PACU Skills Checklist

Name

First Last

Date

Certification Dates

BCLS

ACLS

CCRN

1 = Never Performed
2 = Some Experience
3 = Proficient/Can Perform Duties

Charge Duties

Primary Care

1
2
3

Team Nursing

1
2
3

Research Nursing

1
2
3

Teaching

1
2
3

Physical Assessment/Admission

1
2
3

Precautions

Isolations

Regular

1
2
3

Reverse

1
2
3

Enteric

1
2
3

Respiratory

1
2
3

Skin and Wound

1
2
3

Dressing Changes

1
2
3

Universal

1
2
3

IV Therapy

Heparin Lock

1
2
3

Initiating/Insertion of IV Line

1
2
3

CVP Lines & Dressings Changes

1
2
3

Infusion Pumps

1
2
3

Hanging Blood & Blood Products

1
2
3

Care of Cut Down

1
2
3

Administration

1
2
3

Veni-Puncture

1
2
3

Arterial Blood Gasses (Obtain Samples)

1
2
3

Arterial Blood Gasses (Interpretation)

1
2
3

Type of Patient Management

Infections

1
2
3

Pediatric

1
2
3

Elderly

1
2
3

Crisis Management

Defibrillation

1
2
3

Shock Management

1
2
3

Hypotensive Crisis Management

1
2
3

Hypertensive Crisis Management

1
2
3

Vasoactive Drum Administration (Nitroprusside, Dopamine)

1
2
3

Cardiac Drug Administration

1
2
3

Anesthetic and Reversal Agents

1
2
3

Drug Interactions, Incompat./Side Effs.

1
2
3

Patient Stimulation and Stir Up Regimen

1
2
3

Pain Evaluation

1
2
3

Arrests

Initial CPR & Resuscitation

1
2
3

Med Administration

1
2
3

Assist With Initiation

1
2
3

Medications

IV Additives & IVPBs

1
2
3

Unit Dose

1
2
3

Med Passes:

1 - 10

1
2
3

11 - 20

1
2
3

Respiratory Therapy

Suctioning Oral/Naso/Pharynx

1
2
3

Tracheostomy Care

1
2
3

Ventilators

1
2
3

Endotracheal Tubes

1
2
3

Chest Tubes

1
2
3

GI Tubes

1
2
3

Nasogastric

1
2
3

Miller-Abbott

1
2
3

Blakemore (MN) (for bleeding)

1
2
3

Central Venous Pressure Monitoring

Set up CVP Line

1
2
3

Care of CVP Line

1
2
3

Obtaining CVP Reading

1
2
3

Recognize Abnormal Measurement

1
2
3

Discontinuing a Central Line

1
2
3

Blood Pressure Monitoring

Manual and Doppler Devices

1
2
3

Arterial

1
2
3

Automatic

1
2
3

Swan-Ganz Pressure Monitoring

1
2
3

Intracranial Pressure Monitoring

1
2
3

Interpretation of Blood Studies

1
2
3

Cardiac Monitoring

Interpretation of Arrythmias

1
2
3

Recognize Basic Cardiac Rhythms

1
2
3

Troubleshoot Monitors

1
2
3

Peripheral Pulses, Skin Color & Temp

1
2
3

Arterial Pressure Monitoring

Calibration

1
2
3

Care of Arterial Line

1
2
3

Recognition of Normal Waveform

1
2
3

Withdrawal of Arterial Blood

1
2
3

Discontinuing a Central Line

1
2
3

Care With Patients Having IVS

Aminophylline

1
2
3

Dopamine

1
2
3

Lidocaine

1
2
3

Pitressin

1
2
3

Isuprel

1
2
3

Chemotherapy

1
2
3

Nipride

1
2
3

Intralipid Administration

1
2
3

Hyperalimentation Administration

1
2
3

Diagnosis of Problems

Fresh MI

1
2
3

GI Bleed

1
2
3

Renal Failure

1
2
3

Intubated Patients

Care/Management

1
2
3

Assist with Intubation

1
2
3

Use/Select Mask with Ambu

1
2
3

Extubation

1
2
3

Tracheostomies

1
2
3

Ambulation

1
2
3

IVP Medications

Dioxin

1
2
3

Lasix

1
2
3

Bumex

1
2
3

Morphine

1
2
3

Demerol

1
2
3

Decadron

1
2
3

Valium

1
2
3

Dilantin

1
2
3

Ventilator Management

Monitoring Parameters

1
2
3

Operation/Troubleshooting

1
2
3

Adjust Settings

1
2
3

Arterial Blood Gas Interpretation

1
2
3

Respiratory/Cardiac Emergencies and Arrests

1
2
3

Pumps

Infusion Pumps

1
2
3

PCA Pumps

1
2
3

Gomco/Emerson Suction

1
2
3

Airway Management

Assess Tidal Volumes

1
2
3

Assess Breath Sounds

1
2
3

Insert/Remove Nasal/Oral Tubes

1
2
3

Oral, Nasal, Nasotracheal, & Endotracheal Suctioning

1
2
3

Respiratory Obstruction

1
2
3

Hypoventilation

1
2
3

Laryngospasm/Bronchospasm

1
2
3

Aspiration

1
2
3

Atelectasis

1
2
3

Oxygen Therapy

O2 Equipment (Mask, Cannulas)

1
2
3

Nasal Cannula

1
2
3

T-Tube

1
2
3

Additional Nursing Skills

Neurological Checks

1
2
3

Arrhythmia Interpretation

1
2
3

Set Up and Run 12-Lead EKG

1
2
3

Breath Sounds

1
2
3

Dressing Change

1
2
3

Discharge of Patient

1
2
3

Computer Use, Documentation

1
2
3

Cast Care and Observation

1
2
3

Post Surgical Documentation

1
2
3

GU

Catheters - Foley Insertion

Male

1
2
3

Female

1
2
3

3 - Way Foley

1
2
3

Suprapubic

1
2
3

Catheter Care

1
2
3