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Skills Checklist

PACU

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

General Skills
Standard Precautions*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
Patient Head to Toe Assessment*
- 1
- 2
- 3
- 4
Medication Titration*
- 1
- 2
- 3
- 4
Pediatric Respiratory/Cardiac Arrest*
- 1
- 2
- 3
- 4
Adult Respiratory/Cardiac Arrest*
- 1
- 2
- 3
- 4
Crash Carts*
- 1
- 2
- 3
- 4
Defibrillators*
- 1
- 2
- 3
- 4
Care of Patient in Restraints*
- 1
- 2
- 3
- 4
Automated Med Dispensing Systems*
- 1
- 2
- 3
- 4
Care Planning & Discharge Planning*
- 1
- 2
- 3
- 4
Patient/Family Education*
- 1
- 2
- 3
- 4
Document Interventions, Outcomes, Lab Studies, MD Notifications & Follow-Up Care*
- 1
- 2
- 3
- 4
Admission to PACU Initial Assessment/Vital Signs*
- 1
- 2
- 3
- 4
Airway Management*
- 1
- 2
- 3
- 4
Proper Positioning*
- 1
- 2
- 3
- 4
Skin Color, Temp, Turgor*
- 1
- 2
- 3
- 4
Neurological Status*
- 1
- 2
- 3
- 4
Monitor Recovery of Patient From
General Anesthesia*
- 1
- 2
- 3
- 4
Regional Anesthesia*
- 1
- 2
- 3
- 4
Local Anesthesia*
- 1
- 2
- 3
- 4
Neuro Skills and Care of Patient Post Operative
Neuro Assessment*
- 1
- 2
- 3
- 4
Glasgow Coma Scale*
- 1
- 2
- 3
- 4
Spinal Fusion*
- 1
- 2
- 3
- 4
Spinal Cord Injury*
- 1
- 2
- 3
- 4
Ventriculostomy*
- 1
- 2
- 3
- 4
Craniotomy*
- 1
- 2
- 3
- 4
ICP Monitor*
- 1
- 2
- 3
- 4
Cardiac Skills
Use of Doppler*
- 1
- 2
- 3
- 4
Cardiac Assessment*
- 1
- 2
- 3
- 4
Knowledge of Labs and Normal Values*
- 1
- 2
- 3
- 4
12 Lead Interpretation*
- 1
- 2
- 3
- 4
Arrhythmia Analysis*
- 1
- 2
- 3
- 4
Cardioversions & Defibrillation*
- 1
- 2
- 3
- 4
Assist with Insertion of Temporary Pacemaker*
- 1
- 2
- 3
- 4
Use of Non-Invasive Temporary Pacing Equipment*
- 1
- 2
- 3
- 4
Intravascular Hemodynamic Monitoring
Pulmonary Artery Catheters*
- 1
- 2
- 3
- 4
Arterial Catheters*
- 1
- 2
- 3
- 4
Swan-Ganz Catheters*
- 1
- 2
- 3
- 4
Equipment Maintenance*
- 1
- 2
- 3
- 4
Dressing Changes*
- 1
- 2
- 3
- 4
Prevention of Complications*
- 1
- 2
- 3
- 4
Leveling Waveform Analysis*
- 1
- 2
- 3
- 4
Obtain and Interpret
Cardiac Output*
- 1
- 2
- 3
- 4
PA Pressure*
- 1
- 2
- 3
- 4
PCWP/PAWP*
- 1
- 2
- 3
- 4
CVP*
- 1
- 2
- 3
- 4
LAP*
- 1
- 2
- 3
- 4
Cardiac Care of Post Operative Patient
Malignant Hyperthermia*
- 1
- 2
- 3
- 4
AAA Repair*
- 1
- 2
- 3
- 4
Open Heart Surgery (CABG)*
- 1
- 2
- 3
- 4
Off Pump Heart Surgery*
- 1
- 2
- 3
- 4
Valve Repair*
- 1
- 2
- 3
- 4
Permanent/Temporary Pacemaker*
- 1
- 2
- 3
- 4
Congestive Heart Failure*
- 1
- 2
- 3
- 4
Heart Transplant*
- 1
- 2
- 3
- 4
Medication knowledge of antiarrhythmics*
- 1
- 2
- 3
- 4
Medication Knowledge and Use of Calcium Channel Blockers*
- 1
- 2
- 3
- 4
Medication Knowledge and Use of Heparin*
- 1
- 2
- 3
- 4
Medication Knowledge and Use of Dopamine*
- 1
- 2
- 3
- 4
Medication Knowledge and Use of Dobutamine*
- 1
- 2
- 3
- 4
Respiratory General Skills
Airway Insertion/Management*
- 1
- 2
- 3
- 4
Assess Respiratory Rate, Rhythm, Depth & Symmetry*
- 1
- 2
- 3
- 4
Auscultate Breath Sounds*
- 1
- 2
- 3
- 4
Recognize Abnormal Breath sounds & Implement Interventions*
- 1
- 2
- 3
- 4
Laryngospasm*
- 1
- 2
- 3
- 4
Obtain ABG’s*
- 1
- 2
- 3
- 4
Knowledge of ABG’s and Normal Values*
- 1
- 2
- 3
- 4
Set-Up Chest Tube Drainage System*
- 1
- 2
- 3
- 4
Recognize Air Leak, Assess for SQ emphysema*
- 1
- 2
- 3
- 4
Measure Drainage*
- 1
- 2
- 3
- 4
Suctioning and O2 Administration
Oral*
- 1
- 2
- 3
- 4
Nasal*
- 1
- 2
- 3
- 4
Endotracheal*
- 1
- 2
- 3
- 4
Mask*
- 1
- 2
- 3
- 4
Nasal Cannula*
- 1
- 2
- 3
- 4
T-Piece*
- 1
- 2
- 3
- 4
ETT Mechanical Ventilator*
- 1
- 2
- 3
- 4
Respiratory – Care of Post Operative Patient
Pneumothorax*
- 1
- 2
- 3
- 4
Chest Tube*
- 1
- 2
- 3
- 4
Lung Transplant*
- 1
- 2
- 3
- 4
Thoracotomy*
- 1
- 2
- 3
- 4
Lobectomy*
- 1
- 2
- 3
- 4
Medication Knowledge & Use of Bronchodilators*
- 1
- 2
- 3
- 4
Medication Knowledge & Use of Diuretics*
- 1
- 2
- 3
- 4
Medication Knowledge & Use of Corticosteroids*
- 1
- 2
- 3
- 4
Medication Knowledge & Use of Racemic Epinephrine*
- 1
- 2
- 3
- 4
Gastrointestinal – Care of Post Operative Patient
Bowel Sounds/Abnormal Assessment*
- 1
- 2
- 3
- 4
G or J Tube*
- 1
- 2
- 3
- 4
NG Tube*
- 1
- 2
- 3
- 4
Ostomy Care and Assessment*
- 1
- 2
- 3
- 4
Gastric Bypass*
- 1
- 2
- 3
- 4
Appendectomy*
- 1
- 2
- 3
- 4
Colostomy/Ileostomy*
- 1
- 2
- 3
- 4
GI Surgery*
- 1
- 2
- 3
- 4
Small Bowel Transplant*
- 1
- 2
- 3
- 4
Pancreatic Transplant*
- 1
- 2
- 3
- 4
Liver Transplant*
- 1
- 2
- 3
- 4
GU/Renal - Care of Post Operative Patient
Assessment of Output*
- 1
- 2
- 3
- 4
Catheters*
- 1
- 2
- 3
- 4
Urethral*
- 1
- 2
- 3
- 4
Suprapubic*
- 1
- 2
- 3
- 4
Bladder Irrigation*
- 1
- 2
- 3
- 4
Knowledge of Normal Lab Chemistry Values*
- 1
- 2
- 3
- 4
Shunts/Fistulas*
- 1
- 2
- 3
- 4
TURB*
- 1
- 2
- 3
- 4
Nephrectomy*
- 1
- 2
- 3
- 4
Kidney Transplant*
- 1
- 2
- 3
- 4
Bladder Repair*
- 1
- 2
- 3
- 4
Testicular Procedures*
- 1
- 2
- 3
- 4
Lithotripsy*
- 1
- 2
- 3
- 4
Orthopedic – Care of Post Operative Patient
Amputation*
- 1
- 2
- 3
- 4
Total Joint*
- 1
- 2
- 3
- 4
Fractures*
- 1
- 2
- 3
- 4
Arthroscopic Procedures*
- 1
- 2
- 3
- 4
Eye/Ear - Care of Post Operative Patient
Cataract Extraction*
- 1
- 2
- 3
- 4
Keratoplasty*
- 1
- 2
- 3
- 4
Laser Eye Surgery*
- 1
- 2
- 3
- 4
Orbital Fracture*
- 1
- 2
- 3
- 4
Orbital Implant*
- 1
- 2
- 3
- 4
Scleral Bucking*
- 1
- 2
- 3
- 4
Dacryocystectomy*
- 1
- 2
- 3
- 4
Cochlear Implant*
- 1
- 2
- 3
- 4
Myringotomy*
- 1
- 2
- 3
- 4
Pain Management
Assessment and Documentation of paint and follow up after intervention*
- 1
- 2
- 3
- 4
PCA Systems*
- 1
- 2
- 3
- 4
Epidural Pain Systems*
- 1
- 2
- 3
- 4
IV Sedation*
- 1
- 2
- 3
- 4
Titration of Medication Per Orders*
- 1
- 2
- 3
- 4
Narcotic Analgesic*
- 1
- 2
- 3
- 4
Non-Narcotic Analgesics*
- 1
- 2
- 3
- 4
Muscle Relaxants*
- 1
- 2
- 3
- 4
IV Therapy/Phlebotomy
Peripheral IV Insertion, Care and Maintenance*
- 1
- 2
- 3
- 4
PICC Line Care & Maintenance*
- 1
- 2
- 3
- 4
Central Line Care & Maintenance*
- 1
- 2
- 3
- 4
Port-A-Cath Access, Care & Maintenance*
- 1
- 2
- 3
- 4
Drawing Lab work from Central line/Port*
- 1
- 2
- 3
- 4
Administration of Blood/Blood Products*
- 1
- 2
- 3
- 4
Tubes/Drains – Care of Patient with:
Penrose Drain*
- 1
- 2
- 3
- 4
Jackson Pratt*
- 1
- 2
- 3
- 4
T Tube*
- 1
- 2
- 3
- 4
Hemovac*
- 1
- 2
- 3
- 4
Operate & Monitor Unit Equipment
Portable Suction Machine*
- 1
- 2
- 3
- 4
Transport Monitor*
- 1
- 2
- 3
- 4
Automatic BP Monitor*
- 1
- 2
- 3
- 4
Blanket Warmer/Bear Hugger*
- 1
- 2
- 3
- 4
Sequential Compression Device*
- 1
- 2
- 3
- 4
Pulse Oximeter*
- 1
- 2
- 3
- 4
Hyper/Hypothermia Blanket*
- 1
- 2
- 3
- 4
Blood Warmer*
- 1
- 2
- 3
- 4
IV Pumps*
- 1
- 2
- 3
- 4
PACU Stretcher*
- 1
- 2
- 3
- 4
Anesthesia Equipment & Discharge
Nitrogen Controls*
- 1
- 2
- 3
- 4
Tanks*
- 1
- 2
- 3
- 4
Wall Units*
- 1
- 2
- 3
- 4
Perform A Discharge Physical*
- 1
- 2
- 3
- 4
Level of Consciousness*
- 1
- 2
- 3
- 4
Pupillary Reactions*
- 1
- 2
- 3
- 4
Motor & Sensory Function*
- 1
- 2
- 3
- 4
Muscular Strength*
- 1
- 2
- 3
- 4
Age of Patients Cared for:
Newborn/Neonate (Birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 year to 5 years)*
- 1
- 2
- 3
- 4
School Age (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 years to 39 years)*
- 1
- 2
- 3
- 4
Middle Adults (39 years to 64 years)*
- 1
- 2
- 3
- 4
Older Adults (over 64 years)*
- 1
- 2
- 3
- 4
Please list the EMR systems you have used*
*
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.*
Your Recruiter*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY

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