Pediatric Skills Checklist

First name:	Last name:
Phone:	Email:
SSN (last 4 only):	Date: (MM/DD/YYYY)

Key - for each box mark:

Limited or no experience
Somewhat experienced but may need review
Can function independently
Competent to supervise

	1	2	3	4
System
General Health Status
Assessment
Growth and Development
Procedures
Application of Restraints
Care of Child with
ENT Surgery
Suicide Ideation/Attempt
Medications
Pediatric Drug Actions and Reactions
Cardiovascular
Assessment
Heart Sounds/Murmurs
Auscultation (rate, rhythm)
Perfusion
Lab Values
Hemoglobin and Hematocrit
Cardiac Enzymes and Isoenzymes
Electrolytes
Procedures
Monitoring – Non-invasive
Arrhythmia Interpretation
Care of a Child with
Cardiac Arrest
Cardiogenic Shock
Congenital Heart Disease/Defects
Congestive Heart Failure
Hypovolemic Shock
Pericarditis
Post Cardiac Catheterization
Post Cardiac Surgery
Rheumatic Fever
Pacemaker
Medications
Epinephrine
Digoxin
Sodium Bicarbonate
Pulmonary
Assessment
Breath/Lung Sounds
Breathing Patterns
Cough/Secretions
Skin/Nail Color
Lab Values
Blood Gases
Aminophylline Levels
Procedures
Airway Management/Suctioning
Extubation
Tracheostomy Suctioning
Assist with
Chest Tube Removal
Emergency Tracheostomy
Intubation
Oral Airway Insertion
Chest Physiotherapy
End Tidal O2
Intervention for
Respiratory Complications
Aspiration
Laryngospasm
Obtaining Blood Gases
Equipment
Apnea Monitor
PleurEvac or Thoraclex Drainage
Water Seal Drainage
Chest Tubes
O2 Therapy Delivery Systems
Ambu Bag and Mask
Isolette
Nasal Cannula
Nebulizer
Oxyhood
Tent
Trach Collar
Nebulizers
Care of a Child with
Acute Pneumonia
Asthma
Bronchiolitis
Chronic Respiratory Disease
Cystic Fibrosis
Epiglottitis
Laryngotracheal Bronchitis/Croup
Near Drowning
Inhalation Injuries
Tonsilitis
Medications
Aminophylline
Corticosteroids
Isuprel
Ventolin (Albuterol)
Neurological
Assessment
Cranial Nerves
Level of Consciousness
Pathologic Reflexes
Reflex/Motor Reflexes
Visual or Communication Deficits
Procedures
Assist with Lumbar Puncture
Seizure Precautions
Spinal Precautions
Measuring Intracranial Pressure
Equipment
Hyper/Hypothermia Blanket
Care of Child with
Club Foot
Increased ICP
Neuromuscular Disease
Osteomyelitis
Osteogenic sarcoma
Spinal Cord Injury
CNS Infections
Medications
Anti-convulsants
Valium
Musculoskeletal/Integumentary
Assessment
Circulation Checks
Gait/Mobility
ROM/Joint Movement
Strength
Posture
Skin Integrity
Procedures
Crutch Walking
Pin Care
Cast Care
Use of Assistive Devices
Body Mechanics
Burn Care
Equipment
Special Beds
Traction
Prostheses
K-Pad
Splints/Immobilizers
TENS
Support Devices
Cervical Collar
Sling
Walker
Wheelchair
Care of Patient with
Amputation
Arthroscopic Surgery
Cast
Pinned Fractures
Burns
Skin Grafts

	1	2	3	4
Medications
Analgesics
Muscle Relaxants
Topical Agents
Gastrointestinal
Assessment
Bowel Sounds
Nutritional Status/Weight
Lab Values
Serum Ammonia
Serum Amylase
Liver Function Tests
Procedures
Feedings
Bottle
Gavage
Lavage
Management of
T-tube
TPN and Lipids Administration
PPN (Peripheral Parenteral Nurtition)
NG Tube Insertion
Paracentesis
Enemas
Equipment
Feeding Pumps
Drains
Tubes
N/G
T-Tube
Care of Child with
Anal Fissure
Cleft Lip/Palate
Trauma
Bowel Obstruction
Diaphragmatic Hernia
GE Reflux
GI Bleeding
GI Surgery
Gastroenteritis/Dehydration
Hepatitis
Fresh -ostomy
Inflammatory Bowel Disease
Liver Failure
Pancreatitis
Pyloric Stenosis
Medications/Supplements
AquaMephyton (Vitamin K)
Anti-emetics
Anti-spasmotics
Tube Feeding Solutions
Kayexelate
Renal/Genitourinary
Assessment
Fluid and Electrolyte Status
Lab Values
Electrolytes
BUN and Creatinine
Urine Values
Procedures
Peritoneal Dialysis
Care of a Child with
Renal Failure
Circumcision
Glomerularnephritis
Hemodialysis
Hypospadias
Ileal Conduit
Peritoneal Dialysis
Nephrectomy
Nephrotic Syndrome
Hemolytic Uremic Syndrome
Polycystic Disease
Renal Transplant
Urinary Tract Infection
Wilm’s Tumor
Medications
KCl
Diuretics
Endocrine/Metabolic
Assessment
Mental Status
Diabetic Coma
Insulin Reaction
Lab Values
Thyroid Studies
Blood Glucose
Glucose Tolerance
Fasting Blood Sugar
Ketone Bodies
Serum Calcium
Equipment
Insulin Pumps
Care of a Child with
Diabetes Mellitus
Diabetic Ketoacidosis
Disorders of Adrenal Glands
Disorders of Pituitary Gland
Disorders of Thyroid Gland
Insulin Shock
Medications
Insulins
Long-acting
Medium-acting
Short-acting
Oral Antihyperglycemics
Glucogon
Thyroid Replacement
Steroids-Adrenocorticosteroids
Hematology/Oncology
Assessment
Tumor Classifications
Lab Values
Blood Count Markers
Blood Chemistry
Procedures
Patient/Family Counseling
Grieving Process
Altered Image
Patient Teaching
Relaxation Techniques
Imagery
Side Effects of Chemotherapy
Bone Marrow Aspiration
Care of a Child with
Bone Marrow Transplant
Anemia
DIC
Hemophilia
Hodgkin’s Disease
Immunosuppressed Conditions
Inpatient Chemotherapy
Leukemias
Sickle Cell Anemia/Crisis
Malignant Tumors
Medications
Antineoplastic Agents
Chemotherapeutic Agents
Anticoagulant Agents
Anticoagulant Antidotes

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize Fortus Group to release this information to client facilities in relation to consideration of my employment.