PEDS-PACU Skillsheet
ADMISSION TO PACU
Initial Assessment
Proper Positioning
Vital Signs
Neurological Deficits/Neurological
Airway Management
Skil Color, Temperature, Turgor
AGE SPECIFIC COMPETENCE
Neonates/Newborns (Birth-30 Days)
Infants (30 Days - 1 Year)
Toddler (1- 3 Years)
Preschooler (3-5 Years)
School Age Children (5-12 Years)
Adolescents (12-18 Years)
ANESTHESIA EQUIPMENT
Dinamap
Omeda
Defibrillator
SA02 Monitor
Nitrogen Controls: Tanks
Nitrogen Controls: Wall Units
Blood Warmer
BP Monitor
Thermia Blankets
CARDIOVASCULAR
Placement and care of a patient on a cardiac monitor
Arrhythmia Analysis
Assist with the Insertion of a Temporary Pacemaker
Use of Non-Invasive Temporary Pacing Equipment
Identify Usual Dosage, Actions and Side Effects for: Vasopressors
Identify Usual Dosage, Actions and Side Effects for: Muscle Relaxants
Cardioversion and Defibrillation
Care of Patient with a Permanent or Temporary Pacemaker
Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Pulmonary Artery Catheters
Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Arterial Catheters
Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Swan-Ganz Catheters
Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Central Venous Catheters
Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Subclavian Lines
Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Epidural Catheters
Hemodynamic Monitoring: Equipment Maintenance
Hemodynamic Monitoring: Dressing Changes
Hemodynamic Monitoring: Prevention of Complications
Hemodynamic Monitoring: Leveling Waveform Analysis
Obtain and Interpret: Cardiac Output
Obtain and Interpret: PA Pressure
Obtain and Interpret: PCWP/PAWP
Obtain and Interpret: CVP
Obtain and Interpret: LAP
Identify Usual Dosage, Actions and Side Effects for: Antiarrhythmics
Identify Usual Dosage, Actions and Side Effects for: Ionotropes
Identify Usual Dosage, Actions and Side Effects for: Vasodilations
Identify Usual Dosage, Actions and Side Effects for: Reversal Agents
Identify Usual Dosage, Actions and Side Effects for: Betablockers
Identify Usual Dosage, Actions and Side Effects for: Calcium Channel Blockers
Identify Usual Dosage, Actions and Side Effects for: Inhalation Agents
Calculate Infusion Rates in Dosages Ordered
Cardiac Care: Advanced
Cardiac Care: Basic
CARE OF PATIENT WITH: CHEST TUBE
Set Up Closed Drainage System
Recognize Air Leak
Assess for Subcutaneous Emphysema
Measure Drainage
Troubleshoot Problems
CARE OF PATIENT WITH: TUBES/DRAINS
Penrose Drain: Salem
Davol: Colostomy
Davol: Jejunostomy
Foley Catheter: Cystotomy
Ileostomy: Jackson-Pratt
T-Tube
Foley Catheter: Urethral
Foley Catheter: Suprapubic
NG Tube
Penrose Drain: Sump
CHARTING
Discharge Criteria
Computer
DARE
APIE
SOAPIE
FOCUS
Discharge Planning
Utilization Review
Chart Review/Audit
EXPERIENCE
Admission to PACU
Pulmonary/Abnormal Breathing
O2 Administration
Care of Patient with Chest Tube
Cardiovascular
Operate and Monitor Unit Equipment
Anesthesia Equipment
Immunocompromised Care
Physical Assessment of Body Systems
Perform Suctioning
Post-Operative/Surgery Patient Care
Care of Patient with Tubes/Drains
Liver Disease
Liver and/or Intestinal Transplant Recipient
Thermoregulation/Hypothermia
Malignant Hyperthermia Crisis
PIV Management
Safe Patient Handling
Blood Sampling from CVC
Maintaining Catheter Patency
Venous Port Management
Nurse to Nurse Handoff
CVC Dressing Change
Nimbus Pump
PCA Pump
Alaris Pump
Blood/Blood Products Administration and Exchange
Anesthesia: Agents and Adjuncts
Anesthesia: Pre-Operative/Pre-Procedural
IMPLEMENT APPROPRIATE NURSING INTERVENTION FOR ABNORMAL BREATH SOUNDS
Airway Insertion/Management
Respiratory Distress Utilizing Mechanical Support
Reposition Patient
Pulmonary Toilet
Bronchodiliations, Diuretics
Suction, O2
MONITOR RECOVERY PATIENT FROM..
Regional Anesthesia
Local Anesthesia
General Anesthesia
O2 ADMINISTRATION
Face-Trach Mask
Nasal Cannula
T-Piece
ETT Mechanical Ventilator
OPERATE AND MONITOR UNIT EQUIPMENT
Pee-Wee Weighing Scale
Hyper/Hypothermia Blanket
Blood Warmer
PACU Stretcher
IV Pumps
Invasive Pressure Monitors
Collaborate with surgeon, anesthesiologist with regard to patient care
Document interventions, outcomes, lab studies, MD notifications and follow-up care
Perform Discharge Physical Assessment: Level of Consciousness
Perform Discharge Physical Assessment: Pupillary Reactions
Perform Discharge Physical Assessment: Motor and Sensory Function
Perform Discharge Physical Assessment: Muscular Strength; Hand Grasps, Head Lift
Portable Suction Machine
Transport Monitor
Automatic BP Monitor
Blanket Warmer/Bair Hugger
Sequential Compression Device
Pulse Oximeter
Utilizes appropriate infection control measures
Practice Universal Precautions
Implements Physican Orders
PERFORM SUCTIONING
Oral
Nasal
Endotracheal
Tracheal
PHYSICAL ASSESSMENT OF BODY SYSTEMS
Intergumentary
Cardiovascular
Neurologic
Gastrointestinal
Genitourinary
Respiratory
POST OPERATIVE CARE FOR THE FOLLOWING PATIENT POPULATIONS:
Genitourinary Surgery: Hypospadias
Post-Angiogram
Liver Biopsy
Cardiac Surgery
Genitourinary Surgery
Breast Surgery
Thoracic Surgery
Vascular Surgery
Orthopedic Surgery
Neurosurgery
Tonsillectomy/P.E. Tubes
Gynecological Surgery
Eye Surgery
Major Abdominal Surgery
ENT Surgery
Genitourinary Surgery: Circumcision
PULMONARY
Auscultate Breath Sounds
Recognize Abnormal Breath Sounds; Rales, Rhonchi
RECOGNIZE ABNORMAL BREATHING
Assess Respiratory Rate, Rhythm, Depth and Symmetry
Labored, Dyspneic
Obstructed
Laryngospasm
Insufficient Reversal
Respiratory Compromise