Area |
Not Applicable |
Inexperienced |
Limited |
Experienced |
Highly Experienced |
CARDIOVASCULAR |
|
|
|
|
|
Auscultation (rate, rhythm, volume) |
N/A
|
1
|
2
|
3
|
4
|
Blood pressure/invasive (arterial-line) |
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
|
Perfusion |
N/A
|
1
|
2
|
3
|
4
|
Pulses |
N/A
|
1
|
2
|
3
|
4
|
EKG interpretation |
N/A
|
1
|
2
|
3
|
4
|
Cardioversion/Defibrillation |
N/A
|
1
|
2
|
3
|
4
|
Invasive hemodynamic monitoring |
N/A
|
1
|
2
|
3
|
4
|
Central venous pressure |
N/A
|
1
|
2
|
3
|
4
|
Cardiac arrest |
N/A
|
1
|
2
|
3
|
4
|
Congenital heart disease/defects |
N/A
|
1
|
2
|
3
|
4
|
Hemodynamic instability |
N/A
|
1
|
2
|
3
|
4
|
Hypovolemic shock |
N/A
|
1
|
2
|
3
|
4
|
Post cardiac surgery |
N/A
|
1
|
2
|
3
|
4
|
Dobutamine |
N/A
|
1
|
2
|
3
|
4
|
Dopamine |
N/A
|
1
|
2
|
3
|
4
|
Epinephrine |
N/A
|
1
|
2
|
3
|
4
|
Nipride |
N/A
|
1
|
2
|
3
|
4
|
Sodium bicarbonate |
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
|
Apnea monitor use |
N/A
|
1
|
2
|
3
|
4
|
Assist with intubation |
N/A
|
1
|
2
|
3
|
4
|
Bulb syringe |
N/A
|
1
|
2
|
3
|
4
|
CPAP (nasal cannula) |
N/A
|
1
|
2
|
3
|
4
|
Endotracheal tube stabilation |
N/A
|
1
|
2
|
3
|
4
|
Endotracheal tube suctioning |
N/A
|
1
|
2
|
3
|
4
|
Extubation |
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 care and suctioning |
N/A
|
1
|
2
|
3
|
4
|
Assist with chest tube insertion/removal/set-up |
N/A
|
1
|
2
|
3
|
4
|
Oxygen therapy delivery systems: |
N/A
|
1
|
2
|
3
|
4
|
Anesthesia bag and mask |
N/A
|
1
|
2
|
3
|
4
|
Self-inflating bag and mask |
N/A
|
1
|
2
|
3
|
4
|
Nasal cannula |
N/A
|
1
|
2
|
3
|
4
|
Nebulizer |
N/A
|
1
|
2
|
3
|
4
|
Oxyhood |
N/A
|
1
|
2
|
3
|
4
|
Tent |
N/A
|
1
|
2
|
3
|
4
|
Trach collar |
N/A
|
1
|
2
|
3
|
4
|
Arterial |
N/A
|
1
|
2
|
3
|
4
|
Heelstick (Capillary) |
N/A
|
1
|
2
|
3
|
4
|
Peripheral |
N/A
|
1
|
2
|
3
|
4
|
Umbilical line |
N/A
|
1
|
2
|
3
|
4
|
Interpretation of blood gases |
N/A
|
1
|
2
|
3
|
4
|
Thoracentesis |
N/A
|
1
|
2
|
3
|
4
|
Use of artificial surfactant |
N/A
|
1
|
2
|
3
|
4
|
CPAP/PEEP |
N/A
|
1
|
2
|
3
|
4
|
High frequency jet ventilator |
N/A
|
1
|
2
|
3
|
4
|
Home ventilator |
N/A
|
1
|
2
|
3
|
4
|
IMV |
N/A
|
1
|
2
|
3
|
4
|
Oscillating |
N/A
|
1
|
2
|
3
|
4
|
Pressure ventilator |
N/A
|
1
|
2
|
3
|
4
|
Volume ventilator |
N/A
|
1
|
2
|
3
|
4
|
Weaning from ventilator |
N/A
|
1
|
2
|
3
|
4
|
Bronchopulmonary dysplasia (BPD) |
N/A
|
1
|
2
|
3
|
4
|
Cardiogenic shock |
N/A
|
1
|
2
|
3
|
4
|
Diaphragmatic hernia |
N/A
|
1
|
2
|
3
|
4
|
Drug addiction/withdrawal |
N/A
|
1
|
2
|
3
|
4
|
Fresh tracheostomy |
N/A
|
1
|
2
|
3
|
4
|
Mechonium aspiration |
N/A
|
1
|
2
|
3
|
4
|
Persistent pulmonary hypertension (PPHN) |
N/A
|
1
|
2
|
3
|
4
|
Pneumothorax |
N/A
|
1
|
2
|
3
|
4
|
Respiratory distress syndrome (RDS) |
N/A
|
1
|
2
|
3
|
4
|
Systemic infection |
N/A
|
1
|
2
|
3
|
4
|
Respiratory failure |
N/A
|
1
|
2
|
3
|
4
|
Tetralogy of fallot |
N/A
|
1
|
2
|
3
|
4
|
Aminophylline |
N/A
|
1
|
2
|
3
|
4
|
Prostaglandin |
N/A
|
1
|
2
|
3
|
4
|
|
NEUROLOGICAL |
|
|
|
|
|
Assessment of neurological status |
N/A
|
1
|
2
|
3
|
4
|
Intracranial pressure monitoring |
N/A
|
1
|
2
|
3
|
4
|
Care of the neonate with: |
N/A
|
1
|
2
|
3
|
4
|
Brain death/organ procurement |
N/A
|
1
|
2
|
3
|
4
|
External VP shunts/reservoirs |
N/A
|
1
|
2
|
3
|
4
|
Increased intracranial pressure |
N/A
|
1
|
2
|
3
|
4
|
Seizures |
N/A
|
1
|
2
|
3
|
4
|
Anticonvulsant medication use |
N/A
|
1
|
2
|
3
|
4
|
|
GASTROINTESTINAL |
|
|
|
|
|
Abdominal girth |
N/A
|
1
|
2
|
3
|
4
|
Bowel sounds |
N/A
|
1
|
2
|
3
|
4
|
Palate |
N/A
|
1
|
2
|
3
|
4
|
Suck/swallow |
N/A
|
1
|
2
|
3
|
4
|
Care of gastrostomy tube |
N/A
|
1
|
2
|
3
|
4
|
Placement of Jejunal tube |
N/A
|
1
|
2
|
3
|
4
|
Placement of nasogastric (NG) tube |
N/A
|
1
|
2
|
3
|
4
|
Test for occult blood |
N/A
|
1
|
2
|
3
|
4
|
Assist with breast feeding |
N/A
|
1
|
2
|
3
|
4
|
Bottle |
N/A
|
1
|
2
|
3
|
4
|
Breast milk handling/storage |
N/A
|
1
|
2
|
3
|
4
|
Gavage |
N/A
|
1
|
2
|
3
|
4
|
Electric breast pump use |
N/A
|
1
|
2
|
3
|
4
|
Cleft lip/palate |
N/A
|
1
|
2
|
3
|
4
|
Colostomy/ileostomy |
N/A
|
1
|
2
|
3
|
4
|
Gastroschisis/omphalocele |
N/A
|
1
|
2
|
3
|
4
|
GI bleeding |
N/A
|
1
|
2
|
3
|
4
|
Inguinal hernia |
N/A
|
1
|
2
|
3
|
4
|
Necrotizing enterocolitis |
N/A
|
1
|
2
|
3
|
4
|
Post abdominal surgery |
N/A
|
1
|
2
|
3
|
4
|
Reflux precautions |
N/A
|
1
|
2
|
3
|
4
|
Tracheoesophageal fistula |
N/A
|
1
|
2
|
3
|
4
|
|
ENDOCRINE/METABOLIC |
|
|
|
|
|
Finnegan |
N/A
|
1
|
2
|
3
|
4
|
Fluid and electrolyte balance |
N/A
|
1
|
2
|
3
|
4
|
Interpret bilirubin lab result |
N/A
|
1
|
2
|
3
|
4
|
Interpret urine lab results |
N/A
|
1
|
2
|
3
|
4
|
Collect of urine specimens: |
N/A
|
1
|
2
|
3
|
4
|
Assist with supra pubic tap |
N/A
|
1
|
2
|
3
|
4
|
Catheter |
N/A
|
1
|
2
|
3
|
4
|
Diaper/bag |
N/A
|
1
|
2
|
3
|
4
|
Blood glucose testing and interpretation |
N/A
|
1
|
2
|
3
|
4
|
Phototherapy for jaundice |
N/A
|
1
|
2
|
3
|
4
|
Post circumcision care |
N/A
|
1
|
2
|
3
|
4
|
Acute renal failure |
N/A
|
1
|
2
|
3
|
4
|
DIC (Disseminated intra vascular coagulation) |
N/A
|
1
|
2
|
3
|
4
|
Hypo/hyperkalemia |
N/A
|
1
|
2
|
3
|
4
|
Hypo/hypernatremia |
N/A
|
1
|
2
|
3
|
4
|
IDM (infant of diabetic mother) Hypo and hyperglycemia |
N/A
|
1
|
2
|
3
|
4
|
Malformations of GU tract and kidney |
N/A
|
1
|
2
|
3
|
4
|
Peritoneal dialysis |
N/A
|
1
|
2
|
3
|
4
|
|
INFECTIOUS DISEASES |
|
|
|
|
|
CBC/differential |
N/A
|
1
|
2
|
3
|
4
|
Culture reports |
N/A
|
1
|
2
|
3
|
4
|
Maternal lab results |
N/A
|
1
|
2
|
3
|
4
|
Hepatitis surface antigen positive mother |
N/A
|
1
|
2
|
3
|
4
|
HIV positive mother |
N/A
|
1
|
2
|
3
|
4
|
Neonatal sepsis |
N/A
|
1
|
2
|
3
|
4
|
Assist with lumbar puncture |
N/A
|
1
|
2
|
3
|
4
|
Collect culture specimens |
N/A
|
1
|
2
|
3
|
4
|
Immunization administration |
N/A
|
1
|
2
|
3
|
4
|
Isolation techniques |
N/A
|
1
|
2
|
3
|
4
|
Universal precautions |
N/A
|
1
|
2
|
3
|
4
|
|
IV THERAPY |
|
|
|
|
|
Cryoprecipitate |
N/A
|
1
|
2
|
3
|
4
|
Packed red blood cells |
N/A
|
1
|
2
|
3
|
4
|
Plasma/albumin |
N/A
|
1
|
2
|
3
|
4
|
Whole blood |
N/A
|
1
|
2
|
3
|
4
|
Hyperalimentation /TPN |
N/A
|
1
|
2
|
3
|
4
|
Intralipid |
N/A
|
1
|
2
|
3
|
4
|
IV pump |
N/A
|
1
|
2
|
3
|
4
|
Syringe pump |
N/A
|
1
|
2
|
3
|
4
|
Drawing blood from central line |
N/A
|
1
|
2
|
3
|
4
|
Drawing venous blood |
N/A
|
1
|
2
|
3
|
4
|
Starting IV’s |
N/A
|
1
|
2
|
3
|
4
|
Angiocath |
N/A
|
1
|
2
|
3
|
4
|
Butterfly |
N/A
|
1
|
2
|
3
|
4
|
Heparin lock |
N/A
|
1
|
2
|
3
|
4
|
Managing IV therapy (Site and patency assessment, dressing and tubing change, discontinuing IV) |
N/A
|
1
|
2
|
3
|
4
|
Broviac |
N/A
|
1
|
2
|
3
|
4
|
Groshong |
N/A
|
1
|
2
|
3
|
4
|
Hickman |
N/A
|
1
|
2
|
3
|
4
|
Portacath |
N/A
|
1
|
2
|
3
|
4
|
Quinton |
N/A
|
1
|
2
|
3
|
4
|
Percutaneous arterial line |
N/A
|
1
|
2
|
3
|
4
|
Percutaneuos venous line |
N/A
|
1
|
2
|
3
|
4
|
PICC (peripherally inserted central catheter) |
N/A
|
1
|
2
|
3
|
4
|
Umbilical artery line |
N/A
|
1
|
2
|
3
|
4
|
Umbilical venous line |
N/A
|
1
|
2
|
3
|
4
|
|
OTHER NURSING RESPONSIBLITIES |
|
|
|
|
|
Apgar scoring |
N/A
|
1
|
2
|
3
|
4
|
Eye exam to rule out retinopathy |
N/A
|
1
|
2
|
3
|
4
|
Gestational age/Ballard |
N/A
|
1
|
2
|
3
|
4
|
Gestational age/Dubowitz |
N/A
|
1
|
2
|
3
|
4
|
Maternal history |
N/A
|
1
|
2
|
3
|
4
|
Pain level assessment |
N/A
|
1
|
2
|
3
|
4
|
Screen for hearing loss |
N/A
|
1
|
2
|
3
|
4
|
Bereavement/post mortem care |
N/A
|
1
|
2
|
3
|
4
|
Calculation of medication dosage for the neonate |
N/A
|
1
|
2
|
3
|
4
|
Consent use for procedures and treatment |
N/A
|
1
|
2
|
3
|
4
|
Cord care |
N/A
|
1
|
2
|
3
|
4
|
Neonatal skin care |
N/A
|
1
|
2
|
3
|
4
|
Obtain weight (bed scale, scale) |
N/A
|
1
|
2
|
3
|
4
|