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Hudson Staffing Travel Nurses| Pediatric Emergency Department Online Checklist
Pediatric Emergency Department Online Checklist

Thank you for your decision to apply for a travel nursing position with Hudson Staffing! Before we can offer you a nursing employment opportunity in the Pediatric Emergency Department field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.

GENERAL INFORMATION        
Note: * Denotes a required field.
Please enter your full name as it appears on your Social Security Card:

First Name
 
Middle Name
 
Last Name
 *


Please enter the Last Four digits of your Social Security Number:

 -   -   *       Please check here if you do not hold a valid social security card.


Please provide your contact information:

Phone Number
 *
E-mail Address
 *
Confirm E-mail Address
 *
Type your e-mail address again above.
       
This profile is for use by healthcare professionals in the Pediatric Emergency Department discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS        
Please mark your level of experience

     1. No theory and/or experience
     2. Limited experience/need supervision and/or support
     3. Experienced/minimal support needed to perform
     4. Proficient/can perform independently

CARDIOVASCULAR 1 2 3 4
     Cardiac Anomalies
     CHF/Pulmonary Edema
     Cardiogenic Shock
     Cardioversion
     Heart Sounds
PULMONARY 1 2 3 4
     Reactive Airway Disease
     Croup
     Pneumonia
     Epiglottitis
     Aspiration
     Airway Obstruction
     Hemo/Pneumothorax
     Chest Tube Placement/Management
     ABG Interpretation
NEUROLOGICAL 1 2 3 4
     Meningitis/Encephalitis
     Seizures-Febrile/Epileptic
     Lumbar Puncture
     Migraine
ORTHOPEDIC 1 2 3 4
     Fractures/Casting
     Open/Complex Fractures
     Nursemaid's Elbow
     Apply/Manage Splints
     Circulation Checks
     Crutch Walking
     Car Seat Instruction for Casted Patient
GASTROINTESTINAL 1 2 3 4
     Abdominal Trauma/Peritoneal Lavage
     Abdominal Pain
     Constipation
     GI Bleeding
     Hepatitis/Liver Failure
     Poison Ingestion
ENDOCRINE/METABOLIC 1 2 3 4
     Hypoglycemia
     Hyperglycemia
     DKA
GENITOURINARY 1 2 3 4
     Acute Renal Failure
     UTI/Pyelonephritis
     Renal Trauma
     Testicular Torsion
OB/GYN 1 2 3 4
     Menstrual Pain
     Ovarian Cyst
     Ectopic Pregnancy
     Pelvic Inflammatory Disease/STD
     Sexual Assault
     Reporting Acts of Violence
EENT 1 2 3 4
     Foreign Body - Eye
     Foreign Body - Ear
     Foreign Body - Nose
     Epistaxis
TRAUMA 1 2 3 4
     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 1 2 3 4
     Contagious/Infectious Patients
     Isolation
     Reporting Communicable Disease
     Neutropenia/Reverse Isolation
PSYCHIATRIC 1 2 3 4
     Drug /ETOH Overdose/Withdrawal
     Psychiatric Hold
     Suicidal Patient
MEDICATIONS 1 2 3 4
     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 1 2 3 4
     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 1 2 3 4
     EPIC
     Cerner
     Eclipsys
     Meditech
     McKesson
     Allscripts
     Other Computerized System
     Computerized Physician Order Entry
     Bar Coding for Medication Administration
       
     EMR Conversion Yes No
Certifications 1 2 3 4
     BLS
     PALS
     PEARS
     ACLS
     TNCC
     ENPC
     CEN
Please read and agree to the statements below by marking the checkbox. You will not be able to submit until you have marked the checkbox.

* I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Pediatric Emergency Department Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.




Privacy Note: Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (3.236.228.250) which will be used as a digital signature.



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Hudson Staffing
Phone: 1(866)256-8773
E-mail: info@hudsonstaffing.net

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