Skills Checklist

PACU Checklist

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WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Inpatient Acute Care Facility
Trauma Center
Academic/Teaching Facility
Outpatient Care Facility
Long term care/Skilled Nursing
Clinic/Ambulatory
Home Health Setting

GENERAL SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Advanced directives
Awareness of HCAHPS
Patient / family teaching
Lift / transfer devices
Specialty beds
Restrictive devices (restraints)
End of life care / palliative care
Wound assessment & care
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Bar coding for medication administration
Diabetic care & education
Blood Glucose Monitoring (BGM)
Insulin administration
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Labeling (medications & specimens)
Medication reconciliation
Anticoagulation therapy
Pain assessment & management
Monitoring conscious sedation
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure ulcers
Universal protocol (site / side verification)
Normothermia
Beta blocker (preop)
Anesthesia: General Knowledge Experience
Moderate sedation / protocols & procedures
Local anesthetics
Regional blocks (intrathecal / epidural / spinal)
General anesthesia (IV anesthetic agents / inhalation anesthesia agents)
Administer & monitor paralytic agents
Administer & monitor reversal agents
Assessment of dermatomes
Neuromuscular blocking agents (depolarizing, non- depolarizing, reversal agents)
Benzodiazepines / reversal
Opioids / reversal

PULMONARY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Assessment of breath sounds / rate / effort

AIRWAY MANAGEMENT, CARE & MAINTENANCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Head positioning to ensure airway patency
Oral / NT airway
Laryngeal Mask Airway (LMA)
Endotracheal tube
Tracheostomy
Use of ambu bag
O2 therapy (NC / mask)
Use of CO2 monitoring devices
SVO2 monitoring
Oral / NT suctioning
Assisting with intubation
Assisting with extubation
Measuring tidal volume
Arterial blood gas interpretation / analysis
Obtaining ABG blood sample (art line, arterial puncture)
Pulse oximetry
Mechanical ventilation
Pleural chest tubes

POSTOPERATIVE CARE (RESPIRATORY):

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Tracheostomy
Laryngeal procedures / laryngectomy
Lung transplant
Video- assisted thoracoscopic surgery (VATS)
Radical neck dissection
Penetrating/open chest trauma
Sinus surgery
Adeno- tonsillectomy (T&A)
Thoracotomy / lobectomy / pneumonectomy

CARDIOVASCULAR EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Cardiovascular assessment
Interpretation of arrhythmias
Performing 12 lead EKG's
Care of patient with VAD (ventricular assist device)

SET UP & INTERPRETATION OF:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Hemodynamic monitoring (CVC / aline / PA catheter)
External / temporary pacemaker
Cardiac arrest / CPR
Cardioversion / defibrillation

POSTOPERATIVE CARE (CARDIOVASCULAR):

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Permanent pacemaker / AICD insertion
Vascular bypass / grafting
Embolectomy / thrombectomy
Abdominal aortic aneurysm (AAA) repair
Thoracic aortic aneurysm repair
Endoluminal stenting
Vena cava filter
Postoperative myocardial infarction

NEUROLOGY EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Baseline neurological assessment
Glasgow coma scale
Cranial nerve assessment
Seizure precautions
Cervical spine precautions

POSTOPERATIVE CARE (NEURO SURGERY):

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Craniotomy
Burr holes
Aneurysm clipping / coiling
Evacuation of hematoma (subdural, epidural)
Carotid endarterectomy
Intracranial tumor excision
Spinal tumor excision
Laminectomy
Spinal fusion
Ventricular peritoneal shunt
Tether Cords

SET UP & CARE OF INTRACRANIAL/CEREBRAL PERFUSION

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Ventriculostomy
Subarachnoid screw / bolt

GASTROINTESTINAL EXPERIENCE - CARE OF PATIENT WITH

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Gastric tubes (NG/G)
Jejunostomy tube
Assessment & management of wound drains (self- suction / irrigation / drainage)
Endoscopic procedures

POSTOPERATIVE CARE (GI):

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Laparoscopic
Exploratory laparotomy
Nissen fundoplication
Esophageal procedures
Abdominal trauma
Gastroplasty / bypass (bariatric surgery)
Gastrectomy (partial / complete)
Whipple procedure
Pyloroplasty
Vagotomy
Appendectomy
Bowel / colon resection
Colostomy / ileostomy
Hernia repair

ENDOCRINE EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Transphenoidal hypophysectomy
Adrenalectomy
Thyroidectomy
Parathyroidectomy

INTRAVENOUS MANAGEMENT EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Starting peripheral IV's
Care of patient with peripherally- inserted central catheter (PICC) Groshong / Hickman
Administration of blood / blood products
Autotransfusion of blood / blood products
Administration of volume expanders (albumin, dextran, etc)

MISCELLANEOUS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Aldrette scoring
Experience with level 1 trauma patients
Management of patient with malignant hyperthermia
Anaphylaxis
Care of patients with latex allergies
Phlebotomy: peripheral
Drawing blood from invasive lines

PHARMACOLOGY - USE & ADMINISTRATION OF:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

H2 receptor antagonists: (Zantac, Pepcid, Carafate)
Antiemetics (Zofran, Phenergan, Reglan)
Steroids: (decadron, Solu-Medrol)
Emergency meds (ACLS protocols)
Anticonvulsants: (Dilantin, phenobarbital)
Inotropes / vasoactive drips
Calcium channel blockers: (Cardizem)
Antihypertensives: (nipride)
Antiarrhythimics: (amiodarone, lidocaine, procan)
Diuretics: (Lasix, edecrin sodium, Bumex)
Fibrinolytics
Glycoprotein IIb / IIIa receptor inhibitors: (Integrilin, Aggrastat)
Nebulizer treatments: (Ventolin, Atrovent, racemic, ephinephrine)

OTHER PROCEDURES:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Post orthopedic / musculoskeletal procedures
Post ENT procedures
Post breast procedures (mastectomy / lumpectomy)
Post GYN procedures
Post prostate procedures
Post wound care (I&D / debridement)

AGE-SPECIFIC COMPETENCIES EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)