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PICU

Pediatric ICU

  • Date Format: 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
    Newborn/neonate (birth-30 days)
    Infant (1 mo-1 yr)
    Toddler (1-3 yrs)
    Preschooler (3-5 yrs)
    School age child (5-12 yrs)
    Adolescents (12-18 yrs)
    Young adults (18-39 yrs)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    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 and patient discharge
    Family/patient education
    Electronic documentation
    Patient head to toe assessment
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Auscultation (rate, rhythm, volume)
    Blood pressure/invasive (arterial line)
    Heart sounds/murmers
    Perfusion
    Central venous pressure
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Interpretation of lab results - CBC/electrolytes
    Defibrillation/cardioversion
    EKG interpretation (basic & advanced)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Bacterial endocarditis
    Congenital heart disease/defects
    Cardiac arrest
    Cardiac transplant
    Cardiogenic shock
    Cardiomyopathy
    Hypovolemic shock
    Myocarditis
    Post cardiac surgery
    Post interventional cardiac cath
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Dobutamine (Dobutrex)
    Dopamine (Intropin)
    Epinephrine (Adrenaline)
    Nipride (Nitroprusside)
    Nitroglycerine (Tridil)
    Sodium Bicarbonate
    Antiarrhythmics
    Steroids
    Bronchodilators
    Racemic epinephrine
    Mannitol
    Sedatives
    Anticonvulsants
    Antiemetics
    Growth Hormone
    Insulin
    Thyroid Medications
    Chemotherapeutic Agents
    Sedatives
    Reversal Agents
    Analgesics
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Breath sounds/work of breathing
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Arterial
    Heelstick
    Peripheral
    Interpretation of ABG's
    Oximeter
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assist with intubation
    Assist with extubation
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Bulb syringe
    Nasal airway/suctioning
    Oral airway/suctioning
    In-line suction
    Open ET catheter suction
    Tracheostomy/suctioning
    Apnea monitor
    Chest physiotherapy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Insertion
    Removal
    ECMO (Extracorporeal Membrane Oxygenation)
    End Tidal CO2
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Nasal cannula
    Bag and mask
    Isolette
    Oxyhood
    Tent
    Trach collar
    Thoracentesis
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    CPAP/PEEP/BIPAP
    High frequency jet ventilator
    Home ventilator
    IMV
    Pressure ventilator
    Volume ventilator
    Weaning
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Bronchiolitis (RSV)
    Pneumonia
    Croup
    Chronic respiratory disease
    Status asthmaticus
    Lung transplant
    Epiglottitis
    Fresh tracheostomy
    Foreign body aspiration
    Flail chest
    Hemothorax
    Pneumothorax
    Respiratory distress syndrome (RDS)
    Respiratory failure
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Glasgow coma scale
    Neurological status
    Assist with lumbar puncture
    Seizure precautions
    Intracranial pressure monitoring
  • No ExperienceLimited ExperienceExperienceHighly Skilled
    Head trauma
    Post neurosurgery
    Spinal cord injury
    Status epilepticus
    Coma
    Brain death/organ procurement
    Encephalitis
    Meningitis
    Externalized VP shunt/reservoirs
    Neuromuscular disease
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Abdominal assessment
    Interpretation of lab results - Serum electrolytes
    Feedings (storage and prep of)
    Bottle
    Breast
    Gavage
    TPN
    PPN
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    J-tubes
    NG to suction
    Placement of naso-orogastric tube
    Test for occult blood
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Anal fissure
    Cleft lip/palate
    New colostomy
    New ileostomy
    Diaphragmatic hernia
    Severe failure to thrive (FTT)
    Pyloric stenosis repair
    GE reflux
    GI bleeding
    Crohn's disease
    Ulcerative colitis
    Severe gastroenteritis/dehydration
    Intestinal parasites
    Necrotizing enterocolitis
    Surgical abdomen
    Liver transplant
    Small bowel transplant
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Interpretation of lab results (UA/BUN/Creatinine)
    Test urine and interpret
    Glucose
    Labstix
    Occult blood
    pH
    Specific gravity
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Catheter
    Diaper/bag
    Insertion and care of straight and Foley catheter
    Suprapubic
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Acute renal failure
    CAVH
    Peritoneal dialysis
    Hemodialysis
    Hemolytic uremic syndrome (HUS)
    Nephritis
    Nephrotic syndrome
    Renal transplant
    Syndrome inappropriate ADH (SIADH)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Electrolyte balance
    Blood glucose testing
    Knowledge of lab work - Thyroid studies
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Diabetes mellitus
    Diabetic ketoacidosis
    Diabetic coma
    Hyper/hypocalcemia
    Hyperbilirubinemia
    Thyroid dysfunction
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Specialized Orthopedic Bed
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Cervical traction
    Pinned fractures
    Post vertebral surgery
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment of skin status
    Stasis ulcers
    Surgical wound healing
    Air fluidized, low air loss bed
    Sterile dressing changes
    Wound care/irrigations
    JP
    Penrose
    Hemovac
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    1st degree
    2nd degree
    3rd degree
    Pressure sores
    Staged decubitis ulcers
    Surgical wounds with drain(s)
    Traumatic wounds
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Reverse isolation
    Nutritional status
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Blood chemistry
    Blood counts
  • No ExperieneLimited ExperienceExperiencedHighly Skilled
    Malignant tumors
    Fresh oncologic surgery
    Acute tumor lysis syndrome
    Leukemia
    Bone marrow transplant
    Disseminated intravascular coagulation
    Inpatient chemotherapy
    Radiation implant
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Interpretation of lab results
    Cultures (including sensitivites)
    CBC/differential (shift)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Blood
    Swab
    Urine
    Sputum
  • No ExperienceLimited ExperiencceExperiencedHighly Skilled
    Cytomegalovirus (CMV)
    HIV/AIDS
    Septic shock
    Tuberculosis
    Hepatitis
    Common childhood communicable diseases
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Peripheral IV insertion, care, and maintenance
    Central line care and maintenance
    PICC line care and maintenance
    Drawing blood from central line/PICC line
    Drawing venous blood
    Administration of blood/blood products
    Cryoprecipitate
    Packed red blood cells
    Whole blood
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Central line
    Port-a-cath
    PICC
    Cutdown line
    Peripheral line
    Arterial line
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment- Pain Level Using Age Appropriate Scales
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Epidural Analgesia
    PCA
    IV conscious sedation
  • No ExperienceLimited ExperienceExperinecedHighly Skilled
    Normal growth and development
    Normal laboratory values
    Recognize signs of abuse or neglect
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Anorexia/bulimia
    Craniofacial reconstruction
    Depression
    HEENT surgery
    Ingestion of foreign body
    Ingestion of poison or toxins
    Plastic surgery
    Suicide attempt
    Multiple trauma
    Near drowning
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Calculation of pediatric doses
    Titration of IV drips
    Eye/ear installations
    Metered dose inhaler
    Intravenous medications (IV)
    Subcutaneous injections (SQ)
    Z track injections
    Knowledge of emergency drug action and reaction
    Pediatric drug action and reaction