PACU Skills Checklist | Staffing Bid

Date:*

Name: (First, MI, Last)

Email

CARDIOVASCULAR

Open Heart Recovery:*

AAA Repair:*

Vascular Surgery:*

Pacemaker-Permanent & Temporary:*

Cardioversion:*

AICD Insertion:*

Cardiac Arrest:*

Cardiac Tamponade:*

CHF/Pulmonary Edema:*

Abnormal Heart Sounds/Murmurs:*

Pulses/Circulation Checks:*

PULMONARY

Fresh Tracheostomy:*

Thoracotomy/Lobectomy/Pneumonectomy:*

Pneumothorax/Hemothorax:*

Laryngospasm:*

Pulmonary Embolism:*

COPD:*

ABG Interpretation:*

NEUROLOGIC

Post Craniotomy:*

Anterior/Posterior Spinal Fusion:*

Carotid Endardarectomy:*

Spine Surgery:*

CVA:*

Stroke Scale:*

Glascow Coma Scale:*

Spinal Precautions:*

Hypothermia Protocol:*

Hypo/Hyperthermia Blanket:*

Sedation Scales/Levels:*

GASTROINTESTINAL

Pancreas/Liver Transplant:*

Colon Surgery:*

Colostomy/Ileostomy:*

ERCP:*

G Tube/J Tube Management:*

T Tube Management:*

RENAL/GENITOURINARY

Renal Surgery:*

TURP:*

Arteriovenous Fistula/Shunt:*

Nephrostomy Tubes:*

ENDOCRINE METABOLIC

Diabetes - Hypo/Hyperglycemic Crisis:*

IV Insulin Protocols:*

ORTHOPEDIC

Laminectomy:*

Total Joint Replacement :*

Amputation:*

Open Reduction/Internal Fixation:*

General Orthopedic Surgeries:*

CPM/Traction:*

Circulation Checks:*

WOUND MANAGEMENT

Surgical Drains:*

Wound VAC:*

Surgical Wound Assessment:*

Skin Assessment for Breakdown:*

Staging Decubitus Ulcers:*

MEDICATIONS

Procedural Sedation:*

Anesthesia Medications:*

Anti-Arrhythmics:*

Anticoagulants:*

Anti-Hypertensives:*

Anti-Seizure Medications:*

Benzodiazepines:*

Emergency Medications:*

Insulin:*

Narcotics/Opioid Analgesics:*

Nitrates:*

Non-Opioid Analgesics:*

Reversal Agents:*

Steroids:*

Automated Medication Dispensing Systems (i.e. Pyxis, Omnicell):*

IV THERAPY

Starting IVs:*

Central Line Blood Draws:*

Central Line/Implanted Line Care:*

Blood Product Administration:*

CARDIAC MONITORING & EMERG. RESPONSE

Malignant Hyperthermia:*

Dysrhythmia Interpretation:*

Dysrhythmia Management:*

12 Lead EKG:*

PROFESSIONAL KNOWLEDGE AND SKILLS

National Patient Safety Goals/Core Measures:*

Fall Risk Assessment/Prevention:*

Pressure Ulcer Risk Assessment/Prevention:*

Age Specific/Population-Based Care:*

Pain Assessment & Management:*

Charge Experience:*

Interpretation and Communication of Lab Values:*

Specialty Beds:*

EMR

Epic:*

Cerner:*

Eclipsys:*

McKesson:*

Meditech:*

Other Computerized System:*

Computerized Physician Order Entry:*

Bar Coding for Medication Administration:*

EMR conversion:

Yes
No

Certifications

BLS:

ACLS:

PALS:

CAPA or CPAN:

Other

Areas of Expertise:

Consent*

By submitting this form, I agree to all terms and conditions and agree to authorize consent

Email

This field is for validation purposes and should be left unchanged.