Hudson Staffing Travel Nurses & Allied Health Careers
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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: * 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
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Type your e-mail address again above.
       
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 (3.221.159.255) which will be used as a digital signature.



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

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