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Pediatric Intensive Care Unit (PICU) 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
GENERAL SKILLS
MEDICATION ADMINISTRATION
CARDIOVASCULAR-Care of Child with:
Invasive hemodynamic monitoring PA/Swan Ganz
CARDIOVASCULAR-Care of the Child With:
RESPIRATORY GENERAL SKILLS
Airway Management
Suctioning
Chest Tube (assist with)
O2 Therapy
Ventilators
RESPIRATORY-Care of Child With:
NEURO GENERAL SKILLS
NEURO-Care of Child With:
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