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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 RN – 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/Neonate (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 Child (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
Normal Growth and Development
*
0
1
2
3
4
5
Normal Lab Values
*
0
1
2
3
4
5
Recognize Signs of Child Abuse/Neglect
*
0
1
2
3
4
5
Medication/ Immunization Schedule
*
0
1
2
3
4
5
Cardiovascular
Blood Pressure (Invasive and Non-Invasive)
*
0
1
2
3
4
5
Heart Sounds
*
0
1
2
3
4
5
Murmurs
*
0
1
2
3
4
5
Perfusion
*
0
1
2
3
4
5
Interpretation of Lab Results (ABGs, Hgb/ Hct)
*
0
1
2
3
4
5
Basic EKG Interpretation
*
0
1
2
3
4
5
Non-Invasive Cardiac Monitoring
*
0
1
2
3
4
5
Non-Invasive Cardiac Monitoring
*
0
1
2
3
4
5
Care of Child With
Bacterial Endocarditis
*
0
1
2
3
4
5
Cardiac Arrest
*
0
1
2
3
4
5
Cardiomyopathy
*
0
1
2
3
4
5
Congenital heart Disease/Defects Cardiac Arrest
*
0
1
2
3
4
5
Congestive Heart Failure
*
0
1
2
3
4
5
Myocarditis
*
0
1
2
3
4
5
Pericarditis
*
0
1
2
3
4
5
Post Cardiac Cath
*
0
1
2
3
4
5
Post Cardiac Surgery
*
0
1
2
3
4
5
Rheumatic Fever
*
0
1
2
3
4
5
Shock
*
0
1
2
3
4
5
Medications
Digoxin
*
0
1
2
3
4
5
Pulmonary
Breath Sounds
*
0
1
2
3
4
5
Rate and Work of Breathing
*
0
1
2
3
4
5
Airway Management Devices/ Suctioning
*
0
1
2
3
4
5
Apnea Monitor
*
0
1
2
3
4
5
Chest Physiotherapy
*
0
1
2
3
4
5
Chest Tubes
*
0
1
2
3
4
5
End Tidal CO2
*
0
1
2
3
4
5
Oximeter
*
0
1
2
3
4
5
Water Seal Drainage System
*
0
1
2
3
4
5
Oxygen Delivery System
Face Mask
*
0
1
2
3
4
5
Hood
*
0
1
2
3
4
5
Isolette
*
0
1
2
3
4
5
Nasal Cannula
*
0
1
2
3
4
5
Tent
*
0
1
2
3
4
5
Trach Collar
*
0
1
2
3
4
5
Care of the Child With
Asthma
*
0
1
2
3
4
5
Bronchiolitis (RSV)
*
0
1
2
3
4
5
Bronchopulmonary Dysplasia (BPD)
*
0
1
2
3
4
5
Cystic Fibrosis
*
0
1
2
3
4
5
Epiglottitis
*
0
1
2
3
4
5
LTB/Croup
*
0
1
2
3
4
5
Pertussis
*
0
1
2
3
4
5
Pneumonia
*
0
1
2
3
4
5
Tonsillitis
*
0
1
2
3
4
5
Tuberculosis
*
0
1
2
3
4
5
Medications
Alupent
*
0
1
2
3
4
5
Aminophylline
*
0
1
2
3
4
5
Isuprel
*
0
1
2
3
4
5
Ventolin
*
0
1
2
3
4
5
Neurological/Orthopedic
Assess Level of Consciousness
*
0
1
2
3
4
5
Application of Splints
*
0
1
2
3
4
5
Cast
*
0
1
2
3
4
5
ICP Monitoring
*
0
1
2
3
4
5
Pinned Fractures
*
0
1
2
3
4
5
Traction
*
0
1
2
3
4
5
Care of Child With
Battered Child Syndrome
*
0
1
2
3
4
5
Closed Head Injury
*
0
1
2
3
4
5
Clubfoot
*
0
1
2
3
4
5
Encephalitis
*
0
1
2
3
4
5
Febrile Seizuers
*
0
1
2
3
4
5
Meningitis
*
0
1
2
3
4
5
Multiple Sclerosis
*
0
1
2
3
4
5
Multiple Trauma
*
0
1
2
3
4
5
Near Drowning
*
0
1
2
3
4
5
Neuromuscular Disease
*
0
1
2
3
4
5
Osteogenic Sarcoma
*
0
1
2
3
4
5
Osteomyelitis
*
0
1
2
3
4
5
Spinal Cord Injury
*
0
1
2
3
4
5
Medications
Clonazepam
*
0
1
2
3
4
5
Corticosteroids
*
0
1
2
3
4
5
Dilantin
*
0
1
2
3
4
5
Phenobarbital
*
0
1
2
3
4
5
Tegretol
*
0
1
2
3
4
5
Valium
*
0
1
2
3
4
5
Gastrointestinal
Abdominal Assessment
*
0
1
2
3
4
5
Nutritional Assessment
*
0
1
2
3
4
5
Interpretation of Lab Results (serum electrolytes)
*
0
1
2
3
4
5
Gastrostomy/Button
*
0
1
2
3
4
5
J-Tubes
*
0
1
2
3
4
5
NG and Sump Tubes to Suction
*
0
1
2
3
4
5
Penrose Drains
*
0
1
2
3
4
5
Placement of Naso/ Orogastric Tube
*
0
1
2
3
4
5
Wound Irrigation/Dressing Change
*
0
1
2
3
4
5
Feedings
Bottle
*
0
1
2
3
4
5
Breast
*
0
1
2
3
4
5
Central Hyperalimentation
*
0
1
2
3
4
5
Gavage
*
0
1
2
3
4
5
Peripheral Hyperalimentation
*
0
1
2
3
4
5
Section Break
Anal Fissure
*
0
1
2
3
4
5
Cleft Lip/Palate
*
0
1
2
3
4
5
Colostomy
*
0
1
2
3
4
5
Diaphragmatic Hernia
*
0
1
2
3
4
5
Failure to Thrive (FTT)
*
0
1
2
3
4
5
Gastroenteritis/Dehydration
*
0
1
2
3
4
5
GE Reflux
*
0
1
2
3
4
5
GI Bleeding
*
0
1
2
3
4
5
Ileostomy
*
0
1
2
3
4
5
Intestinal Parasites
*
0
1
2
3
4
5
Necrotizing Enterocolitis
*
0
1
2
3
4
5
Pyloric Stenosis
*
0
1
2
3
4
5
Surgical Abdomen
*
0
1
2
3
4
5
Ulcerative Colitis
*
0
1
2
3
4
5
Ingestion of Foreign Body
*
0
1
2
3
4
5
Ingestion of Poisons or Toxins
*
0
1
2
3
4
5
Endocrine/Metabolic
Assessment
*
0
1
2
3
4
5
Interpretation of Lab Results (glucose, thyroid)
*
0
1
2
3
4
5
Blood Glucose Testing
*
0
1
2
3
4
5
Care of the Child With
Adrenal Disorders
*
0
1
2
3
4
5
Cushing's Syndrome
*
0
1
2
3
4
5
Juvenile Disorders
*
0
1
2
3
4
5
Pituitary Disorders
*
0
1
2
3
4
5
Thyroid Malfunction
*
0
1
2
3
4
5
Medications
Growth Hormone
*
0
1
2
3
4
5
Insulin
*
0
1
2
3
4
5
Thyroid
*
0
1
2
3
4
5
Genitourinary
Assessment of Fluid Balance
*
0
1
2
3
4
5
Interpretation of Lab Results (creatinine, BUN, UA)
*
0
1
2
3
4
5
Assist with Suprapubic Tap
*
0
1
2
3
4
5
Collection of Urine Specimen
*
0
1
2
3
4
5
Catheter
Catheter care
*
0
1
2
3
4
5
Insertion of Indwelling - Female
*
0
1
2
3
4
5
Insertion of Indwelling - Male
*
0
1
2
3
4
5
Straight Cath - Female
*
0
1
2
3
4
5
Straight Cath - Male
*
0
1
2
3
4
5
Care of the Child With
Circumcision
*
0
1
2
3
4
5
Glomerulonephritis
*
0
1
2
3
4
5
Hemodialysis
*
0
1
2
3
4
5
Hemolytic Uremic Syndrome (HUS)
*
0
1
2
3
4
5
Hypospadias
*
0
1
2
3
4
5
Ileal Conduit Urinary Diversion
*
0
1
2
3
4
5
Infantile Polycystic Disease
*
0
1
2
3
4
5
Kidney Transplant
*
0
1
2
3
4
5
Nephrotic Syndrome
*
0
1
2
3
4
5
Peritoneal Dialysis
*
0
1
2
3
4
5
Renal Failure
*
0
1
2
3
4
5
Urinary Tract Infection
*
0
1
2
3
4
5
Wilm's Tumor
*
0
1
2
3
4
5
Care of Child With
Anemia
*
0
1
2
3
4
5
Bone Marrow Transplant
*
0
1
2
3
4
5
Depressed Immune System
*
0
1
2
3
4
5
Disseminated Intravascular Coagulation (DIC)
*
0
1
2
3
4
5
Hemophilia
*
0
1
2
3
4
5
Hodgkin's Lymphoma
*
0
1
2
3
4
5
Infectious Mononucleosis
*
0
1
2
3
4
5
Leukemia
*
0
1
2
3
4
5
Malignant Tumors
*
0
1
2
3
4
5
Sickle Cell Anemia
*
0
1
2
3
4
5
Spleen Trauma/Splenectomy
*
0
1
2
3
4
5
Medication
Prednisone
*
0
1
2
3
4
5
Chemotherapy cert?
*
Yes
No
Medication Administration for Children
Calculation of Pediatric Doses
*
0
1
2
3
4
5
Eye/Ear Installations
*
0
1
2
3
4
5
Knowledge of Emergency Drugs
*
0
1
2
3
4
5
Knowledge of Routine Pediatric Drugs
*
0
1
2
3
4
5
Metered Dose Inhaler
*
0
1
2
3
4
5
Phlebotomy/IV Therapy
Drawing Blood from Central Lines
*
0
1
2
3
4
5
Drawing Venous Blood
*
0
1
2
3
4
5
Starting IVs (angiocath, butterfly, heparin lock)
*
0
1
2
3
4
5
Administration of Blood/Blood Products
Cryoprecipitate
*
0
1
2
3
4
5
Packed Red Blood Cells
*
0
1
2
3
4
5
Whole Blood
*
0
1
2
3
4
5
Care of Child With
Central Line/Catheter/Dressing
*
0
1
2
3
4
5
Broviac
*
0
1
2
3
4
5
Groshong
*
0
1
2
3
4
5
Hickman
*
0
1
2
3
4
5
Portacath
*
0
1
2
3
4
5
Quinton
*
0
1
2
3
4
5
Cutdown Line/Dressing
*
0
1
2
3
4
5
Peripheral Line/Dressing
*
0
1
2
3
4
5
Infectious Disease/Immunosuppression
Interpretation of Lab Results (blood count)
*
0
1
2
3
4
5
Isolation
*
0
1
2
3
4
5
Fever Management
*
0
1
2
3
4
5
Care of Child With
AIDS
*
0
1
2
3
4
5
Common Childhood-Communicable Diseases
*
0
1
2
3
4
5
Cytomegalovirus (CMV)
*
0
1
2
3
4
5
Hepatitis
*
0
1
2
3
4
5
Kawasaki Disease
*
0
1
2
3
4
5
Lyme Disease
*
0
1
2
3
4
5
Psychiatric
Drug/ETOH Overdose/Withdrawal
*
0
1
2
3
4
5
Psychiatric Hold
*
0
1
2
3
4
5
Suicidal Patient
*
0
1
2
3
4
5
Anorexia/Bulimia
*
0
1
2
3
4
5
Depression
*
0
1
2
3
4
5
Wound Management
Assess Skin for Impending Breakdown
*
0
1
2
3
4
5
Assess Stasis Ulcers
*
0
1
2
3
4
5
Surgical Wound Healing
*
0
1
2
3
4
5
First Degree Burns
*
0
1
2
3
4
5
Second Degree Burns
*
0
1
2
3
4
5
Third Degree Burns
*
0
1
2
3
4
5
Pressure Sores
*
0
1
2
3
4
5
Stages Decubitus Ulcers
*
0
1
2
3
4
5
Sterile Dressing Changes
*
0
1
2
3
4
5
Surgical Wounds with Drain(s)
*
0
1
2
3
4
5
Traumatic Wounds
*
0
1
2
3
4
5
Use of Low Airloss Beds
*
0
1
2
3
4
5
Wound Care/Irrigations
*
0
1
2
3
4
5
Pain Management
Assessment of Pain Level/Tolerance
*
0
1
2
3
4
5
Care of the Child With
Epidural Anesthesia/Analgesia
*
0
1
2
3
4
5
IV Conscious Sedation
*
0
1
2
3
4
5
Narcotic Analgesia
*
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
*