PCU RN

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

Assessment/Patient Care (General)

Assist

Blood

Administer Blood/Blood Products
Albumin

Cardiac (General)

Cardiac (Labs)

Cardiac (Monitoring)

Cardiac (Patient Experience)

Critical Care Settings

Endocrine/Metabolic (Labs)

Blood Glucose
Thyroid Studies

Endocrine/Metabolic (Patient Experience)

Gastrointestinal (General)

Gastrointestinal (Labs)

Gastrointestinal (Monitoring)

Nutritional Status

Gastrointestinal (Patient Experience)

Immunology/Hematology/Oncology

Blood Transfusions

Immunology/Hematology/Oncology (Labs)

Hematology

Immunology/Hematology/Oncology (Patient Experience)

IV Therapy

Medications Administration

Musculoskeletal (General)

Cast Care
Circulation/Pulse Checks

Musculoskeletal (Patient Experience)

Neurological (General)

Neurological (Patient Experience)

Nutritional Therapy

Oxygen Administration

Pain Management

Perform

Pulmonary (General)

Pulmonary (Monitoring)

Pulmonary (Patient Experience)

Pulmunary (Lab)

ABGS

Renal/Genitourinary (General)

Skin Tugor

Renal/Genitourinary (Labs)

Bun & Creatinine
Serum Electrolytes

Renal/Genitourinary (Monitoring)

Renal/Genitourinary (Patient Experience)

Specimen Collection

Wounds/Integument (Assess)

S/S Infection
Skin Assessment

Wounds/Integument (Monitoring)

Skin Breakdown

Wounds/Integument (Patient Experience)

I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Admission
Advance Directives
Charge Nurse Experience
Collect Appropriate Data
Discharge Teaching
Electronic Medical Record
Organ/Tissue Donation
Patient And Family Teaching
Preoperative Teaching

Bedside Invasive
Bronchoscopy
Cardioversion/Defibrillation
Central Line Insertion
Chest Tube Insertion
Chest Tube Removal
Emergency Tracheostomy
ET Intubation And Extubation
Lumbar Puncture
Open Chest Emergency
Paracentesis
Pericardiocentesis
Procedures
Temporary Pacemaker Insertion
Thoracentesis
Transesophogeal Echocardiogram

Abnormal Heart Sounds/Murmurs
Apical Pulse
Auscultation (Rate, Rhythm)
Capillary Refill
Color
Pulses/Circulation Checks

BNP
Cardiac Enzymes & Isoenzymes
Coagulation Studies
Troponin

12 Lead EKG Interpretation
Arrhythmia Interpretation
Arterial Line
CVP Monitoring
EKG Monitoring

Abdominal Aortic Aneurysm
Acute MI
Angina
Cardiac Tamponade
Cardiac Teaching
Cardiomyopathy
Cardiopulmonary Arrest
Carotid Endarterectomy
Congestive Heart Failure
Endocarditis
EP Study & Ablation
Femoral Popliteal Bypass
Heart Transplant
Hypertension
Hypovolemic Shock
Multi-System Organ Failure
Myocardial Contusion
Pacemaker -- External
Pacemaker -- Permanent
Pacemaker -- Temporary
Pacemaker -- Transthoracic (Epicardial)
Pericarditis
Post AICD Insertion
Pre/Post Cardiac Cath
Pre/Post Cardiac Surgery
Pre/Post PTCA/Stents
Valve Replacement
Ventricular Assist Device (RVAD Or LVAD)

Diabetes Type I and II
Diabetic Ketoacidosis
Drug Overdose
Insulin Shock

Abdominal Wounds And Surgeries
Blunt Trauma
Bowel Obstruction
Colostomy
Esophageal Bleeding
GI Bleeding
Hepatitis
Ileostomy
Inflammatory Bowel Disease
Jejunostomy Tube
Liver Cancer
Liver Failure
Liver Transplant
Pancreatic Cancer
Pancreatitis
Paralytic Ileus

Acute Leukemia
Cancer
Disseminated Intravascular Coagulation
HIV/Aids
Sepsis
Treatment Side Effects Chemo/Radiation

Assess/Maintain IV Insertion Site
Inserting IVs
Multi-Lumen Central Venous Catheters
PICCs

Administer IM And SQ Meds (clavicle, knee, etc.)
Administer PO Medications
Bladder Irrigation And Instillation
Topical

Amputation
External Fixation
Joint Replacements
Multiple Trauma
Paraplegia
Rheumatoid Arthritic Disease
Traction

Glasgow Coma Scale
Level Of Consciousness
Reflex/Motor Deficits
Visual/Communication Deficits

Acute Head Injury
Alzheimer's Disease
CNS Infection
Coma
DTS
Encephalitis
Gullian Barre
Halo Traction/Cervical Tongs
Hydrocephalus
Increased ICP
Intracranial Hemorrhage
Ischemic/Hemorrhagic Stroke
Laminectomy
Meningitis
Metastatic Tumor
Multiple Sclerosis
Neuromuscular Disease
Pre/Post Neuro Surgery
Seizure Disorder
Spinal Cord Injury
TIAs
Tumor Resection
Ventriculostomy
Ventroperitoneal Shunt

Dobhoff Insertion
Enteral Administration
Gravity/Bolus Tube Feedings
J-Tube
NGT Insertion
PEG
TPN And Hyperalimentation

Interventional Unit
PCU
StepDown
Tele

LFTs
Serum Ammonia
Serum Amylase

Ambu-Bag
Nasal Cannula
Nebulizer Treatments
Non-Rebreather Mask
Portable Oxygen
Tracheostomy Tube
Venti Mask

Assess Pain Level/Tolerance
Epidural Anesthesia/Analgesia
Patient Controlled Analgesia
Ramsey Scale

Chest Tube Drainage Systems
Doppler
Drains (JP-Hemovac-Penrose)
Dressing Changes
Establish/Protect Airway
Femoral Artery Sheath Removal
Foley
Hyper/Hypothermia Blanket
Incentive Spirometry
Isolation
Specialty Beds
Sterile Dressing Changes
Suction( ET-Oral-Trach-Nasal)
Universal Precautions
Wound Care/Irrigations
Wound Vac

Adventitious Breath Sounds
Assess Lung Sounds
Oxygenation Status
Rate and Work of Breathing

Acute Pneumonia
ARDS
Asthma
Chest Trauma
Chest Tube
COPD
Inhalation Injuries
Lobectomy
Lung Transplant
Near Drowning

Pulmonary Edema
Pulmonary Embolism
Status Asthmaticus
Tension Pneumothorax
Tracheostomy
Tuberculosis

Acute Renal Failure
End Stage Renal Disease
Hemodialysis
Nephrectomy
Nephrostomy Tube
Peritoneal Dialysis
Renal Transplant
Suprapubic Cath
V Fistula/Shunt

Arterial Line Draw
Butterfly Stick
Central Line Draw
Clean Catch Urine
Cultures-Blood/td>
Dip-Stick
Finger Stick
Sputum
Sterile Urine
Stool
Throat Swabs
Venipuncture

Burns
Staged Pressure Ulcers
Stasis Ulcers
Surgical Wounds W/Drains
Traumatic Wounds