PICU - Pediatric intensive care unit

Information

Proficiency Scale

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

Assessment Section

Work Settings

  • ✔ PICU *
  • ✔ Pediatric CVICU *
  • ✔ Pediatric Step Down *
  • ✔ Pediatric PACU *
  • ✔ Congenital Heart Disease/Repair *
  • ✔ Post Cardiac Surgery (Directly from OR) *
  • ✔ Post Cardiac Surgery (NOT Directly from OR) *
  • ✔ Post Diagnostic/Interventional Cardiac Cath *
  • ✔ Heart Failure/Cardiogenic Shock *
  • ✔ Cardiac Transplant *
  • ✔ Hemodynamic Monitoring *
  • ✔ Arrhythmia Interpretation *
  • ✔ Pacemaker - Temporary/Permanent *
  • ✔ SVO2 Monitoring *
  • ✔ Intra-Aortic Balloon Pump *
  • ✔ Ventricular Assist Device *
  • ✔ ECMO *

Pulmonary

  • ✔ Respiratory Distress Syndrome/Respiratory Failure *
  • ✔ Reactive Airway Disease *
  • ✔ ENT Surgery *
  • ✔ Epiglottis *
  • ✔ Cystic Fibrosis *
  • ✔ Tuberculosis *
  • ✔ Intubation/Extubation *
  • ✔ Endotracheal Tube Management *
  • ✔ Tracheostomy Management *
  • ✔ Modes of Ventilation: AC/PC/SIMV/CPAP *
  • ✔ Modes of Ventilation: Jet/Oscillator *
  • ✔ Nitric Oxide *
  • ✔ Hemo/Pneumothorax *

Neurologic/Orthopedic

  • ✔ Brain Injury *
  • ✔ Craniotomy *
  • ✔ Spinal Cord Injury *
  • ✔ Seizure Disorders *
  • ✔ ICP Monitoring *
  • ✔ VP Shunt *
  • ✔ Meningitis *
  • ✔ Neuromuscular Disease *
  • ✔ Post Vertebral Surgery *
  • ✔ Traction - General *
  • ✔ Traction - Halo *

Gastrointestinal

  • ✔ Acute Surgical Abdomen *
  • ✔ GI Bleeding *
  • ✔ Pancreatitis *
  • ✔ Hepatic Failure *
  • ✔ Ostomy Management *
  • ✔ Management of Gastric Tubes *
  • ✔ Breast Milk Handling/Storage *

Renal/Genitourinary

  • ✔ Nephrotic Syndrome *
  • ✔ Renal Transplant *
  • ✔ Renal Replacement Therapy *
  • ✔ Peritoneal Dialysis *

Endocrine/Metabolic

  • ✔ Diabetes - Hypo/Hyperglycemic Crisis *
  • ✔ Diabetic Ketoacidosis *
  • ✔ IV Insulin Pumps *
  • ✔ Indwelling Insulin Pumps *

Trauma/Other

  • ✔ Blunt/Penetrating Trauma *
  • ✔ Burns *
  • ✔ Craniofacial Reconstruction *
  • ✔ Near Drowning *
  • ✔ Poison Ingestion/Overdose *
  • ✔ Bites - Animal/Snake/Human *
  • ✔ Suicide Precautions *
  • ✔ Wound Management/VAC *
  • ✔ Specialty Beds *

Oncology

  • ✔ Bone Marrow Transplant *
  • ✔ Immunosuppressive Disorder *
  • ✔ Hemophilia Crisis *
  • ✔ Sickle Cell Crisis *

Medications

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

IV Therapy

  • ✔ Starting IVs *
  • ✔ Central Line Blood Draw *
  • ✔ Central Line/Implanted Line Care *
  • ✔ TPN/Lipids *
  • ✔ Blood Product Administration *
  • ✔ Administration of Chemotherapy *

Cardiac Monitoring & Emergency Response

  • ✔ Dysrhythmia Interpretation *
  • ✔ Dysrhythmia Management *
  • ✔ Management of Cardiac Arrest *
  • ✔ Shock Management *
  • ✔ Malignant Hyperthermia *
  • ✔ Multisystem Organ Failure *

Professional Knowledge and Skills

  • ✔ National Patient Safety Goals/Core Measures *
  • ✔ Recognize/Report Signs of Abuse *
  • ✔ EMTALA *
  • ✔ Fall Risk Assessment/Prevention *
  • ✔ Pressure Ulcer Risk Assessment/Prevention *
  • ✔ Restraints/Use of Least Restrictive Device *
  • ✔ Normal Growth and Development *
  • ✔ Age Specific/Population Based Care *
  • ✔ Patient Family Teaching *
  • ✔ Isolation Precautions *
  • ✔ Infection Prevention *
  • ✔ Reporting Communicable Diseases *
  • ✔ Pain Assessment & Management *
  • ✔ Charge Experience *
  • ✔ Interpretation and Communication of Lab Values *

Age Specific Competencies

  • ✔ Infant (Birth - 1 year) *
  • ✔ Preschooler (ages 2-5 years) *
  • ✔ Epic 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) *

EMR Systems

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