Neonatal ICU

Information

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Assessment Section

Patient Types

✔ Neonates < 28 Weeks *
★ ★ ★ ★ ★
✔ Neonates 29 - 34 Weeks *
★ ★ ★ ★ ★
✔ Neonates > 34 Weeks *
★ ★ ★ ★ ★

Work Settings

✔ Level II NICU *
★ ★ ★ ★ ★
✔ Level III NICU *
★ ★ ★ ★ ★
✔ Level IV NICU *
★ ★ ★ ★ ★

Cardiovascular

✔ Cardiac Surgery - Pre-op *
★ ★ ★ ★ ★
✔ Cardiac Surgery - Immediate Post-op *
★ ★ ★ ★ ★
✔ Congenital Heart Disease/Defects *
★ ★ ★ ★ ★
✔ CHF/Pulmonary Edema *
★ ★ ★ ★ ★
✔ Hemodynamic Instability *
★ ★ ★ ★ ★

Pulmonary

✔ Bronchopulmonary Dysplasia *
★ ★ ★ ★ ★
✔ Diaphragmatic Hernia *
★ ★ ★ ★ ★
✔ Fresh Tracheostomy *
★ ★ ★ ★ ★
✔ Meconium Aspiration *
★ ★ ★ ★ ★
✔ Persistent Pulmonary Hypertension *
★ ★ ★ ★ ★
✔ Pneumonia *
★ ★ ★ ★ ★
✔ Respiratory Distress Syndrome/Failure *
★ ★ ★ ★ ★
✔ Interpretation of ABGs *
★ ★ ★ ★ ★
✔ Assist with Intubation/Extubation *
★ ★ ★ ★ ★
✔ Endotracheal Suctioning *
★ ★ ★ ★ ★
✔ Chest Tube Placement and Management *
★ ★ ★ ★ ★
✔ Modes of Ventilation (AC/PC/SIMV/CPAP/BiPAP) *
★ ★ ★ ★ ★
✔ High Frequency Ventilation *
★ ★ ★ ★ ★
✔ Inhaled NO *
★ ★ ★ ★ ★
✔ ECMO *
★ ★ ★ ★ ★

Neurologic

✔ Ballard/Dubowitz *
★ ★ ★ ★ ★
✔ Reflexes Based on Gestational Age *
★ ★ ★ ★ ★
✔ Hydrocephalus *
★ ★ ★ ★ ★
✔ Intraventricular Hemorrhage *
★ ★ ★ ★ ★
✔ Meningocele/Myelomeningocele *
★ ★ ★ ★ ★
✔ Neonatal Abstinence Score/Syndrome *
★ ★ ★ ★ ★
✔ Seizures *
★ ★ ★ ★ ★

Gastrointestinal

✔ Colostomy/Ileostomy *
★ ★ ★ ★ ★
✔ Gastroschisis/Omphalocele *
★ ★ ★ ★ ★
✔ GI Bleeding *
★ ★ ★ ★ ★
✔ Necrotizing Enterocolitis *
★ ★ ★ ★ ★
✔ Post Abdominal Procedure *
★ ★ ★ ★ ★

Feedings

✔ Breast Milk Handling/Storage *
★ ★ ★ ★ ★
✔ Breast Pump *
★ ★ ★ ★ ★
✔ Gavage Feedings *
★ ★ ★ ★ ★
✔ NG/OG/NJ Tube Placement and Management *
★ ★ ★ ★ ★

Renal/Endocrine/Genetic

✔ Circumcision Care *
★ ★ ★ ★ ★
✔ Genetic Disorders *
★ ★ ★ ★ ★
✔ Hypo/Hyperglycemia *
★ ★ ★ ★ ★
✔ Infant of Diabetic Mother *
★ ★ ★ ★ ★
✔ Malformations of the GU Tract/Kidney *
★ ★ ★ ★ ★
✔ Phototherapy *
★ ★ ★ ★ ★
✔ Renal Failure *
★ ★ ★ ★ ★

Infectious Diseases

✔ Neonatal Sepsis *
★ ★ ★ ★ ★
✔ Septic Work Up *
★ ★ ★ ★ ★
✔ Assist with Lumbar Puncture *
★ ★ ★ ★ ★

Medications

✔ Calculation of Neonatal Dosages *
★ ★ ★ ★ ★
✔ Antibiotics/Antivirals *
★ ★ ★ ★ ★
✔ Anticonvulsants *
★ ★ ★ ★ ★
✔ Immunizations *
★ ★ ★ ★ ★
✔ Digoxin *
★ ★ ★ ★ ★
✔ IV Vasopressors *
★ ★ ★ ★ ★
✔ Prostaglandin *
★ ★ ★ ★ ★
✔ Bronchodilators *
★ ★ ★ ★ ★
✔ Steroids *
★ ★ ★ ★ ★
✔ Caffeine *
★ ★ ★ ★ ★
✔ Surfactant *
★ ★ ★ ★ ★
✔ Automated Medication Dispensing (i.e. Pyxis, Omnicell) *
★ ★ ★ ★ ★

IV Therapy

✔ Administration of Blood/Blood Products *
★ ★ ★ ★ ★
✔ Central Line Catheter/Dressings *
★ ★ ★ ★ ★
✔ Management of UAC/UVC Lines *
★ ★ ★ ★ ★
✔ Radial Arterial Lines *
★ ★ ★ ★ ★
✔ Start IVs *
★ ★ ★ ★ ★

Cardiac Monitoring & Emergency Response

✔ Attend High Risk Deliveries *
★ ★ ★ ★ ★
✔ Transport Neonate *
★ ★ ★ ★ ★
✔ Rhythm Interpretation *
★ ★ ★ ★ ★
✔ Dysrhythmia Management *
★ ★ ★ ★ ★
✔ Professional Knowledge and Skills *
★ ★ ★ ★ ★

Professional Knowledge and Skills

✔ National Patient Safety Goals/Core Measures *
★ ★ ★ ★ ★
✔ Bereavement/Postmortem Care *
★ ★ ★ ★ ★
✔ Neonatal Skin Care *
★ ★ ★ ★ ★
✔ Pressure Ulcer Risk Assessment/Prevention *
★ ★ ★ ★ ★
✔ Restraints/Use of Least Restrictive Device *
★ ★ ★ ★ ★
✔ Patient/Family Teaching *
★ ★ ★ ★ ★
✔ Age Specific/Population-Based Care *
★ ★ ★ ★ ★
✔ Isolation Precautions *
★ ★ ★ ★ ★
✔ Infection Prevention *
★ ★ ★ ★ ★
✔ Pain Assessment & Management *
★ ★ ★ ★ ★
✔ Charge Experience *
★ ★ ★ ★ ★
✔ Interpretation and Communication of Lab Values *
★ ★ ★ ★ ★

EMR

✔ Epic *
★ ★ ★ ★ ★
✔ Cerner *
★ ★ ★ ★ ★
✔ Eclipsys *
★ ★ ★ ★ ★
✔ McKesson *
★ ★ ★ ★ ★
✔ Meditech *
★ ★ ★ ★ ★
✔ Other Computerized System *
★ ★ ★ ★ ★
✔ Computerized Physician Order Entry *
★ ★ ★ ★ ★
✔ Bar Coding for Medication Administration *
★ ★ ★ ★ ★