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Hudson Staffing Travel Nurses| Pediatric Emergency Department Online Checklist
Pediatric Emergency Department Online Checklist
Thank you for your decision to apply for a travel nursing position with
Hudson Staffing
! Before we can offer you a nursing employment opportunity in the Pediatric Emergency Department field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.
GENERAL INFORMATION
Note:
*
Denotes a required field.
Please enter your full name as it appears on your Social Security Card:
First Name
Middle Name
Last Name
*
Please enter the Last Four digits of your Social Security Number:
-
-
*
Please check here if you do not hold a valid social security card.
Please provide your contact information:
Phone Number
*
E-mail Address
*
Confirm E-mail Address
*
Type your e-mail address again above.
This profile is for use by healthcare professionals in the Pediatric Emergency Department discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
CARDIOVASCULAR
1
2
3
4
Cardiac Anomalies
CHF/Pulmonary Edema
Cardiogenic Shock
Cardioversion
Heart Sounds
PULMONARY
1
2
3
4
Reactive Airway Disease
Croup
Pneumonia
Epiglottitis
Aspiration
Airway Obstruction
Hemo/Pneumothorax
Chest Tube Placement/Management
ABG Interpretation
NEUROLOGICAL
1
2
3
4
Meningitis/Encephalitis
Seizures-Febrile/Epileptic
Lumbar Puncture
Migraine
ORTHOPEDIC
1
2
3
4
Fractures/Casting
Open/Complex Fractures
Nursemaid's Elbow
Apply/Manage Splints
Circulation Checks
Crutch Walking
Car Seat Instruction for Casted Patient
GASTROINTESTINAL
1
2
3
4
Abdominal Trauma/Peritoneal Lavage
Abdominal Pain
Constipation
GI Bleeding
Hepatitis/Liver Failure
Poison Ingestion
ENDOCRINE/METABOLIC
1
2
3
4
Hypoglycemia
Hyperglycemia
DKA
GENITOURINARY
1
2
3
4
Acute Renal Failure
UTI/Pyelonephritis
Renal Trauma
Testicular Torsion
OB/GYN
1
2
3
4
Menstrual Pain
Ovarian Cyst
Ectopic Pregnancy
Pelvic Inflammatory Disease/STD
Sexual Assault
Reporting Acts of Violence
EENT
1
2
3
4
Foreign Body - Eye
Foreign Body - Ear
Foreign Body - Nose
Epistaxis
TRAUMA
1
2
3
4
Glasgow Coma/Pediatric Trauma Scale
Trauma Code
Trauma Team Member
Brain Injury
Spinal Cord Injury
Spinal Precautions
Facial/Dental Trauma
Penetrating Trauma
Blunt Trauma
Traumatic Amputation
Hypovolemic Shock
Neurogenic Shock
Anaphylactic Shock
Septic Shock
Burns - 2nd Degree
Burns - 3rd Degree
INFECTIOUS DISEASE/IMMUNOSUPPRESSION
1
2
3
4
Contagious/Infectious Patients
Isolation
Reporting Communicable Disease
Neutropenia/Reverse Isolation
PSYCHIATRIC
1
2
3
4
Drug /ETOH Overdose/Withdrawal
Psychiatric Hold
Suicidal Patient
MEDICATIONS
1
2
3
4
Pediatric Dosage Calculations
Anti-Arrhythmics
Anticoagulants (IV, Oral & Injection)
Anti-Hypertensives
Anti-Psychotics
Anti-Seizure Medications
Benzodiazepines
Continuous IV Paralytics
Continuous IV Sedation
Procedural Sedation - Administration
Ketamine
Emergency Medications
Inhaled Medications
Insulin
IV Vasopressors
Narcotics/Opioid Analgesics (IV, Oral & Injection)
Reversal Agents
Steroids (IV, Oral & Inhaled)
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
Recognizing/Reporting Abuse
Triage
Ambulance/Paramedic Radio
Charge Experience
EMTALA
National Patient Safety Goals/Core Measures
Fall Risk Assessment/Prevention
Pressure Ulcer Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Patient Family Teaching
Car Seat Specific Standards/Teaching
Age/Developmentally Specific/Population Based Care
Pain Assessment and Management - Verbal/Non-Verbal
Interpretation and Communication of Lab Values
EMR
1
2
3
4
EPIC
Cerner
Eclipsys
Meditech
McKesson
Allscripts
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
EMR Conversion
Yes
No
Certifications
1
2
3
4
BLS
PALS
PEARS
ACLS
TNCC
ENPC
CEN
Please read and agree to the statements below by marking the checkbox.
You will not be able to submit until you have marked the checkbox.
*
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 Hudson Staffing to release this Pediatric Emergency Department Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.
Privacy Note:
Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (3.235.176.80) which will be used as a digital signature.
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Hudson Staffing
Phone:
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E-mail:
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