Competency Indicators Pediatrics Registered Nurse
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1 Hospital Logo Competency Indicators Pediatrics Registered Nurse mployee Name: Review Key: = ducation Session valuation Key: Able to perform & document A: Airway assessment: mployee Describes unique airway physiology of different ages (Newborn, Toddler,Preschool,School Age, Adolescents ) Recognizes partial vs. complete airway obstruction (upper and lower) Perform techniques to ensure airway patency ( positioning, jaw thrust, chin lift) Set-up & problem solve suction equipment ( mm/hg) /C /C/D /C/D Identify appropriate airway adjuncts and techniques, sizing (oral, nasal airways) /C/D required; 3-Proficient: Solid experience, recognize deviations, has an ability to respond independently; 4-xpert: vast experience; intuitive knowledge
2 Review Key: = ducation Session valuation Key: Able to perform & document B: Breathing assessment: mployee Describes unique respiratory physiology of different ages (Newborn, Toddler,Preschool,School Age, Adolescents) Rate (too fast vs. too slow) Determine respiratory distress vs. respiratory failure Breath Sounds ( auscultation) Work of breathing Accessory muscle use (factors influencing) Initiate appropriate use of airway/oxygen delivery devices: Assisted Respirations via Bag & mask Nasal cannula Venturi mask / Non-rebreather Age appropriate use of metered dose inhalers/nebulizer /C/D /C/D required; 3-Proficient: Solid experience, recognize deviations, has an ability to respond independently; 4-xpert: vast experience; intuitive knowledge
3 Review Key: = ducation Session valuation Key: mployee Able to perform & document C: Circulation assessment: Describes unique cardiovascular physiology of different ages (Newborn, Toddler,Preschool,School Age, Adolescents) Heart rate (too fast vs. too slow) Describes cardiac physiologic differences Auscultation (rate, rhythm, murmurs) Perfusion (cap refill, central and peripheral pulses) Non-invasive BP monitoring and interpretation Determine compensated shock from hypotensive shock /C /C /C/D required; 3-Proficient: Solid experience, recognize deviations, has an ability to respond independently; 4-xpert: vast experience; intuitive knowledge
4 Review Key: = ducation Session valuation Key: mployee Able to perform & document D: Disability assessment: Tone Interactiveness Consolability Speech/cry Look/gaze Able to perform & document : nvironment assessment Age appropriate temperature measurement (proper techniques for age) Implements appropriate temperature conserving measures (Isolette ISC Radiant Warmer, Bear Hugger, Fluid Warmer) Completes Post Test for Rapid Assessment of Ill or Injured Child Growth and Development Communicates effectively with the child and family using techniques that are appropriate for age and developmental stage. Identifies aspects of normal development likely to affect care or require special attention Incorporates principles of Family Centred Care into the planning and delivery of care T/C required; 3-Proficient: Solid experience, recognize deviations, has an ability to respond independently; 4-xpert: vast experience; intuitive knowledge
5 Review Key: = ducation Session valuation Key: mployee Able to perform &document Pain Assessment Knowledge of pain scales Self report : Faces Observational : FLACC Able to perform & document PROCDURAL SDATION Knowledge of common medications Complete procedural sedation learning module S Paediatric Skills Able to perform & document Weight based Medication calculations Able to perform and document Delivery of Medications Intravenous: above and below drip chamber, constant infusion via large volume pump and syringe pump Oral Nasal Rectal Intramuscular (correct location age/development)) /T /D required; 3-Proficient: Solid experience, recognize deviations, has an ability to respond independently; 4-xpert: vast experience; intuitive knowledge
6 Review Key: = ducation Session valuation Key: mployee Pediatric Intravenous initiation and maintenance Initiate vascular access with age appropriate techniques Anticipate and assist with insertion of intraosseous needle Monitor fluid balance (i.e., input and output) Calculate weight based Total Fluid Intake (TFI) Collection of Venous Blood Sample Application of cardio/respiratory Monitor Pulse oximetry Cardiac Respiratory Monitor Apnea Able to assist Lumbar Puncture /C/D /D /D D Able to assist/perform Placement of NG/OG tube ( age/size appropriate) Collection of Urine specimen for C&S, R&M Able to assist /perform Urinary Catheter insertion Practice Guideline for obtaining consent (pg 6) College of Nurses of Ontario /D S required; 3-Proficient: Solid experience, recognize deviations, has an ability to respond independently; 4-xpert: vast experience; intuitive knowledge
7 Review Key: = ducation Session valuation Key: mployee required; 3-Proficient: Solid experience, recognize deviations, has an ability to respond independently; 4-xpert: vast experience; intuitive knowledge
8 Review Key: = ducation Session valuation Key: mployee required; 3-Proficient: Solid experience, recognize deviations, has an ability to respond independently; 4-xpert: vast experience; intuitive knowledge
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