Pediatrics 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.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  WORK SETTINGS         Rating Stars (Click) 1 2 3 4
  Pediatric MedSurg  
  Pediatric Step Down/Telemetry  
  Pediatric Oncology  
  Pediatric Ortho  
  Pediatric Neuro  
  CARDIOVASCULAR         Rating Stars (Click) 1 2 3 4
  Congenital Heart Disease/Repair  
  Pre Cardiac Surgery  
  Post Cardiac Surgery  
  Heart Sounds  
  PULMONARY         Rating Stars (Click) 1 2 3 4
  Reactive Airway Disease  
  RSV  
  Tuberculosis  
  Esophageal Atresia  
  Epiglottitis  
  Tonsillitis  
  Laryngotracheobronchitis (Croup)  
  ENT Surgery  
  Oxygen Delivery Systems  
  Tracheostomy Management  
  Oral Suctioning  
  Deep Suctioning  
  Management of Chest Tubes  
  Apnea Monitor  
  Home Ventilator Therapy  
  NEUROLOGIC/ORTHOPEDIC         Rating Stars (Click) 1 2 3 4
  Brain Injury  
  Spinal Cord Injury  
  Seizure Disorders  
  Meningitis  
  Neuromuscular Disease  
  Extremity Fracture/Cast  
  Post Vertebral Surgery  
  Traction - General  
  Traction - Halo  
  Pin Care  
  VP Shunts/Internal/External  
  GASTROINTESTINAL         Rating Stars (Click) 1 2 3 4
  Cleft Lip/Palate  
  Inflammatory Bowel Disease  
  Colostomy/Ileostomy  
  Surgical Drains  
  Failure to Thrive  
  Feeding Intolerance  
  Gastroenteritis/Dehydration  
  Bowel Obstruction  
  Short Gut Syndrome  
  Breastfeeding Support/Handling of Breast Milk  
  RENAL/GENITOURINARY         Rating Stars (Click) 1 2 3 4
  Circumcision  
  Testicular Torsion  
  Glomerulonephritis  
  Renal Failure  
  Renal Transplant  
  Urinary Retention  
  Bladder Scan  
  Insertion/Management of Bladder Catheters  
  Management of Suprapubic Catheters  
  ENDOCRINE/METABOLIC         Rating Stars (Click) 1 2 3 4
  Diabetes - Hypo/Hyperglycemia  
  Diabetic Ketoacidosis  
  IV Insulin Pumps  
  Indwelling Insulin Pumps  
  Hyperbilirubinemia  
  Bili Bed  
  ONCOLOGY         Rating Stars (Click) 1 2 3 4
  Chemotherapy Administration  
  Hodgkin\'s Disease  
  Hemophilia  
  Sickle Cell Anemia  
  Leukemia  
  Solid Tumors  
  Bone Marrow Transplant  
  INFECTIOUS DISEASE         Rating Stars (Click) 1 2 3 4
  Childhood Communicable Diseases  
  Hepatitis  
  HIV  
  Kawasaki Disease  
  MEDICATIONS         Rating Stars (Click) 1 2 3 4
  Pediatric Dosage Calculations  
  Anti-Hypertensives  
  Anticoagulants  
  Anti-Seizure Medications  
  Benzodiazepines  
  Digoxin  
  Diurectics  
  Emergency Medications  
  Inhaled Medications  
  Insulin  
  Narcotics/Opioid Analgesics (IV/Oral/Injection)  
  Non-Opioid Analgesics (IV/Oral/Injection)  
  Procedural Sedation - Recovery  
  Reversal Agents  
  Steroids (IV/Oral/Inhaled)  
  Automated Medication Dispensing (i.e. Pyxis  
  Omnicell)  
  IV THERAPY         Rating Stars (Click) 1 2 3 4
  Starting Ivs  
  Central Line Blood Draw  
  Central Line/Implanted Line Care  
  TPN/Lipids  
  Blood Product Administration  
  Administration of Chemotherapy  
  CARDIAC MONITORING & EMERG. RESPONSE         Rating Stars (Click) 1 2 3 4
  Pediatric Early Warning Score (PEWS)/Rapid Response Team  
  Dysrhythmia Interpretation  
  Dysrhythmia Management  
  PROFESSIONAL KNOWLEDGE AND SKILLS         Rating Stars (Click) 1 2 3 4
  National Patient Safety Goals/Core Measures  
  Recognize/Report Signs of Abuse  
  Fall Risk Assessment/Prevention  
  Pressure Ulcer Risk Assessment/Prevention  
  Restraints/Use of Least Restrictive Device  
  Normal Growth and Development  
  Age Specific/Population Based Care  
  Patient Family Teaching  
  Isolation Precautions  
  Infection Prevention  
  Reporting Communicable Diseases  
  Pain Assessment & Management  
  Charge Experience  
  Interpretation and Communication of Lab Values  
  EMR         Rating Stars (Click) 1 2 3 4
  Epic  
  Cerner  
  Eclipsys  
  McKesson  
  Meditech  
  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)