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No experience: requires education, training and supervision
Intermittent experience: may need support or supervise
Proficient: consistent experience, independent
Expert level: can teach/supervise others.

Work settings

Pediatric MedSurg

1
2
3
4

Pediatric Neuro

1
2
3
4

Pediatric Oncology

1
2
3
4

Pediatric Ortho

1
2
3
4

Pediatric Step Down/Telemetry

1
2
3
4

CARDIOVASCULAR

Cardiac Arrest/CPR

1
2
3
4

Congenital Heart Disease/Repair

1
2
3
4

Dysrhythmia Interpretation/Management

1
2
3
4

Heart Sounds

1
2
3
4

Pediatric Early Warning Score (PEWS)/Rapid Response Team

1
2
3
4

Post Cardiac Cath

1
2
3
4

Post Cardiac Surgery

1
2
3
4

ENDOCRINE/METABOLIC

Blood glucose monitoring

1
2
3
4

Diabetes - Hypo/Hyperglycemia

1
2
3
4

Diabetic care/education

1
2
3
4

Diabetic Ketoacidosis

1
2
3
4

Hyperbilirubinemia

1
2
3
4

Indwelling Insulin Pumps

1
2
3
4

Insulin administration

1
2
3
4

IV Insulin Pumps

1
2
3
4

Pancreas transplant

1
2
3
4

Thyroid malfunction

1
2
3
4

GASTROINTESTINAL

Anorexia/bulimia

1
2
3
4

Bowel Obstruction

1
2
3
4

Breastfeeding Support/Handling of Breast Milk

1
2
3
4

Cleft Lip/Palate

1
2
3
4

Colostomy/Ileostomy care

1
2
3
4

Feeding Intolerance

1
2
3
4

Feedings (bottle, breast, gavage)

1
2
3
4

Gastroenteritis/Dehydration

1
2
3
4

Gi bleeding

1
2
3
4

Inflammatory Bowel Disease

1
2
3
4

Placement of oral/nasogastric tubes

1
2
3
4

Surgical Drains

1
2
3
4

INFECTIOUS DISEASE

Childhood Communicable Diseases

1
2
3
4

Hepatitis

1
2
3
4

HIV

1
2
3
4

Kawasaki Disease

1
2
3
4

Professional Topic and Skills

Immunizations

1
2
3
4

Infection prevention

1
2
3
4

Interpretation and communication of lab values

1
2
3
4

Isolation precautions

1
2
3
4

National Patient Safety Goals

1
2
3
4

Normal growth and development

1
2
3
4

Pain assessment and management

1
2
3
4

Patient/family teaching

1
2
3
4

Recognize signs of abuse/neglect

1
2
3
4

Restraints/Use of Least Restrictive Device

1
2
3
4

Wound assessment/care

1
2
3
4

IV Therapy/Phlebotomy

Administration of Blood and Blood Products

1
2
3
4

Arterial line management

1
2
3
4

Care and management of ports

1
2
3
4

Central Line Blood Draw

1
2
3
4

Central Line/Implanted Line Care

1
2
3
4

Phlebotomy

1
2
3
4

Starting and maintaining IVs

1
2
3
4

TPN/Lipids

1
2
3
4

MEDICATIONS/EMERGENCY MEDICATIONS

Automated Medication Dispensing Systems

1
2
3
4

Automated Medication Dispensing Systems (copy)

1
2
3
4

Pyxis

1
2
3
4

Accudose

1
2
3
4

Bar Code Medication Administration

1
2
3
4

Anticoagulation therapy

1
2
3
4

Anti-Hypertensives

1
2
3
4

Anti-Seizure Medications

1
2
3
4

Emergency Medications

1
2
3
4

Narcotics/Opioid Analgesics (IV/Oral/Injection)

1
2
3
4

Non-Opioid Analgesics (IV/Oral/Injection)

1
2
3
4

Pediatric Dosage Calculations

1
2
3
4

Procedural Sedation - Recovery

1
2
3
4

Reversal Agents

1
2
3
4

Steroids (IV/Oral/Inhaled)

1
2
3
4

Use of Broselow system

1
2
3
4

NEUROLOGIC

Assist with lumbar puncture

1
2
3
4

Brain injury

1
2
3
4

Glascow Coma Scale

1
2
3
4

Hydrocephalus

1
2
3
4

Meningitis

1
2
3
4

Near drowning

1
2
3
4

Neuromuscular disease

1
2
3
4

Seizure Disorders

1
2
3
4

Spinal Cord Injury

1
2
3
4

VP shunt

1
2
3
4

ONCOLOGY

ONCOLOGY

1
2
3
4

Bone Marrow Transplant

1
2
3
4

Cooling blanket

1
2
3
4

Hemophilia

1
2
3
4

Hodgkin's disease

1
2
3
4

Leukemia

1
2
3
4

Malignant Tumors

1
2
3
4

Monitoring chemotherapy (does not initiate)

1
2
3
4

Neutropenic precautions

1
2
3
4

Sickle Cell Anemia

1
2
3
4

Orthopedic

Assessment of circulation checks

1
2
3
4

Extremity Fracture/Cast

1
2
3
4

Fractures

1
2
3
4

Osteomyelitis

1
2
3
4

Pin Care

1
2
3
4

Post Harrington rod insertion

1
2
3
4

Post Vertebral Surgery

1
2
3
4

Traction - General

1
2
3
4

Traction - Halo

1
2
3
4

RESPIRATORY

Apnea Monitor

1
2
3
4

Chest Physiotherapy

1
2
3
4

Management of Chest Tubes

1
2
3
4

Oral/ nasal Suctioning

1
2
3
4

Oxygen Delivery Systems

1
2
3
4

Respiratory assessment

1
2
3
4

Tracheostomy Management

1
2
3
4

Ventilator management

1
2
3
4

Asthma

1
2
3
4

Cystic fibrosis

1
2
3
4

ENT Surgery

1
2
3
4

Epiglottitis

1
2
3
4

Laryngotracheobronchitis (Croup)

1
2
3
4

Pneumonia

1
2
3
4

RSV

1
2
3
4

Tonsillitis

1
2
3
4

Tuberculosis

1
2
3
4

RENAL/GENITOURINARY

Assessment of fluid balance

1
2
3
4

Circumcision

1
2
3
4

Glomerulonephritis

1
2
3
4

Insertion and management of indwelling urinary catheter

1
2
3
4

Management of suprapubic catheter

1
2
3
4

Peritoneal dialysis

1
2
3
4

Renal Failure

1
2
3
4

Renal Transplant

1
2
3
4

Testicular Torsion

1
2
3
4

Urinary Retention

1
2
3
4

Use of bladder scanner

1
2
3
4

UTI

1
2
3
4

COMPUTERIZED CHARTING

Allscripts

1
2
3
4

Cerner

1
2
3
4

EPIC

1
2
3
4

McKesson

1
2
3
4

Other:

1
2
3
4

If other, please specify

Age specific competency

Neonate

1
2
3
4

Infant

1
2
3
4

Child

1
2
3
4

Adolescent

1
2
3
4

Young Adult

1
2
3
4

Middle Adult

1
2
3
4

Older Adult

1
2
3
4

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