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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Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)

GENERAL SKILLS

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Standard Precautions
Isolation Precautions
Pediatric Respiratory/Cardiac Arrest
Adult Respiratory/Cardiac Arrest
Crash Carts
Defibrillators
Care of Patient in Restraints
Automated Med Dispensing Systems
Care Planning & Discharge Planning
Patient/Family Education
Electronic Documentation
Patient Head to Toe Assessment
Normal Growth and Development
Normal Lab Values
Recognize Signs of Child Abuse/ Neglect
Medication/ Immunization Schedule

CARDIOVASCULAR

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Blood Pressure (Invasive and Non-Invasive)
Heart Sounds
Murmurs
Perfusion
Interpretation of Lab Results (ABGs, Hgb/ Hct)
Basic EKG Interpretation
Non-Invasive Cardiac Monitoring

CARE OF CHILD WITH

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Bacterial Endocarditis
Cardiac Arrest
Cardiomyopathy
Congenital heart Disease/Defects Cardiac Arrest
Congestive Heart Failure
Myocarditis
Pericarditis
Post Cardiac Cath
Post Cardiac Surgery
Rheumatic Fever
Shock

MEDICATIONS

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Digoxin

PULMONARY

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Breath Sounds
Rate and Work of Breathing
Airway Management Devices/ Suctioning
Apnea Monitor
Chest Physiotherapy
Chest Tubes
End Tidal CO2
Oximeter
Water Seal Drainage System

OXYGEN DELIVERY SYSTEM

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Face Mask
Hood
Isolette
Nasal Cannula
Tent
Trach Collar

CARE OF THE CHILD WITH

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Asthma
Bronchiolitis (RSV)
Bronchopulmonary Dysplasia (BPD)
Cystic Fibrosis
Epiglottitis
LTB/ Croup
Pertussis
Pneumonia
Tonsillitis
Tuberculosis

MEDICATIONS

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Alupent
Aminophylline
Isuprel
Ventolin

NEUROLOGICAL/ ORTHOPEDIC

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Assess Level of Consciousness
Application of Splints
Cast
ICP Monitoring
Pinned Fractures
Traction

CARE OF THE CHILD WITH

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Battered Child Syndrome
Closed Head Injury
Clubfoot
Encephalitis
Febrile Seizuers
Meningitis
Multiple Sclerosis
Multiple Trauma
Near Drowning
Neuromuscular Disease
Osteogenic Sarcoma
Osteomyelitis
Spinal Cord Injury

MEDICATIONS

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Clonazepam
Corticosteroids
Dilantin
Phenobarbital
Tegretol
Valium

GASTROINTESTINAL

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Abdominal Assessment
Nutritional Assessment
Interpretation of Lab Results (serum electrolytes)
Gastrostomy/ Button
J-Tubes
NG and Sump Tubes to Suction
Penrose Drains
Placement of Naso/ Orogastric Tube
Would Irrigation/ Dressing Change

FEEDINGS

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Bottle
Breast
Central Hyperalimentation
Gavage
Peripheral Hyperalimentation

CARE OF THE CHILD WITH

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Anal Fissure
Cleft Lip/ Palate
Colostomy
Diaphragmatic Hernia
Failure to Thrive (FTT)
Gastroenteritis/ Dehydration
GE Reflux
GI Bleeding
Ileostomy
Intestinal Parasites
Necrotizing Enterocolitis
Pyloric Stenosis
Surgical Abdomen
Ulcerative Colitis
Ingestion of Foreign Body
Ingestion of Poisons or Toxins

ENDOCRINE/ METABOLIC

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Assessment
Interpretation of Lab Results (glucose, thyroid)
Blood Glucose Testing

CARE OF THE CHILD WITH

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Adrenal Disorders
Cushing's Syndrome
Juvenile Disorders
Pituitary Disorders
Thyroid Malfunction

MEDICATIONS

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Growth Hormone
Insulin
Thyroid

GENITOURINARY

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Assessment of Fluid Balance
Interpretation of Lab Results (creatinine, BUN, UA)
Assist with Suprapubic Tap
Collection of Urine Specimen

CATHETER

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Catheter care
Insertion of Indwelling - Female
Insertion of Indwelling - Male
Straight Cath - Female
Straight Cath - Male

CARE OF CHILD WITH:

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Circumcision
Glomerulonephritis
Hemodialysis
Hemolytic Uremic Syndrome (HUS)
Hypospadias
Ileal Conduit Urinary Diversion
Infantile Polycystic Disease
Kidney Transplant
Nephrotic Syndrome
Peritoneal Dialysis
Renal Failure
Urinary Tract Infection
Wilm's Tumor

CARE OF CHILD WITH:

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Anemia
Bone Marrow Transplant
Depressed Immune System
Disseminated Intravascular Coagulation (DIC)
Hemophilia
Hodgkin's Lymphoma
Infectious Mononucleosis
Leukemia
Malignant Tumors
Sickle Cell Anemia
Spleen Trauma/ Splenectomy

MEDICATION

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Prednisone
Chemotherapy cert?

MEDICATION ADMINISTRATION FOR CHILDREN

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Calculation of Pediatric Doses
Eye/ Ear Installations
Knowledge of Emergency Drugs
Knowledge of Routine Pediatric Drugs
Metered Dose Inhaler

PHLEBOTOMY/ IV THERAPY

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Drawing Blood from Central Lines
Drawing Venous Blood
Starting IVs (angiocath, butterfly, heparin lock)

ADMINISTRATION OF BLOOD/ BLOOD PRODUCTS

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Cryoprecipitate
Packed Red Blood Cells
Whole Blood

CARE OF THE CHILD WITH

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Central Line/ Catheter/ Dressing
Broviac
Groshong
Hickman
Portacath
Quinton
Cutdown Line/ Dressing
Peripheral Line/ Dressing

INFECTIOUS DISEASE/ IMMUNOSUPPRESSION

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Interpretation of Lab Results (blood count)
Isolation
Fever Management

CARE OF THE CHILD WITH

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AIDS
Common Childhood-Communicable Diseases
Cytomegalovirus (CMV)
Hepatitis
Kawasaki Disease
Lyme Disease

PSYCHIATRIC

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Drug/ ETOH Overdose/ Withdrawal
Psychiatric Hold
Suicidal Patient
Anorexia/ Bulimia
Depression

WOUND MANAGEMENT

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Assess Skin for Impending Breakdown
Assess Stasis Ulcers
Surgical Wound Healing
First Degree Burns
Second Degree Burns
Third Degree Burns
Pressure Sores
Stages Decubitus Ulcers
Sterile Dressing Changes
Surgical Wounds with Drain(s)
Traumatic Wounds
Use of Low Airloss Beds
Wound Care/ Irrigations

PAIN MANAGEMENT

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Assessment of Pain Level/ Tolerance

CARE OF THE CHILD WITH

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Epidural Anesthesia/ Analgesia
IV Conscious Sedation
Narcotic Analgesia

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 - Pediatric RN