GENERAL INFORMATION

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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

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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

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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

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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

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