Elementor #66733 - CrossMed Healthcare

Skills Checklist

LPN

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1 = No theory and/or experience 2 = Limited Experience 3 = Experienced/minimal support needed to perform 4 = Proficient

Age of Patients Cared For
Newborn/Neonatal (Birth- 30 days)*
- 1
- 2
- 3
- 4
Infant (30 days- 1 yr)*
- 1
- 2
- 3
- 4
Toddler (1-3 yrs)*
- 1
- 2
- 3
- 4
Preschool (3-5 yrs)*
- 1
- 2
- 3
- 4
School Age Children (5-12 yrs)*
- 1
- 2
- 3
- 4
Adolescent (12-18 yrs)*
- 1
- 2
- 3
- 4
Young Adults (18- 39 yrs)*
- 1
- 2
- 3
- 4
Middle Adults (39-64 yrs)*
- 1
- 2
- 3
- 4
Older Adults (64+ yrs)*
- 1
- 2
- 3
- 4
CLINICAL AREAS
Burn Unit*
- 1
- 2
- 3
- 4
Cardiac Care*
- 1
- 2
- 3
- 4
Emergency Department*
- 1
- 2
- 3
- 4
Intensive Care Unit*
- 1
- 2
- 3
- 4
Step Down*
- 1
- 2
- 3
- 4
Gynecology*
- 1
- 2
- 3
- 4
Labor and Delivery*
- 1
- 2
- 3
- 4
Medical*
- 1
- 2
- 3
- 4
Mother/Baby*
- 1
- 2
- 3
- 4
Neurology*
- 1
- 2
- 3
- 4
Nursery*
- 1
- 2
- 3
- 4
Obstetrics*
- 1
- 2
- 3
- 4
OR*
- 1
- 2
- 3
- 4
Oncology*
- 1
- 2
- 3
- 4
Orthopedics*
- 1
- 2
- 3
- 4
Pediatrics*
- 1
- 2
- 3
- 4
Post Partum*
- 1
- 2
- 3
- 4
Psychiatry*
- 1
- 2
- 3
- 4
Rehabilitation*
- 1
- 2
- 3
- 4
Renal/Dialysis*
- 1
- 2
- 3
- 4
Respiratory*
- 1
- 2
- 3
- 4
Surgical*
- 1
- 2
- 3
- 4
Telemetry*
- 1
- 2
- 3
- 4
Doctor’s Office*
- 1
- 2
- 3
- 4
Health Department*
- 1
- 2
- 3
- 4
Corrections*
- 1
- 2
- 3
- 4
Home Health*
- 1
- 2
- 3
- 4
Long Term Care*
- 1
- 2
- 3
- 4
Hospice*
- 1
- 2
- 3
- 4
Respite Care*
- 1
- 2
- 3
- 4
Outpatient Clinic*
- 1
- 2
- 3
- 4
Nursing Home*
- 1
- 2
- 3
- 4
Core Skills
Admissions of a Patient*
- 1
- 2
- 3
- 4
Transfer of a Patient*
- 1
- 2
- 3
- 4
Discharge of a Patient*
- 1
- 2
- 3
- 4
Assist with Emergency Situations/Codes*
- 1
- 2
- 3
- 4
Vital Signs*
- 1
- 2
- 3
- 4
Post Mortem Care*
- 1
- 2
- 3
- 4
Assist with Defibrillation*
- 1
- 2
- 3
- 4
Assist with Cardioversion*
- 1
- 2
- 3
- 4
Documentation*
- 1
- 2
- 3
- 4
Patient and Family Education*
- 1
- 2
- 3
- 4
Assessment of Abuse*
- 1
- 2
- 3
- 4
Restraints*
- 1
- 2
- 3
- 4
Body Mechanics*
- 1
- 2
- 3
- 4
Aseptic Technique*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
CARDIOVASCULAR - CARE OF PATIENT WITH:
Auscultation (rate, rhythm)*
- 1
- 2
- 3
- 4
Blood Pressure/Non-invasive*
- 1
- 2
- 3
- 4
Doppler*
- 1
- 2
- 3
- 4
Heart Sounds/Murmurs*
- 1
- 2
- 3
- 4
Abdominal Aortic Aneurysm/Bypass*
- 1
- 2
- 3
- 4
Angina*
- 1
- 2
- 3
- 4
Cardiac Arrest*
- 1
- 2
- 3
- 4
Cardiomyopathy*
- 1
- 2
- 3
- 4
Carotid Endarterectomy*
- 1
- 2
- 3
- 4
Congestive Heart Failure*
- 1
- 2
- 3
- 4
Femoral-Popliteal Bypass*
- 1
- 2
- 3
- 4
Myocarditis*
- 1
- 2
- 3
- 4
Status Post MI*
- 1
- 2
- 3
- 4
Post Angioplasty*
- 1
- 2
- 3
- 4
Post Cardiac Cath*
- 1
- 2
- 3
- 4
Thrombophlebitis*
- 1
- 2
- 3
- 4
Temporary Pacemaker*
- 1
- 2
- 3
- 4
Permanent Pacemaker*
- 1
- 2
- 3
- 4
Cardiac Enzymes*
- 1
- 2
- 3
- 4
Blood Chemistries*
- 1
- 2
- 3
- 4
Basic Arrhythmia Interpretation*
- 1
- 2
- 3
- 4
Lead Placement*
- 1
- 2
- 3
- 4
PULMONARY - CARE OF PATIENT WITH:
Ventilator/Weaning*
- 1
- 2
- 3
- 4
Breath Sounds*
- 1
- 2
- 3
- 4
Rate and Work of Breathing*
- 1
- 2
- 3
- 4
Arterial Blood Gases (ABG)*
- 1
- 2
- 3
- 4
Asthma*
- 1
- 2
- 3
- 4
COPD*
- 1
- 2
- 3
- 4
Tracheostomy*
- 1
- 2
- 3
- 4
Lobectomy*
- 1
- 2
- 3
- 4
Pneumonectomy*
- 1
- 2
- 3
- 4
Pneumonia*
- 1
- 2
- 3
- 4
Pulomonary Embolism*
- 1
- 2
- 3
- 4
Thoracotomy*
- 1
- 2
- 3
- 4
Tuberculosis*
- 1
- 2
- 3
- 4
Pulmonary Edema*
- 1
- 2
- 3
- 4
Pneumothorax*
- 1
- 2
- 3
- 4
Laryngospasm*
- 1
- 2
- 3
- 4
Endotracheal Tube/Suctioning*
- 1
- 2
- 3
- 4
Nasal Airway/Suctioning*
- 1
- 2
- 3
- 4
Oropharyngeal/Suctioning*
- 1
- 2
- 3
- 4
Sputum Specimen Collection*
- 1
- 2
- 3
- 4
Tracheostomy/Suctioning*
- 1
- 2
- 3
- 4
Assist with Intubation*
- 1
- 2
- 3
- 4
Assist with Thoracentesis*
- 1
- 2
- 3
- 4
Chest Tube Management*
- 1
- 2
- 3
- 4
Chest Physiotherapy*
- 1
- 2
- 3
- 4
Incentive Spirometry*
- 1
- 2
- 3
- 4
Pulse Oximetry*
- 1
- 2
- 3
- 4
Bag and Mask*
- 1
- 2
- 3
- 4
Face Mask*
- 1
- 2
- 3
- 4
Nasal Cannula*
- 1
- 2
- 3
- 4
Portable O2 Tank*
- 1
- 2
- 3
- 4
NEUROLOGICAL - CARE OF PATIENT WITH:
Glascow Coma Scale*
- 1
- 2
- 3
- 4
Level of Consciousness*
- 1
- 2
- 3
- 4
Assist with Lumbar Puncture*
- 1
- 2
- 3
- 4
Use of Hypo-Hyperthermia Blanket*
- 1
- 2
- 3
- 4
Aneurysm Precautions*
- 1
- 2
- 3
- 4
Basal Skull Fracture*
- 1
- 2
- 3
- 4
Closed Head Injuries*
- 1
- 2
- 3
- 4
Coma*
- 1
- 2
- 3
- 4
CVA*
- 1
- 2
- 3
- 4
TIA*
- 1
- 2
- 3
- 4
Delerium Tremens*
- 1
- 2
- 3
- 4
Encephalitis*
- 1
- 2
- 3
- 4
Meningitis*
- 1
- 2
- 3
- 4
Neuromuscular Disorders*
- 1
- 2
- 3
- 4
Psychiatric Disorders*
- 1
- 2
- 3
- 4
Seizures*
- 1
- 2
- 3
- 4
Overdose*
- 1
- 2
- 3
- 4
Guillain- Barre Syndrome*
- 1
- 2
- 3
- 4
Externalized VP Shunts*
- 1
- 2
- 3
- 4
Post Craniotomy*
- 1
- 2
- 3
- 4
Spinal Cord Injuries*
- 1
- 2
- 3
- 4
ORTHOPAEDICS - CARE OF PATIENT WITH:
Circulation checks*
- 1
- 2
- 3
- 4
Gait*
- 1
- 2
- 3
- 4
Range of Motion*
- 1
- 2
- 3
- 4
Skin*
- 1
- 2
- 3
- 4
Cane/Crutches/Walker Use*
- 1
- 2
- 3
- 4
Wheelchair Use*
- 1
- 2
- 3
- 4
Cane/Crutches/Walker Use*
- 1
- 2
- 3
- 4
Amputation*
- 1
- 2
- 3
- 4
Arthroscopic Surgery*
- 1
- 2
- 3
- 4
Cast*
- 1
- 2
- 3
- 4
Splint*
- 1
- 2
- 3
- 4
Knee Immobilizer*
- 1
- 2
- 3
- 4
Osteoporosis*
- 1
- 2
- 3
- 4
Pinned Fractures*
- 1
- 2
- 3
- 4
Total Joint Replacements*
- 1
- 2
- 3
- 4
Continuous Passive Motion Devices*
- 1
- 2
- 3
- 4
Cervical Collar*
- 1
- 2
- 3
- 4
Prosthetics*
- 1
- 2
- 3
- 4
Traction- Bucks/Skeletal*
- 1
- 2
- 3
- 4
Auto Transfuser*
- 1
- 2
- 3
- 4
GASTROINTESTINAL - CARE OF PATIENT WITH:
Abdominal/ bowel sounds*
- 1
- 2
- 3
- 4
Fluid Balance*
- 1
- 2
- 3
- 4
Placement of NG tube*
- 1
- 2
- 3
- 4
Placement of Flexible Feeding Tube*
- 1
- 2
- 3
- 4
Administration of Tube Feeding*
- 1
- 2
- 3
- 4
Feeding Pumps*
- 1
- 2
- 3
- 4
Gravity Feeding*
- 1
- 2
- 3
- 4
Salem Sump to Suction*
- 1
- 2
- 3
- 4
Care of Gastrostomy Tube*
- 1
- 2
- 3
- 4
Colostomy Care*
- 1
- 2
- 3
- 4
Bowel Obstruction*
- 1
- 2
- 3
- 4
GI Bleeding*
- 1
- 2
- 3
- 4
GI Surgery*
- 1
- 2
- 3
- 4
Hepatitis*
- 1
- 2
- 3
- 4
Inflammatory Bowel Disease*
- 1
- 2
- 3
- 4
Liver Failure*
- 1
- 2
- 3
- 4
Liver Transplant*
- 1
- 2
- 3
- 4
Paralytic Ileus*
- 1
- 2
- 3
- 4
Colostomy/Ileostomy*
- 1
- 2
- 3
- 4
Abdominal Trauma*
- 1
- 2
- 3
- 4
RENAL/GENITOURINARY - CARE OF PATIENT WITH:
Fluid Balance*
- 1
- 2
- 3
- 4
Urinary Output*
- 1
- 2
- 3
- 4
BUN &Creatinine*
- 1
- 2
- 3
- 4
Catheter Care*
- 1
- 2
- 3
- 4
Specimen Collection- Routine*
- 1
- 2
- 3
- 4
Specimen Collection- 24 Hours*
- 1
- 2
- 3
- 4
Specimen Collection- Clean Catch*
- 1
- 2
- 3
- 4
Insertion & Care of Straight and Foley Catheters- Female*
- 1
- 2
- 3
- 4
Insertion & Care of Straight and Foley Catheters- Male*
- 1
- 2
- 3
- 4
Hemodialysis*
- 1
- 2
- 3
- 4
Nephrectomy*
- 1
- 2
- 3
- 4
Peritoneal Dialysis*
- 1
- 2
- 3
- 4
Renal Failure*
- 1
- 2
- 3
- 4
Renal Transplant*
- 1
- 2
- 3
- 4
TURP*
- 1
- 2
- 3
- 4
Ileal Conduit*
- 1
- 2
- 3
- 4
Bladder Irrigations*
- 1
- 2
- 3
- 4
Urinary Tract Infections*
- 1
- 2
- 3
- 4
Gyn Surgery*
- 1
- 2
- 3
- 4
Renal trauma*
- 1
- 2
- 3
- 4
ENDOCRINE/ METABOLIC - CARE OF PATIENT WITH:
S/S Diabetic Coma*
- 1
- 2
- 3
- 4
S/S Insulin Coma*
- 1
- 2
- 3
- 4
Blood Glucose Monitoring*
- 1
- 2
- 3
- 4
Performing Finger/Heel Stick*
- 1
- 2
- 3
- 4
Sliding Scale Insulin Protocols*
- 1
- 2
- 3
- 4
Adrenal Disorders (Addison’s)*
- 1
- 2
- 3
- 4
Diabetes Mellitus*
- 1
- 2
- 3
- 4
Diabetes Insipidus (Pituitary Disorder)*
- 1
- 2
- 3
- 4
Diabetic Ketoacidosis*
- 1
- 2
- 3
- 4
Hyperthyroidism*
- 1
- 2
- 3
- 4
Hypothyroidism*
- 1
- 2
- 3
- 4
Thyroidectomy*
- 1
- 2
- 3
- 4
WOUND MANAGEMENT
Assess Skin for Impending Breakdown*
- 1
- 2
- 3
- 4
Surgical Wound Healing*
- 1
- 2
- 3
- 4
Sterile Dressing Change*
- 1
- 2
- 3
- 4
Wound Vac*
- 1
- 2
- 3
- 4
Wet to Dry Dressings*
- 1
- 2
- 3
- 4
First Degree Burns*
- 1
- 2
- 3
- 4
Second Degree Burns*
- 1
- 2
- 3
- 4
Third Degree Burns*
- 1
- 2
- 3
- 4
Decubitus Ulcers*
- 1
- 2
- 3
- 4
Surgical Wounds with Drains*
- 1
- 2
- 3
- 4
Traumatic Wounds*
- 1
- 2
- 3
- 4
Wound Care Irrigations*
- 1
- 2
- 3
- 4
Multiple Abdominal Wounds and Drains*
- 1
- 2
- 3
- 4
Gunshot Wound*
- 1
- 2
- 3
- 4
Stab Wound*
- 1
- 2
- 3
- 4
Lacerations*
- 1
- 2
- 3
- 4
Abrasions*
- 1
- 2
- 3
- 4
ONCOLOGY - CARE OF PATIENT WITH:
Bone Marrow Transplant*
- 1
- 2
- 3
- 4
Inpatient Chemotherapy*
- 1
- 2
- 3
- 4
Leukemia*
- 1
- 2
- 3
- 4
Radiation Implant*
- 1
- 2
- 3
- 4
Lymphoma*
- 1
- 2
- 3
- 4
Depressed Immune System*
- 1
- 2
- 3
- 4
Radiation Therapy*
- 1
- 2
- 3
- 4
Fresh Oncology Surgery*
- 1
- 2
- 3
- 4
INFECTIOUS DISEASE - CARE OF PATIENT WITH:
HIV*
- 1
- 2
- 3
- 4
MRSA*
- 1
- 2
- 3
- 4
C. Difficile*
- 1
- 2
- 3
- 4
VRE*
- 1
- 2
- 3
- 4
Hepatitis*
- 1
- 2
- 3
- 4
Influenza*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
INTRAVENOUS THERAPY
Site Assessment*
- 1
- 2
- 3
- 4
Administration of Blood & Blood Products*
- 1
- 2
- 3
- 4
Drawing Blood from a Central Line*
- 1
- 2
- 3
- 4
IV Insertion*
- 1
- 2
- 3
- 4
Heplock Flushes*
- 1
- 2
- 3
- 4
Administration of IV Fluid*
- 1
- 2
- 3
- 4
Administration of IV Piggy Back*
- 1
- 2
- 3
- 4
Administration of IV Push Medications*
- 1
- 2
- 3
- 4
Access VAD*
- 1
- 2
- 3
- 4
Central Line*
- 1
- 2
- 3
- 4
Peripheral Line*
- 1
- 2
- 3
- 4
Administration TPN/Lipids*
- 1
- 2
- 3
- 4
PAIN MANAGEMENT
Assessment of Pain Level/Tolerance*
- 1
- 2
- 3
- 4
Administration of Narcotic Analgesia*
- 1
- 2
- 3
- 4
PCA Pumps*
- 1
- 2
- 3
- 4
IV Conscious Sedation*
- 1
- 2
- 3
- 4
Epidural Anesthesia*
- 1
- 2
- 3
- 4
MISCELLANEOUS
Automated Med. Dispensing Systems*
- 1
- 2
- 3
- 4
List Types:
Safe Needle Devices*
- 1
- 2
- 3
- 4
PO Medications*
- 1
- 2
- 3
- 4
IM Injections*
- 1
- 2
- 3
- 4
SQ Injections*
- 1
- 2
- 3
- 4
Z- Track Injections*
- 1
- 2
- 3
- 4
Rectal Suppositories*
- 1
- 2
- 3
- 4
Nasal Sprays*
- 1
- 2
- 3
- 4
Ear Drops*
- 1
- 2
- 3
- 4
Eye Drops*
- 1
- 2
- 3
- 4
Inhalers*
- 1
- 2
- 3
- 4
Assist with Emergency Drugs/Code Cart*
- 1
- 2
- 3
- 4
Please list the EMR systems you have used*
Additional Skills:
Additional Training:
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY

Skills Checklist

LPN

Age of Patients Cared For

CLINICAL AREAS

Core Skills

CARDIOVASCULAR - CARE OF PATIENT WITH:

PULMONARY - CARE OF PATIENT WITH:

NEUROLOGICAL - CARE OF PATIENT WITH:

ORTHOPAEDICS - CARE OF PATIENT WITH:

GASTROINTESTINAL - CARE OF PATIENT WITH:

RENAL/GENITOURINARY - CARE OF PATIENT WITH:

ENDOCRINE/ METABOLIC - CARE OF PATIENT WITH:

WOUND MANAGEMENT

ONCOLOGY - CARE OF PATIENT WITH:

INFECTIOUS DISEASE - CARE OF PATIENT WITH:

INTRAVENOUS THERAPY

PAIN MANAGEMENT

MISCELLANEOUS