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PICU

PICU

PICU

Question 

Proficiency 

Frequency

WORK SETTING EXPERIENCE

Inpatient Acute Care Facility
Trauma Center
Academic/Teaching Facility
Outpatient Care Facility
Long term care/Skilled Nursing
Clinic/Ambulatory
Home Health Setting

GENERAL SKILLS EXPERIENCE

Setting - Children’s hospital
Setting - University healthcare facility
Setting - Community hospital
Family teaching
Assessment of normal growth & development
Recognize/report signs of child abuse/neglect
Consents
Specialty beds
Restrictive devices (restraints)
End of life care/pallative care
Wound assessment & care
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication administration
Diabetic care & education
Blood Glucose Monitoring (BGM)
Insulin administration
National Patient Safety Goals
Accurate patient identification
Awareness of HCAHPS
Effective communication
Interpretation & communication of lab values
Medication administration
Pediatric dosage calculations
Delivery methods: eye/ear/IM/IV/SQ
Medication reconciliation
Labeling (medications & specimens)
Anticoagulation therapy
Pain assessment & management
Steroids (inhaled/IV/PO)
Monitoring conscious sedation
Infection control
Universal precautions
Isolation
Minimize risk falls
Prevention of pressure ulcers
Pain assessment & management

IV THERAPY EXPERIENCE

Starting & maintaining peripheral IVs
Blood draw: venous
Central line care (includes PICC/Broviac/Groshong/Hickman)
Blood draw: central line
Care & management of ports
Care & management of nonvascular devices (epidural, intrathecal)
TPN & lipids
Administration of blood & blood products
Infusion pumps

CARDIOVASCULAR EXPERIENCE

Pediatric CV assessment

ASSIST WITH INSERTION & MANAGEMENT OF

Arterial line
CVC (central venous catheter)
Swanz-Ganz
Hemodynamic monitoring
Extra Corporeal Membrane Oxygenation (ECMO)
Use of doppler

CARDIAC MONITORING & EMERGENCY CARE

Administration of PALS protocols & medications
Broslow system
Interpretation & treatment of dysrythmias
Rapid response team member
Use of rapid response teams

CARE OF CHILD WITH

Bacterial endocarditis
DIC
Post cardiac cath
Cardiac transplant
Cardiogenic shock
Cardiomyopathy
Congenital heart disease/defects
Hypovolemic shock
Myocarditis/pericarditis
Permanent pacemaker
Temporary pacemaker

MEDICATIONS

Antidysrythmics
Antihypertensives
Cardiac glycoside (digoxin)
Platelet inhibitors (Aggrastat/Integrilin/ReoPro)
Anti-rejection immunosuppressants
Vasoactive agents

PULMONARY EXPERIENCE

Respiratory assessment (rate & work of breathing)

EQUIPMENT/PROCEDURES

Metered dose inhaler
Nebulized medications
Assist with & manage intubation
Tracheostomy care
Assist with & maintain chest tube
Obtain & interpret Arterial blood gas
O2 therapy (NC/oxyhood/tent)
Thoracentisis
Ventilator management

CARE OF CHILD WITH

Acute Respiratory Distress Syndrome (ARDS)
Respiratory Syncytial Virus (RSV)
Chronic respiratory disease
Croup
Epiglottits
Reactive Airway Disease (RAD)
Status asthmaticus
Pulmonary hypertension
Pneumonia
Near drowning

NEUROLOGICAL EXPERIENCE

Bronchodilators
Racemic epinephrine
Neurological Experience
Neuro assessment
Glascow coma scale

PROCEDURES

Assisting with LP
Intracranial pressure (ICP) insertion & monitoring

CARE OF CHILD WITH

Muscular degenerative diseases
Meningitis
Coma
Brain death/organ procurement
Encephalitis/encephalopathy
External ventricular drains
VP shunts/reservoirs
TBI (Traumatic Brain Injury)
Status epilepticus
Spinal cord injury
Post nuero surgery

MEDICATIONS

Anticonvulsants
Mannitol
Psychostimulants (Ritalin/Adderall)

ORTHOPEDICS EXPERIENCE

Orthopedic assessment

CARE OF CHILD WITH

Traction
Cervical traction
Pinned fractures
Post vertebral surgery

GASTROINTESTINAL EXPERIENCE

GI assessment
Nutritional assessment

EQUIPMENT/PROCEDURES

Abdominal decompression (NG, sump tubes, intermittent & continuous suction)
Colostomy/ileostomy
Placement of feeding tubes (NG)
G-tube/J-tube
Gastrointestinal - cont. Experience

FEEDINGS

Assist with breastfeeding
Breastmilk handling & storage
Bottle
Gavage

CARE OF CHILD WITH

Abdominal trauma; bleeding
Ascites
Surgical abdomen
Severe dehydration/gastroenteritis
Hepatic failure
Hepatitis
Hyperbilirubinemia
Necrotizing Entercolitios (NEC)
Ruptured spleen
GI bleeding
GI organ transplants
Surgical abdomen

RENAL/GENITOURINARY EXPERIENCE

Assessment of fluid balance

EQUIPMENT/PROCEDURES

Assist with suprapubic taps
Insertion & care of foley catheter

CARE OF CHILD WITH

Acute renal failure
Hemodialysis
Peritoneal dialysis
Hemolytic Uremic Syndrome (HUS)
Post renal transplant
Nephritis
Ileal conduit

SKIN CARE EXPERIENCE

Skin assessment

CARE OF CHILD WITH

Burns
Traumatic wounds
Vacuum Assisted Device (VAC)

ONCOLOGY EXPERIENCE

Administration of chemotherapy
Monitoring of chemotherapy (does not initiate)
Assist with bone marrow aspiration

CARE OF CHILD WITH:

Acute anemia
Acute tumor lysis syndrome
Bone marrow transplant
Leukemia
Malignant tumors
Neutropenia
Sickle cell anemia
Hemophilia
Graft verses host disease
Inpatient hospice

AUTOIMMUNE DISEASES EXPERIENCE

Addison’s disease
Cushing’s disease
Celiac disease/gluten intolerance
Grave’s disease
Hypothyroidism
Lupus

INFECTIOUS DISEASES EXPERIENCE

Usual child diseases (mumps/measles/chicken pox)
CMV/HIV/AIDS
Tuberculosis
Septic shock
Fever management

MEDICATION/ADMINISTRATION

Antiinfectives

MISCELLANEOUS EXPERIENCE - CARE OF CHILD WITH

Trauma
Craniofacial reconstruction
ENT surgery
Ingestions/overdose
Suicidal ideation/attempts
Craniofacial reconstruction

AGE-SPECIFIC EXPERIENCE

Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)

Rank each of the following sections on a scale

No experience

Little Experience

High Experience

Master

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