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)

MM slash DD slash YYYY

AGE OF PATIENTS CARED FOR

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

GENERAL SKILLS

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

ADMISSION TO PACU

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

MONITOR RECOVERY OF PATIENT FROM

General Anesthesia(Required)
Regional Anesthesia(Required)
Local Anesthesia(Required)

NEURO SKILLS

Neuro Assessment(Required)
Glasgow Coma Scale(Required)

NEURO-Care of the Post Operative Patient With:

Spinal Fusion(Required)
Spinal Cord Injury(Required)
Ventriculostomy(Required)
Craniotomy(Required)
ICP Monitor(Required)

CARDIAC SKILLS

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

Intravascular Hemodynamic Monitoring:

Pulmonary Artery Catheters(Required)
Arterial Catheters(Required)
Swan-Ganz Catheters(Required)
Cardiac Output(Required)

CARE OF THE PATIENT WITH

AAA Repair(Required)

CARDIAC-CARE OF THE POST OPERATIVE PATIENT WITH

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

RESPIRATORY SKILLS

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

RESPIRATORY-Care of the Post Operative Patient With:

Chest Tube(Required)
Lung Transplant(Required)
Thoracotomy(Required)
Lobectomy(Required)

GASTROINTESTINAL SKILLS

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

GASTROINTESTINAL-Care of the Post Operative Patient With:

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

GENITOURINARY SKILLS

Urethral Catheter(Required)
Suprapubic Catheter(Required)
Bladder Irrigation(Required)
Nephrostomy Tube(Required)

GU/RENAL SKILLS-Care of the Post Operative Patient With:

TURP/TURB(Required)
Nephrectomy(Required)
Kidney Transplant(Required)
Bladder Repair(Required)
Shunts and Fistulas(Required)

ORTHOPEDIC SKILLS

Circulation/Movement/Sensation Checks(Required)
Cold Systems(Required)
Braces/Cast Care(Required)

ORTHOPEDIC-Care of Post Operative Patient With:

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

PAIN MANAGEMENT

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

MEDICATIONS/ANESTHESIC AGENTS,TREATMENT AND COMPLICATIONS

Narcotic Analgesic(Required)
Non-narcotic Analgesics(Required)
Muscle Relaxants(Required)

Anesthesia

Spinal Anesthesia(Required)
Local Anesthesia(Required)
Inhalants(Required)
Regional Anesthesia(Required)
General Anesthesia(Required)
Reversal Agents(Required)

GENERAL NURSING SKILLS

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