LPN/LVN


This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:

  • 1 . No Experience

  • 2 . Need Training

  • 3 . Able to perform with supervision

  • 4 . Able to perform independently

SKILLS

Activities of daily living

Admission of patient

Administration of medication

Ambulation

Application of heat and cold

Aseptic Technique

Assist with medical examination

Bathing: Sitz, tub, bed, shower

Bandaging

Binders

Body Alignment

Body Systems Review (Head to Toe data collection)

Cast care

Catheterization / Foley catheter care

Charting

Colostomy Care and irrigation

CPR

Crutch walking

Decubitus Care

Diabetic tests and preparation forms

Diabetic blood glucose testing

Discharge patients

Dosage computation

Draping

Dressing (sterile)

Ear drops

Elimination needs

Enemas, cleansing, retention, Harris flush

Restraints

Infection Control: Standard Universal Precautions

Infection Control: Reverse Isolation

Infection Control: TB/ Airborne Precautions

Infections Control: MRSA/ VRE Precautions

Isolation procedure for specimen collection

IVs: Monitor rate and infusion site

Medications: Oral, IM, SQ

Mouth care

Nail Care

Neurological Check

Nutritional check

Observations: Response to treatments/ meds

Observations: Signs of significant body system changes

Observations: Signs of shock

Observations: Signs of pain

Observes safety procedures

O2 administration

Pain assessment

Patient care plans (revise and update)

Patient safety standards/ precautions

Positioning patient

Postural drainage

Pre-op and post-op care

Provide comfort, safety and privacy

Pulse oxymetry

Range of motion

Hand hygiene

Report observations/ changes

Skin care

Specimen collection: routine urine

Specimen collection: clean catch

Specimen collection: 12 and 24 hour specimen

Specimen collection: stool

Specimen collection: culture

Specimen collection: sputum

Specimen collection: from foley catheter

Suppositories

Suction-oral

Surgical Preps

Computerized charting

Trach care/suctioning

Telephone manners

Topical Medication Application

Traction

Transfer/ transport patients: wheelchair

Transfer/ transport patients: gurney

Transfer/ transport patients: to chair

Urine test for glucose/ acetone

Vital Signs

Weight: Bed scales and standing scales

IV therapy certified

AGE SPECIFIC COMPETENCIES

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)