PACU Skills Checklist

WORK SETTING - My experience in the following settings:
 Yrs.
Inpatient PACU
Outpatient/Ambulatory PACU
ICU
Pre/Post Op
Pain Management Department
PEDI-PACU
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
CARDIOVASCULAR
 1234
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
 1234
Ventilator Management
Fresh Tracheostomy
Thoracotomy/Lobectomy/Pneumonectomy
Pneumothorax/Hemothorax
Laryngospasm
Pulmonary Embolism
COPD
ABG Interpretation
NEUROLOGIC
 1234
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
 1234
Pancreas/Liver Transplant
Colon Surgery
Colostomy/Ileostomy
ERCP
G Tube/J Tube Management
T Tube Management
RENAL/GENITOURINARY
 1234
Renal Surgery
TURP
Arteriovenous Fistula/Shunt
Nephrostomy Tubes
ENDOCRINE METABOLIC
 1234
Diabetes - Hypo/Hyperglycemic Crisis
IV Insulin Protocols
ORTHOPEDIC
 1234
Laminectomy
Total Joint Replacement
Amputation
Open Reduction/Internal Fixation
General Orthopedic Surgeries
CPM/Traction
Circulation Checks
WOUND MANAGEMENT
 1234
Surgical Drains
Wound Vac
Surgical Wound Assessment
Skin Assessment for Breakdown
Staging Decubitus Ulcers
MEDICATIONS
 1234
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
 1234
Starting IVs
Central Line Blood Draws
Central Line/Implanted Line Care
Blood Product Administration
CARDIAC MONITORING & EMERG. RESPONSE
 1234
Malignant Hyperthermia
Dysrhythmia Interpretation
Dysrhythmia Management
12 Lead EKG
PROFESSIONAL KNOWLEDGE AND SKILLS
 1234
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
COMPUTERIZED CHARTING
 1234
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
 YesNo
EMR Conversion
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. *