Breadcrumb Home Nurse Checklists PICU Form Information Info Name * Last 4 digits of SSN * Contact Phone * Email * Proficiency Scale 1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently Work Settings PICU * Pediatric CVICU * Pediatric Step Down * Pediatric PACU * Congenital Heart Disease/Repair * Post Cardiac Surgery (Directly from OR) * Post Cardiac Surgery (NOT Directly from OR) * Post Diagnostic/Interventional Cardiac Cath * Heart Failure/Cardiogenic Shock * Cardiac Transplant * Hemodynamic Monitoring * Arrhythmia Interpretation * Pacemaker - Temporary/Permanent * SVO2 Monitoring * Intra-Aortic Balloon Pump * Ventricular Assist Device * ECMO * Pulmonary Respiratory Distress Syndrome/Respiratory Failure * Reactive Airway Disease * ENT Surgery * Epiglottis * Cystic Fibrosis * Tuberculosis * Intubation/Extubation * Endotracheal Tube Management * Tracheostomy Management * Modes of Ventilation: AC/PC/SIMV/CPAP * Modes of Ventilation: Jet/Oscillator * Nitric Oxide * Hemo/Pneumothorax * Neurologic/Orthopedic Brain Injury * Craniotomy * Spinal Cord Injury * Seizure Disorders * ICP Monitoring * VP Shunt * Meningitis * Neuromuscular Disease * Post Vertebral Surgery * Traction - General * Traction - Halo * Gastrointestinal Acute Surgical Abdomen * GI Bleeding * Pancreatitis * Hepatic Failure * Ostomy Management * Management of Gastric Tubes * Breast Milk Handling/Storage * Renal/Genitourinary Nephrotic Syndrome * Renal Transplant * Renal Replacement Therapy * Peritoneal Dialysis * Endocrine/Metabolic Diabetes - Hypo/Hyperglycemic Crisis * Diabetic Ketoacidosis * IV Insulin Pumps * Indwelling Insulin Pumps * Trauma/Other Blunt/Penetrating Trauma * Burns * Craniofacial Reconstruction * Near Drowning * Poison Ingestion/Overdose * Bites - Animal/Snake/Human * Suicide Precautions * Wound Management/VAC * Specialty Beds * Oncology Bone Marrow Transplant * Immunosuppressive Disorder * Hemophilia Crisis * Sickle Cell Crisis * Medications Pediatric Dosage Calculations * Anti-Arrhythmics * Anticoagulants (IV, Oral & Injection) * Anti-Hypertensives * Anti-Seizure Medications * Benzodiazepines * Continuous IV Paralytics * Continuous IV Sedation * Procedural Sedation - Administration * Diuretics * Emergency Medication * Inhaled Medications * Insulin * IV Vasopressors * Narcotics/Opioid Analgesics (IV, Oral & Injection) * Non-Opioid Analgesics (IV, Oral & Injection) * Reversal Agents * Steroids (IV, Oral, Inhaled) * Automated Medication Dispensing (i.e. Pyxis, Omnicell) * IV Therapy Starting IVs * Central Line Blood Draw * Central Line/Implanted Line Care * TPN/Lipids * Blood Product Administration * Administration of Chemotherapy * Cardiac Monitoring & Emergency Response Dysrhythmia Interpretation * Dysrhythmia Management * Management of Cardiac Arrest * Shock Management * Malignant Hyperthermia * Multisystem Organ Failure * Professional Knowledge and Skills National Patient Safety Goals/Core Measures * Recognize/Report Signs of Abuse * EMTALA * Fall Risk Assessment/Prevention * Pressure Ulcer Risk Assessment/Prevention * Restraints/Use of Least Restrictive Device * Normal Growth and Development * Age Specific/Population Based Care * Patient Family Teaching * Isolation Precautions * Infection Prevention * Reporting Communicable Diseases * Pain Assessment & Management * Charge Experience * Interpretation and Communication of Lab Values * Age Specific Competencies Infant (Birth - 1 year) * Preschooler (ages 2-5 years) * Epic Childhood (ages 6-12 years) * Adolescents (ages 13-21 years) * Young Adults (ages 22-39 years) * Adults (ages 40-64 years) * Older Adults (ages 65-79 years) * Elderly (ages 80+ years) * EMR Systems Epic * Cerner * Eclipsys * McKesson * Meditech * Other Computerized System * Computerized Physician Order Entry * Bar Coding for Medication Administration *