Pediatric Skills Checklist

Personal Information

Please indicate your overall practical experience level with each skill using the key below. All fields are required.

Key
NoneNo experience
LimitedRequires additional training
ModerateHave performed and able to do without supervision
Well SkilledVery experienced and able to perform independently
ProficientAble to teach and supervise
Cardiovascular None Limited Moderate Well Skilled Proficient
Equipment and Procedures          
Care of a child with:          
Medication and Administration:          
Neurological None Limited Moderate Well Skilled Proficient
Care of a child with:          
Medications:          
Orthopedics None Limited Moderate Well Skilled Proficient
Respiratory None Limited Moderate Well Skilled Proficient
Equipment and Procedures:          
Care of a child with:          
Medications:          
Endocrine/Metabolic - Interpretation of lab results: None Limited Moderate Well Skilled Proficient
Endocrine/Metabolic - Care of a child with: None Limited Moderate Well Skilled Proficient
Endocrine/Metabolic - Medications: None Limited Moderate Well Skilled Proficient
Gastrointestinal None Limited Moderate Well Skilled Proficient
Equipment and Procedures:          
Care of a child with:          
Hematology/Oncology - Interpretation of lab results: None Limited Moderate Well Skilled Proficient
Hematology/Oncology - Care of a child with: None Limited Moderate Well Skilled Proficient

Preserving Higher Standards of Patient Care