Building Pediatric Competency in the Emergency Department Overview
- EMSC Innovation & Improvement Center
- 5 minutes
This section helps clinicians build and sustain the knowledge, skills, and confidence needed to safely and effectively care for pediatric patients across a wide range of clinical scenarios.
Why it matters: Pediatric emergencies are often high-risk and low-frequency, increasing the need for ongoing education and skill reinforcement.
Key focus areas: Education, simulation, competency validation.
Who to engage: Pediatric emergency care coordinators (PECCs), nurse educators, professional practice or competency committees, and medical education leadership.
Getting started: Start with the pinned resource, which provides an overview of how to establish pediatric competencies in your ED. Then, using the available sample tools and materials, identify which competencies are most needed based on your ED’s priority pediatric presentations.
Introduces the role of pediatric competency assessment in supporting safe, effective emergency care for children. Defines what pediatric competencies are and why they apply to all ED team members.
Outlines core pediatric triage skills needed for rapid assessment, prioritization, and escalation of care in the emergency department.
Provides a structured framework for assessing and managing common pediatric illnesses and injuries in the emergency setting. Emphasizes early identification of high-risk conditions, evidence-based interventions, reassessment, and effective team communication.
Focuses on consistent, age-appropriate pain assessment and timely reassessment for pediatric patients. Highlights validated pain scales, multimodal pain management strategies, family engagement, and clear documentation.
Outlines essential skills for the assessment, stabilization, and management of pediatric burn injuries. Addresses burn severity recognition, pain control, fluid management, monitoring, and transfer decision-making.
Supports safe assessment and management of pediatric mental and behavioral health emergencies, including agitation, suicidality, and prolonged boarding. Emphasizes safety planning, de-escalation, screening, interdisciplinary coordination, and trauma-informed care.
Focuses on early recognition and management of pediatric poisonings and toxic exposures. Highlights toxidrome identification, high-risk ingestions, consultation with Poison Control, and weight-based treatment strategies.
Outlines key skills for pediatric airway assessment, preparation, intervention, and post-airway care. Emphasizes anticipation of difficult airways, equipment readiness, role clarity, escalation strategies, and continuous monitoring.
Outlines essential competencies to support safe pediatric medication prescribing, preparation, administration, and monitoring in the emergency department.
Provides a structured framework for safe pediatric procedural sedation and analgesia, from pre-procedure assessment through recovery and discharge.
Provides realistic, case-based pediatric triage scenarios to support practice, discussion, and skill validation. Includes an answer key to reinforce appropriate Emergency Severity Index (ESI) assignment and recognition of high-risk presentations.
This EMSC Colorado video library provides multiple, step-by-step video demonstrations of common pediatric emergency procedures. Reinforces proper technique, equipment use, and safety considerations to support skill development and retention.
Provides a comprehensive framework to support validation of clinician competency in the safe use of pediatric emergency department equipment.
Highlights the importance of closed-loop communication in supporting safe, effective pediatric emergency care. Provides structured tools to promote clear information exchange, role clarity, and shared understanding during high-stress situations.
Outlines core competencies for safe, effective pediatric transitions of care and handoffs in the emergency department (ED).
Provides a structured framework to support competency validation in core pediatric patient safety practices within the emergency department.
Provides a structured framework to support competency validation in pediatric vascular access for emergency department clinicians.
Provides a structured framework to support competency validation in pediatric hemorrhage recognition and control for emergency department clinicians.
Provides a structured framework to support competency validation in pediatric critical care monitoring for emergency department clinicians.
Provides a structured framework to support competency validation in neonatal resuscitation for emergency department clinicians.