PACU Skills Checklist Name First Last Date MM slash DD slash YYYY Certification DatesBCLS MM slash DD slash YYYY ACLS MM slash DD slash YYYY CCRN MM slash DD slash YYYY 1 = Never Performed 2 = Some Experience 3 = Proficient/Can Perform Duties Charge DutiesPrimary Care 1 2 3 Team Nursing 1 2 3 Research Nursing 1 2 3 Teaching 1 2 3 Physical Assessment/Admission 1 2 3 PrecautionsIsolationsRegular 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 TherapyHeparin 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 ManagementInfections 1 2 3 Pediatric 1 2 3 Elderly 1 2 3 Crisis ManagementDefibrillation 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 ArrestsInitial CPR & Resuscitation 1 2 3 Med Administration 1 2 3 Assist With Initiation 1 2 3 MedicationsIV Additives & IVPBs 1 2 3 Unit Dose 1 2 3 Med Passes:1 - 10 1 2 3 11 - 20 1 2 3 Respiratory TherapySuctioning 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 MonitoringSet 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 MonitoringManual 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 MonitoringInterpretation 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 MonitoringCalibration 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 IVSAminophylline 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 ProblemsFresh MI 1 2 3 GI Bleed 1 2 3 Renal Failure 1 2 3 Intubated PatientsCare/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 MedicationsDioxin 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 ManagementMonitoring 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 PumpsInfusion Pumps 1 2 3 PCA Pumps 1 2 3 Gomco/Emerson Suction 1 2 3 Airway ManagementAssess 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 TherapyO2 Equipment (Mask, Cannulas) 1 2 3 Nasal Cannula 1 2 3 T-Tube 1 2 3 Additional Nursing SkillsNeurological 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 GUCatheters - Foley InsertionMale 1 2 3 Female 1 2 3 3 - Way Foley 1 2 3 Suprapubic 1 2 3 Catheter Care 1 2 3