Population: Neonate, infant, toddler, pre-school age, school age, adolescent, young adults and adults.
Care environment: Provides skilled care to patients across the life span from birth – adulthood in an intensive care environment.
KEY COMPETENCIES
Competencies to be assessed in the Pediatric ICU/CICU, these competencies include but are not limited to:
- Growth and development, birth - adult
- Head-to-toe assessment
- Recognition of the unwell child
- Cardiorespiratory monitoring
- Hemodynamic monitoring
- IV fluid management
- Specimen collection
- Care planning
- Medication preparation and administration
- Nutritional requirements and enteral feeding, including parenteral nutrition
- Pain assessment and management
- Risk screening and management
- Wound assessment and management
- Management of central venous access devices
- Airway management, including Tracheostomies and Endotracheal tubes
- Non-Invasive ventilation support
- Low flow Oxygen therapy
- High flow oxygen therapy
- CPAP
- BiPAP
- Invasive mechanical ventilation
- Vasoactive medication preparation and administration
- Management of chest drains
- Care and transport of a mechanically ventilated patient, including internal transfers and via ambulance
- Capillary blood sampling
- Care of the post-operative surgical patient
The PICU/CICU CN will be expected to work toward achieving the following advanced competencies:
- Care of the hemodynamically unstable patient
- Care of the patient with DKA
- Care of the patient with an external ventricular drain and intracranial pressure monitoring
- Care of the patient with temporary epicardial pacing wires and external pacing
- Cardiac surgery, pre- and post-operative intensive care, including adult congenital cardiac defect
- Care of the patient receiving inhaled Nitric Oxide
- Care of the patient with raised intracranial pressure
- Care of the acute trauma patient
- Care of the patient with an open chest, including emergency chest open procedures.·
- Care of the patient receiving: CRRT, peritoneal dialysis, ECMO
