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Travel Nursing Skills Checklists

Congratulations on your decision to apply for a travel nursing position with American Mobile! Before we can offer you a nursing employment opportunity, an electronic skills assessment must be completed. From the nursing skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!


PICU Skills Checklist

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This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
E-Mail Address* Phone Number*
 
1. No experience; requires education, training and supervision
2. Intermittent experience; may need support or supervision
3. Proficient; consistent experience, independent
4. Expert level; can teach/supervise others
 
WORK SETTINGS
1 2 3 4
 
Pediatric CVICU
 
Pediatric PACU
 
Pediatric Step Down
 
PICU
 
CARDIOVASCULAR
1 2 3 4
 
Dyrhythmia Interpration/Management
 
Cardiac Transplant
 
Congenital Heart Disease/Repair
 
ECMO
 
Heart Failure/Cardiogenic Shock
 
Hemodynamic Monitoring
 
Intra-Aortic Balloon Pump
 
Pacemaker - Temporary/Permanent
 
Post Cardiac Surgery (Directly from OR)
 
Post Cardiac Surgery (NOT Directly from OR)
 
Post Diagnositc/Interventional Cardiac Cath
 
Shock Management
 
SVO2 Monitoring
 
Ventricular Assist Device
 
PULMONARY
1 2 3 4
 
Chest Tubes - Assist with Insertion/Management
 
Cystic Fibrosis
 
Endotracheal Tube Management
 
Epiglottis
 
Hemo/Pneumothorax
 
Intubation/Extubation
 
Modes of Ventilation: AC/PC/SIMV/CPAP
 
Modes of Ventilation: Jet/Oscillator
 
Nitric Oxide
 
Reactive Airway Disease
 
Respiratory Failure
 
Tracheostomy Management
 
NEUROLOGICAL
1 2 3 4
 
Assist with Lumbar Puncture
 
Brain Injury/Traumatic
 
Cerebral Palsy
 
Craniotomy
 
Glascow Coma Scale
 
ICP Monitoring
 
Meningitis/Encephalitis
 
Neuromuscular Disease
 
Seizures - Febrile/Epileptic
 
Spinal Precautions
 
Substance Withdrawal
 
Traction - Halo
 
VP Shunts - Internal/External
 
ORTHOPEDICS
 
Fractures/Casting
 
Pin Care
 
Post Joint Repair/Replacement
 
Traction - skin/skeletal
 
GASTROINTESTINAL
1 2 3 4
 
Bowel Obtruction
 
Cleft Lip/Palate
 
Failure to Thrive
 
Gastric Tube Insertion/Management (i.e. NG, G-Tube, J-Tube)
 
GI Bleeding
 
Breast Milk Handling/Storage
 
Hepatic Failure
 
Hepatitis
 
Pancreatitis
 
Poison Ingestion
 
Surgical Drains
 
RENAL/GENITOURINARY
1 2 3 4
 
Catheter Insertion/Management (i.e. foley, straight)
 
Nephrotic Syndrome
 
Peritoneal Dialysis
 
Renal Failure
 
Continuous Renal Replacement Therapy
 
Renal Transplant
 
Testicular Torsion
 
UTI/Pyelonephritis
 
ENDOCRINE/METABOLIC
1 2 3 4
 
Bili Bed/Lights
 
Hyperbilirubinemia
 
Hypo/Hyperglycemia
 
Indwelling Insulin Pumps
 
IV Insulin Protocols
 
WOUND MANAGEMENT
1 2 3 4
 
Ostomy Care
 
Wound Care/Dressing Changes
 
SHOCK/TRAUMA
1 2 3 4
 
Bites-Animal/Snake/Human
 
Burns
 
Craniofacial Reconstruction
 
Injury Severity Score
 
Major Trauma
 
Near Drowning
 
Poison Ingestion/Overdose
 
Shock Management
 
Suicide Precautions
 
Trauma Code
 
Trauma Team Member
 
Traumatic Amputation
 
EENT
1 2 3 4
 
Epistaxis
 
Foreign Body - Eye/Ear/Nose-management/removal
 
INFECTIOUS DISEASE/IMMUNOSUPPRESSED PATIENTS
1 2 3 4
 
Contagious/Infectious Patients
 
WOMEN'S HEALTH
1 2 3 4
 
Assist with GYN Exam
 
Ectopic Pregnancy
 
Menstrual Pain
 
Ovarian Cyst
 
Pelvic Inflammatory Disease/STD
 
Sexual Assault
 
PSYCHIATRIC
1 2 3 4
 
Managing Violent Behavior
 
Psychiatric Hold
 
Substance Overdose/Withdrawal
 
Suicidal Ideation
 
ONCOLOGY/HEMATOLOGY
1 2 3 4
 
Bone Marrow Transplant
 
Chemotherapy Administration - IV
 
Chemotherapy Administration - Oral
 
MEDICATIONS
1 2 3 4
 
Anti-Arrhythmics
 
Anti-Coagulants
 
Anti-Hypertensives
 
Anti-Seizure Medications
 
Benzodiazepines
 
Continuous IV Paralytics
 
Continuous IV Sedation
 
Diuretics
 
Emergency Medication
 
IV Vasopressors
 
Narcotics/Opiod Analgesics
 
Non-Opiod Analgesics
 
Procedural Sedation - Administration
 
Reversal Agents
 
Steroids
 
IV THERAPY
1 2 3 4
 
Blood and Blood Product Administration
 
Central Line Management/Care
 
Implanted Port Access/Management
 
IV Immunoglobulin
 
Peripheral IV Insertion
 
Phlebotomy
 
TPN/Lipids
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Charge Experience
 
Fall Risk Assessment/Prevention
 
Infection Prevention
 
Interpretation and Communication of Lab Values
 
National Patient Safety Goals/Core Measures
 
Normal Growth and Development
 
Pain Assessment & Management
 
Patient Family Teaching
 
Pressure Ulcer Risk Assessment/Prevention
 
Recognize/Report Signs of Abuse
 
Reporting Communicable Diseases
 
Restraints/Use of Least Restrictive Device
 
AGE SPECIFIC/POPULATION BASED CARE
1 2 3 4
 
Neonate/Infant
 
Toddler/Preschool
 
School Age
 
Adolescents
 
Young/Middle Adults
 
Older Adults/Geriatrics
 
EMR
1 2 3 4
 
Allscripts
 
GE
 
Bar Coding for Medication Administration
 
Cerner
 
Computerized Physician Order Entry
 
Eclipsys
 
Epic
 
McKesson
 
Meditech
 
Other: Specify
 
Other: Specify
 
EMR Conversion
 
Certifications *(Current at time of completing this form)
 
BLS
 
ACLS
 
PALS
 
CPN
 
CCRN
 
Telemetry Certificate
 
Other: Specify
PICU Skills Checklist, version 6

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. Falsification of any information provided, will result in being ineligible to travel with AMN. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

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