Neonatal Intensive Care Unit Skills Checklist - CNA

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Skills Checklist
This Skills Checklist is for use by nurses with more than one-year experience in their discipline and specialty. Please be accurate with your assessment.
DIRECTIONS: Please indicate your level of experience by placing a check (X) in the box.
Experience level:
1 NO EXPERIENCE
2 MINIMAL EXPERIENCE - requires supervision/assistance
3 MODERATELY EXPERIENCED - requires initial review, then performs independently
4 VERY EXPERIENCED - proficient
NEUROLOGICAL: Assessment
Intracranial pressure monitoring*
Neurological status*
NEUROLOGICAL: Care of the neonate with
Brain death/organ procurement*
Externalized VP Shunt/reservoirs*
Increased intracranial pressure*
Seizures*
PULMONARY: Assessment
Breath sounds*
Rate and work of breathing*
PULMONARY: Equipment & procedures
Airway management: Assist with intubation*
Airway management: Bulb syringe*
Airway management: CPAP (nasal prongs)*
Airway management: Endotracheal tube stabilization*
Airway management: Endotracheal tube suctioning*
Airway management: Extubation*
Airway management: Intubation*
Airway management: Nasal airway/suctioning*
Airway management: Oral airway/suctioning*
Airway management: Tracheostomy/suctioning*
Apnea monitor*
Cardiac resuscitation*
Chest tube: Insertion*
Chest tube: Removal*
Chest tube: Set-up*
O2 therapy delivery systems: Bag & mask*
O2 therapy delivery systems: Nasal cannula*
O2 therapy delivery systems: Oxyhood*
O2 therapy delivery systems: Tent*
O2 therapy delivery systems: Trach collar*
Obtaining blood gases: Arterial*
Obtaining blood gases: Heelstick*
Obtaining blood gases: Peripheral*
Obtaining blood gases: Umbilical line*
Thoracentesis*
Use of artificial surfactant*
Ventilator care: CPAP/PEEP*
Ventilator care: IMV*
Ventilator care: Oscillating*
Ventilator care: Pressure ventilator*
Ventilator care: Volume ventilator*
Weaning*
PULMONARY: Care of the neonate with
Bronchopulmonary dysplasia (BPD)*
Cardiogenic/Hypovolemic shock*
Diaphrogmatic hernia*
Drug addiction/withdrawal*
Fresh tracheostomy*
Meconium aspiration*
Persistent pulmonary hypertension (PPHN)*
Pneumothorax*
Respiratory distress syndrome (RDS)*
Systemic infection*
Respiratory failure*
Tetralogy of fallot*
PULMONARY: Medications
Aminophylline*
Prostaglandin*

ENDOCRINE/METABOLIC: Assessment
Finnegan*
Fluid & electrolyte balance*
ENDOCRINE/METABOLIC: Equipment & procedures
Collection of urine specimens: Assist with supra-pubic tap*
Collection of urine specimens: Catheter*
Collection of urine specimens: Diaper/bag*
Phototherapy for jaundice: Post circumcision care*
ENDOCRINE/METABOLIC: Care of the neonate with
Acute renal failure*
DIC (disseminated intravascular coagulation)*
Drug addiction/withdrawal*
Hypo/hyperkalemia*
Hypo/hypernatremia*
IDM (infant of a diabetic mother): Hyperglycemia*
IDM (infant of a diabetic mother): Hypoglycemia*
Malformations of the GU tract, kidney*
Peritoneal dialysis*
INFECTIOUS DISEASES: Equipment & procedures
Assist with lumbar puncture*
Isolation techniques*
INFECTIOUS DISEASES: Care of the neonate with
Hepatitis surface antigen + mother*
HIV positive mother*
Neonatal sepsis*
INFECTIOUS DISEASES: Medications – Immunizations
HBIG*
HBV*
HIB*
Polio*
DPT*
PHLEBOTOMY/IV THERAPY: Equipment & procedures
Administration of blood/blood products: Packed red blood cells*
Administration of blood/blood products: Plasma/albumin*
Administration of blood/blood products: Platelets*
Delivery systems: IV pump*
Delivery systems: Syringe pump*
Drawing blood from central line*
Drawing venous blood*
Hyperalimentation/TPN*
Intralipid*
Managing IV Therapy: Rate calculation*
Managing IV Therapy: Site & patency assessment*
Starting IV’s: Butterfly*
Starting IV’s: Heparin lock*
PHLEBOTOMY/IV THERAPY: Care of the neonate with
Central line/catheter/dressing: Hickman*
Central line/catheter/dressing: Portacath*
Percutaneous arterial line*
Percutaneous venous line*
Peripheral line/dressing*
PICC (peripherally inserted central catheter)*
Umbilical artery line*
Umbilical venous line*
PAIN MANAGEMENT
Assessment of pain level*
Care of the neonate with sedation, i.e. morphine*
MISCELLANEOUS: Assessment
Apgar scoring*
Eye exam (r/o retinopathy)*
Gestational age: Ballard*
Gestational age: Dubowitz*
Gestational age: Other*
Maternal History*
Screen for hearing loss*
MISCELLANEOUS: Equipment & Procedures:
Bereavement/postmortem care*
Cord care*
Neonatal skin care*
Positioning devices*
Preparation for transport/transfer*
Thermoregulation: Isolette with humidity*
Thermoregulation: Radiant warmer*
Thermoregulation: Temperature (Axillary, rectal, skin)*
Thermoregulation: Weaning to open crib/bassinet*
Weights: Bed scale*
Weights: Scale*
MISCELLANEOUS: Medications
Calculation of dosage*
Emergency drug action & reaction*
Eye prophylaxis – Vitamin K*
Neonatal drug action & reactions*
MISCELLANEOUS: Interpretation of lab values
Blood chemistry*
Blood hematology*
Blood gases*