LPN Licensed Practical Nurse Skills Checklist

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Alicia TAlison BAmy BCarmen BCathy SHelina JHunter SKimberly WLaura CLora LMarika WMegan BMarissa SPatrick SRenee MTaylor CTina A

Years Experience in Clinical Specialty::

Years Experience in Clinical Specialty:

MEDICATIONS ADMINISTRATION

General Medication Administration

Oral Medications0123

Subcutaneous Injections0123

Intramuscular Injections0123

Z-Track Injections0123

Heparin Lock0123

Intrademal0123

Vaginal Suppositories0123

Ophthalmic Drops0123

Nasal Drops0123

Ophthalmic Ointments0123

Topical Ointments0123

Inhalers0123

Rectal Suppositories0123

Emergency Meds-Crash Carts0123

INTRAVENOUS

General Intravenous

Starting an IV0123

Change IV Tubing0123

Discontinuing an IV0123

Chemo-Therapy0123

Piggyback Administration0123

IV Push Drugs0123

Plasma0123

Packed RBC0123

Regulate Flow0123

Maintain IV Site0123

Hyperalimentation0123

CVP Line0123

Medication Addition0123

Whole Blood Administration0123

Serum Albumin0123

Platelets0123

INFECTION CONTROL

GENERAL ASSESSMENT

Knowledge of Universal Precautions0123

Knowledge of Waste Disposal0123

Proper Disposal of Sharps0123

Management of Patient in Respiratory Isolation0123

Care of the Patient in Reverse Isolation0123

Cleaning of Equipment0123

ASSESSMENT

General Assessment

Perform Neurological Assessment0123

Management of the Patient with Drug0123

Interaction/Allergic Reaction0123

Management of Patient with Cardio-Pulmonary (Arrest)0123

Perform Cardiovascular Assessment0123

Perform Gastrointestinal Assessment0123

Perform Muskuloskelatal Assessment0123

Perform Genitourinary Assessment0123

Perform Respiratory Assessment0123

BODY MECHANICS/TRANSFER

General Body Mechanics/Transfer

Lifting and Pulling0123

Transfer to Chair0123

Turning and Positioning0123

Transfer Patient to Wheelchair0123

Transfer Patient to and from Toilet0123

Transfer Patient to and from Gurney0123

RESTRAINTS

General Restraints

Application of Soft Limb Restraints0123

Application of Leather Restraints0123

Application of Posey Restraints0123

Observation of Patient in Restraints0123

Documentation0123

Knowledgeable of Safety Guidelines for Patient0123

EQUIPMENT

General Equipment

Hemovac/Davol Suction Pump0123

Use of Wall Suction0123

Use of Corstavac Suction0123

Alternate Pressure Mattress0123

Care of Patient with PCS Pump0123

Infusion Devices (Volumetric Pump)0123

Venturi Mask0123

Management of Trach Collar0123

Knowledge of Use of Incentive Spirometer0123

ABG Kits0123

Knowledge of Use of Bed Scale0123

Knowledge of use of Heating Pad0123

Use of Hoyer Lift0123

Assist with/Set-up of Water Seal Suction0123

Pleurevac/Emerson Suction0123

Knowledge of Use of Egg Crate Mattress0123

Enteral Pump0123

Management of Oxygen Mask0123

Management of Nasal Cannula0123

Use of Ambu-Bag0123

Humidifiers0123

Application of TED Hose0123

Use of Heat Lamb0123

Use of Blood Glucose Monitors0123

SPECIMEN COLLECTION

General Specimen Collection

Obtain Urine for Specific Gravity0123

Obtain Urine Culture0123

Obtain Foley Catheter Specimen0123

Obtain Stool Specimen0123

Perform Straight Catheterization0123

Obtain Sputum Specimen0123

Instruct Patient/Assist with Clean0123

Catch/Midstream Urine Specimen0123

Collect 24 hour Urine Specimen0123

Obtain Stool Hemocult0123

Obtain Stool Ova/Parasite0123

PROCEDURES

General Procedures

Set-up/Instruct Patient in Sitz bath0123

Perform Personal Hygiene/Oral Care0123

Perform Wound Irrigation0123

Perform Catheterization (Female & Male)0123

Administer Tap/Saline Enema0123

Administer Soap Suds Enema0123

Administer Oil Retention Enema0123

Administer Fleets Enema0123

Administer Post-Mortem Care0123

Perform Wet to Dry Dressing0123

Perform Sterile Dressing Changes0123

Perform Bladder Irrigation0123

Perform Ostomy Care0123

Perform NG Tube Feeding0123

Perform Gastrostomy Tube Feeding0123

Administer Douches0123

Management of Levine Tube0123

Management of Nephrostomy Catheter0123

Management of Jejunostomy Tube0123

Management of Chest Tube0123

Perform Nasal Suctioning0123

Perform Oral Suctioning0123

COMMUNICATION/DOCUMENTATION

General Communication/Documentation

Reporting on Assigned Patients0123

Performing Team Leader Duties0123

Giving Oral Reports0123

Giving Tape Reports0123

Making Assignments0123

Making Rounds0123

Age Specific:

Please indicate the frequency with which you provide care for each age group:

Infant (Birth to 1 year)0123

Toddler (1-3 years)0123

Pre-school (3-6 years)0123

School Age (6-12 years)0123

Adolescent (12-18 years)0123

Young Adult (18-30 years)0123

Mature Adult (30-60 years)0123

Elderly (>60 years)0123

OTHER SKILLS

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