Pediatric Emergency Department Skills Checklist

Fill Out and Submit your Skills Checklist

    (Pediatric Emergency Department)

    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.

    Proficiency Scale:

    • 1 = No Experience
    • 2 = Need Training
    • 3 = Able to perform with supervision
    • 4 = Able to perform independently
    CARDIOVASCULAR

    0

    0

    0

    0

    0

    PULMONARY

    0

    0

    0

    0

    0

    0

    0

    0

    0

    NEUROLOGICAL

    0

    0

    0

    0

    ORTHOPEDIC

    0

    0

    0

    0

    0

    0

    0

    GASTROINTESTINAL

    0

    0

    0

    0

    0

    0

    ENDOCRINE/METABOLIC

    0

    0

    0

    GENITOURINARY

    0

    0

    0

    0

    OB/GYN

    0

    0

    0

    0

    0

    0

    EENT

    0

    0

    0

    0

    TRAUMA

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    INFECTIOUS DISEASE/IMMUNOSUPPRESSION

    0

    0

    0

    0

    PSYCHIATRIC

    0

    0

    0

    MEDICATIONS

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    PROFESSIONAL KNOWLEDGE AND SKILLS

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    EMR

    0

    0

    0

    0

    0

    0

    0

    0

    0

    AGE SPECIFIC COMPETENCIES

    0

    0

    0

    0

    0

    0

    0

    0

    CERTIFICATES