PACU Skills Checklist
   NAME  
   Email-Id
   DATE    
I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:

This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

 
Proficiency Scale: 1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

 
Rating Stars (Click)
CARDIOVASCULAR 1
2
3
4
Open Heart Recovery
AAA Repair
Vascular Surgery
Pacemaker-Permanent & Temporary
Cardioversion
AICD Insertion
Cardiac Arrest
Cardiac Tamponade
CHF/Pulmonary Edema
Abnormal Heart Sounds/Murmurs
Pulses/Circulation Checks
Rating Stars (Click)
PULMONARY 1
2
3
4
Ventilator Management
Fresh Tracheostomy
Thoracotomy/Lobectomy/Pneumonectomy
Pneumothorax/Hemothorax
Laryngospasm
Pulmonary Embolism
COPD
ABG Interpretation
Rating Stars (Click)
NEUROLOGIC 1
2
3
4
Post Craniotomy
Anterior/Posterior Spinal Fusion
Carotid Endardarectomy
Spine Surgery
CVA
Stroke Scale
Glascow Coma Scale
Spinal Precautions
Hypothermia Protocol
Hypo/Hyperthermia Blanket
Sedation Scales/Levels
Rating Stars (Click)
GASTROINTESTINAL 1
2
3
4
Pancreas/Liver Transplant
Colon Surgery
Colostomy/Ileostomy
ERCP
G Tube/J Tube Management
T Tube Management
Rating Stars (Click)
RENAL/GENITOURINARY 1
2
3
4
Renal Surgery
TURP
Arteriovenous Fistula/Shunt
Nephrostomy Tubes
Rating Stars (Click)
ENDOCRINE METABOLIC 1
2
3
4
Diabetes - Hypo/Hyperglycemic Crisis
IV Insulin Protocols
Rating Stars (Click)
ORTHOPEDIC 1
2
3
4
Laminectomy
Total Joint Replacement
Amputation
Open Reduction/Internal Fixation
General Orthopedic Surgeries
CPM/Traction
Circulation Checks
Rating Stars (Click)
WOUND MANAGEMENT 1
2
3
4
Surgical Drains
Wound Vac
Surgical Wound Assessment
Skin Assessment for Breakdown
Staging Decubitus Ulcers
Rating Stars (Click)
MEDICATIONS 1
2
3
4
Procedural Sedation
Anesthesia Medications
Anti-Arrhythmics
Anticoagulants
Anti-Hypertensives
Anti-Seizure Medications
Benzodiazepines
Emergency Medications
Insulin
Narcotics/Opioid Analgesics
Nitrates
Non-Opioid Analgesics
Reversal Agents
Steroids
Automated Medication Dispensing (i.e. Pyxis, Omnicell)
Rating Stars (Click)
IV THERAPY 1
2
3
4
Starting Ivs
Central Line Blood Draws
Central Line/Implanted Line Care
Blood Product Administration
Rating Stars (Click)
CARDIAC MONITORING & EMERG. RESPONSE 1
2
3
4
Malignant Hyperthermia
Dysrhythmia Interpretation
Dysrhythmia Management
12 Lead EKG
Rating Stars (Click)
PROFESSIONAL KNOWLEDGE AND SKILLS 1
2
3
4
National Patient Safety Goals/Core Measures
Fall Risk Assessment/Prevention
Pressure Ulcer Risk Assessment/Prevention
Age Specific/Population-Based Care
Pain Assessment & Management
Charge Experience
Interpretation and Communication of Lab Values
Specialty Beds
Rating Stars (Click)
EMR 1
2
3
4
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
PULMONARY
Rating Stars (Click)
Age Specific Competencies 1
2
3
4
Infant (Birth - 1 year)
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)