MATRIX PERSONNEL SERVICE, INC.
RN PROFICIENCY RECORD ( SKILLS CHECKLIST )
Pediatrics

 

NAME DATE

E -MAIL ADDRESS

 

LEVEL OF PROFICIENCY
Theory - NO Experience
1
Minimal Experience
2
Competent and Experienced
3




SKILLS
1
2
3
EMERGENCY SITUATIONS
Cardiac Arrest
CPR
Admin. Of Emergency Medications
Calculation of Medication Dosage
Defibrillation/Cardioversion
Establish an Airway
Intubation
Extubation
Ambuing Technique
Oxygen Administration
LINE MANAGEMENT
Portacaths/Passports/Lifeports
Central Lines
PICC Lines
Groshong Catheters
Hickman/Broviac Lines
Quinton/Permacath
PROCEDURES
Venipuncture
Heelstick/Fingerstick
Central Line Blood Draw
Blood Cultures
Peak and Troughs
Use of EMLA Cream
Blood Glucose Monitoring
Assessment of Wounds
Sterile Dressing Changes
Simple
Complex
Assist with Bone Marrow Biopsy
EQUIPMENT
Infusion Pump
PCA Pump
Epidural Pump
Buretrol
Ohio Warmer
Isolette
K-Pad/Blanketrol
Pleurevac/Thoraflex
Oxyhood
Oxygen Hookup for Blowby
Suction Set Up
Kangaroo Pump
Apnea Monitor
Weigh Scales
Overhead Warmer
Pulse Oxymeter
Mist Tent/Croup Tent
Nasal Cannula
Face Mask/Shield
PH Probe
CARDIAC/THROACIC/VASCULAR
Assessment of Heart Sounds
Interpretation of Rhythms
Care of the Patient With:
Congenital Cardiac Anomalies
Cardiac Surgery (Pre and Post Op)
CHF
Sickle Cell Anemia/Crisis
Transfusion Reaction
Anaphylaxis
Shock
NEUROLOGY
Assessment of Neuro Vital Signs
Glascow Coma Scale
Assist with Lumbar Puncture
Seizure Precautions
Seizure Activity
Care of the Patient With:
Spina Bifida
Overdose/Poisoning
Meningitis
CNS Infections
Hydrocephalus
Failure to Thrive
RESPIRATORY
Assessment of Breath Sounds
Assist with Chest Tube Insertion
Manage Chest Tube Drainage Devices
Trache Care and Suctioning
Care of the Patient With:
Asthma
Croup
Cystic Fibrosis
Respiratory Distress Syndrome
Tracheoesophageal Fistula
Near Drowning
Epiglottitis
Reye Syndrome
Postural Drainage
GASTROENTESTINAL
NG Insertion
Insertion/Verification of Feeding Tubes
Assessment of Bowel Sounds
Administration of Feed Via:
Feeding Pump
Gravity Drainage
Feeding Techniques for Cleft Palate Repair
Bowel Obstruction
Tonsillar Abcess
Care of the Patient With:
Diabetes
RENAL
Foley Catheter Insertion
Peritoneal Dialysis
Renal Trauma
Urine Specimen Collection
Electrolyte Imbalance/Replacement
Hemodialysis
Care of the Patient With:
Shunts and Fistulas
VASCULAR
Initiating IV Access
Cranial
Peripheral
Blood and Blood Products
Hyperalimentation
OTHER
Burns
Isolation Techniques
Oncology
Chemotherapy
Nutritional Teaching
Diabetic Teaching
Patient and Family Teaching

 

Certification
Expiration Date
Certification
Expiration Date
ACLS
PALS
BLS
ENPC
NRP
Other  



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