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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!


Pediatric Skills Checklist

*
Denotes required field

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
 
CARDIOVASCULAR
1 2 3 4
 
Cardiac Anomalies
 
Cardioversion
 
CHF/Pulmonary Edema
 
Dysrhythmia Interpretation/Management
 
PEWS Score
 
Post Cardiac Surgery
 
Pre Cardiac Surgery
 
PULMONARY
1 2 3 4
 
Airway Obstruction
 
Apnea Monitor
 
Aspiration
 
Asthma
 
Chest Tube Management
 
Cystic Fibrosis
 
Epiglottitis
 
Esophageal Atresia
 
Home Ventilator Therapy
 
Laryngotracheobronchitis (Croup)
 
Nasotracheal Suctioning
 
Oral Suctioning
 
Pneumo/Hemothorax
 
Reactive Airway Disease
 
RSV
 
Tonsillitis
 
Tracheostomy Management
 
Tuberculosis
 
Ventilator Management
 
NEUROLOGICAL
1 2 3 4
 
Assist with Lumbar Puncture
 
Brain Injury
 
Cerebral Palsy
 
Glascow Coma Scale
 
Meningitis/Encephalitis
 
Neuromuscular Disease
 
Opioid Withdrawal
 
Post Vertebral Surgery
 
Seizures - Febrile/Epileptic
 
Spinal Cord Injury/Spinal Precautions
 
Traction - Halo
 
VP Shunts/Internal/External
 
ORTHOPEDICS
 
Circulation Checks/Doppler Pulses
 
Crutch Walking
 
Extremity Fracture/Cast
 
Pin Care
 
Post ORIF
 
Traction - General
 
GASTROINTESTINAL
1 2 3 4
 
Bowel Obstruction
 
Breastfeeding Support/Handling of Breast Milk
 
Cleft Lip/Palate
 
Colostomy/Ileostomy
 
Constipation
 
Failure to Thrive
 
Feeding Intolerance
 
G Tube/J Tube Management
 
Gastroenteritis/Dehydration
 
GI Bleeding
 
Handling of Breast Milk
 
Hepatitis/Liver Failure
 
Inflammatory Bowel Disease
 
NG Tube Insertion/Management
 
Poison Ingestion
 
Surgical Drains
 
Tube Feedings
 
RENAL/GENITOURINARY
1 2 3 4
 
Assessment of Electrolytes
 
Assist with Circumcision/Care of
 
Bladder Scanner
 
Dialysis
 
Foley Catheter Insertion/Management
 
Glomerulonephritis
 
Renal Failure
 
Renal Transplant
 
Renal Trauma
 
Straight Catheterization
 
Suprapubic Catheter Management
 
Testicular Torsion
 
Urinary Retention
 
UTI/Pyelonephritis
 
ENDOCRINE/METABOLIC
1 2 3 4
 
Bili Bed/Lights
 
Diabetes - Hypo/Hyperglycemia
 
Diabetic Ketoacidosis
 
Hyperbilirubinemia
 
Indwelling Insulin Pumps
 
IV Insulin Pumps
 
ONCOLOGY/HEMATOLOGY
1 2 3 4
 
Bone Marrow Transplant
 
Chemotherapy Administration - IV
 
Chemotherapy Administration - Oral
 
Hemophilia
 
Hodgkin's Disease
 
Leukemia
 
Sickle Cell Anemia
 
Solid Tumors
 
EENT
1 2 3 4
 
ENT Surgery
 
Epistaxis
 
Foreign Body - Ear
 
Foreign Body - Eye
 
Foreign Body - Nose
 
INFECTIOUS DISEASE
1 2 3 4
 
Childhood Communicable Diseases
 
Contagious/Infectious Patients
 
Hepatitis
 
HIV
 
Kawasaki Disease
 
Neutropenia/Reverse Isolation
 
Reporting Communicable Disease
 
SIRS Scale
 
INTEGUMENTARY
1 2 3 4
 
Pressure Ulcer Risk Assessment/Prevention
 
Wound Care/Dressing Changes
 
PSYCHIATRIC
1 2 3 4
 
Acute Psychotic Patient
 
Behavioral Disorders
 
Drug/ETOH Overdose/Withdrawl
 
Managing Violent Behavior
 
Psychiatric Disorders
 
Psychiatric Hold
 
Suicidal Ideation
 
WOMEN'S HEALTH
1 2 3 4
 
Assist with GYN Exam
 
Ectopic Pregnancy
 
Menstrual Pain
 
Ovarian Cyst
 
Pelvic Inflammatory Disease/STD
 
Sexual Assault
 
MEDICATIONS
1 2 3 4
 
Pediatric Dosage Calculations
 
Anti-Hypertensives
 
Anticoagulants
 
Anti-Seizure Medications
 
Benzodiazepines
 
Digoxin
 
Diurectics
 
Emergency Medications
 
Inhaled Medications
 
Insulin
 
Narcotics/Opioid Analgesics (IV/Oral/Injection)
 
Non-Opioid Analgesics (IV/Oral/Injection)
 
Procedural Sedation - Administration
 
Procedural Sedation - Recovery
 
Reversal Agents
 
Steroids
 
IV THERAPY
1 2 3 4
 
Blood and Blood Product Administration
 
Blood Cultures
 
Central Line Blood Draw
 
Central Line Care
 
Implanted Port Access/Management
 
IV Immunoglobulin
 
IV Insertion
 
IV Management
 
TPN/Lipids
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Charge Experience
 
Fall Risk Assessment/Prevention
 
Infection Prevention
 
Isolation Precautions
 
National Patient Safety Goals/Core Measures
 
Normal Growth and Development
 
Pain Assessment & Management
 
Patient Family Teaching
 
Pressure Ulcer Risk Assessment/Prevention
 
Recognize and Report Signs of Abuse
 
Reporting Communicable Diseases
 
Restraints/Use of Least Restrictive Device
 
Universal Protocol Procedures (Time Out)
 
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
 
CPHON
 
Chemo Certification: Specify
 
PICC Certification: Specify
 
CCRN
 
Telemetry Certificate
 
Other: Specify
Pediatric 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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