Pediatric Skills Checklist

Pediatric Skills Checklist

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • CARDIOVASCULAR

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • PULMONARY

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • NEURO

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • ORTHOPEDICS

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • GASTROINTESTINAL

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • RENAL

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • ENDOCRINE/METABOLIC

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • WOUND MANAGEMENT

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • INFECTIOUS DISEASE

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • PHLEBOTOMY/IV THERAPY

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • PAIN MANAGEMENT

  • Please Use The Following Key
    : 0 = Never Performed
    1 = Partially Skilled
    2 = Moderately Skilled
    3 = Well Skilled
  • MISCELLANEOUS

  • Please Use The Following Key
    : A = Newborn/Neonate (Birth - 30 days) B = Infant (31 days - 1 year) C = Toddler (1 - 2 years) D = Preschooler (3 - 4 years) E = School Age Children (5 - 12 years) F = Adolescents (13 - 18 years) G = Young Adults (19 - 39 years) H = Middle Adults (40 - 64 years) I = Older Adults (65+)
  • Experience with age groups

  • My experience is in the following settings

  • Certifications/Licensures/Registrations

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  • This field is for validation purposes and should be left unchanged.