Pediatrics Self Assessment
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- Melina Wheeler
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1 DIRECTIONS Please place a check mark next to each question to provide us and the interested facilities with an assessment of your clinical experience. One box must be checked for each skill listed. Print Name: Date: Last 4 Digits of Social Security Number: 1. CARDIOVASCULAR Auscultation (rate, rhythm, volume) Blood Pressure/non-invasive Heart sounds/murmurs Perfusion Interpretation of lab results Arterial Blood Gases Hemoglobin and hematocrit Basic EKG interpretation Non invasive cardiac monitoring Bacterial endocarditis Cardiac arrest Cardiomyopathy Congestive heart disease/defects Congestive heart failure Myocarditis Pericarditis Post cardiac cath Rheumatic fever Shock Medication - Digoxin (Lanoxin) 2. PULMONARY Breath sounds Rate and work of breathing Airway Management devices/suctioning a. Bulb syringe b. Nasal airway/suctioning Pediatrics Page 1
2 continued b. Nasal airway/suctioning c. Oral airway/suctioning d. Tracheostomy/suctioning Apnea monitor Chest physiotherapy Chest tubes End tidal CO2 Oximeter Oxygen therapy delivery systems a. Face mask b. Hood c. Isolette d. Nasal cannula e. Tent f. Trach collar Water seal drainage system Care of child with: Asthma Bronchiolitis (RSV) Broncholpulonary dysplasia (BPD) Cystic fibrosis Epiglottitis LTB/Croup Pertussis Medications Alpuent (Meraproternol) Aminophylline (Theophylline) Isuprel (Isoproterenol Ventolin (Albuterol) 3. NEUROLOGICAL/ORTHOPEDICS - level of consciousness Application of splints Assist with lumbar puncture Cast ICP Monitoring Pinned Fractures Traction Battered child syndrome Closed head trauma Clubfoot Pediatrics Page 2
3 Care of Child with continued Encephalitis Febrile seizures Meningitis Multiple sclerosis Near drowning Neuromuscular disease Osteogenic sarcoma Osteouelitis Spinal cord injury Medications Clonopin (Clonazpam) Carticosteriods Dilantin (Phenytoin) Phenobarbital Tegretol (Carbamazepine) Valium (Diazepam) 4. GASTROINTESTINAL Abdominal Nutritional Interpretation of Lab Results - Serum Electrolytes Feedings a. Bottle b. Breast c. Central hyperalimentation d. Gavage e. Peripheral hyperalimentation Gastrostomy/button I-tubes Jejunal Feeding NG and stump tubes to suction Pentrose drains Placement of naso/orogastric tube Wound irrigation/dressing change Care of child with: Anal fissure Cleft lip/palate Colostomy Diaphragmatic hernia Failure to thrive (FTT) Pediatrics Page 3
4 GASTROINTESTINAL continued Care of child with: Gastroenteritis/dehydration GE reflux GI bleeding Ileostomy Intestinal parasites Necrotizing enterocolitis (NEC) Pyloris stenosis Surgical abdomen Ulcerative colitis 5. RENAL/GENITOURINARY of fluid balance Interpretation of Lab Results BUN and creatinine Urinalysis Assist with supra-pubic tap Catheter Insertion a. Catheter care b. Female c. Indwelling d. Male e. Straight Collection of urine specimen Circumcision Glomerularnephritis Hemodialysis Hemolytic uremic syndrome (HUS) Hypospadias Ileal conduit ureteral Infantile polycystic disease Kidney Transplant Nephrotic syndrome Peritoneal dialysis Renal failure Urinary tract infection Wilm's tumor Interpretation of Lab Results Blood Glucose Thyroid studies Pediatrics Page 4
5 6. ENDOCRINE/METABOLIC Blood Glucose Testing - Type Care of child with Adrenal disorders Cushings syndrome Juvenile diabetes Pituitary disorders Thyroid malfunction Medication Growth hormone Insulin Thyroid 7. HEMATOLOGY/ONCOLOGY of nutritional status Interpretation of lab results Blood Chemistry Blood Counts - reverse isolation Anemia Bone marrow transplant Depressed immune system Disseminated intravascular coagulation (DIC) Hemophilia Hodgkin's disease Infectious mononucleosis Leukemia Malignant tumors Sickle cell anemia Spleen trauma Medications Chemotherapy certification Prednisone 8. MEDICATION ADMINISTRATION FOR CHILDREN Calculation of pediatric doses Eye/ear installations Knowledge of emergency drugs Knowledge of routine pediatric drugs Metered dose inhaler Pediatrics Page 5
6 9. PHLEBOTOMY/IV THERAPY Administration of blood/blood products a. Cryoprecipitate b. Butterfly c. Heparin lock Central line/catheter/dressing a. Broviac b. Groshong c. Hickman d. Portacath e. Quinton Cutdown line/dressing Peripheral line/dressing 10. INFECTIOUS DISEASES Interpretation of lab results - blood count Fever Management Isolation AIDS Common childhood - communicable diseases Cytomegalo virus (CMV) Hepatitis Kawasaki disease Lyme disease 11. MISCELLANEOUS Normal growth and development Normal laboratory values Recognize signs of child abuse or neglect Medication - Immunization schedule Anorexia/Bulimia Craniofacial reconstruction Depression ENT surgery Eye surgery Ingestion of foreign body Ingestion of poison or toxins Plastic surgery Suicidal threats/actions Pediatrics Page 6
7 12. WOUND MANAGEMENT Skin for impending breakdown Stasis ulcers Surgical wound healing 1st degree burns (throughout body) 2nd degree burns 3rd degree burns Pressure sores Staged decubitus ulcers Sterile dressing changes Surgical wound care Use of air fluidized, low airloss beds Wound care/irrigations 13. PAIN MANAGEMENT of pain level/tolerance Care of child with: Epidural anesthesia/analgesia IV conscious sedation Narcotic analgesia AGE SPECIFIC PRACTICE CRITERIA Please circle the letter for each age group for which you have expertise in providing age-appropriate nursing care. A. Newborn/Neonate (Birth 30 Days) F. Adolescents (12-18 years) B. Infant ( 30 days - 1 year) G. Young adults (18-39 years) C. Toddler (1-3 years) H. Middle adults (39-64 years) D. Preschooler (3-5 years) I. Older adults (64 years+) E. School age children (5-12 years) WITH AGE GROUPS: Able to adapt care to incorporate growth and development A B C D E F G H I Able to adapt method and terminology to patient instructions to their age, comprehension and maturity level. A B C D E F G H I Can ensure a safe environment reflecting specific needs of various age. A B C D E F G H I Pediatrics Page 7
8 Credentialing and Expiration Dates Are you BCLS Certified? YES NO Exp Date: Are you PALS Certified? YES NO Exp Date: Are you NRP Certified? YES NO Exp Date: Additional Certifications: Certification: Certification: Exp Date: Exp Date: Have had ONE year of experience in this area within the last THREE years. YES NO Nurse Signature Agency (Name/Title) Date Date Pediatrics Page 8
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