PACU RN Skills Checklist The following checklist is a profile used to assess your PACU 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. Step 1 of 5 20% Name* First Middle Last Email* PLEASE MARK YOUR LEVEL OF EXPERIENCE 0 - No Experience 1 - Theory/Observed Only 2 - Intermittent Experience 3 - Moderate Experience 4 – Expert General Skills ExperienceAdvanced directives01234Awareness of HCAHPS01234Patient/family teaching01234Lift/transfer devices01234Specialty beds01234Restrictive devices (restraints)01234End of life care/palliative care01234Wound assessment & care01234Automated Medication Dispensing System, Pyxis, Omnicell, or other01234Bar coding for medication administration01234Diabetic care & education01234Blood Glucose Monitoring (BGM)01234Insulin administration01234National Patient Safety Goals01234Accurate patient identification01234Effective communication01234Interpretation & communication of lab values01234Medication administration01234Labeling (medications & specimens)01234Medication reconciliation01234Anti-coagulation therapy01234Pain assessment & management01234Monitoring conscious sedation01234Infection control01234Universal precautions01234Isolation01234Minimize risk for falls01234Prevention of pressure ulcers01234Universal protocol (site/side verification)01234Normothermia01234Beat blocker (pre-op)01234Anesthesia: General Knowledge Experience01234Moderate sedation/protocols & procedures01234Local anesthetics01234Regional blocks (intrathecal/epidural/spinal)01234General anesthesia (IV anesthetic agents/inhalation anesthesia agents)01234Administer & monitor paralytic agents01234Administer & monitor reversal agents01234Assessment of dermatomes01234Neuromuscular blocking agents (depolarizing, non-depolarizing, reversal agents)01234Benzodiazepines/reversal01234Opioids/reversal01234 Pulmonary ExperienceAssessment of breath sounds/rate/effort01234Airway Management, Care, & MaintenanceHead positioning to ensure airway patency01234Oral/NT airway01234Laryngeal Mask Airway (LMA)01234Endotracheal tube01234Tracheostomy01234Use of ambu bag01234O2 therapy (NC/mask)01234Use of CO2 monitoring devices01234SVO2 monitoring01234Oral/NT suctioning01234Assisting with intubation01234Assisting with extubation01234Measuring tidal volume01234Arterial blood gas interpretation/analysis01234Obtaining ABG blood sample (art line, arterial puncture)01234Pulse oximetry01234Mechanical ventilation01234Pleural chest tubes01234Postoperative Care (Respiratory)Tracheostomy01234Laryngeal procedures/laryngectomy01234Lung transplant01234Video-assisted thoracoscopic surgery (VATS)01234Radical neck dissection01234Penetrating/open chest trauma01234Sinus surgery01234Adeno-tonsillectomy (T&A)01234Thoracotomy/lobectomy/pneumonectomy01234 Cardiovascular ExperienceCardiovascular assessment01234Interpretation of arrhythmias01234Performing 12 lead EKG's01234Care of patient with VAD (ventricular assist device)01234Set Up & Interpretation of:Hemodynamic monitoring (CVC/aline/PA catheter)01234External/temporary pacemaker)01234Cardiac arrest/CPR01234Cardioversion/defibrillation01234Postoperative Care (Cardiovascular)Permanent Pacemaker/AICD insertion01234Vascular bypass/grafting01234Embolectomy/thrombectomy01234Abdominal aortic aneurysm (AAA) repair01234Thoracic aortic aneurysm repair01234Endoluminal stenting01234Vena cava filter01234Postoperative myocardial infarction01234Postoperative Care (Neurosurgery)Baseline neurological assessment01234Glasgow coma scale01234Cranial nerve assessment01234Seizure precautions01234Cervical spine precautions01234Postoperative Care (Neurosurgery)Craniotomy01234Burr holes01234Aneurysm clipping/coiling01234Evacuation of hematoma (subdural, epidural)01234Carotid endarterectomy01234Intracranial tumor excision01234Spinal tumor excision01234Laminectomy01234Spinal fusion01234Ventricular peritoneal shunt01234Tether cords01234 Set Up & Care of Intracranial/Cerebral Perfusion Pressure Monitoring (ICP/CPP) via:Ventriculostomy01234Subarachnoid screw/bolt01234Gastrointestinal Experience - Care of Patient with:Gastric tubes (NG/G)01234Jejunostomy tube01234Assessment & management of wound drains (self- suction / irrigation / drainage)01234Endoscopic procedures01234Gastrointestinal Experience - Care of Patient with:Laparoscopic01234Exploratory laparotomy01234Nissen fundoplication01234Esophageal procedures01234Abdominal trauma01234Gastroplasty / bypass (bariatric surgery)01234Gastrectomy (partial / complete)01234Whipple procedure01234Pyloroplasty01234Vagotomy01234Appendectomy01234Bowel / colon resection01234Colostomy / ileostomy01234Hernia repair01234Pyloroplasty01234Endocrine ExperienceTransphenoidal hypophysectomy01234Adrenalectomy01234Thyroidectomy01234Parathyroidectomy01234 Intravenous Management ExperienceStarting peripheral IV's01234Care of patient with peripherally- inserted central catheter (PICC) Groshong / Hickman01234Administration of blood / blood products01234Autotransfusion of blood / blood products01234Administration of volume expanders (albumin, dextran, etc)01234Parathyroidectomy01234Miscellaneous ExperienceAldrette scoring01234Experience with level 1 trauma patients01234Management of patient with malignant hyperthermia01234Anaphylaxis01234Care of patients with latex allergies01234Phlebotomy: peripheral01234Drawing blood from invasive lines01234Pharmacology - Use & Administration of:H2 receptor antagonists: (Zantac, Pepcid, Carafate)01234Antiemetics (Zofran, Phenergan, Reglan)01234Steroids: (decadron, Solu-Medrol)01234Emergency meds (ACLS protocols)01234Anticonvulsants: (Dilantin, phenobarbital)01234Inotropes / vasoactive drips01234Calcium channel blockers: (Cardizem)01234Antihypertensives: (nipride)01234Antiarrhythimics: (amiodarone, lidocaine, procan)01234Diuretics: (Lasix, edecrin sodium, Bumex)01234Fibrinolytics01234Glycoprotein IIb / IIIa receptor inhibitors: (Integrilin, Aggrastat)01234Nebulizer treatments: (Ventolin, Atrovent, racemic, ephinephrine)01234Other ProceduresPost orthopedic / musculoskeletal procedures01234Post ENT procedures01234Post breast procedures (mastectomy / lumpectomy)01234Post GYN procedures01234Post prostate procedures01234Post wound care (I&D / debridement)01234Age Specific Competencies ExperienceNewborn / neonate (birth-30 days)01234Infant (31 days-1 year)01234Toddler (2-3 years)01234Preschool (ages 4-5 years)01234School age (ages 6-12 years)01234Adolescents (ages 13-21 years)01234Young adult (ages 22-39 years)01234Adults (ages 40-64 years)01234Older adult (ages 65-79 years)01234Elderly (ages 80+ years)01234The information I have given is true and accurate to the best of my knowledge. In addition, I hearby authorize Medestar to release this Skills Profile to client institutions of Medestar in consideration of my employment with that institution.Signature*
