PACU Skills Checklist

Name(Required)

Proficiency:

1 = Minimal Experience
2 = Limited Experience
3 = Competent
4 = Highly Skilled

Age Specific Competency

Neonates / Newborns (Birth - 30 days)(Required)
Infants (30 days - 1 year)(Required)
Toddler (1 - 3 years)(Required)
Preschooler (3 - 5 years)(Required)
Older Children (5 - 12 years)(Required)
Adolescents (12 - 18 years)(Required)
Young Adults (18 - 39 years)(Required)
Middle Adults (39 - 64 years)(Required)
Older Adults / Geriatrics (64+ years)(Required)

Experience

Admission to PACU(Required)
Physical Assessment of Body Systems(Required)
Pulmonary / Abnormal Breathing(Required)
Perform Suctioning(Required)
O2 Administration(Required)
Care of Patient with Chest Tube(Required)
Post-Operative Patient Care(Required)
Care of Patient with Tubes / Drains(Required)
Cardiovascular(Required)
Operate & Monitor Unit Equipment(Required)
Anesthesia Equipment(Required)

Charting

Computer(Required)
DARE(Required)
APIE(Required)
SOAPIE(Required)
FOCUS(Required)
Discharge Planning(Required)
Utilization Review(Required)
Chart Review / Audit(Required)

Admission to PACU

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

Physical Assessment of Body Systems

Respiratory(Required)
Cardiovascular(Required)
Neurologic(Required)
Gastrointestinal(Required)
Genitourinary(Required)
Integumentary(Required)
Monitor Recovery of Patient From(Required)
General Anesthesia(Required)
Regional Anesthesia(Required)
Local Anesthesia(Required)

Pulmonary

Auscultate Breath Sounds(Required)
Recognize Abnormal Breath Sounds (e.g. Rales, Rhonchi)(Required)
Implement Appropriate Nursing Intervention for Abnormal Breath Sounds(Required)
Reposition Patient(Required)
Pulmonary Toilet(Required)
Bronchodilators, Diuretics(Required)
Suction, O2(Required)
Airway Insertion / Management(Required)
Recognize Abnormal Breathing(Required)
Assess Respiratory Rate, Rhythm, Depth, & Symmetry(Required)
Labored, Dyspneic(Required)
Obstructed(Required)
Laryngospasm(Required)
Insufficient Reversal(Required)

Perform Suctioning

Oral(Required)
Nasal(Required)
Endotracheal(Required)
Tracheal(Required)

O2 Administration

Face-trach Mask(Required)
Nasal Cannula(Required)
T-Piece(Required)
ETT Mechanical Ventilator(Required)
Care of Patient with Chest Tube(Required)
Set-up Closed Drainage System(Required)
Recognize Air Leak(Required)
Assess for Subcutaneous Emphysema(Required)
Measure Drainage(Required)
Troubleshoot Problems(Required)

Post-Operative Care for the Following Patient Populations

Thoracic Surgery(Required)
Vascular Surgery(Required)
Orthopedic Surgery(Required)
Neurosurgery(Required)
Tonsillectomy / P.E. Tubes(Required)
Major Abdominal Surgery(Required)
ENT Surgery(Required)
Breast Surgery(Required)
Genitourinary Surgery(Required)
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Hypospadias(Required)
Circumcision(Required)
Gynecological Surgery(Required)
Post-Angiogram(Required)
Liver Biopsy(Required)
Eye Surgery(Required)
Cardiac Surgery(Required)

Tubes / Drains

Penrose Drain(Required)
Salem(Required)
Sump(Required)
Davol(Required)
Colostomy(Required)
Jejunostomy(Required)
Ileostomy(Required)
Jackson Pratt(Required)
T-Tube(Required)
Foley Catheter(Required)
Urethral(Required)
Suprapubic(Required)
Cystotomy(Required)
NG Tube(Required)

Cardiovascular

Placement & Care of a Patient on a Cardiac Monitor(Required)
Arrhythmia Analysis(Required)
Cardioversion & Defibrillation(Required)
Assist with Insertion of Temporary Pacemaker(Required)
Care of Patient with Permanent / Temporary Pacemaker(Required)
Use of Non-Invasive Temporary Pacing Equipment(Required)
Care of Patient with Intravascular Hemodynamic Monitoring Equipment(Required)
Pulmonary Artery Catheters(Required)
Arterial Catheters(Required)
Swan-Ganz Catheters(Required)
Central Venous Catheters(Required)
Subclavian Lines(Required)
Epidural Catheters(Required)
Hemodynamic Monitoring(Required)
Equipment Maintenance(Required)
Dressing Changes(Required)
Prevention of Complications(Required)
Leveling Waveform Analysis(Required)
Obtain & Interpret(Required)
Cardiac Output(Required)
PA Pressure(Required)
PCWP / PAWP(Required)
CVP(Required)
LAP(Required)
Identify Usual Dosage, Actions & Side Effects for(Required)
Antiarrhythmics(Required)
Inotropes(Required)
Vasopressors(Required)
Vasodilators(Required)
Reversal Agents(Required)
Beta Blockers(Required)
Calcium Channel Blockers(Required)
Inhalation Agents(Required)
Calculate Infusion Rates in Dosages Ordered(Required)
Interpret Blood Lab Values for(Required)
Electrolyte Imbalances / ABG's(Required)

Operate & Monitor Unit Equipment

Portable Suction Machine(Required)
Transport Monitor(Required)
Automatic BP Monitor(Required)
Blanket Warmer / Bair Hugger(Required)
Sequential Compression Device(Required)
Pulse Oximeter(Required)
Pee Wee Weighing Scale(Required)
Hyper / Hypothermia Blanket(Required)
Blood Warmer(Required)
PACU Stretcher(Required)
IV Pumps(Required)
Invasive Pressure Monitors(Required)
Implements Physician Orders(Required)
Collaborate with Surgeon & Anesthesiologist with Regard to Patient Care(Required)
Utilizes Appropriate Infection Control Measures(Required)
Practice Universal Precautions(Required)
Document Interventions, Outcomes, Lab Studies, MD Notifications & Follow-up Care(Required)
Perform a Discharge Physical Assessment(Required)
Level of Consciousness(Required)
Pupillary Reactions(Required)
Motor & Sensory Functions(Required)
Muscular Strength (e.g. Hand Grasps, Head Lift)(Required)

Anesthesia Equipment

Blood Warmer(Required)
BP Monitor(Required)
Dinamap(Required)
Ohmeda(Required)
Defibrillator(Required)
SAO2 Monitor(Required)
Nitrogen Controls(Required)
Tanks(Required)
Wall Units(Required)
Thermia Blankets(Required)

Texas Licensing Information

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