Pediatric Emergency Department

Information

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Assessment Section

Cardiovascular

✔ Cardiac Anomalies *
★ ★ ★ ★ ★
✔ CHF/Pulmonary Edema *
★ ★ ★ ★ ★
✔ Cardiogenic Shock *
★ ★ ★ ★ ★
✔ Cardioversion *
★ ★ ★ ★ ★
✔ Heart Sounds *
★ ★ ★ ★ ★

Pulmonary

✔ Reactive Airway Disease *
★ ★ ★ ★ ★
✔ Croup *
★ ★ ★ ★ ★
✔ Pneumonia *
★ ★ ★ ★ ★
✔ Epiglottitis *
★ ★ ★ ★ ★
✔ Aspiration *
★ ★ ★ ★ ★
✔ Airway Obstruction *
★ ★ ★ ★ ★
✔ Hemo/Pneumothorax *
★ ★ ★ ★ ★
✔ Chest Tube Placement/Management *
★ ★ ★ ★ ★
✔ ABG Interpretation *
★ ★ ★ ★ ★

Neurological

✔ Meningitis/Encephalitis *
★ ★ ★ ★ ★
✔ Seizures - Febrile/Epileptic *
★ ★ ★ ★ ★
✔ Lumbar Puncture *
★ ★ ★ ★ ★
✔ Migraine *
★ ★ ★ ★ ★

Orthopedic

✔ Fractures/Casting *
★ ★ ★ ★ ★
✔ Open/Complex Fractures *
★ ★ ★ ★ ★
✔ Nursemaid's Elbow *
★ ★ ★ ★ ★
✔ Apply/Manage Splints *
★ ★ ★ ★ ★
✔ Circulation Checks *
★ ★ ★ ★ ★
✔ Crutch Walking *
★ ★ ★ ★ ★
✔ Car Seat Instruction for Casted Patient *
★ ★ ★ ★ ★

Gastrointestinal

✔ Abdominal Trauma/Peritoneal Lavage *
★ ★ ★ ★ ★
✔ Abdominal Pain *
★ ★ ★ ★ ★
✔ Constipation *
★ ★ ★ ★ ★
✔ GI Bleeding *
★ ★ ★ ★ ★
✔ Hepatitis/Liver Failure *
★ ★ ★ ★ ★
✔ Poison Ingestion *
★ ★ ★ ★ ★

Endocrine/Metabolic

✔ Hypoglycemia *
★ ★ ★ ★ ★
✔ Hyperglycemia *
★ ★ ★ ★ ★
✔ DKA *
★ ★ ★ ★ ★

Genitourinary

✔ Acute Renal Failure *
★ ★ ★ ★ ★
✔ UTI/Pyelonephritis *
★ ★ ★ ★ ★
✔ Renal Trauma *
★ ★ ★ ★ ★
✔ Testicular Torsion *
★ ★ ★ ★ ★
✔ Acute Renal Failure *
★ ★ ★ ★ ★

OB/GYN

✔ Menstrual Pain *
★ ★ ★ ★ ★
✔ Ovarian Cyst *
★ ★ ★ ★ ★
✔ Ectopic Pregnancy *
★ ★ ★ ★ ★
✔ Pelvic Inflammatory Disease/STD *
★ ★ ★ ★ ★
✔ Sexual Assault *
★ ★ ★ ★ ★
✔ Reporting Acts of Violence *
★ ★ ★ ★ ★

EENT

✔ Foreign Body - Eye *
★ ★ ★ ★ ★
✔ Foreign Body - Ear *
★ ★ ★ ★ ★
✔ Foreign Body - Nose *
★ ★ ★ ★ ★
✔ Epistaxis *
★ ★ ★ ★ ★

Trauma

✔ Glasgow Coma/Pediatric Trauma Scale *
★ ★ ★ ★ ★
✔ Trauma Code *
★ ★ ★ ★ ★
✔ Trauma Team Member *
★ ★ ★ ★ ★
✔ Brain Injury *
★ ★ ★ ★ ★
✔ Spinal Cord Injury *
★ ★ ★ ★ ★
✔ Spinal Precautions *
★ ★ ★ ★ ★
✔ Facial/Dental Trauma *
★ ★ ★ ★ ★
✔ Penetrating Trauma *
★ ★ ★ ★ ★
✔ Blunt Trauma *
★ ★ ★ ★ ★
✔ Traumatic Amputation *
★ ★ ★ ★ ★
✔ Hypovolemic Shock *
★ ★ ★ ★ ★
✔ Neurogenic Shock *
★ ★ ★ ★ ★
✔ Anaphylactic Shock *
★ ★ ★ ★ ★
✔ Septic Shock *
★ ★ ★ ★ ★
✔ Burns - 2nd Degree *
★ ★ ★ ★ ★
✔ Burns - 3rd Degree *
★ ★ ★ ★ ★

Infectious Disease/Immunosuppression

✔ Contagious/Infectious Patients *
★ ★ ★ ★ ★
✔ Isolation *
★ ★ ★ ★ ★
✔ Reporting Communicable Disease *
★ ★ ★ ★ ★
✔ Neutropenia/Reverse Isolation *
★ ★ ★ ★ ★

Psychiatric

✔ Drug /ETOH Overdose/Withdrawal *
★ ★ ★ ★ ★
✔ Psychiatric Hold *
★ ★ ★ ★ ★
✔ Suicidal Patient *
★ ★ ★ ★ ★

Medications

✔ Pediatric Dosage Calculations *
★ ★ ★ ★ ★
✔ Anti-Arrhythmics *
★ ★ ★ ★ ★
✔ Anticoagulants (IV, Oral & Injection) *
★ ★ ★ ★ ★
✔ Anti-Hypertensives *
★ ★ ★ ★ ★
✔ Anti-Psychotics *
★ ★ ★ ★ ★
✔ Anti-Seizure Medications *
★ ★ ★ ★ ★
✔ Benzodiazepines *
★ ★ ★ ★ ★
✔ Continuous IV Paralytics *
★ ★ ★ ★ ★
✔ Continuous IV Sedation *
★ ★ ★ ★ ★
✔ Procedural Sedation - Administration *
★ ★ ★ ★ ★
✔ Ketamine *
★ ★ ★ ★ ★
✔ Emergency Medications *
★ ★ ★ ★ ★
✔ Inhaled Medications *
★ ★ ★ ★ ★
✔ Insulin *
★ ★ ★ ★ ★
✔ IV Vasopressors *
★ ★ ★ ★ ★
✔ Narcotics/Opioid Analgesics (IV, Oral & Injection) *
★ ★ ★ ★ ★
✔ Reversal Agents *
★ ★ ★ ★ ★
✔ Steroids (IV, Oral & Inhaled) *
★ ★ ★ ★ ★
✔ Automated Medication Dispensing (i.e. Pyxis, Omnicell) *
★ ★ ★ ★ ★

Professional Knowledge and Skills

✔ Recognizing/Reporting Abuse *
★ ★ ★ ★ ★
✔ Triage *
★ ★ ★ ★ ★
✔ Ambulance/Paramedic Radio *
★ ★ ★ ★ ★
✔ Charge Experience *
★ ★ ★ ★ ★
✔ EMTALA *
★ ★ ★ ★ ★
✔ National Patient Safety Goals/Core Measures *
★ ★ ★ ★ ★
✔ Fall Risk Assessment/Prevention *
★ ★ ★ ★ ★
✔ Pressure Ulcer Risk Assessment/Prevention *
★ ★ ★ ★ ★
✔ Restraints/Use of Least Restrictive Device *
★ ★ ★ ★ ★
✔ Patient Family Teaching *
★ ★ ★ ★ ★
✔ Car Seat Specific Standards/Teaching *
★ ★ ★ ★ ★
✔ Age/Developmentally Specific/Population Based Care *
★ ★ ★ ★ ★
✔ Pain Assessment and Management - Verbal/Non-Verbal *
★ ★ ★ ★ ★
✔ Interpretation and Communication of Lab Values *
★ ★ ★ ★ ★

EMR

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

Age Specific Competencies

✔ Infant (Birth - 1 year) *
★ ★ ★ ★ ★
✔ Preschooler (ages 2-5 years) *
★ ★ ★ ★ ★
✔ Childhood (ages 6-12 years) *
★ ★ ★ ★ ★
✔ Adolescents (ages 13-21 years) *
★ ★ ★ ★ ★
✔ Young Adults (ages 22-39 years) *
★ ★ ★ ★ ★
✔ Adults (ages 40-64 years) *
★ ★ ★ ★ ★
✔ Older Adults (ages 65-79 years) *
★ ★ ★ ★ ★
✔ Elderly (ages 80+ years) *
★ ★ ★ ★ ★