PACU Skills Checklist Date:* Name: (First, MI, Last) Email CARDIOVASCULAROpen Heart Recovery:* N/A Inexperienced Limited Experience Experienced Highly Experienced AAA Repair:* N/A Inexperienced Limited Experience Experienced Highly Experienced Vascular Surgery:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pacemaker-Permanent & Temporary:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cardioversion:* N/A Inexperienced Limited Experience Experienced Highly Experienced AICD Insertion:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cardiac Arrest:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cardiac Tamponade:* N/A Inexperienced Limited Experience Experienced Highly Experienced CHF/Pulmonary Edema:* N/A Inexperienced Limited Experience Experienced Highly Experienced Abnormal Heart Sounds/Murmurs:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pulses/Circulation Checks:* N/A Inexperienced Limited Experience Experienced Highly Experienced PULMONARYFresh Tracheostomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Thoracotomy/Lobectomy/Pneumonectomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pneumothorax/Hemothorax:* N/A Inexperienced Limited Experience Experienced Highly Experienced Laryngospasm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pulmonary Embolism:* N/A Inexperienced Limited Experience Experienced Highly Experienced COPD:* N/A Inexperienced Limited Experience Experienced Highly Experienced ABG Interpretation:* N/A Inexperienced Limited Experience Experienced Highly Experienced NEUROLOGICPost Craniotomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Anterior/Posterior Spinal Fusion:* N/A Inexperienced Limited Experience Experienced Highly Experienced Carotid Endardarectomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Spine Surgery:* N/A Inexperienced Limited Experience Experienced Highly Experienced CVA:* N/A Inexperienced Limited Experience Experienced Highly Experienced Stroke Scale:* N/A Inexperienced Limited Experience Experienced Highly Experienced Glascow Coma Scale:* N/A Inexperienced Limited Experience Experienced Highly Experienced Spinal Precautions:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hypothermia Protocol:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hypo/Hyperthermia Blanket:* N/A Inexperienced Limited Experience Experienced Highly Experienced Sedation Scales/Levels:* N/A Inexperienced Limited Experience Experienced Highly Experienced GASTROINTESTINALPancreas/Liver Transplant:* N/A Inexperienced Limited Experience Experienced Highly Experienced Colon Surgery:* N/A Inexperienced Limited Experience Experienced Highly Experienced Colostomy/Ileostomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced ERCP:* N/A Inexperienced Limited Experience Experienced Highly Experienced G Tube/J Tube Management:* N/a Inexperienced Limited Experience Experienced Highly Experienced T Tube Management:* N/A Inexperienced Limited Experience Experienced Highly Experienced RENAL/GENITOURINARYRenal Surgery:* N/A Inexperienced Limited Experience Experienced Highly Experienced TURP:* N/A Inexperienced Limited Experience Experienced Highly Experienced Arteriovenous Fistula/Shunt:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nephrostomy Tubes:* N/A Inexperienced Limited Experience Experienced Highly Experienced ENDOCRINE METABOLICDiabetes - Hypo/Hyperglycemic Crisis:* N/A Inexperienced Limited Experience Experienced Highly Experienced IV Insulin Protocols:* N/A Inexperienced Limited Experience Experienced Highly Experienced ORTHOPEDICLaminectomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Total Joint Replacement :* N/A Inexperienced Limited Experience Experienced Highly Experienced Amputation:* N/A Inexperienced Limited Experience Experienced Highly Experienced Open Reduction/Internal Fixation:* N/A Inexperienced Limited Experience Experienced Highly Experienced General Orthopedic Surgeries:* N/A Inexperienced Limited Experience Experienced Highly Experienced CPM/Traction:* N/A Inexperienced Limited Experience Experienced Highly Experienced Circulation Checks:* N/A Inexperienced Limited Experience Experienced Highly Experienced WOUND MANAGEMENTSurgical Drains:* N/A Inexperienced Limited Experience Experienced Highly Experienced Wound VAC:* N/A Inexperienced Limited Experience Experienced Highly Experienced Surgical Wound Assessment:* N/A Inexperienced Limited Experience Experienced Highly Experienced Skin Assessment for Breakdown:* N/A Inexperienced Limited Experience Experienced Highly Experienced Staging Decubitus Ulcers:* N/A Inexperienced Limited Experience Experienced Highly Experienced MEDICATIONSProcedural Sedation:* N/A Inexperienced Limited Experience Experienced Highly Experienced Anesthesia Medications:* N/A Inexperienced Limited Experience Experienced Highly Experienced Anti-Arrhythmics:* N/A Inexperienced Limited Experience Experienced Highly Experienced Anticoagulants:* N/A Ineperienced Limited Experience Experienced Highly Experienced Anti-Hypertensives:* N/A Inexperienced Limited Experience Experienced Highly Experienced Anti-Seizure Medications:* N/a Inexperienced Limited Experience Experienced Highly Experienced Benzodiazepines:* N/A Inexperienced Limited Experience Experienced Highly Experienced Emergency Medications:* N/A Inexperienced Limited Experience Experienced Highly Experienced Insulin:* N/A Inexperienced Limited Experience Experienced Highly Experienced Narcotics/Opioid Analgesics:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nitrates:* N/A Inexperienced Limited Experience Experienced Highly Experienced Non-Opioid Analgesics:* N/A Inexperienced Limited Experience Experienced Highly Experienced Reversal Agents:* N/A Inexperienced Limited Experience Experienced Highly Experienced Steroids:* N/A Inexperienced Limited Experience Experienced Highly Experienced Automated Medication Dispensing Systems (i.e. Pyxis, Omnicell):* N/A Inexperienced Limited Experience Experienced Highly Experienced IV THERAPYStarting IVs:* N/A Inexperienced Limited Experience Experienced Highly Experienced Central Line Blood Draws:* N/A Inexperienced Limited Experience Experienced Highly Experienced Central Line/Implanted Line Care:* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood Product Administration:* N/A Inexperienced Limited Experience Experienced Highly Experienced CARDIAC MONITORING & EMERG. RESPONSEMalignant Hyperthermia:* N/A Inexperienced Limited Experience Experienced Highly Experienced Dysrhythmia Interpretation:* N/A Inexperienced Limited Experience Experienced Highly Experienced Dysrhythmia Management:* N/A Inexperienced Limited Experience Experienced Highly Experienced 12 Lead EKG:* N/A Inxperienced Limited Experience Experienced Highly Experienced PROFESSIONAL KNOWLEDGE AND SKILLSNational Patient Safety Goals/Core Measures:* N/A Inexperienced Limited Experience Experienced Highly Experienced Fall Risk Assessment/Prevention:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pressure Ulcer Risk Assessment/Prevention:* N/A Inexperienced Limited Experience Experienced Highly Experienced Age Specific/Population-Based Care:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pain Assessment & Management:* N/A Inexperienced Limited Experience Experienced Highly Experienced Charge Experience:* N/A Inexperienced Limited Experience Experienced Highly Experienced Interpretation and Communication of Lab Values:* N/A Inexperienced Limited Experience Experienced Highly Experienced Specialty Beds:* N/A Inexperienced Limited Experience Experienced Highly Experienced EMREpic:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cerner:* N/A Inexperienced Limited Experience Experienced Highly Experienced Eclipsys:* N/A Inexperienced Limited Experience Experienced Highly Experienced McKesson:* N/A Inexperienced Limited Experience Experienced Highly Experienced Meditech:* N/A Inexperienced Limited Experience Experienced Highly Experienced Other Computerized System:* N/A Inexperienced Limited Experience Experienced Highly Experienced Computerized Physician Order Entry:* N/A Inexperienced Limited Experience Experienced Highly Experienced Bar Coding for Medication Administration:* N/A Inexperienced Limited Experience Experienced Highly Experienced EMR conversion: Yes No CertificationsBLS: MM slash DD slash YYYY ACLS: MM slash DD slash YYYY PALS: MM slash DD slash YYYY CAPA or CPAN: MM slash DD slash YYYY Other MM slash DD slash YYYY Areas of Expertise:Consent* By submitting this form, I agree to all terms and conditions and agree to authorize consent EmailThis field is for validation purposes and should be left unchanged.