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RN/LVN/LPN Skills Checklist
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
WORK SETTINGS
1
2
3
4
ER
1
2
3
4
Flu Clinic
1
2
3
4
Home Health/ Hospice
1
2
3
4
Long Term Acute Care (LTAC)
1
2
3
4
MS/Tele
1
2
3
4
Outpatient Clinic/ Urgent Care Center
1
2
3
4
Pediatrics
1
2
3
4
Behavior Unit/Hospital
1
2
3
4
Rehab
1
2
3
4
Skilled Nursing Facility/ Nursing Home
1
2
3
4
CARDIAC MONITORING AND EMERGENCY RESPONSE
1
2
3
4
CPR/ Cardiac Arrest
1
2
3
4
Interpretation of dysrhythmias
1
2
3
4
Obtain 12 lead EKG
1
2
3
4
Telemetry Monitoring: on the unit monitoring
1
2
3
4
Telemetry Monitoring-remote monitoring
1
2
3
4
CARDIAC-CARE OF THE PATIENT
1
2
3
4
Angina
1
2
3
4
Congestive Heart Failure
1
2
3
4
Permanent Pacemaker
1
2
3
4
Post MI
1
2
3
4
Temporary Pacemaker
1
2
3
4
ENDOCRINE/METABOLIC
1
2
3
4
Blood Glucose Monitoring/Testing
1
2
3
4
Diabetic Diet Monitoring/Instruction
1
2
3
4
Diabetic Foot care
1
2
3
4
GASTROINTESTINAL
1
2
3
4
Assess Bowel Sounds
1
2
3
4
Bowel obstruction
1
2
3
4
Bowel Resection
1
2
3
4
Cholecystectomy
1
2
3
4
Colostomy care
1
2
3
4
Enema administration
1
2
3
4
Feeding tube care and management
1
2
3
4
Gastrostomy tube monitoring/feeding
1
2
3
4
GI bleed
1
2
3
4
GI Surgery
1
2
3
4
Liver disease
1
2
3
4
Monitor NG Tube
1
2
3
4
Post Bariatric surgery
1
2
3
4
Tube feeding via flexible tubes
1
2
3
4
GENITOURINARY/RENAL
1
2
3
4
Chronic/Acute Renal failure
1
2
3
4
Foley catheter insertion female
1
2
3
4
Foley catheter insertion male
1
2
3
4
GU irrigation
1
2
3
4
GYN Surgery
1
2
3
4
Obtain/Instruct clean catch urine
1
2
3
4
Post Nephrectomy
1
2
3
4
Pre/Post Hemodialysis Management
1
2
3
4
Shunts and Fistula Care
1
2
3
4
Suprapubic tube care
1
2
3
4
TURP patients
1
2
3
4
IV THERAPY
1
2
3
4
Central line blood draw
1
2
3
4
Central line dressing change
1
2
3
4
Draw venous blood
1
2
3
4
IV pumps
1
2
3
4
Monitor Blood Product Administration
1
2
3
4
Starting IVs
1
2
3
4
TPN/Lipids
1
2
3
4
PCA pumps
1
2
3
4
MEDICATIONS
1
2
3
4
Anti-Depressants
1
2
3
4
Anti-Hypertensives
1
2
3
4
Anti-Psychotics
1
2
3
4
Emergency Medications
1
2
3
4
Immunizations
1
2
3
4
Insulin
1
2
3
4
Narcotics
1
2
3
4
Non Narcotic analgesics
1
2
3
4
Oral hypoglycemics
1
2
3
4
Bar Code Medication Administration
1
2
3
4
AUTOMATED MEDICATION DISPENSING SYSTEM
1
2
3
4
Accudose
1
2
3
4
Omnicell
1
2
3
4
Pyxis
1
2
3
4
MEDICATION ADMINISTRATION
1
2
3
4
Ear Drops
1
2
3
4
Eye Drops
1
2
3
4
IM & SQ
1
2
3
4
NG Tube/G Tube
1
2
3
4
Oral
1
2
3
4
Subcutaneous
1
2
3
4
NEUROLOGICAL/PSYCHIATRIC
1
2
3
4
CVA
1
2
3
4
Mood Disorders
1
2
3
4
Seizure disorders
1
2
3
4
Stroke scale assessment
1
2
3
4
Substance Withdrawal
1
2
3
4
Traumatic Brain injury
1
2
3
4
ONCOLOGY
1
2
3
4
Medical Oncology
1
2
3
4
Radiation Implants Precautions
1
2
3
4
Surgical Oncology
1
2
3
4
ORTHOPEDICS
1
2
3
4
Ambulation
1
2
3
4
Amputations
1
2
3
4
Assessment of peripheral pulses
1
2
3
4
Cast Care
1
2
3
4
Continuous Passive Motion Devices
1
2
3
4
Crutch walking
1
2
3
4
Peripheral Pulses
1
2
3
4
Prosthetics
1
2
3
4
Range of motion
1
2
3
4
Total Joint Replacements
1
2
3
4
Traction
1
2
3
4
RESPIRATORY
1
2
3
4
Assessment of Breath Sounds
1
2
3
4
Chest tubes-Emerson/Pleur-evac
1
2
3
4
COPD
1
2
3
4
CPAP/BiPAP
1
2
3
4
Establishing an airway
1
2
3
4
Face mask for Oxygen delivery
1
2
3
4
Incentive Spirometry
1
2
3
4
Nasal Cannula
1
2
3
4
Oral Suctioning
1
2
3
4
Oxygen administration
1
2
3
4
Pneumonia
1
2
3
4
Pulse Oximetry
1
2
3
4
Tracheostomy Management
1
2
3
4
Ventilators
1
2
3
4
SKIN
1
2
3
4
Bathing: sitz, tub, bed, shower
1
2
3
4
Mouth care
1
2
3
4
Nail care
1
2
3
4
Pressure Ulcer Assessment/Prevention
1
2
3
4
Simple dressing changes
1
2
3
4
Skin assessment
1
2
3
4
Wound Care/Wound Vac
1
2
3
4
Wound drains/JP/Hemovac
1
2
3
4
SPECIMEN COLLECTION
1
2
3
4
Sputum
1
2
3
4
Stool
1
2
3
4
Urine
1
2
3
4
Wound Culture
1
2
3
4
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
Admission of Patient
1
2
3
4
Communication of patient status changes to RN/MD
1
2
3
4
De-Escalation Protocols
1
2
3
4
Diabetic Teaching
1
2
3
4
Discharge of Patient
1
2
3
4
Fall Risk assessment
1
2
3
4
Infection Prevention
1
2
3
4
Intake and Output monitoring
1
2
3
4
Isolation Precautions
1
2
3
4
National Patient Safety Goals/Core Measures
1
2
3
4
Pain Assessment Management
1
2
3
4
Patient confidentiality/HIPAA
1
2
3
4
Patient Teaching
1
2
3
4
Patient Transfer Techniques
1
2
3
4
Restraint Use
1
2
3
4
SBAR
1
2
3
4
Supervise Unlicensed Personnel
1
2
3
4
Swallowing Precautions
1
2
3
4
Vital Sign monitoring
1
2
3
4
COMPUTERIZED CHARTING
1
2
3
4
Epic
1
2
3
4
Cerner
1
2
3
4
Eclipsys
1
2
3
4
McKesson
1
2
3
4
Meditech
1
2
3
4
Other Computerized System
1
2
3
4
Computerized Physician Order Entry
1
2
3
4
Bar Coding for Medication Administration
1
2
3
4
Yes
No
EMR Conversion
Yes
No
First Name
*
Last Name
*
Phone Number
*
Last 4 of Social Security Number
*
Email Address
*
Date Completed:
*
+
By checking the "Agree" box and clicking “Submit” below you certify and acknowledge the information provided on this checklist is accurate to the best of your knowledge and an accurate representation of your abilities.
*
Agree