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IV Pumps

Neonatal Intensive Care Unit RN Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1 - 2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

AGE OF PATIENTS CARED FOR

Neonate <23 weeks
Neonate 23-28 weeks
Neonate 29-32 weeks
Neonate >32 weeks
Full Term Newborn
Automated Med Dispensing Systems
Electronic Documentation

GENERAL SKILLS

Peripheral IV Insertion, Care and Maintenance
Access/Management of Implanted Ports
Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)
Cardiac Monitoring/Interpretation
PCA/Epidural pumps
Titration of drips
Administration of Blood/Blood Products
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores
Crash Carts
Defibrillators
Apgar scoring
Eye exam (r/o retinopathy)
Cord care
Neonatal skin care
Positioning Devices

NEUROLOGICAL

Assessment of neurological status
Intracranial pressure monitoring

NEUROLOGICAL-Care of Neonate with:

Brain death/organ procurement
Internal/Externalized VP shunt/reservoirs
Intraventricular hemorrhage
Increased intracranial pressure
Meningitis
Seizures
Myelomeningocele
Spina Bifida
Peri-Ventricular Leukomalacia
Care for a Myleo (wound/cathing)
Hypoxic/Ischemic Encephalopathy (HIE) CFM/Cool Cap
Lumbar Puncture to r/o Meningitis

KNOWLEDGE AND USE OF

Anticonvulsants

CARDIOVASCULAR

Assessment/Auscultation (rate, rhythm, volume)
Blood pressure/invasive (arterial line)
Blood Pressure/non-invasive
Heart Sounds/Murmurs
Perfusion
Pulses
Defibrillation/Cardioversion
Invasive hemodynamic monitoring
Central venous pressure
Echocardiogram

CARDIOVASCULAR-Care of Neonate with:

Cardiac Arrest
Cardiac Transplant
Cardiomyopathy
Congenital Heart Disease/Defects
Hemodynamic instability
Cardiogenic/Hypovolemic Shock
Post cardiac Surgery
Post Cardiac Cath
Hyper/hypotension

KNOWLEDGE AND USE OF

Digoxin
Dobutamine
Dopamine
Epinephrine
Nipride
Vasopressin
Milrinone
Sodium Bicarbonate

RESPIRATORY

Assessment of Breath Sounds
Rate and work of breathing
Interpretation of ABGs
Airway Management
Assist with Intubation
Bulb Syringe
Laryngeal Mask Airway (LMA)
Endotracheal Tube Suctioning
ETT Sutured In - Post mandibular Distraction, Airway Anomalies
In-Line Suction
Open ET catheter suction
Extubation
Nasal/Oral airway/suctioning
Tracheostomy/suctioning
Emergency Tracheostomy at Bedside
Apnea Monitor
Respiratory Arrest/Insufficiency

Chest Tube Care and Maintenance

Assist with Chest Tube Insertion
Pneumo Kit for Tension Pneumo - Emergent
Assist with Chest Tube Removal
ECMO (Extracorporeal Membrane Oxygenation)

O2 Therapy Delivery Systems

Bag and Mask
Blow -by Oxygen
Nasal cannula
Nebulizer
Oxyhood/Tent
Trach collar

Obtaining Blood Samples

Arterial
Heelstick
Peripheral
Umbilical Line

Use of Ventilators

CPAP/PEEP
High frequency jet ventilator
Home ventilator
IMV
Nasal IMV
Oscillating
Pressure ventilator
Volume ventilator
CO2 Monitoring
Weaning

RESPIRATORY-Care of Neonate with:

Apnea/Bradycardia/Desaturations
Meconium aspiration
Cystic Adenomatoid malformation CAM)
Pulmonary Interstitial Emphysema (PIE)
Persistent pulmonary hypertension (PPHN)
Bronchopulmonary dysplasia (BPD)
Transient Tachypnea of the Newborn (TTN)
Diaphragmatic hernia
Fresh tracheostomy
Pneumothorax
Respiratory distress syndrome (RDS)
Respiratory failure

KNOWLEDGE AND USE OF

Caffeine
Prostaglandin
Bronchodilators
Steroids
Lasix
Aldactazide
Diamox
Istat
Thoracentesis
Artificial surfactant

GASTROINTESTINAL

Abdominal girth
Bowel sounds
Palate
Wound Vac
Extreme Gastrochisis
Ostomies
Suck/Swallow
Care of gastrostomy tube

Feedings

Assist with breast feeding
Bottle
Breast milk handling/storage
Gavage
Hospital grade electric breast pump

Placement of intestinal tubes

Jejunal/gastro
Nasogastric/or gastric
Transpyloric
Weighted NG/OG
Gastric Aspiration to Check Placement
Test for occult blood

GASTROINTESTINAL-Care of Neonate with:

Cleft lip/palate
GI bleed
Ostomy
Post abdominal surgery
Diaphragmatic Hernia
Pnemotosis
MSPF - Malrotation
Adhesions/Strictures
Inguinal hernia
Necrotizing enter colitis
Gastroschesis/omphalocele
Duodenal Atresia
Bowel Obstruction
Biliary Atresia
Hirschsprungs Disease
Reflux
Tracheoesophageal fistula (TEF)

RENAL/GU/METABOLIC/ENDOCRINE

Fluid & electrolyte balance
Calculating Output
Knowledge/Interpretation of Lab Results/Chemistry
Bilirubin
Test Urine and Interpret
Glucose
Labstix
Occult Blood
pH
Cholestatic Jaundice
Liver, Jaundice
Specific gravity

Collection of urine specimens

Assist with suprapubic tab
Catheter
Diaper/bag

RENAL/GU/METABOLIC/ENDOCRINE-Care of Neonate with:

Phototherapy for jaundice
Post circumcision care
Acute renal failure
Polycystic Kidneys
DIC (disseminated intravascular coagulation)
Disorders of internal/external organs
Ascites
Acute Tubular Necrosis
Drug addiction/withdrawal
Hyper/hyponatremia
Infant of Diabetic Mother- Monitor for Hyper/hypoglycemia
Malformations of the GU tract, kidney
Peritoneal dialysis

RENAL/GU/METABOLIC/ENDOCRINE-Care of Neonate with:

Phototherapy for jaundice
Post circumcision care
Acute renal failure
Polycystic Kidneys
DIC (disseminated intravascular coagulation)
Disorders of internal/external organs
Polycystic Kidneys
DIC (disseminated intravascular coagulation)
Disorders of internal/external organs
Ascites
Acute Tubular Necrosis
Drug addiction/withdrawal
Hyper/hypokalemia
Hyper/hyponatremia
Infant of Diabetic Mother- Monitor for Hyper/hypoglycemia
Malformations of the GU tract, kidney
Peritoneal dialysis

INFECTIOUS DISEASES

Assist with lumbar puncture
Collect culture specimens
Isolation techniques
Standard precautions
Knowledge of Lab Results
CBC/differential
Culture reports
Maternal lab results

INFECTIOUS DISEASE-Care of Neonate with:

Hepatitis surface antigen+ mother
HIV positive mother
Neonatal sepsis

KNOWLEDGE AND USE OF

Antibiotics
HBIG
HBV
HIB
RespiGam/synagis prophylaxis

MEDICATION SKILLS/KNOWLEDGE & USE

Calculation of dosage
Prep and Administration of Emergency Meds
Emergency drug action & reaction
Eye Prophylaxis - Vitamin K
Neonatal drug action & reactions

PAIN MANAGEMENT

Assessment of pain level using age appropriate scales
Care of Neonate with sedation
Use of Sedation Reversal Agents
Fentanyl
Versed
Morphine
Ativan
Pavulon

IV THERAPY/PHLEBOTOMY

Administration of blood/blood products
Cryoprecipitate
Packed red blood cells
Plasma/albumin
Whole blood
Drawing blood from central line
Drawing venous blood
Hyperalimentation/TPN/PPN
Intralipid

Delivery Systems

IV pump
Syringe pump
Maternal lab results

Managing IV Therapy

Insertion
IV Infiltrate reversal Drugs
Discontinuation
Dressing & tubing change
Rate Calculation
Site & patency assessment

IV THERAPY/PHLEBOTOMY-Care of the Neonate with:

Central Line/Catheter/Dressing
Broviac
Groshong
Hickman
Port-A-Cath
Quinton
Percutaneous arterial line
PICC (peripherally inserted central catheter)
Umbilical artery line
Umbilical venous line

GESTATIONAL AGE

Ballard
Dubowitz
Gestational Age Assessment
Maternal history
Screen for hearing loss
Congenital Heart Screen
Car Seat Study
Equipment & Procedures
Bereavement/postmortem care

CONSENTS

Immunization
Procedural
Treatment

FAMILY TEACHING/EDUCATION

Care Planning
Preparation for transport/transfer

Thermoregulation

Isolette with humidity
Radiant warmer
Temperature (axillary,rectal,skin)
Weaning to open crib/bassinet

Thermoregulation

Isolette with humidity
Radiant warmer
Temperature (axillary,rectal,skin)
Weaning to open crib/bassinet

Weaning to open crib/bassinet

Weaning to open crib/bassinet
Weights
Bed scale
Scale
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