LPN/LVN Skills Checklist The following checklist is a profile used to assess your LPN/LVN proficiency and assist in matching your skills with available assignments. Your employment is not dependent upon responses given on this checklist. Please rate your ability as accurately as possible by checking the appropriate option.n Step 1 of 4 25% Name First Middle Last PLEASE MARK YOUR LEVEL OF EXPERIENCE 0 - No Experience 1 - Theory/Observed Only 2 - Intermittent Experience 3 - Moderate Experience 4 – Expert SkillsActivities of daily living01234Admission of patient01234Administration of medication01234Ambulation01234Application of heat and cold01234Aseptic Technique01234Assist with medical examination01234Bathing: Sitz, tub, bed, shower01234Bandaging01234Binders01234Body Alignment01234Body Systems Review (Head to Toe data collection)01234Cast care01234Catheterization / Foley catheter care01234Charting01234Colostomy Care and irrigation01234CPR01234Crutch walking01234 Decubitus Care01234Diabetic tests and preparation forms01234Diabetic blood glucose testing01234Discharge patients01234Dosage computation01234Draping01234Dressing (sterile)01234Ear drops01234Elimination needs01234Enemas, cleansing, retention, Harris flush01234Hand hygiene01234Infection Control: Standard Universal Precautions01234Infection Control: Reverse Isolation01234Infection Control: TB/ Airborne Precautions01234Infections Control: MRSA/ VRE Precautions01234Isolation procedure for specimen collection01234IVs: Monitor rate and infusion site01234Medications: Oral, IM, SQ01234Mouth care01234 Nail Care01234Neurological Check01234Nutritional check01234Observations: Response to treatments/ meds01234Observations: Signs of significant body system changes01234Observations: Signs of shock01234Observations: Signs of pain01234Observes safety procedures01234O2 administration01234Pain assessment01234Patient care plans (revise and update)01234Patient safety standards/ precautions01234Positioning patient01234Postural drainage01234Pre-op and post-op care01234Provide comfort, safety and privacy01234Pulse oxymetry01234Range of motion01234Report observations/ changes01234Restraints01234 Skin care01234Specimen collection: routine urine01234Specimen collection: clean catch01234Specimen collection: 12 & 24 hour specimen01234Specimen collection: stool01234Specimen collection: culture01234Specimen collection: sputum01234Specimen collection: from foley catheter01234Suppositories01234Suction-oral01234Surgical Preps01234Computerized charting01234Trach care/suctioning01234Telephone manners01234Topical Medication Application01234Traction01234Transfer/ transport patients: wheelchair01234Transfer/ transport patients: gurney01234Transfer/ transport patients: to chair01234Urine test for glucose/ acetone01234Vital Signs01234Weight: Bed scales and standing scales01234IV therapy certified01234
