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.
WORK SETTINGS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Pediatric MedSurg |
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Pediatric Step Down/Telemetry |
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Pediatric Oncology |
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Pediatric Ortho |
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Pediatric Neuro |
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CARDIOVASCULAR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Congenital Heart Disease/Repair |
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Pre Cardiac Surgery |
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Post Cardiac Surgery |
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Heart Sounds |
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PULMONARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Reactive Airway Disease |
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RSV |
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Tuberculosis |
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Esophageal Atresia |
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Epiglottitis |
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Tonsillitis |
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Laryngotracheobronchitis (Croup) |
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ENT Surgery |
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Oxygen Delivery Systems |
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Tracheostomy Management |
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Oral Suctioning |
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Deep Suctioning |
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Management of Chest Tubes |
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Apnea Monitor |
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Home Ventilator Therapy |
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NEUROLOGIC/ORTHOPEDIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Brain Injury |
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Spinal Cord Injury |
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Seizure Disorders |
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Meningitis |
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Neuromuscular Disease |
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Extremity Fracture/Cast |
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Post Vertebral Surgery |
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Traction - General |
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Traction - Halo |
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Pin Care |
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VP Shunts/Internal/External |
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GASTROINTESTINAL | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Cleft Lip/Palate |
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Inflammatory Bowel Disease |
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Colostomy/Ileostomy |
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Surgical Drains |
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Failure to Thrive |
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Feeding Intolerance |
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Gastroenteritis/Dehydration |
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Bowel Obstruction |
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Short Gut Syndrome |
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Breastfeeding Support/Handling of Breast Milk |
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RENAL/GENITOURINARY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Circumcision |
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Testicular Torsion |
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Glomerulonephritis |
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Renal Failure |
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Renal Transplant |
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Urinary Retention |
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Bladder Scan |
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Insertion/Management of Bladder Catheters |
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Management of Suprapubic Catheters |
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ENDOCRINE/METABOLIC | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Diabetes - Hypo/Hyperglycemia |
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Diabetic Ketoacidosis |
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IV Insulin Pumps |
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Indwelling Insulin Pumps |
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Hyperbilirubinemia |
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Bili Bed |
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ONCOLOGY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Chemotherapy Administration |
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Hodgkin's Disease |
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Hemophilia |
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Sickle Cell Anemia |
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Leukemia |
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Solid Tumors |
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Bone Marrow Transplant |
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INFECTIOUS DISEASE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Childhood Communicable Diseases |
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Hepatitis |
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HIV |
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Kawasaki Disease |
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MEDICATIONS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Pediatric Dosage Calculations |
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Anti-Hypertensives |
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Anticoagulants |
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Anti-Seizure Medications |
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Benzodiazepines |
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Digoxin |
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Diurectics |
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Emergency Medications |
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Inhaled Medications |
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Insulin |
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Narcotics/Opioid Analgesics (IV/Oral/Injection) |
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Non-Opioid Analgesics (IV/Oral/Injection) |
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Procedural Sedation - Recovery |
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Reversal Agents |
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Steroids (IV/Oral/Inhaled) |
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Automated Medication Dispensing (i.e. Pyxis, Omnicell) |
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IV THERAPY | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Starting Ivs |
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Central Line Blood Draw |
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Central Line/Implanted Line Care |
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TPN/Lipids |
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Blood Product Administration |
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Administration of Chemotherapy |
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CARDIAC MONITORING & EMERG. RESPONSE | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Pediatric Early Warning Score (PEWS)/Rapid Response Team |
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Dysrhythmia Interpretation |
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Dysrhythmia Management |
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PROFESSIONAL KNOWLEDGE AND SKILLS | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
National Patient Safety Goals/Core Measures |
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Recognize/Report Signs of Abuse |
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Fall Risk Assessment/Prevention |
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Pressure Ulcer Risk Assessment/Prevention |
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Restraints/Use of Least Restrictive Device |
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Normal Growth and Development |
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Age Specific/Population Based Care |
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Patient Family Teaching |
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Isolation Precautions |
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Infection Prevention |
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Reporting Communicable Diseases |
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Pain Assessment & Management |
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Charge Experience |
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Interpretation and Communication of Lab Values |
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EMR | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Epic |
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Cerner |
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Eclipsys |
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McKesson |
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Meditech |
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Other Computerized System |
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Computerized Physician Order Entry |
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Bar Coding for Medication Administration |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infant (Birth - 1 year) |
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Preschooler (ages 2-5 years) |
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Childhood (ages 6-12 years) |
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Adolescents (ages 13-21 years) |
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Young Adults (ages 22-39 years) |
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Adults (ages 40-64 years) |
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Older Adults (ages 65-79 years) |
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Elderly (ages 80+ years) |
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