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Hudson Staffing Travel Nurses| PICU Online Checklist
PICU 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 PICU 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:
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Please enter your full name as it appears on your Social Security Card:
First Name
Middle Name
Last Name
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Please enter the Last Four digits of your Social Security Number:
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Please provide your contact information:
Phone Number
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E-mail Address
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This profile is for use by healthcare professionals in the PICU 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
WORK SETTINGS
1
2
3
4
PICU
Pediatric CVICU
Pediatric Step Down
Pediatric PACU
CARDIOVASCULAR
1
2
3
4
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
1
2
3
4
Respiratory Distress Syndrome/Resp. 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
1
2
3
4
Brain Injury
Craniotomy
Spinal Cord Injury
Seizure Disorders
ICP Monitoring
VP Shunt
Meningitis
Neuromuscular Disease
Post Vertebral Surgery
Traction - General
Traction - Halo
GASTROINTESTINAL
1
2
3
4
Acute Surgical Abdomen
GI Bleeding
Pancreatitis
Hepatic Failure
Ostomy Management
Management of Gastric Tubes
Breast Milk Handling/Storage
RENAL/GENITOURINARY
1
2
3
4
Nephrotic Syndrome
Renal Transplant
Renal Replacement Therapy
Peritoneal Dialysis
ENDOCRINE/METABOLIC
1
2
3
4
Diabetes - Hypo/Hyperglycemic Crisis
Diabetic Ketoacidosis
IV Insulin Pumps
Indwelling Insulin Pumps
TRAUMA/OTHER
1
2
3
4
Blunt/Penetrating Trauma
Burns
Craniofacial Reconstruction
Near Drowning
Poison Ingestion/Overdose
Bites-Animal/Snake/Human
Suicide Precautions
Wound Management/VAC
Specialty Beds
ONCOLOGY
1
2
3
4
Bone Marrow Transplant
Immunosuppressive Disorder
Hemophilia Crisis
Sickle Cell Crisis
MEDICATIONS
1
2
3
4
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
1
2
3
4
Starting IVs
Central Line Blood Draw
Central Line/Implanted Line Care
TPN/Lipids
Blood Product Administration
Administration of Chemotherapy
CARDIAC MONITORING & EMERG. RESPONSE
1
2
3
4
Dysrhythmia Interpretation
Dysrhythmia Management
Management of Cardiac Arrest
Shock Management
Malignant Hyperthermia
Multisystem Organ Failure
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
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
EMR
1
2
3
4
EPIC
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
EMR Conversion
Yes
No
Certifications
1
2
3
4
BLS
PALS
ACLS
PEARS
ENPC
CEN
TNCC
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 PICU 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 (44.192.65.228) which will be used as a digital signature.
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Hudson Staffing
Phone:
1(866)256-8773
E-mail:
info@hudsonstaffing.net
Your resource for traveling nurse and allied health career opportunities.
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