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NICU RN

Neonatal Intensive Care

  • MM slash DD slash YYYY
  • Self-Assessment Rating Scale:

    No Experience
    Theory or observation only during the past 12 months

    Limited Experience
    Performed less than 12 times within the past 12 months and may need a review

    Experienced
    Performed at least once per month within the past 12 months and may need minimal assistance

    Highly Skilled
    Performed on at least a weekly basis over the past 12 months; proficient
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Ausculation (rate, rhythm, volume)
    Assessment - Blood pressure/invasive (A-line)
    Assessment - Blood pressure/non-invasive
    Assessment - Heart sounds/murmurs
    Assessment -Perfusion
    Assessment - Pulses/circulation
    Care of neonate - Cardiac arrest
    Care of neonate - Cardiomyopathy
    Care of neonate - Congenital heart defects
    Care of neonate - Hemodynamic instability
    Care of neonate - Hypovolemic shock
    Care of neonate - Post cardiac surgery
    Care of neonate - Post interventional cardiac cath
    Monitoring - CVP
    Monitoring - EKG interpretation
    Perform - Cardiac resuscitation
    Perform - Emergency defibrillation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Airway Management - Endotracheal/suctioning
    Airway Management - Nasal/suctioning
    Airway Management - Tracheostomy/suctioning
    Assessment - Breath sounds
    Assessment - Rate and work of breathing
    Assist with extubation
    Assist with intubation
    Assist with removal of chest tube
    Assist with setup/insertion of chest tube
    Assist with thoracentisis
    Care of neonate - Bronchopulmonary dysplasia (BPD)
    Care of neonate - Cardiogenic/hypovolemic shock
    Care of neonate - Diaphragmatic hernia
    Care of neonate - Fresh tracheostomy
    Care of neonate - Meconium aspiration
    Care of neonate - Persistent pulmonary hypertension (PPHN)
    Care of neonate - Pneumothorax
    Care of neonate - Respiratory distress syndrome
    Care of neonate - Respiratory failure
    Interpret - Arterial blood gases
    Obtain ABG's - Arterial line
    Obtain ABG's - Heel stick
    Obtain ABG's - Peripheral
    Obtain ABG's - Umbilical line
    Oxygen therapy and medication delivery via bag and mask
    Oxygen therapy and medication delivery via bulb syringe
    Oxygen therapy and medication delivery via ET tube
    Oxygen therapy and medication delivery via face mask
    Oxygen therapy and medication delivery via nasal canula
    Oxygen therapy and medication delivery via nebulizer
    Oxygen therapy and medication delivery via oxyhood
    Oxygen therapy and medication delivery via tent
    Oxygen therapy and medication delivery via trach collar
    Use of artificial surfactant
    Ventilator care - CPAP/PEEP
    Ventilator care - High frequency jet ventilator
    Ventilator care - Home ventilator
    Ventilator care - IMV
    Ventilator care - Oscillating
    Ventilator care - Pressure ventilator
    Ventilator care - Volume ventilator
    Ventilator care - Weaning
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Care of neonate - Brain death/organ procurement
    Care of neonate - Externalized VP shunt/reservoirs
    Care of neonate - Increased intracranial pressure
    Care of neonate - Meningitis
    Care of neonate - Seizures
    ICP Management - Monitoring
    Monitoring - Intracranial pressure
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Abdominal girth
    Assessment - Abdominal/bowel sounds
    Assessment - Palate
    Assessment - Suck/swallow
    Care of neonate - Cleft palate
    Care of neonate - Colostomy/ileostomy
    Care of neonate - Castrochisis/omphalocele
    Care of neonate - GI bleeding
    Care of neonate - Inguinal hernia
    Care of neonate - Necrotizing enterocolitis (NEC)
    Care of neonate - Post abdominal surgery
    Care of neonate - Tracheoesophogeal fistula
    Feedings - Bottle
    Feedings - Breast milk handling/storage
    Feedings - Gavage
    Monitoring - Gastrostomy tube
    Monitoring - Jejunostomy tube
    Perform - Placement of NG tube
    Perform - Test for occult blood
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Perform - Urine specimen collection (catheter)
    Perform - Urine specimen collection (diaper/bag)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Finnegan
    Assessment - Fluid and electrolyte balance
    Assist with supra-pubic tap
    Care of neonate - Acute renal failure
    Care of neonate - Disorders of internal/external organs
    Care of neonate - Drug addiction/withdrawal
    Care of neonate - Hypo/hyperglycemia
    Care of neonate - Hypo/hyperkalemia
    Care of neonate - Hypo/hypernatremia
    Care of neonate - Malfunction of the GU tract
    Care of neonate - Peritoneal dialysis
    Collect and Interpret - Labstix
    Collect and Interpret - Occult blood
    Collect and Interpret - Urine glucose
    Collect and Interpret - Urine pH
    Collect and Interpret - Urine specific gravity
    Monitor - Phototherapy for jaundice
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Care of neonate - Hepatitis surface antigen+ mother
    Care of neonate - HIV+ mother
    Care of neonate - Neonatal sepsis
    Interpret - CBC/differential
    Interpret - Culture reports
    Interpret - Maternal lab results
    Medications - RespiGam
    Perform - Assist with lumbar puncture
    Perform - Collect culture specimens
    Perform - Isolation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Pain level/tolerance
    Care of neonate - With sedation
    Care of patient - Narcotic analgesia
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - Site and patency
    Care of neonate - Peripheral line/dressing
    Care of neonate - Portacath
    Care of neonate - Umbilical artery line
    Care of neonate - Umbilical venous line
    Equipment - Syringe pump
    Perform - Administer hyperalimentation/TPN
    Perform - Administer packed RBC's
    Perform - Draw blood from central line
    Perform - Rate calculation
    Perform - Start IV (heparin lock)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment - APGAR score
    Assessment - Eye exam (r/o retinopathy)
    Assessment - Maternal history
    Assessment - Screening for hearing loss
    Assessment - Weight (bed scale, scale)
    Bereavement/postmortem care
    Medications - Neonatal drug actions and reaction
    Perform - Neonatal skin care
    Thermoregulation - Isolette with humidity
    Thermoregulation - Radiant warmer
    Thermoregulation - Temperature (axillary, rectal, skin)
    Thermoregulation - Wean to open crib/bassinet

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