ADEX Medical Staffing - Pediatrics Skills Checklist

Pediatrics Skills Checklist

This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment with ADEX Medical Staffing, LLC.

Proficency Scale:

1 = No Experience - Theory only

2 = Limited Experience - Infrequent

3 = Moderate Experience - Able to perform independently

4 = Proficient - Able to perform proficiently and instruct

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Age Specific Practice Criteria	1	2	3	4
Pediatrics
Infant
Toddler
School Aged
Adolescent

Work Related Experience In	1	2	3	4
Pediatric ICU
Newborn Nursery
Neonatal Level II
Neonatal Level III
Pre / Post Cardiac Surgery
Pre / Post Cardiac Cath
Pre / Post Neuro Surgery
Pre / Post Thoracic Surgery

Care of Patient With	1	2	3	4
ABG's
Asthma
Bone Marrow Transplant
Bowel Obstruction
Bronch-Pulmonary Dysphasia
Cardiac Arrest
Chemotherapy
CHF
Cystic Fibrosis
Diabetes Mellitus
Drug Addiction
Drug Withdrawal
Epiglottiditis
Failure to Thrive
Heart Arrhythmias
Hematology
HIV
Intracranial Hemorrhage
Leukemia
Oncology
Low Birth Weight Infants
Meconium Aspiration
Near Drowning Experience
Meningitis
N.E.C.
Neuromuscular Disease
Overdose
Poison Ingestion
PDA Ligation
Pneumonia
Pulmonary Edema
RDS
Seizure Activity
Sickle Cell Disease
Spina Bifida
Systemic Infection
Tetralogy of Fallot
Tracheo-esophogeal Fistula

Equipment Usage & Procedure	1	2	3	4
UAC
UVC
Swan Ganz
A-Line
Administration of Blood
Administration of Blood Products
Apnea Monitoring
Assist With Lumbar Puncture
Blood Exchange
Calculation of Ped. Dosage
Cord and Circumcision Care
ECMO
Endotracheal Tube Care and Suctioning
Glascow Coma Scale
Hemodynamic Monitoring
IMV
Infusion Pumps
Jet Vents
Maintenance of Heparin Locks
NG Tube Feeding
Normal Serum Lab Values
Obtain Specimens form UAC
Obtain Specimens form UVC
Oxyhood
Phototherapy
PIP
Post Harrington
Preparation of Emergency Drugs
Pulse Oximetry
Radiant Warmers
Starting IV's
TPN / Hyperalimentation
Tracheostomy Care and Suctioning
Transposition of Great Vessels
Bear I
Bear II
Bear V
Bennett 7200
CPAP
Emerson
Engstrom / Erica
EMV
Infant Star Oscillator
MA-I
MA-II
Ohio 560
PEEP
Pressure Pre-Set
Sensormatic 3100A
Servo 900b
Servo 900c
Servo 900e
Siemens
Cardiac Monitors:
Hewlett-Packard
Lifecare
Marquette
Mennen
Nihon-Koder
Siemens
Spacelab

Pain Management	1	2	3	4
Epidural anesthesia/analgesia
IV conscious sedation
Insertion Pain Level
Pain Tolerance
Patient controlled analgesia

Wound Management	1	2	3	4
Burns / Pressure Sores
Skin for Impending Breakdown
Staged Decubitus Ulcers
Stasis Ulcers
Surgical Wound Healing
Surgical Wounds with Drains
Traumatic Wounds
Equipment usage & procedure:
Air Fluidized, Low Air Loss Beds
Sterile Dressing Changes
Wound Care / Irrigations

Miscellaneous	1	2	3	4
Anaphylactic Shock
DIC
Hypovolemic Shock
Multi-system Organ Failure
Organ / Tissue Donation
Septic Shock

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The information represented above is true and correct to the best of my knowledge. I authorize ADEX Medical Staffing, LLC to share this skills checklist with its clients.
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Form Reviewed by ADEX Clinician - 10/14/2009