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Neonatal ICU Skills Checklist


1 = > 2 years experience
2 = 1-2 years experience
3 = < 1 year experience
4 = theory only
RESPIRATORY
CARDIAC
Breath sounds
Assessment of capillary refill
Rate, rythym, depth
Assessment of cardiac status
Assessment of respiratory status
Identifies presence or absence of murmurs
Color-pallor, mottling, cyanosis
Normal range of vital signs in infants
Respiratory distress-flaring, nares, chin lag, stridor, grunt
Use of cardiac monitor-alarm setting, proper application of leads
Assemenet and management of peridoic apnea/bradycardia
Use of monitoring equipment for invasive blood pressure
Use of apnea monitor
Monitoring arterial pressure and assessment of peripheral pulses
Use of pulse oximeter
Interpretation of SaO2
Use of neonatal ventilators
NEUROLOGICAL / MUSCULOSKELETAL
Care of infant receiving O2 therapy
Use of respiratory equipment Quality of cry
Flowmeters
Head circumference
Nasal cannula
Neurological assessment
Ambu bag
Assists in lumbar puncture
Nebulizers
Fontanelles
Oxyhood
Response to stimuli
Management of the infant receiving mechanical ventilation
Pupillary response
Follows protocol for managing the neonate with chest tubes
Reflexes - suck, grasp, moro
Pulmonary hygiene-suctioning (oral pharyngeal,ETT),trach
Seizure activity / seizure precautions
Assists with insertion of chest tube-sets up water seal drainage
Interpretation of arterial / capillary blood gases results
THERMOREGULATION
HEMATOLOGIC SYSTEM
Follows thermoregulation protocol
Follows operation instruction for Isolettes
Follows protocol for infant receiving phototherapy
Follows operation instruction for Radiant Warmers
Use of Billi lights and Billi blanket
Follows operation instruction for Radiant Warmers
Assists with UAC / UVC insertion
ELIMINATION
Follows protocol for care of invasive lines
Obtains venous blood specimen peripheral
Obtains clean catch urine specimen
Interprets lab values correctly
Test urine - labstick
Protocol for infant receiving an exchange transfusion
Hematest / clinitest stool
Administers blood products per protocol
Assist with circumcision
Care of circumcision site
Manhattan Nurses-Travel Nursing Jobs in Manhattan, New York
(888) 894-2900 (bus) (888) 894-2073 (fax)

Neonatal ICU Skills Checklist

1 = > 2 years experience
2 = 1-2 years experience
3 = < 1 year experience
4 = theory only

NUTRITION
EMERGENCY SITUATIONS
Breastfeeding principles
Location and check of resuscitation equipment-Nursery and DR
Breast milk collection and storage
Use of breast pump
Code Procedure - knows role
Bottle feeding
Use of different nipples
Bag and mask ventilation
Use of different formulas
Use of feeding flowsheet
Assists endotracheal intubation
Care of infant with:
Nasogastric feeds
FLUID AND ELECTROLOYTES
Continuous
Intermittent
I and O assessment
Gastrostomy feeds
Insertion of NG / OG feeding tube
Calculation of fluid requirements
Checking placement
Checking residuals
Follows IV protocol
Administration of PIN, lipids
Use of IV pumps, burettes and syringe pumps
Use of blood glucose reflectance meter
Insertion of peripheral IV angiocaths-site selection in infants
Assessment of hypoglycemia
IMMUNOLOGIC SYSTEM
MEDICATION ADMINISTRATION
Adheres to procedures for isolation
IV - IV push, drips
Adheres to procedures for handwashing / gowning
PO
Practices universal precautions
Ophthalmic
Follows neonatal skin care protocol
Suppository
PSYCHOSOCIAL
IM, SC
Able to develop plan for intervention
NEONATAL LEVELS
Identifies nees of parents with high-risk infant
NEONATAL LEVEL I
Facilitates parent bonding with infant
NEONATAL LEVEL II
NEONATAL LEVEL III

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(888) 894-2900 (bus) (888) 894-2073 (fax)
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