NICU SKILLS CHECKLIST

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NICU SKILLS CHECKLIST

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

PATIENT TYPES

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Neonates
< 28 Weeks
Neonates 29 – 34 Weeks
Neonates > 34 Weeks
WORK SETTINGS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Level II NICU
Level III NICU
Level IV NICU
CARDIOVASCULAR

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Cardiac Surgery – Pre-op
Cardiac Surgery – Immediate Post-op
Congenital Heart Disease/Defects
CHF/Pulmonary Edema
Hemodynamic Instability
PULMONARY

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Ballard/Dubowitz
Reflexes Based on Gestational Age
Hydrocephalus
Intraventricular Hemorrhage
Meningocele/Myelomeningocele
Neonatal Abstinence Score/Syndrome
Seizures
GASTROINTESTINAL

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Colostomy/Ileostomy
Gastroschisis/Omphalocele
GI Bleeding
Necrotizing Enterocolitis
Post Abdominal Procedure
FEEDINGS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Breast Milk Handling/Storage
Breast Pump
Gavage Feedings
NG/OG/NJ Tube Placement and Management
RENAL/ENDOCRINE/GENETIC

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Circumcision Care
Genetic Disorders
Hypo/Hyperglycemia
Infant of Diabetic Mother
Malformations of the GU Tract/Kidney
Phototherapy
Renal Failure
INFECTIOUS DISEASES

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Neonatal Sepsis
Septic Work Up
Assist with Lumbar Puncture
MEDICATIONS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Administration of Blood/Blood Products
Central Line Catheter/Dressings
Management of UAC/UVC Lines
Radial Arterial Lines
Start IVs
CARDIAC MONITORING & EMERG. RESPONSE

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Attend High Risk Deliveries
Preparation for Transport
Transport Neonate
Rhythm Interpretation
Dysrhythmia Management
PROFESSIONAL KNOWLEDGE AND SKILLS

No Experience Need Traning Able to perform with Supervision Able to perform Independently
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
EMR

No Experience Need Traning Able to perform with Supervision Able to perform Independently
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
EMR Conversion
CERTIFICATIONS

Expiry Date :
BLS
NRP
PALS
S.T.A.B.L.E
NCC Certification – RNC-NIC
Other: Specify
Other: Specify

I hereby certify that ALL information I have provided on this skills checklist, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.