NICU Skills Checklist

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
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Level IV NICU
Level III NICU
Level II NICU
Level I NICU/Nursery
Mother/Baby
Attended High Risk Deliveries
PATIENT TYPES
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Neonates < 28 Weeks
Neonates 29 - 34 Weeks
Neonates > 34 Weeks
CARDIOVASCULAR
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Cardiac Surgery - Pre-op
Cardiac Surgery - Immediate Post-op
Congenital Heart Disease/Defects
CHF/Pulmonary Edema
Hemodynamic Instability
PULMONARY
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Bronchopulmonary Dysplasia
Diaphragmatic Hernia
Fresh Tracheostomy
Meconium Aspiration
Persistent Pulmonary Hypertension
Pneumonia
Respiratory Distress Syndrome/Failure
Interpretation of ABGs
Assist with Intubation/Extubation
Endotracheal Suctioning
Chest Tube Placement and Management
Modes of Ventilation (AC/PC/SIMV/CPAP/BiPAP)
High Frequency Ventilation
Inhaled NO
ECMO
NEUROLOGIC
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Ballard/Dubowitz
Reflexes Based on Gestational Age
Hydrocephalus
Intraventricular Hemorrhage
Meningocele/Myelomeningocele
Neonatal Abstinence Score/Syndrome
Seizures
GASTROINTESTINAL
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Colostomy/Ileostomy
Gastroschisis/Omphalocele
GI Bleeding
Necrotizing Enterocolitis
Post Abdominal Procedure
FEEDINGS
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Breast Milk Handling/Storage
Breast Pump
Gavage Feedings
NG/OG/NJ Tube Placement and Management
RENAL/ENDOCRINE/GENETIC
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Circumcision Care
Genetic Disorders
Hypo/Hyperglycemia
Infant of Diabetic Mother
Malformations of the GU Tract/Kidney
Phototherapy
Renal Failure
INFECTIOUS DISEASES
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Neonatal Sepsis
Septic Work Up
Assist with Lumbar Puncture
MEDICATIONS
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Calculation of Neonatal Dosages
Antibiotics/Antivirals
Anticonvulsants
Immunizations
Digoxin
IV Vasopressors
Prostaglandin
Bronchodilators
Steroids
Caffeine
Surfactant
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
IV THERAPY
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Administration of Blood/Blood Products
Central Line Catheter/Dressings
Management of UAC/UVC Lines
Radial Arterial Lines
Start IVs
CARDIAC MONITORING & EMERG. RESPONSE
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Attend High Risk Deliveries
Preparation for Transport
Transport Neonate
Rhythm Interpretation
Dysrhythmia Management
PROFESSIONAL KNOWLEDGE AND SKILLS
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National Patient Safety Goals/Core Measures
Bereavement/Postmortem Care
Neonatal Skin Care
Pressure Ulcer Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Patient/Family Teaching
Age Specific/Population-Based Care
Isolation Precautions
Infection Prevention
Pain Assessment & Management
Charge Experience
Interpretation and Communication of Lab Values
COMPUTERIZED CHARTING
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Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
 YesNo
EMR Conversion
By checking the "Agree" box and clicking “Submit” below you certify and acknowledge the information provided on this checklist is accurate to the best of your knowledge and an accurate representation of your abilities. *