PCU Skills Checklist

  • MM slash DD slash YYYY
  • Please check the box(es) below for each group for which you have provided safe and age appropriate care:
  • Please indicate your level of experience:

    1 = Theory, No Practice
    2 = Intermittent Experience
    3 = One-Two Years Current Experience
    4 = Two Plus Years of Experience; Can Function Independently

  • General Patient Care

  • Cardiac


  • Monitoring



  • Labs


  • Pulmonary

  • Neurological

  • Gastrointestinal

  • Renal/Genitourinary

  • Endocrine/Metabolic

  • Musculoskeletal

  • Immunology/Hematology/Oncology

  • Wounds/Integument

  • Medications Administration

  • IV Therapy

  • Blood

  • Nutritional Therapy

  • Oxygen Administration

  • Pain Management

  • Procedures/Equipment


  • Specimen Collection



  • Assisting with


  • Critical Care Settings

  • Joint Commission