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
|
Heart sounds/murmurs |
N/A
|
1
|
2
|
3
|
4
|
Perfusion |
N/A
|
1
|
2
|
3
|
4
|
Central venous pressure |
N/A
|
1
|
2
|
3
|
4
|
EKG interpretation |
N/A
|
1
|
2
|
3
|
4
|
Non-invasive cardiac monitoring |
N/A
|
1
|
2
|
3
|
4
|
Pulmonary artery/capillary wedge |
N/A
|
1
|
2
|
3
|
4
|
Right/left atrial |
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
|
Hypovolemic shock |
N/A
|
1
|
2
|
3
|
4
|
Myocarditis |
N/A
|
1
|
2
|
3
|
4
|
Post cardiac surgery |
N/A
|
1
|
2
|
3
|
4
|
Digoxin |
N/A
|
1
|
2
|
3
|
4
|
Dobutamine(Dobutrex) |
N/A
|
1
|
2
|
3
|
4
|
Dopamine (Intropin) |
N/A
|
1
|
2
|
3
|
4
|
Epinephrine(Adrenaline) |
N/A
|
1
|
2
|
3
|
4
|
Heparin |
N/A
|
1
|
2
|
3
|
4
|
Isoproterenal |
N/A
|
1
|
2
|
3
|
4
|
Lidocaine (Xylocaine) |
N/A
|
1
|
2
|
3
|
4
|
Mannitol |
N/A
|
1
|
2
|
3
|
4
|
Nipride (Nitroprusside) |
N/A
|
1
|
2
|
3
|
4
|
Nitroglycerine (Tridil) |
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
|
Blood gases |
N/A
|
1
|
2
|
3
|
4
|
X-ray reports |
N/A
|
1
|
2
|
3
|
4
|
Equipment & Procedures: |
N/A
|
1
|
2
|
3
|
4
|
Assist with extubation |
N/A
|
1
|
2
|
3
|
4
|
Assist with intubation |
N/A
|
1
|
2
|
3
|
4
|
Bulb syringe |
N/A
|
1
|
2
|
3
|
4
|
Endotracheal tube suctioning |
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
|
Assist with chest tube insertion/removal |
N/A
|
1
|
2
|
3
|
4
|
Chest tube set-up |
N/A
|
1
|
2
|
3
|
4
|
Obtaining blood gases |
N/A
|
1
|
2
|
3
|
4
|
Arterial |
N/A
|
1
|
2
|
3
|
4
|
Heel stick |
N/A
|
1
|
2
|
3
|
4
|
Peripheral |
N/A
|
1
|
2
|
3
|
4
|
Pulse oximeter use |
N/A
|
1
|
2
|
3
|
4
|
(Anesthesia) bag &mask |
N/A
|
1
|
2
|
3
|
4
|
(Self-inflating) bag &mask |
N/A
|
1
|
2
|
3
|
4
|
Isolette |
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
|
Thoracentesis |
N/A
|
1
|
2
|
3
|
4
|
CPAP/PEEP |
N/A
|
1
|
2
|
3
|
4
|
High frequency jet ventilator |
N/A
|
1
|
2
|
3
|
4
|
IMV |
N/A
|
1
|
2
|
3
|
4
|
Pressure ventilator |
N/A
|
1
|
2
|
3
|
4
|
Volume ventilator |
N/A
|
1
|
2
|
3
|
4
|
Weaning |
N/A
|
1
|
2
|
3
|
4
|
Bronchiolitis (RSV) |
N/A
|
1
|
2
|
3
|
4
|
Chronic respiratory disease |
N/A
|
1
|
2
|
3
|
4
|
Croup |
N/A
|
1
|
2
|
3
|
4
|
Epiglottitis |
N/A
|
1
|
2
|
3
|
4
|
Foreign body aspiration |
N/A
|
1
|
2
|
3
|
4
|
Fresh tracheostomy |
N/A
|
1
|
2
|
3
|
4
|
Hemothorax |
N/A
|
1
|
2
|
3
|
4
|
Pneumonia |
N/A
|
1
|
2
|
3
|
4
|
Pneumothorax |
N/A
|
1
|
2
|
3
|
4
|
Respiratory distress |
N/A
|
1
|
2
|
3
|
4
|
Respiratory failure |
N/A
|
1
|
2
|
3
|
4
|
Status asthmaticus |
N/A
|
1
|
2
|
3
|
4
|
Aminophylline (Theophylline) |
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
|
Brain death/organ procurement |
N/A
|
1
|
2
|
3
|
4
|
Coma |
N/A
|
1
|
2
|
3
|
4
|
Encephalitis |
N/A
|
1
|
2
|
3
|
4
|
External VP shunt |
N/A
|
1
|
2
|
3
|
4
|
Head trauma |
N/A
|
1
|
2
|
3
|
4
|
Meningitis |
N/A
|
1
|
2
|
3
|
4
|
Neuromuscular disease |
N/A
|
1
|
2
|
3
|
4
|
Post neurosurgery |
N/A
|
1
|
2
|
3
|
4
|
Spinal cord injury |
N/A
|
1
|
2
|
3
|
4
|
Status epilepticus |
N/A
|
1
|
2
|
3
|
4
|
Use of anticonvulsant medication |
N/A
|
1
|
2
|
3
|
4
|
|
ORTHOPEDICS |
Cervical traction |
N/A
|
1
|
2
|
3
|
4
|
Pinned fractures |
N/A
|
1
|
2
|
3
|
4
|
Post-vertebral surgery |
N/A
|
1
|
2
|
3
|
4
|
|
GASTROINTESTINAL |
Abdominal assessment |
N/A
|
1
|
2
|
3
|
4
|
Nutritional assessment |
N/A
|
1
|
2
|
3
|
4
|
Equipment & procedures |
N/A
|
1
|
2
|
3
|
4
|
Abdominal decompression device |
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 and storage |
N/A
|
1
|
2
|
3
|
4
|
Gavage |
N/A
|
1
|
2
|
3
|
4
|
Gastrostomy/button |
N/A
|
1
|
2
|
3
|
4
|
Jejunal |
N/A
|
1
|
2
|
3
|
4
|
Nasogastric (NG tube) |
N/A
|
1
|
2
|
3
|
4
|
Test for occult blood |
N/A
|
1
|
2
|
3
|
4
|
Abdominal surgery |
N/A
|
1
|
2
|
3
|
4
|
Fresh ostomy |
N/A
|
1
|
2
|
3
|
4
|
Gastroenteritis/dehydration |
N/A
|
1
|
2
|
3
|
4
|
GE reflux |
N/A
|
1
|
2
|
3
|
4
|
GI bleeding |
N/A
|
1
|
2
|
3
|
4
|
Hepatic failure |
N/A
|
1
|
2
|
3
|
4
|
Hepatitis |
N/A
|
1
|
2
|
3
|
4
|
Stress ulcer |
N/A
|
1
|
2
|
3
|
4
|
|
RENAL/GENITOURINARY |
Assessment of fluid balance |
N/A
|
1
|
2
|
3
|
4
|
Test urine and interpret lab results (glucose, occult blood, pH, specific gravity) |
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
|
Foley catheter insertion and care |
N/A
|
1
|
2
|
3
|
4
|
Straight catheterization |
N/A
|
1
|
2
|
3
|
4
|
Care of supra-pubic catheter |
N/A
|
1
|
2
|
3
|
4
|
Acute renal failure |
N/A
|
1
|
2
|
3
|
4
|
Hemodialysis |
N/A
|
1
|
2
|
3
|
4
|
Nephritis |
N/A
|
1
|
2
|
3
|
4
|
Nephrotic syndrome |
N/A
|
1
|
2
|
3
|
4
|
Peritoneal dialysis |
N/A
|
1
|
2
|
3
|
4
|
Post-renal transplant |
N/A
|
1
|
2
|
3
|
4
|
Syndrome inappropriate ADH (SIADH) |
N/A
|
1
|
2
|
3
|
4
|
|
ENDOCRINE/METABOLIC |
Assessment of electrolyte balance |
N/A
|
1
|
2
|
3
|
4
|
Blood glucose monitoring |
N/A
|
1
|
2
|
3
|
4
|
Care of the child with diabetic ketoacidosis |
N/A
|
1
|
2
|
3
|
4
|
Assess for signs and symptoms of insulin shock/diabetic coma |
N/A
|
1
|
2
|
3
|
4
|
Insulin administration |
N/A
|
1
|
2
|
3
|
4
|
|
WOUND CARE |
Wound care irrigations |
N/A
|
1
|
2
|
3
|
4
|
Sterile dressing changes |
N/A
|
1
|
2
|
3
|
4
|
Burns |
N/A
|
1
|
2
|
3
|
4
|
Pressure sores |
N/A
|
1
|
2
|
3
|
4
|
Staged decubitis ulcers |
N/A
|
1
|
2
|
3
|
4
|
Surgical wounds with drains (i.e. JP) |
N/A
|
1
|
2
|
3
|
4
|
Traumatic wounds |
N/A
|
1
|
2
|
3
|
4
|
|
ONCOLOGY |
Assessment of nutritional status |
N/A
|
1
|
2
|
3
|
4
|
Blood chemistry |
N/A
|
1
|
2
|
3
|
4
|
Blood counts |
N/A
|
1
|
2
|
3
|
4
|
Reverse isolation |
N/A
|
1
|
2
|
3
|
4
|
Disseminated intravascular coagulation (DIC) |
N/A
|
1
|
2
|
3
|
4
|
Inpatient chemotherapy |
N/A
|
1
|
2
|
3
|
4
|
Leukemia |
N/A
|
1
|
2
|
3
|
4
|
Malignant tumors |
N/A
|
1
|
2
|
3
|
4
|
Radiation implant |
N/A
|
1
|
2
|
3
|
4
|
Sickle cell anemia |
N/A
|
1
|
2
|
3
|
4
|
|
INFECTIOUS DISEASES |
Interpretation of lab results: |
N/A
|
1
|
2
|
3
|
4
|
CBC/differential |
N/A
|
1
|
2
|
3
|
4
|
Culture reports |
N/A
|
1
|
2
|
3
|
4
|
Assist with lumber puncture |
N/A
|
1
|
2
|
3
|
4
|
Collect culture specimens |
N/A
|
1
|
2
|
3
|
4
|
Cytomegalovirus virus (CMV) |
N/A
|
1
|
2
|
3
|
4
|
HIV/AIDS |
N/A
|
1
|
2
|
3
|
4
|
Tuberculosis |
N/A
|
1
|
2
|
3
|
4
|
|
IV THERAPY |
Start peripheral IV’s |
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
|
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
|
IV calculations/titrate drip rates |
N/A
|
1
|
2
|
3
|
4
|
Use of infusion pumps |
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 |