TRAVELER SKILLS CHECKLIST. Pediatrics. 0 = No Knowledge / 1 = Limited Knowledge / 2 = Proficient
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1 Medication Administration PO Sub q Rectal Topical Drops (i.e. eye, nose, ear) IM Z track IV Push IV Drip Hyperalimentation - central Hyperalimentation - peripheral Lipids Chemotherapy Metered dose inhaler Calculation of Pediatric dosages IV Therapy Start peripheral IV - angiocath Start peripheral IV - butterfly Mixing IV's Replace fluids Central Lines PICC lines Broviac lines Portacaths Groshong Hickman Quinton CVP monitoring IVAC pumps IMED pumps Syringe pumps PCA pumps Drawing blood from central line Drawing venous blood Cardiovascular Assessment Page 1 of 11 TLC RN
2 12 lead EKG interpretation Auscultation (rate/rhythm) Blood pressure - non invasive Defibrillation/cardioversion Doppler EKG interpretation Heart sounds/murmurs Non - invasive hemodynamic monitoring Perfusion Cardiovascular - Patient Care Bacterial endocarditis Cardiac arrest Cardiomyopathy Congenital heart disease/defects Congestive heart failure Myocarditis Pericarditis Post cardiac surgery Post interventional cardiac cath Rheumatic fever Shock Cardiovascular - Medications Digoxin Respiratory Assessment Breathing patterns and rate Chest exam and auscultation Chest pain Cough/secretions/hemoptysis Dyspnea/SOB Inspiratory/expiratory evaluation Retractions-Intercostal Retractions-Subcostal Retractions-Supraclavicular Skin - color Assist with intubation Page 2 of 11T TLC RN
3 Extubation Respiratory - Patient Care Asthma Bronchiolitis (RSV) Bronchopulmonary Dysplasia Croup/LTB Cystic Fibrosis Epiglottis Pertussis Pneumonia Pneumothorax Pulmonary Edema Suction-endotracheal Tonsillitis Tuberculosis Chest physiotherapy Chest tubes-insertion/setup Chest tubes- maintenance care Suction-bulb syringe Suction-nasopharyngeal Suction-oropharyngeal Suction-tracheostomy Tracheostomy care Collection of sputum specimen Apnea monitor Respiratory - Oxygen Therapy Ambu bag and mask ETCO2 monitoring Face mask Inhalers Nasal cannula Nebulizer Oxyhood Portable Oxygen tank Pulse oximetry Trach collar Respiratory - Blood Gases Page 3 of 11 TLC RN
4 Interpretation of gases Respiratory - Medications Alupent (Meraproteranol) Aminophylline(Theophylline) Isuprel (Isopreternol) Ventolin (Albuterol) Neurological Assessment - Neurological Status Bear hugger Developmental level Hyper/hypo therma blanket ICP monitoring Intracrainial pressure monitoring Level of consciousness Warming lights Neurological - Patient Care Assisting with LP Battered child syndrome Closed head trauma CNS infection Cranial tumors Encephalitis Febrile seizures Meningitis Multiple scerosis Multiple trauma Near drowning Neuromuscular disease Seizures Spinal Cord injury Status epilepticus Neurological - Medications Page 4 of 11
5 Dilatin Phenobarbital Tegretol (Carbemazepine) Valium (Diazepam) Gastrointestinal Assessment-abdominal Assessment-nutritional Penrose drain Test for occult blood Gastrointestinal - Feedings Bottle Breast Gastrostomy/button I-tubes Jejunal Abdominal decompression devices Gavage Placement of gastrostomy/button tubes Placement of jejunal tubes Placement of nasogastric/orogastric tubes Gastrointestinal - Patient Care Anal fissure Anorexia/bulimia Bowel obstruction Cleft lip/palate Colostomy Diaphragmatic hernia Failure to thrive (FTT) Gastroenteritis GE reflux GI bleeding Ileostomy Intestinal parasites Necrotizing enterocolitis (NEC) Post abdominal surgery Pyloric stenosis Page 5 of 11
6 Severe dehydration Ulcerative colitis Orthopedics Specialized orthopedic bed Traction Orthopedic - Patient Care Application of splints Cast Circulation checks for neurovascular assessment Clubfoot Craniofacial reconstruction Osteogenic sarcoma Osteomyelitis Pinned fractures Orthopedic - Medications Clonazepam (Klonopin) Corticosteriods Renal/Genitourinary Assessment of fluid balance Renal/Genitourinary - Interpretation of lab results BUN Creatine Electrolytes Urinalysis Collection of urine specimens Assist with supra-pubic tap Insertion and care of foley catheter - female Insertion and care of foley catheter - male Renal/Genitourinary - Patient Care CAVH Page 6 of 11
7 Circumcision ENT surgery Glomerulonephritis Hemodialysis Hemolytic uremic syndrome (HUS) Hypospadias Ileal conduit uretal Infantile polycystic disease Kidney transplant Nephrotic syndrome Peritoneal dialysis Renal failure Urinary tract infection Wilm's tumor Metabolic/Endocrine Assessment of electrolyte balance Blood glucose testing/evaluation Thyroid studies - interpretation of results Metabolic/Endocrine - Patient Care Adrenal disorders Cushings syndrome Diabetes Insulin pump Pituitary disorders Thyroid dysfunction Metobolic/Endocrine - Medications Growth hormone Insulin Thyroid Oncology/Hematology Assessment Nutritional status Reverse isolation Interpretation of blood chemistry and counts Page 7 of 11
8 Oncology/Hemological - Patient Care Pre/post splenectomy Anemia Bone marrow transplant Depressed immune system DIC Hemophilia Hodgkin's disease Infectious mononucleosis Inpatient chemotherapy Leukemia Malignant tumors Radiation implants Sickle cell anemia Administration of Chemotherapy Chemotherapy certification Oncology/Hemological - Medications Prednisone Oncology/Hematology - Administration of blood products RBC Platelets FFP Albumin/Plasma Whole blood Wound and Skin Management Assessment of skin Air fluidized, low airloss beds Statis ulcers Sterile dressing changes Surgical wound healing Wound care/irrigations Wound and Skin Management - Patient Care Page 8 of 11
9 Pressure sores Staged decubitus ulcers Surgical wounds with drain(s) Traumatic wounds Wound and Skin Management - Burns 1st degree 2nd degree 3rd degree Infectious Disease Management Interpretation of lab results - blood count Fever management Infectious Disease Management - Patient Care AIDS Common childhood - communicable diseases Cytomegalovirus (CMV) Hepatitis Kawasaki disease Lyme disease Infectious Disease Management - Isolation Standard Contact Enteric Respiratory MRSA VRE Pain Management Assessment of pain level/tolerance Epidural anesthesia IV conscious sedation Narcotic analgesia Care of the Dying Child Page 9 of 11
10 Level of comfort/providing support Knowledge of resources Miscellaneous Application of restraints Care of child with cognitive developmental delay Care of child with motor developmental delay Depression Eye surgery Ingestion of foreign body Ingestions/overdose Knowledge of normal growth and development Plastic surgery Recognize/report signs of child abuse Suicidal ideation/attempt Pyxis System Able to assure a safe environment for the specific needs of various age groups A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Able to communicate and/or instruct patients according to their age, maturity, comprehension A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Page 10 of 11
11 Evaluate age-appropriate behavior, motor skills and physiological norms A.Newborn/Neonate (birth - 30 days) B.Infant (30 days - 1 year) C.Toddler (1-3 years) D.Preschooler (3-5 years) E.School age children (5-12 years) F.Adolescents (12-18 years) G.Young adults (18-39 years) H.Middle adults (39-64 years) I.Older adults (64+) Page 11 of 11
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