Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
1.877.891.4286
1.877.891.4286
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Pediatric Emergency Room – Skills Checklist
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Precision Nationwide Staffing.
0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced
Age of Patients Cared For
Newborn (birth - 30 days)
*
0
1
2
3
4
5
Infant (30 days - 1 year)
*
0
1
2
3
4
5
Toddler (1 - 3 years)
*
0
1
2
3
4
5
Preschooler (3 - 5 years)
*
0
1
2
3
4
5
School Age (5 - 12 years)
*
0
1
2
3
4
5
Adolescents (12 - 18 years)
*
0
1
2
3
4
5
Young Adults (18 - 39 years)
*
0
1
2
3
4
5
General Skills
Standard Precautions
*
0
1
2
3
4
5
Isolation Precautions
*
0
1
2
3
4
5
Pediatric Respiratory/Cardiac Arrest
*
0
1
2
3
4
5
Adult Respiratory/Cardiac Arrest
*
0
1
2
3
4
5
Crash Carts
*
0
1
2
3
4
5
Defibrillators
*
0
1
2
3
4
5
Care of Patient in Restraints
*
0
1
2
3
4
5
Automated Med Dispensing Systems
*
0
1
2
3
4
5
Automated Med Dispensing Systems - List Types
*
Care Planning & Discharge Planning
*
0
1
2
3
4
5
Patient/Family Education
*
0
1
2
3
4
5
Electronic Documentation
*
0
1
2
3
4
5
Electronic Documentation - List Types
*
Patient Head to Toe Assessment
*
0
1
2
3
4
5
Cardiovascular
Cardiac Anomalies
*
0
1
2
3
4
5
CHF/Pulmonary Edema
*
0
1
2
3
4
5
Cardiogenic Shock
*
0
1
2
3
4
5
Cardioversion
*
0
1
2
3
4
5
Heart Sounds
*
0
1
2
3
4
5
Pulmonary
Reactive Airway Disease
*
0
1
2
3
4
5
Croup
*
0
1
2
3
4
5
Pneumonia
*
0
1
2
3
4
5
Epiglottitis
*
0
1
2
3
4
5
Aspiration
*
0
1
2
3
4
5
Airway Obstruction
*
0
1
2
3
4
5
Hemo/Pneumothorax
*
0
1
2
3
4
5
Chest Tube Placement/Management
*
0
1
2
3
4
5
ABG Interpretation
*
0
1
2
3
4
5
Neurological
Meningitis/Encephalitis
*
0
1
2
3
4
5
Seizures - Febrile/Epileptic
*
0
1
2
3
4
5
Lumbar Puncture
*
0
1
2
3
4
5
Migraine
*
0
1
2
3
4
5
Orthopedic
Fractures/Casting
*
0
1
2
3
4
5
Open/Complex Fractures
*
0
1
2
3
4
5
Nursemaid's Elbow
*
0
1
2
3
4
5
Apply/Manage Splints
*
0
1
2
3
4
5
Circulation Checks
*
0
1
2
3
4
5
Crutch Walking
*
0
1
2
3
4
5
Car Seat Instruction for Casted Patient
*
0
1
2
3
4
5
Gastrointestinal
Abdominal Trauma/Peritoneal Lavage
*
0
1
2
3
4
5
Abdominal Pain
*
0
1
2
3
4
5
Constipation
*
0
1
2
3
4
5
GI Bleeding
*
0
1
2
3
4
5
Hepatitis/Liver Failure
*
0
1
2
3
4
5
Poison Ingestion
*
0
1
2
3
4
5
Endocrine/Metabolic
Hypoglycemia
*
0
1
2
3
4
5
Hyperglycemia
*
0
1
2
3
4
5
DKA
*
0
1
2
3
4
5
Genitourinary
Acute Renal Failure
*
0
1
2
3
4
5
UTI/Pyelonephritis
*
0
1
2
3
4
5
Renal Trauma
*
0
1
2
3
4
5
Testicular Torsion
*
0
1
2
3
4
5
OB/GYN
Menstrual Pain
*
0
1
2
3
4
5
Ovarian Cyst
*
0
1
2
3
4
5
Ectopic Pregnancy
*
0
1
2
3
4
5
Pelvic Inflammatory Disease/STD
*
0
1
2
3
4
5
Sexual Assault
*
0
1
2
3
4
5
Reporting Acts of Violence
*
0
1
2
3
4
5
EENT
Foreign Body - Eye
*
0
1
2
3
4
5
Foreign Body - Ear
*
0
1
2
3
4
5
Foreign Body - Nose
*
0
1
2
3
4
5
Epistaxis
*
0
1
2
3
4
5
Trauma
Glasgow Coma Scale
*
0
1
2
3
4
5
Trauma Code
*
0
1
2
3
4
5
Trauma Team Member
*
0
1
2
3
4
5
Brain Injury
*
0
1
2
3
4
5
Spinal Cord Injury
*
0
1
2
3
4
5
Spinal Precautions
*
0
1
2
3
4
5
Facial/Dental Trauma
*
0
1
2
3
4
5
Penetrating Trauma
*
0
1
2
3
4
5
Blunt Trauma
*
0
1
2
3
4
5
Traumatic Amputation
*
0
1
2
3
4
5
Hypovolemic Shock
*
0
1
2
3
4
5
Neurogenic Shock
*
0
1
2
3
4
5
Anaphylactic Shock
*
0
1
2
3
4
5
Septic Shock
*
0
1
2
3
4
5
Burns - 2nd Degree
*
0
1
2
3
4
5
Burns - 3rd Degree
*
0
1
2
3
4
5
Infectious Disease/Immunosuppression
Contagious/Infectious Patients
*
0
1
2
3
4
5
Isolation
*
0
1
2
3
4
5
Reporting Communicable Disease
*
0
1
2
3
4
5
Neutropenia/Reverse Isolation
*
0
1
2
3
4
5
Psychiatric
Pediatric Dose Calculations
*
0
1
2
3
4
5
Anti-Arrhythmias
*
0
1
2
3
4
5
Anticoagulants (IV, Oral, and Injection)
*
0
1
2
3
4
5
Anti-Hypertensives
*
0
1
2
3
4
5
Anti-Psychotics
*
0
1
2
3
4
5
Anti-Seizure Medications
*
0
1
2
3
4
5
Benzodiazepines
*
0
1
2
3
4
5
Continuous IV Paralytics
*
0
1
2
3
4
5
Continuous IV Sedation
*
0
1
2
3
4
5
Ketamine
*
0
1
2
3
4
5
Emergency Medications
*
0
1
2
3
4
5
Inhaled Medications
*
0
1
2
3
4
5
Insulin
*
0
1
2
3
4
5
IV Vasopressors
*
0
1
2
3
4
5
Narcotics/Opioid Analgesics (IV, Oral, and Injection)
*
0
1
2
3
4
5
Reversal Agents
*
0
1
2
3
4
5
Steroids (IV, Oral, and Inhaled)
*
0
1
2
3
4
5
Professional Knowledge and Skills
Recognizing/Reporting Abuse
*
0
1
2
3
4
5
Triage
*
0
1
2
3
4
5
Ambulance/Paramedic Radio
*
0
1
2
3
4
5
Charge Experience
*
0
1
2
3
4
5
EMTALA
*
0
1
2
3
4
5
National Patient Safety Goals/Core Measures
*
0
1
2
3
4
5
Fall Risk Assessment/Prevention
*
0
1
2
3
4
5
Restraints/Use of Least Restrictive Device
*
0
1
2
3
4
5
Patient/Family Teaching
*
0
1
2
3
4
5
Car Seat Specific Standards/Teaching
*
0
1
2
3
4
5
Age/Developmentally Specific/Population Based Care
*
0
1
2
3
4
5
Pain Assessment and Management - Verbal/Non-Verbal
*
0
1
2
3
4
5
Interpretation and Communication of Lab Values
*
0
1
2
3
4
5
EMR
Epic
*
0
1
2
3
4
5
Cerner
*
0
1
2
3
4
5
Eclipsys
*
0
1
2
3
4
5
McKesson
*
0
1
2
3
4
5
Meditech
*
0
1
2
3
4
5
Allscripts
*
0
1
2
3
4
5
Other Computerized System
*
0
1
2
3
4
5
Type
*
Computer Physician Order Entry
*
0
1
2
3
4
5
Bar Coding for Medication Administration
*
0
1
2
3
4
5
Information & Agreement
Application ID
*
Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.
Applicant Name
*
First
Last
Applicant Email
*
Applicant Phone
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
I agree to the terms below.
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.
Signature
*