Emerald Health Services: Skills Checklist: PACU

PACU Skills Checklist

Name *

Telephone *		--

Who is your recruiter? *

Who referred you? *

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

1 = Never Performed 2 = Limited Experience 3 = Comfortable Performing 4 = Proficient

POST OP CARE OF PATIENTS WITH	1	2	3	4
Whipple
Hemorrhoidectomy
AV Fistulas, Shunts & Dialysis Catheters
Cystectomy
Ileal Conduit
Nephrectomy
Prostatectomy
Renal Transplant
TURP/TURBP
Ureteral Stent Insertion
Amputations
Open Reduction/Internal Fixation
Total Joint Replacements/Arthroplasty
Adenotonsillectomy (T&A)
Adrenalectomy
Cleft Lip/Palate Repair
Facial Fractures
Sinus Surgery
Thyroidectomy
Transphenoidal Hypophysectomy
Dilation & Curettage (D&C)
Hysterectomy
Lumpectomy
Mastectomy
Oophorectomy
Orchiectomy
Salpingectomy
TAH-BSO
Cataract Extraction
Cochlear Implant
Keratoplasty (Corneal Transplant)
Laser Eye Surgery
Myringotomy
Orbital Fracture
Orbital Implant
Scleral Bucking (for Retinal Detachment)
Dacryocystectomy
Gun Shot/Stab Wound-Abdomen
Gun Shot/Stab Wound-Chest
Gun Shot/Stab Wound-Head
Plastic Surgery
Skin Flaps
Skin Grafts
Wound Debridement
Anaphylaxis
Latex Allergies

MEDICATION ADMINISTRATION	1	2	3	4
Pain Management
a. Fentanyl
b. Demerol
c. Dilaudid
d. Morphine
Sedatives
a. Ativan
b. Valium
c. Versed
H2 Receptor Antagonists
a. Zantac
b. Pepcid
c. Carafate
Antiemetics
a. Droperidol
b. Phenergan
c. Zofran
Anticonvulsants (Dilantin, Phenobarbital)
Inotropes/Vasoactive Drips
Ca++ Channel Blockers (Cardizem)
Nitroglycerine
Nipride

MEDICATION ADMINISTRATION	1	2	3	4
Amiodarone
Lidocaine
Procainamide (Pronestyl)
Heparin/Coumadin
Diuretics
Steriods (Decadron, Solumedrol)
Glycoprotein IIb/IIIa Receptor Inhibitors
Narcan
Romazicon
Nebulizer Tx (Atrovent, Ventolin)
Epinephrine
Atropine
IM Injections
SQ Injections
Continuous IV Pump Infusions
Eye/Ear Instillations
Medication Administration/Monitoring
a. Epidural
b. Intrathecal
c. Spinal Anesthesia
d. IV Push

PROCEDURES/SKILLS	1	2	3	4
Interpretation of Arrhythmias
Performing 12 lead EKGs
Hemodynamic Monitoring
a. Arterial Line
b. PA Catheter/Swan Ganz Catheter
c. CVP Line
Interpretation of Lab Values
a. ABGs
b. CBC
c. Blood Chemistry
d. Electrolytes
Assessment/Management Fluid Balance
Management Electrolyte Disturbances
Cardiac Arrest/CPR
Cardioversion
Defibrillation
External/Temporary Pacing
Airway Management
a. Head Position
b. Oral/NT Airway
d. Laryngeal Mask Airway (LMA)
e. Endotracheal Tube
f. Tracheostomy
Oxygen Therapy
a. Nasal Cannula
b. Face Mask
c. Non-Rebreather Mask
d. Ambu Bag
e. Trach Collar
CO2 Monitoring
Intubation - assist with
Extubation - assist with
Mechanical Ventilation
Obtaining ABG's
a. via A-Line
b. via arterial stick
Suctioning
a. Oral/NT
b. ETT/Tracheostomy
Chest Tubes - Care/Maintenance

PROCEDURES/SKILLS	1	2	3	4
Seizure Precautions
Cervical Spine Precautions
Intracranial Pressure Monitoring (ICP)
Cerebral Perfusion Pressure (CPP)
Nasogastric Tube - Insertion/Care
Gastric Tube - Care/Maintenance
Jejunostomy Tube - Care/Maintenance
Stoma Care/Maintenance
Wound Drains
a. Self Suction (J-P, Hemovac)
b. Irrigation Drains (Axiom)
c. Tube
d. Biliary Tube
Care Maintenance Of:
a. Foley Catheter
b. Suprapubic Catheter
c. Nephrostomy Tube
d. Bladder Irrigation
Orthopedic Traction
CPM Machine
Peripheral IV Insertion/Care
PICC Care
Blood/Blood Products
a. Admininstration
b. Autotransfusion
c. Volume Expander Administration
Aldrette Scoring
Malignant Hyperthermia Management
Blood Glucose Monitoring
Restraints
Specimen Collection
a. Blood
- femoral arterial stick
- radial arterial stick
- arterial line
- central line
- venous stick
b. Cultures
c. Sputum
d. Urine

ASSESSMENT/OTHER	1	2	3	4
Assess Breath Sounds
Assess Heart Sounds
Admission of patients to unit
Care Planning
Circulation Checks
Computerized Charting
Patient Teaching
Neurological Assessments
Vital Signs

EQUIPMENT	1	2	3	4
Automatic BP cuffs
Cardiac Monitor
Defibrillator
Glucometer
Hypo/Hyperthermia Blanket
Infusion Pumps (Specific Brands)
-
-
Pulse Oximeter

PAIN MANAGEMENT	1	2	3	4
Pain assessment using pain scales
Epidural analgesia
IV conscious sedation
Patient controlled analgesia (PCA)
Narcotic Agents
Non-narcotic agents
Non-pharmacological measures

Do you speak any languages other than English?	Yes	No

If yes, which language(s)?

Age Specific Skills Check the box under EACH age group that you have experience with and are comfortable with for each skill below.	Neonates (0-30 days)	Infants (1 mo-1 yr)	Toddlers (1-3 yrs)	Preschool (4-6 yrs)	School Age (7-12 yrs)	Adolescent (13-18 yrs)	Young Adult (19-39 yrs)	Middle Adults (40-64 yrs)	Older Adults (65+ yrs)
Understands the different communication needs for the age group & changes communication methods and terminology accordingly
Understands the different medications, dosages and possible side effects for the age group and administers medications appropriately
Understands the different safety risks for the age group and alters the environment accordingly
Understands the normal growth and development for the age group and adapts care accordingly

I hereby certify that ALL information I have provided to Emerald, on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Home | Employers | Benefits | Join Us | Contact