NEONATAL INTENSIVE CARE UNIT - PDF - PDF

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					                                   Corporate Office                                                      NEW YORK     718.396.7325
                                   91-31 Queens Blvd., Ste. 509
                                                                                                         NEW JERSEY   201.239.9333
                                   Elmhurst, NY 11373
                                   T:   718.396.7325                                                     CALIFORNIA       323.937.7210

www.junohealthcare.com             F:   718.396.7328                                                     ARIZONA          602.274.2000




                                            NEONATAL INTENSIVE CARE UNIT
                                                         SKILLS CHECKLIST


        NAME__________________________________________________________ DATE: ___________________

         Please check the column that best describes your level of clinical experience.

                  LEVEL OF PROFICIENCY
                  1 = NO EXPERIENCE
                  2 = LIMITED EXPERIENCE
                  3 = MODERATE EXPERIENCE
                  4 = COMPETENT


                                        1    2      3      4                                              1    2      3       4

  GENERAL                                                             environment
  Gestational assessment                                              Administration & monitoring of
  Physical assessment                                                 medications given
  Assessment of heart sounds                                          oral
  Assessment of lung sounds                                           IM
  TPR                                                                 IV
  Blood pressure                                                      SP
  Intra-arterial monitor                                              Initiating and maintaining IV
  Cardiac monitor                                                     therapy
  Transcutaneous monitor                                              Use of infusion pumps
  Use of various ventilators                                          Use of IVAC control pumps
  Oxyhood                                                             Use of IVAC syringe
  Bag/Mask                                                            Oral/nipple feeding
  Infant CPR                                                          OGT/insertion and feeding
  Ambubagging by hand during                                          Continuous OGT feed
  infant CPR                                                          Intermittent OGT
  Suctioning - oral                                                   Breast milk collection/storage
  Suctioning - nasal                                                  Baby at breast
  CPAP application                                                    Drawing blood samples for
  Humidification                                                      ABG's
  Chest PT/neonatal procedure                                         Working knowledge of neonate
  Utilization of bilimeter                                            lab values
  Phototherapy                                                        Documentation of all infant
                                                                      reactions
  Infant stimulation
                                                                      Responses to any
  Infant destimulation
                                                                      therapy/medication
  Utilization of radiant warmers
                                                                      Administration and monitoring of
  Utilization of air-shields
                                                                      blood & Blood products
  Maintenance of neutral-thermal
                                                                      CARE OF INFANT WITH:
                                    1   2   3   4                                       1   2   3   4

Respiratory Distress Syndrome                       Rheumatoid arthritis
Chest Tubes                                         Fractures of extremities
Hypothermia                                         Muscular dystrophy
Colostomy                                           Leukemia
ileostomy                                           Post bone marrow transplant
prematurity                                         Assisting with bone marrow
perforation sepsis                                  aspiration
vessel occlusion                                    Anemia
hemorrhage                                          Sickle cell
patent ductus arteriosus                            Hemophiliac
tetralogy of Fallot                                 Administration and monitoring of
Tracheolo-esophageal Fistula                        chemotherapeutic agents
AIDS                                                oncology - all phases
Hyperthermia                                        tracheoesophageal fistula
Providing family teaching                           inguinal hernia
regarding infant's treatment &                      necrotizing enterocolitis
progress                                            Chrones disease
Assessment of family emotional                      peritoneal dialysis
needs & appropriate intervention                    ILuit conduit
needed                                              Wilm's tumor
Infant death                                        renal failure
Assisting family with grieving                      kidney transplants
process                                             NEUROVASCULAR ASSESSMENT
Charting within the legal aspects
                                                    circulation check
of law
                                                    LOC
Charge nurse experience
                                                    fontanels
Team leader experience
                                                    pupil size and response
Care of patient with:
                                                    Head to toe assessment of
PDA ligation
                                                    child/infant
CHF
                                                    Use of doppler for blood
DIC                                                 pressure
AIDS                                                Determining blood pressure by
Pre/Post cardiac surgery                            palpation
Respiratory distress syndrome                       Interpretation of normal
Broncho-pulmonary dysplasia                         infant/child lab values
Croup                                               Pre/Post cardiac surgery care
Epiglottis                                          Foley catheter insertion and care
Emphysema/asthma                                    Suprapubic catheter care
Cystic fibrosis                                     Urine testing:
Pneumonia                                           (1) S & A
Near drowning                                       (2) specific gravity
Near SIDS                                           (3) ph
Care of orthopedic devices                          (4) glucose
Seizures                                            Assessment of bowel sounds
Reye's syndrome                                     and abdominal girth
Meningitis                                          Use and care of tubes:
V-P shunt                                           (1) Nasogastric
Hydrocephalus                                       (2) Gastrostomy
Spina bifida                                        (3) Miller-Abbott
Post-Harrington rod insertion                       (4) Kantor
Osteomyolitis
                                      1      2     3      4                                                          1   2     3       4

(5) Gavage feeding                                                         Use of skeletal traction
Calculating caloric intake                                                 Use of halo traction
Calculating dehydration                                                    Diabetic teaching
Child abuse                                                                Administration and monitoring of
Failure to thrive                                                          aminophylline
Tonsillectomy                                                              Dying infant/child
Cleft lip/palate                                                           Charge nurse experience
Liver transplant                                                           Team leader experience
Heart transplants                                                          Charting within the legal aspects
Pre/Post operative assessment                                              of law
Assessment of head/neck injury




     I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual
     completing this form. I hereby authorize Juno Healthcare Staffing System Inc. to release this checklist to Client facilities of
     Juno Healthcare Staffing System, Inc. in relation to my contract employment with those facilities.




                           (Signature)                                                                      (Date)

				
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