= Skills Checklist =

Pediatric ICU Skills

Please rank the following skills on a scale of 1 to 4

1 = No theory and/or experience
2 = Limited experience
3 = Experienced/minimal support needed to perform
4 = Proficient

  • General Skills

  • Age of Patients Cared for

  • Cardiovascular

  • Invasive Hemodynamic Monitoring

  • Care of Child With

  • Medication Knowledge and Use of

  • Repiratory General Skills

  • Obtaining Blood Gases

  • Suctioning

  • Chest Tube (assist with)

  • O2 Therapy

  • Ventilators

  • Respiratory - Care of Child with

  • Medication Knowledge and Use of

  • Neuro General Skills

  • Neuro – Care of Child with:

  • Medications Knowledge and use of:

  • Gastrointestinal General Skills

  • Gastrostomy/Button

  • Gastroointestinal – Care of Child with:

  • Medication Knowledge and use of

  • Renal/Genitourinary General Skills

  • Collections of Urine Specimens

  • Renal/Genitourinary Care of Child with:

  • Endocrine/Metabolic General Skills

  • Medication Knowledge and use of:

  • Orthopedics – Care of Child with:

  • Wound Management

  • Burns

  • Oncology General Skills

  • Interpretation of Lab Result

  • Oncology – Care of Child with:

  • Medication and Use of:

  • Infectious Diseases General Skills

  • Obtain Culture Specimens:

  • Infectious Diseases – Care of Child with:

  • Phlebotomy/IV Therapy

  • Phlebotomy/IV – Care of Child with:

  • Pain Management General Skills

  • Pain Management – Care of Child with:

  • Medication Knowledge and Use of

  • Miscellaneous

  • Miscellaneous – Care of Child with:

  • Medication Administration for Children

  • Date Format: MM slash DD slash YYYY
  • Section Break