Pediatric Emergency Department Checklist


Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  CARDIOVASCULAR         Rating Stars (Click) 1 2 3 4
  Cardiac Anomalies  
  CHF/Pulmonary Edema  
  Cardiogenic Shock  
  Cardioversion  
  Heart Sounds  
  PULMONARY         Rating Stars (Click) 1 2 3 4
  Reactive Airway Disease  
  Croup  
  Pneumonia  
  Epiglottitis  
  Aspiration  
  Airway Obstruction  
  Hemo/Pneumothorax  
  Chest Tube Placement/Management  
  ABG Interpretation  
  NEUROLOGICAL         Rating Stars (Click) 1 2 3 4
  Meningitis/Encephalitis  
  Seizures-Febrile/Epileptic  
  Lumbar Puncture  
  Migraine  
  ORTHOPEDIC         Rating Stars (Click) 1 2 3 4
  Fractures/Casting  
  Open/Complex Fractures  
  Nursemaid\'s Elbow  
  Apply/Manage Splints  
  Circulation Checks  
  Crutch Walking  
  Car Seat Instruction for Casted Patient  
  GASTROINTESTINAL         Rating Stars (Click) 1 2 3 4
  Abdominal Trauma/Peritoneal Lavage  
  Abdominal Pain  
  Constipation  
  GI Bleeding  
  Hepatitis/Liver Failure  
  Poison Ingestion  
  ENDOCRINE/METABOLIC         Rating Stars (Click) 1 2 3 4
  Hypoglycemia  
  Hyperglycemia  
  DKA  
  GENITOURINARY         Rating Stars (Click) 1 2 3 4
  Acute Renal Failure  
  UTI/Pyelonephritis  
  Renal Trauma  
  Testicular Torsion  
  OB/GYN         Rating Stars (Click) 1 2 3 4
  Menstrual Pain  
  Ovarian Cyst  
  Ectopic Pregnancy  
  Pelvic Inflammatory Disease/STD  
  Sexual Assault  
  Reporting Acts of Violence  
  EENT         Rating Stars (Click) 1 2 3 4
  Foreign Body - Eye  
  Foreign Body - Ear  
  Foreign Body - Nose  
  Epistaxis  
  TRAUMA         Rating Stars (Click) 1 2 3 4
  Glasgow Coma/Pediatric Trauma Scale  
  Trauma Code  
  Trauma Team Member  
  Brain Injury  
  Spinal Cord Injury  
  Spinal Precautions  
  Facial/Dental Trauma  
  Penetrating Trauma  
  Blunt Trauma  
  Traumatic Amputation  
  Hypovolemic Shock  
  Neurogenic Shock  
  Anaphylactic Shock  
  Septic Shock  
  Burns - 2nd Degree  
  Burns - 3rd Degree  
  INFECTIOUS DISEASE/IMMUNOSUPPRESSION         Rating Stars (Click) 1 2 3 4
  Contagious/Infectious Patients  
  Isolation  
  Reporting Communicable Disease  
  Neutropenia/Reverse Isolation  
  PSYCHIATRIC         Rating Stars (Click) 1 2 3 4
  Drug /ETOH Overdose/Withdrawal  
  Psychiatric Hold  
  Suicidal Patient  
  MEDICATIONS         Rating Stars (Click) 1 2 3 4
  Pediatric Dosage Calculations  
  Anti-Arrhythmics  
  Anticoagulants (IV  
  Oral & Injection)  
  Anti-Hypertensives  
  Anti-Psychotics  
  Anti-Seizure Medications  
  Benzodiazepines  
  Continuous IV Paralytics  
  Continuous IV Sedation  
  Procedural Sedation - Administration  
  Ketamine  
  Emergency Medications  
  Inhaled Medications  
  Insulin  
  IV Vasopressors  
  Narcotics/Opioid Analgesics (IV  
  Oral & Injection)  
  Reversal Agents  
  Steroids (IV  
  Oral & Inhaled)  
  Automated Medication Dispensing (i.e. Pyxis  
  Omnicell)  
  PROFESSIONAL KNOWLEDGE AND SKILLS         Rating Stars (Click) 1 2 3 4
  Recognizing/Reporting Abuse  
  Triage  
  Ambulance/Paramedic Radio  
  Charge Experience  
  EMTALA  
  National Patient Safety Goals/Core Measures  
  Fall Risk Assessment/Prevention  
  Pressure Ulcer Risk Assessment/Prevention  
  Restraints/Use of Least Restrictive Device  
  Patient Family Teaching  
  Car Seat Specific Standards/Teaching  
  Age/Developmentally  
  Specific/Population Based Care  
  Pain Assessment and Management - Verbal/Non-Verbal  
  Interpretation and Communication of Lab Values  
  EMR         Rating Stars (Click) 1 2 3 4
  Epic  
  Cerner  
  Eclipsys  
  McKesson  
  Meditech  
  Allscripts  
  Other Computerized System  
  Computerized Physician Order Entry  
  Bar Coding for Medication Administration  
  Age Specific Competencies         Rating Stars (Click) 1 2 3 4
  Infant (Birth - 1 year)  
  Preschooler (ages 2-5 years)  
  Childhood (ages 6-12 years)  
  Adolescents (ages 13-21 years)  
  Young Adults (ages 22-39 years)  
  Adults (ages 40-64 years)  
  Older Adults (ages 65-79 years)  
  Elderly (ages 80+ years)