Neonatal ICU


 
This checklist was electronically signed on (Today’s date)
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

PATIENT TYPES

Neonates < 28 Weeks

Neonates 29 - 34 Weeks

Neonates > 34 Weeks

WORK SETTINGS

Level II NICU

Level III NICU

Level IV NICU

CARDIOVASCULAR

Cardiac Surgery - Pre-op

Cardiac Surgery - Immediate Post-op

Congenital Heart Disease/Defects

CHF/Pulmonary Edema

Hemodynamic Instability

PULMONARY

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

Ballard/Dubowitz

Reflexes Based on Gestational Age

Hydrocephalus

Intraventricular Hemorrhage

Meningocele/Myelomeningocele

Neonatal Abstinence Score/Syndrome

Seizures

GASTROINTESTINAL

Colostomy/Ileostomy

Gastroschisis/Omphalocele

GI Bleeding

Necrotizing Enterocolitis

Post Abdominal Procedure

FEEDINGS

Breast Milk Handling/Storage

Breast Pump

Gavage Feedings

NG/OG/NJ Tube Placement and Management

RENAL/ENDOCRINE/GENETIC

Circumcision Care

Genetic Disorders

Hypo/Hyperglycemia

Infant of Diabetic Mother

Malformations of the GU Tract/Kidney

Phototherapy

Renal Failure

INFECTIOUS DISEASES

Neonatal Sepsis

Septic Work Up

Assist with Lumbar Puncture

MEDICATIONS

Calculation of Neonatal Dosages

Antibiotics/Antivirals

Anticonvulsants

Immunizations

Digoxin

IV Vasopressors

Prostaglandin

Bronchodilators

Steroids

Caffeine

Automated Medication Dispensing (i.e. Pyxis, Omnicell)

Surfactant

IV THERAPY

Administration of Blood/Blood Products

Central Line Catheter/Dressings

Management of UAC/UVC Lines

Radial Arterial Lines

Start IVs

CARDIAC MONITORING & EMERG. RESPONSE

Attend High Risk Deliveries

Preparation for Transport

Transport Neonate

Rhythm Interpretation

Dysrhythmia Management

PROFESSIONAL KNOWLEDGE AND SKILLS

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

Epic

Cerner

Eclipsys

McKesson

Meditech

Other Computerized System

EMR Conversion

Computerized Physician Order Entry

Bar Coding for Medication Administration

CERTIFICATIONS

BLS

  Yes

  No

CNRN

  Yes

  No

ACLS

  Yes

  No

CCRN

  Yes

  No

Other: