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Pediatric Emergency Department 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
1
2
3
4
General Emergency Department-Combined Adult/Pedi
1
2
3
4
Level I Trauma Center
1
2
3
4
Level II Trauma Center
1
2
3
4
Non Trauma Emergency Department
1
2
3
4
Pediatric Emergency Department
1
2
3
4
CARDIOVASCULAR
1
2
3
4
Cardiac Anomalies
1
2
3
4
CHF/Pulmonary Edema
1
2
3
4
Cardiogenic Shock
1
2
3
4
Cardioversion
1
2
3
4
Heart Sounds
1
2
3
4
PULMONARY
1
2
3
4
Reactive Airway Disease
1
2
3
4
Croup
1
2
3
4
Pneumonia
1
2
3
4
Epiglottitis
1
2
3
4
Aspiration
1
2
3
4
Airway Obstruction
1
2
3
4
Hemo/Pneumothorax
1
2
3
4
Chest Tube Placement/Management
1
2
3
4
ABG Interpretation
1
2
3
4
NEUROLOGICAL
1
2
3
4
Meningitis/Encephalitis
1
2
3
4
Seizures-Febrile/Epileptic
1
2
3
4
Lumbar Puncture
1
2
3
4
Migraine
1
2
3
4
ORTHOPEDIC
1
2
3
4
Fractures/Casting
1
2
3
4
Open/Complex Fractures
1
2
3
4
Nursemaid's Elbow
1
2
3
4
Apply/Manage Splints
1
2
3
4
Circulation Checks
1
2
3
4
Crutch Walking
1
2
3
4
Car Seat Instruction for Casted Patient
1
2
3
4
GASTROINTESTINAL
1
2
3
4
Abdominal Trauma/Peritoneal Lavage
1
2
3
4
Abdominal Pain
1
2
3
4
Constipation
1
2
3
4
GI Bleeding
1
2
3
4
Hepatitis/Liver Failure
1
2
3
4
Poison Ingestion
1
2
3
4
ENDOCRINE/METABOLIC
1
2
3
4
Hypoglycemia
1
2
3
4
Hyperglycemia
1
2
3
4
DKA
1
2
3
4
GENITOURINARY
1
2
3
4
Acute Renal Failure
1
2
3
4
UTI/Pyelonephritis
1
2
3
4
Renal Trauma
1
2
3
4
Testicular Torsion
1
2
3
4
OB/GYN
1
2
3
4
Menstrual Pain
1
2
3
4
Ovarian Cyst
1
2
3
4
Ectopic Pregnancy
1
2
3
4
Pelvic Inflammatory Disease/STD
1
2
3
4
Sexual Assault
1
2
3
4
Reporting Acts of Violence
1
2
3
4
EENT
1
2
3
4
Foreign Body - Eye
1
2
3
4
Foreign Body - Ear
1
2
3
4
Foreign Body - Nose
1
2
3
4
Epistaxis
1
2
3
4
TRAUMA
1
2
3
4
Glasgow Coma/Pediatric Trauma Scale
1
2
3
4
Trauma Code
1
2
3
4
Trauma Team Member
1
2
3
4
Brain Injury
1
2
3
4
Spinal Cord Injury
1
2
3
4
Spinal Precautions
1
2
3
4
Facial/Dental Trauma
1
2
3
4
Penetrating Trauma
1
2
3
4
Blunt Trauma
1
2
3
4
Traumatic Amputation
1
2
3
4
Hypovolemic Shock
1
2
3
4
Neurogenic Shock
1
2
3
4
Anaphylactic Shock
1
2
3
4
Septic Shock
1
2
3
4
Burns - 2nd Degree
1
2
3
4
Burns - 3rd Degree
1
2
3
4
INFECTIOUS DISEASE/IMMUNOSUPPRESSION
1
2
3
4
Contagious/Infectious Patients
1
2
3
4
Isolation
1
2
3
4
Reporting Communicable Disease
1
2
3
4
Neutropenia/Reverse Isolation
1
2
3
4
PSYCHIATRIC
1
2
3
4
Drug /ETOH Overdose/Withdrawal
1
2
3
4
Psychiatric Hold
1
2
3
4
Suicidal Patient
1
2
3
4
MEDICATIONS
1
2
3
4
Pediatric Dosage Calculations
1
2
3
4
Anti-Arrhythmics
1
2
3
4
Anticoagulants (IV, Oral & Injection)
1
2
3
4
Anti-Hypertensives
1
2
3
4
Anti-Psychotics
1
2
3
4
Anti-Seizure Medications
1
2
3
4
Benzodiazepines
1
2
3
4
Continuous IV Paralytics
1
2
3
4
Continuous IV Sedation
1
2
3
4
Procedural Sedation - Administration
1
2
3
4
Ketamine
1
2
3
4
Emergency Medications
1
2
3
4
Inhaled Medications
1
2
3
4
Insulin
1
2
3
4
IV Vasopressors
1
2
3
4
Narcotics/Opioid Analgesics (IV, Oral & Injection)
1
2
3
4
Reversal Agents
1
2
3
4
Steroids (IV, Oral & Inhaled)
1
2
3
4
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
1
2
3
4
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
Recognizing/Reporting Abuse
1
2
3
4
Triage
1
2
3
4
Ambulance/Paramedic Radio
1
2
3
4
Charge Experience
1
2
3
4
EMTALA
1
2
3
4
National Patient Safety Goals/Core Measures
1
2
3
4
Fall Risk Assessment/Prevention
1
2
3
4
Pressure Ulcer Risk Assessment/Prevention
1
2
3
4
Restraints/Use of Least Restrictive Device
1
2
3
4
Patient Family Teaching
1
2
3
4
Car Seat Specific Standards/Teaching
1
2
3
4
Age/Developmentally Specific/Population Based Care
1
2
3
4
Pain Assessment and Management - Verbal/Non-Verbal
1
2
3
4
Interpretation and Communication of Lab Values
1
2
3
4
COMPUTERIZED CHARTING
1
2
3
4
Epic
1
2
3
4
Cerner
1
2
3
4
Eclipsys
1
2
3
4
McKesson
1
2
3
4
Meditech
1
2
3
4
Other Computerized System
1
2
3
4
Computerized Physician Order Entry
1
2
3
4
Bar Coding for Medication Administration
1
2
3
4
Yes
No
EMR Conversion
Yes
No
First Name
*
Last Name
*
Phone Number
*
Last 4 of Social Security Number
*
Email Address
*
Date Completed:
*
+
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.
*
Agree