
Digoxin
Dobutamine
Dopamine
Epinephrine
Nipride
Sodium Bicarbonate

RESPIRATORY

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Assessment of Breath Sounds
Rate and Work of Breathing
Interpretation of ABGs
Assist with Chest Tube Insertion
Assist With Chest Tube Removal
ECMO (Extracorporeal Membrane Oxygenation)
Thoracentesis
Use of Artificial Surfactant

AIRWAY MANAGEMENT:

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Assist with Intubation
Bulb Syringe
Endotracheal Tube Suctioning
In-Line Suction
Open ET Catheter Suction
Extubation
Nasal/Oral Airway/Suctioning
Tracheostomy/Suctioning
Apnea Monitor
Respiratory Insufficiency
Respiratory Arrest

O2 THERAPY DELIVERY SYSTEMS:

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Bag and Mask
Nasal Cannula
Nebulizer
Oxyhood/Tent
Trach Collar

OBTAINING LABS:

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Arterial
Heelstick
Peripheral
Umbilical Line

USE OF VENTILATORS:

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CPAP/PEEP
High Frequency Jet Ventilator
Home Ventilator
IMV
Oscillating
Pressure Ventilator
Volume Ventilator
CO2 Monitoring
Weaning

RESPIRATORY- CARE OF NEONATE WITH:

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Apnea
Meconium Aspiration
Persistent Pulmonary Hypertension (PPHN)
Bronchopulmonary Dysplasia (BPD)
Diaphragmatic Hernia
Fresh Tracheostomy
Pneumothorax
Respiratory Distress Syndrome (RDS)
Respiratory Failure

Knowledge and Use of

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Aldactazide
Lasix
Caffeine
Prostaglandin
Bronchodilators
Steroids

GASTROINTESTINAL

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Abdominal Girth
Bowel Sounds
Palate
Suck/Swallow
Care of Gastrostomy Tube
Test for Occult Blood

FEEDINGS:

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Assist with Breast Feeding
Bottle
Breast Milk Handling/Storage
Gavage
Hospital Grade Electronic Breast Pump

PLACEMENT OF INTESTINAL TUBES:

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Jejunal/Gastro
Nasogastric/Orogastric

GASTROINTESTINAL- CARE OF NEONATE WITH:

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Cleft lip/Palate
GI Bleed
Ostomy
Post Abdominal Surgery
Inguinal hernia
Necrotizing Enterocolitis
Gastroschesis/Omphalocele
Reflux
Tracheoesophageal Fistula (TEF)

RENAL/GU/METABOLIC/ENDOCRINE GENERAL SKILLS

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Fluid & Electrolyte Balance
Calculating Output
Knowledge/Interpretation of Lab results/Chemistry
Bilirubin
Glucose
Labstix
Occult Blood
pH
Specific Gravity

COLLECTION OF URINE SPECIMENS:

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Assist with Suprapubic Tab

CATHETER:

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Diaper/Bag
Phototherapy for Jaundice
Post Circumcision Care

RENAL/GU/METABOLIC/ENDOCRINE- CARE OF NEONATE WITH:

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Acute Renal Failure
DIC (disseminated Intravascular Coagulation)
Disorders of Internal/External Organs
Drug Addiction/Withdrawal
Hyper/Hypokalemia
Hyper/Hyponatremia
Infant of Diabetic Mother- Monitor for Hyper/Hypoglycemia
Malformations of the GU Tract, Kidney
Peritoneal Dialysis

INFECTIOUS DISEASES

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Assist with Lumbar Puncture
Collect Culture Specimens
Isolation Techniques
Standard Precautions

KNOWLEDGE OF LAB RESULTS:

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CBC/Differential
Culture Reports
Maternal Lab Results

INFECTIOUS DISEASE- CARE OF NEONATE WITH:

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Hepatitis Surface Antigen + Mother
HIV Positive Mother
Neonatal Sepsis

Knowledge and Use of

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Antibiotics
HBIG
HBV
HIB
RespiGam/Synagis Prophylaxis

MEDICATION SKILLS/KNOWLEDGE AND USE OF

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Calculation of Dosage
Prep and Administration of Emergency Meds
Emergency Drug Action & Reaction
Eye Prophylaxis – Vitamin K
Neonatal Drug Action & Reactions
Computerized/Automated Medication Administration System
Computerized/Automated Medication Administration System

PAIN MANAGEMENT

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Assessment Of Pain Level Using Age Appropriate Scales
Care of Neonate with Sedation
Use of Sedation Reversal Agents

ADMINISTRATION OF BLOOD/BLOOD PRODUCTS

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Cryoprecipitate
Packed Red Blood Cells
Plasma/Albumin
Whole Blood
Drawing Blood from Central Line
Drawing Venous Blood

DELIVERY SYSTEMS:

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IV Pump
Syringe Pump
Hyperalimentation/TPN/PPN
Intralipid

MANAGING IV THERAPY:

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Insertion
Discontinuation
Dressing & Tubing Change
Rate Calculation
Site & Patency Assessment

IV THERAPY/PHLEBOTOMY- CARE OF THE NEONATE WITH:

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Central Line/Catheter/Dressing
Broviac
Groshong
Hickman
Port-A-Cath
Quinton
Percutaneous Arterial Line
PICC (peripherally inserted central catheter)
Umbilical Artery Line
Umbilical Venous Line

OTHER/MISC:

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Crash Carts
Defibrillators
Computerized Charting System
Apgar Scoring
Eye Exam (r/o retinopathy)
Cord Care
Neonatal Skin Care
Positioning Devices
Preparation for Transport/Transfer

GESTATIONAL AGE:

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Car Seat Safety
Ballard
Dubowitz
Maternal History
Screen for Hearing Loss
Equipment & Procedures
Bereavement/Postmortem Care
Consents
Immunization
Procedural
Treatment
Family Teaching/Education
Care Planning

THERMOREGULATION:

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Isolette with Humidity
Radiant Warmer
Temperature (auxillary, rectal, skin)
Weaning To Open Crib/Bassinet

WEIGHTS:

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Bed Scale
Scale

Position Category

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Total Years of Experience

First Name

Last Name

Social Security #

Date of Birth

Email

Phone

Attestation

I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified, particularly within the last 2 years. I hereby authorize Alliant Personnel Resources (The Company) to collect, store, and release any information that I have provided in this Skills Checklist and/or any other documentation and information they have collected or that I have submitted in any form to its parent company(s), its subsidiaries, or other subcontractors/its service providers as it deems necessary in its business operations as well as to individuals and companies in relation to consideration of employment as a Healthcare Professional with those companies and individuals. I acknowledge that The Company will take precaution and care to protect my personal information that is collected/stored/shared but cannot guarantee permanent data security and I release The Company from all related liability for damages or punitive liability.

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Skills Checklist - Neonatal Intensive Care