Area |
Not Applicable |
Inexperienced |
Limited |
Experienced |
Highly Experienced |
CARDIOVASCULAR |
Ausculation (rate, rhythm, volume) |
N/A
|
1
|
2
|
3
|
4
|
Blood pressure/non-invasive |
N/A
|
1
|
2
|
3
|
4
|
Heart sounds/murmurs |
N/A
|
1
|
2
|
3
|
4
|
Interpret lab results: |
N/A
|
1
|
2
|
3
|
4
|
Arterial blood gases |
N/A
|
1
|
2
|
3
|
4
|
Hemoglobin & hematocrit |
N/A
|
1
|
2
|
3
|
4
|
Basic EKG interpretation |
N/A
|
1
|
2
|
3
|
4
|
Bacterial endocarditis |
N/A
|
1
|
2
|
3
|
4
|
Cardiac arrest |
N/A
|
1
|
2
|
3
|
4
|
Cardiomyopathy |
N/A
|
1
|
2
|
3
|
4
|
Congenital heart defects/disease |
N/A
|
1
|
2
|
3
|
4
|
Congestive heart failure |
N/A
|
1
|
2
|
3
|
4
|
Myocarditis |
N/A
|
1
|
2
|
3
|
4
|
Pericarditis |
N/A
|
1
|
2
|
3
|
4
|
Post cardiac cath |
N/A
|
1
|
2
|
3
|
4
|
Post cardiac surgery |
N/A
|
1
|
2
|
3
|
4
|
Rheumatic fever |
N/A
|
1
|
2
|
3
|
4
|
Shock |
N/A
|
1
|
2
|
3
|
4
|
Digoxin (Lanoxin) use |
N/A
|
1
|
2
|
3
|
4
|
|
PULMONARY |
Breath sounds |
N/A
|
1
|
2
|
3
|
4
|
Rate and work of breathing |
N/A
|
1
|
2
|
3
|
4
|
Bulb syringe use |
N/A
|
1
|
2
|
3
|
4
|
Nasal airway/suctioning |
N/A
|
1
|
2
|
3
|
4
|
Oral airway/suctioning |
N/A
|
1
|
2
|
3
|
4
|
Tracheostomy/suctioning |
N/A
|
1
|
2
|
3
|
4
|
Apnea monitor use |
N/A
|
1
|
2
|
3
|
4
|
Chest physiotherapy |
N/A
|
1
|
2
|
3
|
4
|
Chest tube care |
N/A
|
1
|
2
|
3
|
4
|
End tidal CO2 |
N/A
|
1
|
2
|
3
|
4
|
Face mask |
N/A
|
1
|
2
|
3
|
4
|
Hood |
N/A
|
1
|
2
|
3
|
4
|
Isolette |
N/A
|
1
|
2
|
3
|
4
|
Nasal cannula |
N/A
|
1
|
2
|
3
|
4
|
Tent |
N/A
|
1
|
2
|
3
|
4
|
Trach collar |
N/A
|
1
|
2
|
3
|
4
|
Water seal drainage system |
N/A
|
1
|
2
|
3
|
4
|
Asthma |
N/A
|
1
|
2
|
3
|
4
|
Bronchiolitis (RSV) |
N/A
|
1
|
2
|
3
|
4
|
Bronchopulmonary dysplasia (BPD) |
N/A
|
1
|
2
|
3
|
4
|
Croup |
N/A
|
1
|
2
|
3
|
4
|
Cystic fibrosis |
N/A
|
1
|
2
|
3
|
4
|
Epiglottitis |
N/A
|
1
|
2
|
3
|
4
|
Pertussis |
N/A
|
1
|
2
|
3
|
4
|
Pneumonia |
N/A
|
1
|
2
|
3
|
4
|
Tonsillitis |
N/A
|
1
|
2
|
3
|
4
|
Tuberculosis (TB) |
N/A
|
1
|
2
|
3
|
4
|
Aminophylline (Theophylline) use |
N/A
|
1
|
2
|
3
|
4
|
|
NEUROLOGICAL/ORTHO |
Assess level of consciousness |
N/A
|
1
|
2
|
3
|
4
|
Assist with lumbar puncture |
N/A
|
1
|
2
|
3
|
4
|
ICP monitoring |
N/A
|
1
|
2
|
3
|
4
|
Cast care |
N/A
|
1
|
2
|
3
|
4
|
Battered child syndrome |
N/A
|
1
|
2
|
3
|
4
|
Closed head trauma |
N/A
|
1
|
2
|
3
|
4
|
Encephalitis |
N/A
|
1
|
2
|
3
|
4
|
Febrile seizures |
N/A
|
1
|
2
|
3
|
4
|
Meningitis |
N/A
|
1
|
2
|
3
|
4
|
Multiple sclerosis |
N/A
|
1
|
2
|
3
|
4
|
Near drowning |
N/A
|
1
|
2
|
3
|
4
|
Neuromuscular disease |
N/A
|
1
|
2
|
3
|
4
|
Clubfoot |
N/A
|
1
|
2
|
3
|
4
|
Multiple trauma |
N/A
|
1
|
2
|
3
|
4
|
Pinned fractures |
N/A
|
1
|
2
|
3
|
4
|
Traction |
N/A
|
1
|
2
|
3
|
4
|
Osteogenic sarcoma |
N/A
|
1
|
2
|
3
|
4
|
Osteomyelitis |
N/A
|
1
|
2
|
3
|
4
|
Corticosteroids |
N/A
|
1
|
2
|
3
|
4
|
Dilantin (Phenytoin) |
N/A
|
1
|
2
|
3
|
4
|
Phenobarbital |
N/A
|
1
|
2
|
3
|
4
|
Valium (Diazepam) |
N/A
|
1
|
2
|
3
|
4
|
|
GASTROINTESTINAL |
Abdominal assessment |
N/A
|
1
|
2
|
3
|
4
|
Nutritional assessment |
N/A
|
1
|
2
|
3
|
4
|
Interpretation of serum electrolyte lab results |
N/A
|
1
|
2
|
3
|
4
|
Gavage feedings |
N/A
|
1
|
2
|
3
|
4
|
Central hyperalimentation |
N/A
|
1
|
2
|
3
|
4
|
Peripheral hyperalimentation |
N/A
|
1
|
2
|
3
|
4
|
Jejunal feeding |
N/A
|
1
|
2
|
3
|
4
|
Gastrostomy/button |
N/A
|
1
|
2
|
3
|
4
|
I-tubes |
N/A
|
1
|
2
|
3
|
4
|
NG and sump tubes to suction |
N/A
|
1
|
2
|
3
|
4
|
Penrose drains |
N/A
|
1
|
2
|
3
|
4
|
Placement of naso/orogastric tube |
N/A
|
1
|
2
|
3
|
4
|
Anal fistula |
N/A
|
1
|
2
|
3
|
4
|
Cleft lip/palate |
N/A
|
1
|
2
|
3
|
4
|
Colostomy |
N/A
|
1
|
2
|
3
|
4
|
Diaphragmatic hernia |
N/A
|
1
|
2
|
3
|
4
|
Failure to thrive (FTT) |
N/A
|
1
|
2
|
3
|
4
|
Gastroenteritis/dehydration |
N/A
|
1
|
2
|
3
|
4
|
GE reflux |
N/A
|
1
|
2
|
3
|
4
|
Ileostomy |
N/A
|
1
|
2
|
3
|
4
|
Intestinal parasites |
N/A
|
1
|
2
|
3
|
4
|
Necrotizing enterocolitis (NEC) |
N/A
|
1
|
2
|
3
|
4
|
Pyloric stenosis |
N/A
|
1
|
2
|
3
|
4
|
Surgical abdomen |
N/A
|
1
|
2
|
3
|
4
|
Ulcerative colitis |
N/A
|
1
|
2
|
3
|
4
|
|
RENAL/GENITOURINARY |
Assess fluid balance |
N/A
|
1
|
2
|
3
|
4
|
Interpret BUN and creatinine lab results |
N/A
|
1
|
2
|
3
|
4
|
Interpret urinalysis |
N/A
|
1
|
2
|
3
|
4
|
Assist with suprapubic tap |
N/A
|
1
|
2
|
3
|
4
|
Collect urine specimen |
N/A
|
1
|
2
|
3
|
4
|
Foley catheter care |
N/A
|
1
|
2
|
3
|
4
|
Foley catheter insertion |
N/A
|
1
|
2
|
3
|
4
|
Straight cath |
N/A
|
1
|
2
|
3
|
4
|
Circumcision |
N/A
|
1
|
2
|
3
|
4
|
Glomerulanephritis |
N/A
|
1
|
2
|
3
|
4
|
Hemodialysis |
N/A
|
1
|
2
|
3
|
4
|
Hemolytic uremic syndrome(HUS) |
N/A
|
1
|
2
|
3
|
4
|
Hypospadias |
N/A
|
1
|
2
|
3
|
4
|
Infantile polycystic disease |
N/A
|
1
|
2
|
3
|
4
|
Kidney transplant |
N/A
|
1
|
2
|
3
|
4
|
Nephrotic syndrome |
N/A
|
1
|
2
|
3
|
4
|
Peritoneal dialysis |
N/A
|
1
|
2
|
3
|
4
|
Renal failure |
N/A
|
1
|
2
|
3
|
4
|
Urinary tract infection (UTI) |
N/A
|
1
|
2
|
3
|
4
|
Wilm’s tumor |
N/A
|
1
|
2
|
3
|
4
|
|
ENDOCRINE/METABOLIC |
Blood glucose testing |
N/A
|
1
|
2
|
3
|
4
|
Insulin administration |
N/A
|
1
|
2
|
3
|
4
|
Interpret blood glucose results |
N/A
|
1
|
2
|
3
|
4
|
Interpret thyroid studies |
N/A
|
1
|
2
|
3
|
4
|
Adrenal disorders |
N/A
|
1
|
2
|
3
|
4
|
Cushing’s syndrome |
N/A
|
1
|
2
|
3
|
4
|
Juvenile diabetes |
N/A
|
1
|
2
|
3
|
4
|
Pituitary disorders |
N/A
|
1
|
2
|
3
|
4
|
Thyroid malfunction |
N/A
|
1
|
2
|
3
|
4
|
|
HEMATOLOGY/ONCOLOGY |
Assess nutritional status |
N/A
|
1
|
2
|
3
|
4
|
Interpret blood chemistry lab results |
N/A
|
1
|
2
|
3
|
4
|
Interpret blood counts |
N/A
|
1
|
2
|
3
|
4
|
Reverse isolation |
N/A
|
1
|
2
|
3
|
4
|
Anemia |
N/A
|
1
|
2
|
3
|
4
|
Bone marrow transplant |
N/A
|
1
|
2
|
3
|
4
|
Depressed immune system |
N/A
|
1
|
2
|
3
|
4
|
Disseminated intravascular coagulation (DIC) |
N/A
|
1
|
2
|
3
|
4
|
Hemophilia |
N/A
|
1
|
2
|
3
|
4
|
Hodgkin’s disease |
N/A
|
1
|
2
|
3
|
4
|
Infectious mononucleosis |
N/A
|
1
|
2
|
3
|
4
|
Leukemia |
N/A
|
1
|
2
|
3
|
4
|
Malignant tumors |
N/A
|
1
|
2
|
3
|
4
|
Sickle cell anemia |
N/A
|
1
|
2
|
3
|
4
|
Spleen trauma/splenectomy |
N/A
|
1
|
2
|
3
|
4
|
Prednisone use |
N/A
|
1
|
2
|
3
|
4
|
Chemo certification |
N/A
|
1
|
2
|
3
|
4
|
|
IV THERAPY |
Administration of blood and blood products (Precautions, recognizing transfusion reactions and taking appropriate actions) |
N/A
|
1
|
2
|
3
|
4
|
Start peripheral IV’s |
N/A
|
1
|
2
|
3
|
4
|
Maintenance of IV’s |
N/A
|
1
|
2
|
3
|
4
|
Administration of IV meds |
N/A
|
1
|
2
|
3
|
4
|
Calculate drip rates |
N/A
|
1
|
2
|
3
|
4
|
Insertion of heparin lock |
N/A
|
1
|
2
|
3
|
4
|
Care/maintenance of central lines |
N/A
|
1
|
2
|
3
|
4
|
|
INFECTIOUS DISEASES |
Fever management |
N/A
|
1
|
2
|
3
|
4
|
AIDS |
N/A
|
1
|
2
|
3
|
4
|
Cytomegalo virus (CMV) |
N/A
|
1
|
2
|
3
|
4
|
Hepatitis |
N/A
|
1
|
2
|
3
|
4
|
Kawasaki disease |
N/A
|
1
|
2
|
3
|
4
|
Lyme disease |
N/A
|
1
|
2
|
3
|
4
|
|
WOUND AND SKIN CARE |
Decubitis ulcers |
N/A
|
1
|
2
|
3
|
4
|
Pressure sores |
N/A
|
1
|
2
|
3
|
4
|
Surgical incisions with drains (i.e. JP drain) |
N/A
|
1
|
2
|
3
|
4
|
Sterile dressing changes |
N/A
|
1
|
2
|
3
|
4
|
Traumatic wound care |
N/A
|
1
|
2
|
3
|
4
|
Wound irrigations |
N/A
|
1
|
2
|
3
|
4
|
|
OTHER NURSING RESPONSIBILITIES |
Charge nurse experience |
N/A
|
1
|
2
|
3
|
4
|
Assess normal growth and development |
N/A
|
1
|
2
|
3
|
4
|
Recognize signs of abuse or neglect |
N/A
|
1
|
2
|
3
|
4
|
Immunization schedule |
N/A
|
1
|
2
|
3
|
4
|
Calculation of pediatric medication doses |
N/A
|
1
|
2
|
3
|
4
|
Eye/ear instillations |
N/A
|
1
|
2
|
3
|
4
|
Knowledge of emergency drugs |
N/A
|
1
|
2
|
3
|
4
|
Metered dose inhaler |
N/A
|
1
|
2
|
3
|
4
|
Assessment of pain level/tolerance |
N/A
|
1
|
2
|
3
|
4
|
Epidural anesthesia/analgesia |
N/A
|
1
|
2
|
3
|
4
|
IV conscious sedation |
N/A
|
1
|
2
|
3
|
4
|
Narcotic analgesia |
N/A
|
1
|
2
|
3
|
4
|