PACU Nurse Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

Age Of Patients Cared For/general Skills

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/adolescent (6 years to 18 years)
Young Adults/Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

General Skills

Automated Med Dispensing Systems
Electronic Documentation
IV Pumps
Peripheral IV Insertion, Care and Maintenance
Access/Management of Implanted Ports
Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)
Administration of Blood and Blood Products
Fluid Resuscitation
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

Admission To Pacu

Initial Assessment/Vital Signs
Airway Management
Proper Positioning
Skin Color, Temp, Turgor
Neurological Status

Monitor Recovery Of Patient From

General Anesthesia
Regional Anesthesia
Local Anesthesia

Neuro Skills

Neuro Assessment
Glasgow Coma Scale

Neuro-care Of The Post Operative Patient With:

Spinal Fusion
Spinal Cord Injury
Ventriculostomy
Craniotomy
ICP Monitor

Cardiac Skills

Cardiac Assessment (Auscultation)
Knowledge of Labs and Normal Values
12 Lead Interpretation
Arrhythmia Analysis
Assist with Insertion of Temporary Pacemaker
Permanent Pacemaker
Use of Doppler

Intravascular Hemodynamic Monitoring:

Pulmonary Artery Catheters
Arterial Catheters
Swan-Ganz Catheters
Cardiac Output

Care Of The Patient With

AAA Repair

Cardiac-care Of The Post Operative Patient With

Open Heart Surgery (CABG)
Off Pump Heart Surgery
Valve Repair
Congestive Heart Failure
Heart Transplant
Cardiogenic Shock
Hyper/Hypothermia
Malignant Hyperthermic Crisis

Respiratory Skills

Airway Insertion/Management (Nasal, Oral)
Recognize Abnormal Breath Sounds (e.g. rales, rhonchi) & Implement Interventions
Laryngospasm
Bronchospasm
Hemothorax
Pneumothorax
Upper Airway Obstruction
Aspiration
Airway Maintenance - Jaw Thrust/Chin Lift
Obtain ABGs
Knowledge of ABGs and normal values
Set-up Chest Tube Drainage System
Recognize Air Leak, Assess for SQ Emphysema
Perform Suctioning (oral, nasal, endotracheal)
Assist with Intubation
End Tidal CO2 Monitor
ETT Extubation
Non Rebreather Mask
Nasal Cannula
T-Piece
FaceMask (With/without Mist)

Respiratory-care Of The Post Operative Patient With:

Chest Tube
Lung Transplant
Thoracotomy
Lobectomy

Gastrointestinal Skills

Bowel Sounds/Abdominal Assessment
G or J Tube
NG Tubes
Ostomy Care and Assessment
Wound Drains
Abdominal Wounds
Assessment of GI Distress/Bleeding

Gastrointestinal-care Of The Post Operative Patient With:

Colostomy/Ileostomy
Post -OP GI/Abdominal Surgery
Liver/Pancreatic Transplant
Small Bowel Transplant
Appendectomy
Gastric Bypass
Hysterectomy

Genitourinary Skills

Urethral Catheter
Suprapubic Catheter
Bladder Irrigation
Nephrostomy Tube

Gu/renal Skills-care Of The Post Operative Patient With:

TURP/TURB
Nephrectomy
Kidney Transplant
Bladder Repair
Shunts and Fistulas

Orthopedic Skills

Circulation/Movement/Sensation Checks
Cold Systems
Braces/Cast Care

Orthopedic-care Of Post Operative Patient With:

Amputation
Total Joint
Fractures
Arthroscopy/Arthrotomy
Skeletal Traction
Total Hip Replacement
Total Knee Replacement
Fractures

Pain Management

Assessment and Documentation of Pain and Follow Up After Intervention
PCA Systems
Epidural Pain Systems
IV Sedation
Assessment of Epidural Anesthesia Level
Assessment of Spinal Anesthesia Level
Assist with Epidural Catheter Insertion

Medications/anesthesic Agents,treatment And Complications

Narcotic Analgesic
Non-narcotic Analgesics
Muscle Relaxants

Anesthesia

Spinal Anesthesia
Local Anesthesia
Inhalants
Regional Anesthesia
General Anesthesia
Reversal Agents

General Nursing Skills

Admit and Discharge Patients
Advance Directives
Blood Glucose Monitoring
Urine Dipstick
Restraints
Positioning/Transferring
Multiple Trauma Patient
Care of the HIV Patient
Isolation Techniques
Postmortem Care