Name*
First
Last
Age Specific Care
Proficiency Rating
Frequency Rating
Newborn/Neonate (birth - 30 days) *
Newborn/Neonate (birth - 30 days) proficiency* Newborn/Neonate (birth - 30 days) frequency* Infant (30 days - 1 year) *
Infant (30 days - 1 year) proficiency* Infant (30 days - 1 year) frequency* Toddler (1 - 3 years) *
Toddler (1 - 3 years) proficiency* Toddler (1 - 3 years) frequency* Preschooler (3 - 5 years) *
Preschooler (3 - 5 years) proficiency* Preschooler (3 - 5 years) frequency* School Age Child (5 - 12 years) *
School Age Child (5 - 12 years) proficiency* School Age Child (5 - 12 years) frequency* Adolescents (12 - 18 years) *
Adolescents (12 - 18 years) proficiency* Adolescents (12 - 18 years) frequency* Young Adults (18 - 39 years) *
Young Adults (18 - 39 years) proficiency* Young Adults (18 - 39 years) frequency*
General Skills
Proficiency Rating
Frequency Rating
Standard Precautions *
Standard Precautions proficiency* Standard Precautions frequency* Isolation Precautions *
Isolation Precautions proficiency* Isolation Precautions frequency* Pediatric Respiratory / Cardiac Arrest *
Pediatric Respiratory / Cardiac Arrest proficiency* Pediatric Respiratory / Cardiac Arrest frequency* Adult Respiratory / Cardiac Arrest *
Adult Respiratory / Cardiac Arrest proficiency* Adult Respiratory / Cardiac Arrest frequency* Crash Carts *
Crash Carts proficiency* Crash Carts frequency* Defibrillators *
Defibrillators proficiency* Defibrillators frequency* Care of Patient in Restraints *
Care of Patient in Restraints proficiency* Care of Patient in Restraints frequency* Automated Med Dispensing Systems *
Automated Med Dispensing Systems proficiency* Automated Med Dispensing Systems frequency* Care Planning & Discharge Planning *
Care Planning & Discharge Planning proficiency* Care Planning & Discharge Planning frequency* Patient / Family Education *
Patient / Family Education proficiency* Patient / Family Education frequency* Electronic Documentation *
Electronic Documentation proficiency* Electronic Documentation frequency* Patient Head to Toe Assessment *
Patient Head to Toe Assessment proficiency* Patient Head to Toe Assessment frequency* Normal Growth and Development *
Normal Growth and Development proficiency* Normal Growth and Development frequency* Normal Lab Values *
Normal Lab Values proficiency* Normal Lab Values frequency* Recognize Signs of Child Abuse / Neglect *
Recognize Signs of Child Abuse / Neglect proficiency* Recognize Signs of Child Abuse / Neglect frequency* Medication / Immunization Schedule *
Medication / Immunization Schedule proficiency* Medication / Immunization Schedule frequency*
Cardiovascular
Proficiency Rating
Frequency Rating
Blood Pressure (Invasive and Non - Invasive) *
Blood Pressure (Invasive and Non - Invasive) proficiency* Blood Pressure (Invasive and Non - Invasive) frequency* Heart Sounds *
Heart Sounds proficiency* Heart Sounds frequency* Murmurs *
Murmurs proficiency* Murmurs frequency* Perfusion *
Perfusion proficiency* Perfusion frequency* Interpretation of Lab Results (ABGs, Hgb / Hct) *
Interpretation of Lab Results (ABGs, Hgb / Hct) proficiency* Interpretation of Lab Results (ABGs, Hgb / Hct) frequency* Basic EKG Interpretation *
Basic EKG Interpretation proficiency* Basic EKG Interpretation frequency* Non - Invasive Cardiac Monitoring *
Non - Invasive Cardiac Monitoring proficiency* Non - Invasive Cardiac Monitoring frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Bacterial Endocarditis *
Bacterial Endocarditis proficiency* Bacterial Endocarditis frequency* Cardiac Arrest *
Cardiac Arrest proficiency* Cardiac Arrest frequency* Cardiomyopathy *
Cardiomyopathy proficiency* Cardiomyopathy frequency* Congenital Heart Disease / Defects Cardiac Arrest *
Congenital Heart Disease / Defects Cardiac Arrest proficiency* Congenital Heart Disease / Defects Cardiac Arrest frequency* Congestive Heart Failure *
Congestive Heart Failure proficiency* Congestive Heart Failure frequency* Myocarditis *
Myocarditis proficiency* Myocarditis frequency* Pericarditis *
Pericarditis proficiency* Pericarditis frequency* Post Cardiac Cath *
Post Cardiac Cath proficiency* Post Cardiac Cath frequency* Post Cardiac Surgery *
Post Cardiac Surgery proficiency* Post Cardiac Surgery frequency* Rheumatic Fever *
Rheumatic Fever proficiency* Rheumatic Fever frequency* Shock *
Shock proficiency* Shock frequency*
Medications
Proficiency Rating
Frequency Rating
Digoxin *
Digoxin proficiency* Digoxin frequency*
Pulmonary
Proficiency Rating
Frequency Rating
Breath Sounds *
Breath Sounds proficiency* Breath Sounds frequency* Rate and Work of Breathing *
Rate and Work of Breathing proficiency* Rate and Work of Breathing frequency* Airway Management Devices / Suctioning *
Airway Management Devices / Suctioning proficiency* Airway Management Devices / Suctioning frequency* Apnea Monitor *
Apnea Monitor proficiency* Apnea Monitor frequency* Chest Physiotherapy *
Chest Physiotherapy proficiency* Chest Physiotherapy frequency* Chest Tubes *
Chest Tubes proficiency* Chest Tubes frequency* End Tidal CO2 *
End Tidal CO2 proficiency* End Tidal CO2 frequency* Oximeter *
Oximeter proficiency* Oximeter frequency* Water Seal Drainage System *
Water Seal Drainage System proficiency* Water Seal Drainage System frequency*
Oxygen Delivery System
Proficiency Rating
Frequency Rating
Face Mask *
Face Mask proficiency* Face Mask frequency* Hood *
Hood proficiency* Hood frequency* Isolette *
Isolette proficiency* Isolette frequency* Nasal Cannula *
Nasal Cannula proficiency* Nasal Cannula frequency* Tent *
Tent proficiency* Tent frequency* Trach Collar *
Trach Collar proficiency* Trach Collar frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Asthma *
Asthma proficiency* Asthma frequency* Bronchiolitis (RSV) *
Bronchiolitis (RSV) proficiency* Bronchiolitis (RSV) frequency* Bronchopulmonary Dysplasia (BPD) *
Bronchopulmonary Dysplasia (BPD) proficiency* Bronchopulmonary Dysplasia (BPD) frequency* Cystic Fibrosis *
Cystic Fibrosis proficiency* Cystic Fibrosis frequency* Epiglottitis *
Epiglottitis proficiency* Epiglottitis frequency* LTB / Croup *
LTB / Croup proficiency* LTB / Croup frequency* Pertussis *
Pertussis proficiency* Pertussis frequency* Pneumonia *
Pneumonia proficiency* Pneumonia frequency* Tonsillitis *
Tonsillitis proficiency* Tonsillitis frequency* Tuberculosis *
Tuberculosis proficiency* Tuberculosis frequency*
Medications
Proficiency Rating
Frequency Rating
Alupent *
Alupent proficiency* Alupent frequency* Aminophylline *
Aminophylline proficiency* Aminophylline frequency* Isuprel *
Isuprel proficiency* Isuprel frequency* Ventolin *
Ventolin proficiency* Ventolin frequency*
Neurological / Orthopedic
Proficiency Rating
Frequency Rating
Assess Level of Consciousness *
Assess Level of Consciousness proficiency* Assess Level of Consciousness frequency* Application of Splints *
Application of Splints proficiency* Application of Splints frequency* Cast *
Cast proficiency* Cast frequency* ICP Monitoring *
ICP Monitoring proficiency* ICP Monitoring frequency* Pinned Fractures *
Pinned Fractures proficiency* Pinned Fractures frequency* Traction *
Traction proficiency* Traction frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Battered Child Syndrome *
Battered Child Syndrome proficiency* Battered Child Syndrome frequency* Closed Head Injury *
Closed Head Injury proficiency* Closed Head Injury frequency* Clubfoot *
Clubfoot proficiency* Clubfoot frequency* Encephalitis *
Encephalitis proficiency* Encephalitis frequency* Febrile Seizures *
Febrile Seizures proficiency* Febrile Seizures frequency* Meningitis *
Meningitis proficiency* Meningitis frequency* Multiple Sclerosis *
Multiple Sclerosis proficiency* Multiple Sclerosis frequency* Multiple Trauma *
Multiple Trauma proficiency* Multiple Trauma frequency* Lithotripsy *
Near Drowning proficiency* Near Drowning frequency* Near Drowning *
Near Drowning proficiency* Near Drowning frequency* Osteogenic Sarcoma *
Osteogenic Sarcoma proficiency* Osteogenic Sarcoma frequency* Osteomyelitis *
Osteomyelitis proficiency* Osteomyelitis frequency* Spinal Cord Injury *
Spinal Cord Injury proficiency* Spinal Cord Injury frequency*
Medications
Proficiency Rating
Frequency Rating
Clonazepam *
Clonazepam proficiency* Clonazepam frequency* Corticosteroids *
Corticosteroids proficiency* Corticosteroids frequency* Dilantin *
Dilantin proficiency* Dilantin frequency* Phenobarbital *
Phenobarbital proficiency* Phenobarbital frequency* Tegretol *
Tegretol proficiency* Tegretol frequency* Valium *
Valium proficiency* Valium frequency*
Gastrointestinal
Proficiency Rating
Frequency Rating
Abdominal Assessment *
Abdominal Assessment proficiency* Abdominal Assessment frequency* Nutritional Assessment *
Nutritional Assessment proficiency* Nutritional Assessment frequency* Interpretation of Lab Results (serum electrolytes) *
Interpretation of Lab Results (serum electrolytes) proficiency* Interpretation of Lab Results (serum electrolytes) frequency* Gastrostomy / Button *
Gastrostomy / Button proficiency* Gastrostomy / Button frequency* J - Tubes *
J - Tubes proficiency* J - Tubes frequency* NG and Sump Tubes to Suction *
NG and Sump Tubes to Suction proficiency* NG and Sump Tubes to Suction frequency* Penrose Drains *
Penrose Drains proficiency* Penrose Drains frequency* Placement of Naso / Orogastric Tube *
Placement of Naso / Orogastric Tube proficiency* Placement of Naso / Orogastric Tube frequency* Wound Irrigation / Dressing Change *
Wound Irrigation / Dressing Change proficiency* Wound Irrigation / Dressing Change frequency*
Feedings
Proficiency Rating
Frequency Rating
Bottle *
Bottle proficiency* Bottle frequency* Breast *
Breast proficiency* Breast frequency* Central Hyperalimentation *
Central Hyperalimentation proficiency* Central Hyperalimentation frequency* Gavage *
Gavage proficiency* Gavage frequency* Peripheral Hyperalimentation *
Peripheral Hyperalimentation proficiency* Peripheral Hyperalimentation frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Anal Fissure *
Anal Fissure proficiency* Anal Fissure frequency* Cleft Lip / Palate *
Cleft Lip / Palate proficiency* Cleft Lip / Palate frequency* Diaphragmatic Hernia *
Diaphragmatic Hernia proficiency* Diaphragmatic Hernia frequency* Failure to Thrive (FTT) *
Severe Failure to Thrive (FTT) proficiency* Severe Failure to Thrive (FTT) frequency* Pyloric Stenosis Repair *
Pyloric Stenosis Repair proficiency* Pyloric Stenosis Repair frequency* GE Reflux *
GE Reflux proficiency* GE Reflux frequency* GI Bleeding *
GI Bleeding proficiency* GI Bleeding frequency* Ulcerative Colitis *
Ulcerative Colitis proficiency* Ulcerative Colitis frequency* Severe Gastroenteritis / Dehydration *
Severe Gastroenteritis / Dehydration proficiency* Severe Gastroenteritis / Dehydration frequency* Intestinal Parasites *
Intestinal Parasites proficiency* Intestinal Parasites frequency* Necrotizing Enterocolitis (NEC) *
Necrotizing Enterocolitis (NEC) proficiency* Necrotizing Enterocolitis (NEC) frequency* Surgical Abdomen *
Surgical Abdomen proficiency* Surgical Abdomen frequency* Colostomy *
Colostomy proficiency* Colostomy frequency* Ileostomy *
Ileostomy proficiency* Ileostomy frequency* Ingestion of Foreign Body *
Ingestion of Foreign Body proficiency* Ingestion of Foreign Body frequency* Ingestion of Poisons or Toxins *
Ingestion of Poisons or Toxins proficiency* Ingestion of Poisons or Toxins frequency*
Endocrine / Metabolic
Proficiency Rating
Frequency Rating
Assessment *
Assessment proficiency* Assessment frequency* Interpretation of Lab Results (glucose, thyroid) *
Interpretation of Lab Results (glucose, thyroid) proficiency* Interpretation of Lab Results (glucose, thyroid) frequency* Blood Glucose Testing *
Blood Glucose Testing proficiency* Blood Glucose Testing frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Adrenal Disorders *
Adrenal Disorders proficiency* Adrenal Disorders frequency* Cushingโs Syndrome *
Cushingโs Syndrome proficiency* Cushingโs Syndrome frequency* Juvenile Disorders *
Juvenile Disorders proficiency* Juvenile Disorders frequency* Pituitary Disorders *
Pituitary Disorders proficiency* Pituitary Disorders frequency* Thyroid Malfunction *
Thyroid Malfunction proficiency* Thyroid Malfunction frequency*
Medications
Proficiency Rating
Frequency Rating
Growth Hormone *
Growth Hormone proficiency* Growth Hormone frequency* Insulin *
Insulin proficiency* Insulin frequency* Thyroid *
Thyroid proficiency* Thyroid frequency*
Genitourinary
Proficiency Rating
Frequency Rating
Assessment of Fluid Balance *
Assessment of Fluid Balance proficiency* Assessment of Fluid Balance frequency* Interpretation of Lab Results (creatinine, BUN, UA) *
Interpretation of Lab Results (creatinine, BUN, UA) proficiency* Interpretation of Lab Results (creatinine, BUN, UA) frequency* Interpretation of Lab Results (creatinine, BUN, UA) *
Interpretation of Lab Results (creatinine, BUN, UA) proficiency* Interpretation of Lab Results (creatinine, BUN, UA) frequency* Collection of Urine Specimen *
Collection of Urine Specimen proficiency* Collection of Urine Specimen frequency*
Catheter
Proficiency Rating
Frequency Rating
Catheter care *
Catheter care proficiency* Catheter care frequency* Insertion of Indwelling - Female *
Insertion of Indwelling - Female proficiency* Insertion of Indwelling - Female frequency* Insertion of Indwelling - Male *
Insertion of Indwelling - Male proficiency* Insertion of Indwelling - Male frequency* Straight Cath - Female *
Straight Cath - Female proficiency* Straight Cath - Female frequency* Straight Cath - Male *
Straight Cath - Male proficiency* Straight Cath - Male frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Circumcision *
Circumcision proficiency* Circumcision frequency* Glomerulonephritis *
Glomerulonephritis proficiency* Glomerulonephritis frequency* Hemodialysis *
Hemodialysis proficiency* Hemodialysis frequency* Hemolytic Uremic Syndrome (HUS) *
Hemolytic Uremic Syndrome (HUS) proficiency* Hemolytic Uremic Syndrome (HUS) frequency* Hypospadias *
Hypospadias proficiency* Hypospadias frequency* Ileal Conduit Urinary Diversion *
Ileal Conduit Urinary Diversion proficiency* Ileal Conduit Urinary Diversion frequency* Infantile Polycystic Disease *
Infantile Polycystic DiseasePASTE proficiency* Infantile Polycystic Disease frequency* Kidney Transplant *
Kidney Transplant proficiency* Kidney Transplant frequency* Nephrotic Syndrome *
Nephrotic Syndrome proficiency* Nephrotic Syndrome frequency* Peritoneal Dialysis *
Peritoneal Dialysis proficiency* Peritoneal Dialysis frequency* Renal Failure *
Renal Failure proficiency* Renal Failure frequency* Urinary Tract Infection *
Urinary Tract Infection proficiency* Urinary Tract Infection frequency* Wilms Tumor *
Wilms Tumor proficiency* Wilms Tumor frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Anemia *
Anemia proficiency* Anemia frequency* Bone Marrow Transplant *
Bone Marrow Transplant proficiency* Bone Marrow Transplant frequency* Depressed Immune System *
Depressed Immune System proficiency* Depressed Immune System frequency* Disseminated Intravascular Coagulation (DIC) *
Disseminated Intravascular Coagulation (DIC) proficiency* Disseminated Intravascular Coagulation (DIC) frequency* Hemophilia *
Hemophilia proficiency* Hemophilia frequency* Hodgkinโs Lymphoma *
Hodgkinโs Lymphoma proficiency* Hodgkinโs Lymphoma frequency* Infectious Mononucleosis *
Infectious Mononucleosis proficiency* Infectious Mononucleosis frequency* Leukemia *
Leukemia proficiency* Leukemia frequency* Malignant Tumors *
Malignant Tumors proficiency* Malignant Tumors frequency* Sickle Cell Anemia *
Sickle Cell Anemia proficiency* Sickle Cell Anemia frequency* Spleen Trauma / Splenectomy *
Spleen Trauma / Splenectomy proficiency* Spleen Trauma / Splenectomy frequency*
Medications
Proficiency Rating
Frequency Rating
Prednisone *
Prednisone proficiency* Prednisone frequency* Ventilators *
Ventilators proficiency* Ventilators frequency*
Medication Administration for Children
Proficiency Rating
Frequency Rating
Calculation of Pediatric Doses *
Calculation of Pediatric Doses proficiency* Calculation of Pediatric Doses frequency* Eye / Ear Installations *
Eye / Ear Installations proficiency* Eye / Ear Installations frequency* Knowledge of Emergency Drugs *
Knowledge of Emergency Drugs proficiency* Knowledge of Emergency Drugs frequency* Knowledge of Routine Pediatric Drugs *
Knowledge of Routine Pediatric Drugs proficiency* Knowledge of Routine Pediatric Drugs frequency* Metered Dose Inhaler *
Metered Dose Inhaler proficiency* Metered Dose Inhaler frequency*
Phlebotomy / IV Therapy
Proficiency Rating
Frequency Rating
Drawing Blood from Central Lines *
Drawing Blood from Central Lines proficiency* Drawing Blood from Central Lines frequency* Drawing Venous Blood *
Drawing Venous Blood proficiency* Drawing Venous Blood frequency* Starting IVs (angiocath, butterfly, heparin lock) *
Starting IVs (angiocath, butterfly, heparin lock)PASTE proficiency* Starting IVs (angiocath, butterfly, heparin lock) frequency*
Administration of Blood / Blood Products
Proficiency Rating
Frequency Rating
Cryoprecipitate *
Cryoprecipitate proficiency* Cryoprecipitate frequency* Packed Red Blood Cells *
Packed Red Blood Cells proficiency* Packed Red Blood Cells frequency* Whole Blood *
Whole Blood proficiency* Whole Blood frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Central Line / Catheter / Dressing *
Central Line / Catheter / Dressing proficiency* Central Line / Catheter / Dressing frequency* Broviac *
Broviac proficiency* Broviac frequency* Groshong *
Groshong proficiency* Groshong frequency* Hickman *
Hickman proficiency* Hickman frequency* Portacath *
Portacath proficiency* Portacath frequency* Cutdown Line / Dressing *
Quinton proficiency* Quinton frequency* Cutdown Line / Dressing *
Cutdown Line / Dressing proficiency* Cutdown Line / Dressing frequency* Peripheral Line / Dressing *
Peripheral Line / Dressing proficiency* Peripheral Line / Dressing frequency*
Infectious Disease / Immunosuppression
Proficiency Rating
Frequency Rating
Interpretation of Lab Results (blood count) *
Interpretation of Lab Results (blood count) proficiency* Interpretation of Lab Results (blood count) frequency* Isolation *
Isolation proficiency* Isolation frequency* Fever Management *
Fever Management proficiency* Fever Management frequency*
Care of Child with
Proficiency Rating
Frequency Rating
AIDS *
AIDS proficiency* AIDS frequency* Common Childhood - Communicable Diseases *
Common Childhood - Communicable Diseases proficiency* Common Childhood - Communicable Diseases frequency* Cytomegalovirus (CMV) *
Cytomegalovirus (CMV) proficiency* Cytomegalovirus (CMV) frequency* Hepatitis *
Hepatitis proficiency* Hepatitis frequency* Kawasaki Disease *
Kawasaki Disease proficiency* Kawasaki Disease frequency* Lyme Disease *
Lyme Disease proficiency* Lyme Disease frequency*
Psychiatric
Proficiency Rating
Frequency Rating
Drug / ETOH Overdose / Withdrawal *
Drug / ETOH Overdose / Withdrawal proficiency* Drug / ETOH Overdose / Withdrawal frequency* Psychiatric Hold *
Psychiatric Hold proficiency* Psychiatric Hold frequency* Suicidal Patient *
Suicidal Patient proficiency* Suicidal Patient frequency* Anorexia / Bulimia *
Anorexia / Bulimia proficiency* Anorexia / Bulimia frequency* Depression *
Depression proficiency* Depression frequency*
Wound Management
Proficiency Rating
Frequency Rating
Assess Skin for Impending Breakdown *
Assess Skin for Impending Breakdown proficiency* Assess Skin for Impending Breakdown frequency* Assess Stasis Ulcers *
Assess Stasis Ulcers proficiency* Assess Stasis Ulcers frequency* Surgical Wound Healing *
Surgical Wound Healing proficiency* Surgical Wound Healing frequency* First Degree Burns *
First Degree Burns proficiency* First Degree Burns frequency* Second Degree Burns *
Second Degree Burns proficiency* Second Degree Burns frequency* Third Degree Burns *
Third Degree Burns proficiency* Third Degree Burns frequency* Pressure Sores *
Pressure Sores proficiency* Pressure Sores frequency* Stages Decubitus Ulcers *
Stages Decubitus Ulcers proficiency* Stages Decubitus Ulcers frequency* Sterile Dressing Changes *
Sterile Dressing Changes proficiency* Sterile Dressing Changes frequency* Surgical Wounds with Drain(s) *
Surgical Wounds with Drain(s) proficiency* Surgical Wounds with Drain(s) frequency* Traumatic Wounds *
Traumatic Wounds proficiency* Traumatic Wounds frequency* Use of Low Airloss Beds *
Use of Low Airloss Beds proficiency* Use of Low Airloss Beds frequency* Wound Care / Irrigations *
Wound Care / Irrigations proficiency* Wound Care / Irrigations frequency*
Pain Management
Proficiency Rating
Frequency Rating
Assessment of Pain Level / Tolerance *
Assessment of Pain Level / Tolerance proficiency* Assessment of Pain Level / Tolerance frequency*
Care of Child with
Proficiency Rating
Frequency Rating
Epidural Anesthesia / Analgesia *
Epidural Anesthesia / Analgesia proficiency* Epidural Anesthesia / Analgesia frequency* IV Conscious Sedation *
IV Conscious Sedation proficiency* IV Conscious Sedation frequency* Narcotic Analgesia *
Narcotic Analgesia proficiency* Narcotic Analgesia frequency*