PACU Skills Checklist

Personal Information

Name(Required)
MM slash DD slash YYYY

Proficiency Scale

1 – No Experience
2 – Need Training
3 – Able to perform with supervision
4 – Able to perform independently

Cardiovascular

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

Pulmonary

Ventilator Management
Fresh Tracheostomy
Thoracotomy/Lobectomy/Pneumonectomy
Pneumothorax/Hemothorax
Laryngospasm
Pulmonary Embolism
COPD
ABG Interpretation

Neurologic

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

Gastrointestinal

Pancreas/Liver Transplant
Colon Surgery
Colostomy/Ileostomy
ERCP
G Tube/J Tube Management
T Tube Management

Renal/Genitourinary

Renal Surgery
TURP
Arteriovenous Fistula/Shunt
Nephrostomy Tubes

Endocrine Metabolic

Diabetes - Hypo/Hyperglycemic Crisis
IV Insulin Protocols

Orthopedic

Laminectomy
Total Joint Replacement
Amputation
Open Reduction/Internal Fixation
General Orthopedic Surgeries
CPM/Traction
Circulation Checks

Wound Management

Surgical Drains
Wound Vac
Surgical Wound Assessment
Skin Assessment for Breakdown
Staging Decubitus Ulcers

Medications

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)

IV Therapy

Starting Ivs
Central Line Blood Draws
Central Line/Implanted Line Care
Blood Product Administration

Cardiac Monitoring & Emergency Response

Malignant Hyperthermia
Dysrhythmia Interpretation
Dysrhythmia Management
12 Lead EKG

Professional Knowledge & Skills

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

EMR

Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
Pulmonary

Certifications

BLS
MM slash DD slash YYYY
ACLS
MM slash DD slash YYYY
PALS
MM slash DD slash YYYY
CAPA
MM slash DD slash YYYY
CPAN
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY

Age Specific Competencies

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)

Authorizations

The information I have given is true and accurate to the best of my knowledge. I hereby authorize Hired by Matrix, Inc. to release this Emergency Room RN Skills Checklist to Client facilities of Hired by Matrix, Inc. in consideration of my assignment to work at those facilities.
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