RN & LPN Skills Checklist – Horizons Healthcare Agency, LLC

Please rate your level of experience:

1. No Experience: Observed Only
2. Limited Experience: Performs < 6 Times Per Year (needs review)
3. Moderate Experience: Performs 1-2 Times Per Month; May Need Minimal Resource
4. Highly Experienced: Performs on a Daily or Weekly Basis; Proficient

A - Medication Administration

1. Pouring from Stock Medications
2. Narcotic Administration
3. IV Push Medications
4a. IV Drip Medications (Antibiotics)
4b. IV Drip Medications (Narcotics)
4c. IV Drip Medications (Chemotherapy)

B - Phlebotomy/IV Therapy

1a. Draw Blood (Venous Stick)
1b. Central Line
2. Inserting IVs
3. Mixing IVs
4. Regulating IVs
5. Discontinuing Peripheral IVs
6. IV Infusion Pumps
7. CVP Lines-Measurement of CVP
8. Central Line Dressing Changes
9. Blood/Blood Product Administration
10a. Administration of Total Parenteral Nutrition (TPN)
10b. Administration of Peripheral Parenteral Nutrition (PPN)
11. Multi-Lumen Central Catheters
12. Port-A-Caths (Infusa-Ports)
13. Continuous Subcutaneous Infusion Pumps
14. Patient Controlled Analgesia (PCA)

C - Patients with Cardiovascular Problems

1. Cardiac Monitors
2. Taking EKGs - 12 Lead
3. Performing Basic Rhythm Strip Measurements
4. Recognizing Basic & Life-Threatening Dysrhythmias
5. Cardiopulmonary Resuscitation
6. Defibrillation
7. Cardioversion
8a. Care of the Patient with Temporary Pacemaker
8b. Care of the Patient with Permanent Pacemaker
9. Pulse Clerks
10. Use of Doppler
11. Use of Automatic BP Cuff (Dinamap)
12. Administration of Nitrates (Oral, Topical)
13. Administration of Antiarrhythmics (Oral)
14. Administration of Antihypertensives (Oral)

D - Respiratory

1. O2 Cannulas/Masks
2. Nebulizer Set-up/Use
3. Incentive Spirometry
4. Chest PT
5. Pulse Oximetry
6a. Oral Suctioning
6b. Tracheostomy Tube Suctioning
7a. Mouth Care of Ventilator Patient
7b. Care of Ventilator Patient Endotracheal Tube Suctioning
7c. Care of Ventilator Patient Ambu
7d. Weaning a Ventilator Patient off the Ventilator
8a. Oral Bronchodilator Administration
8b. IV Bronchodilator Administration
8c. Inhaler Bronchodilator Administration
9a. Care of the Patient with Tracheostomy
9b. Care of the Patient with COPD
9c. Care of the Patient with Asthma Exacerbation
9d. Care of the Patient with Pneumonia
9e. Care of the Patient with Pre/Post Thoracic Surgery
9f. Care of the Patient with Chest Tubes

E - Patients with Neurological Problems

1. Assessing Levels of Consciousness
2. Pupil Checks
3. Seizure Precautions
4. Aneurysm Precautions
5. Assisting with Lumbar Puncture
6. Administration of Anticonvulsant Meds
7. Administration of IV Drip Steroids
8. Use of Hyper/Hypothermia Blanket
9a. Care of Patient with Fresh Spinal Cord Injury
9b. Care of Patient with Long Term Spinal Cord Injury
9c. Care of Patient with CVA (Stroke)
9d. Care of Patient with Neuromuscular Disease
9e. Care of Patient with Alzheimer's Disease

F - Patients with Wounds/Skin Problems

1. Dressing Changes
2a. Care of Patients with Pressure Sores
2b. Care of Patients with Leg Ulcers
2c. Care of Patients with Burns
3a. Use of Special Pressure Relief Devices (Air Fluidized, Low Airloss Beds)
3b. Use of Special Pressure Relief Devices (Pressure Relief Mattress/Seat Cushion)

G - Patients with Endocrine Problems

1a. Single Type Insulin Administration
1b.Mixed Insulins Administration
1c. Insulin Infusion Administration
2a. Blood Glucose Monitoring: Performing Fingersticks
2b. Use of Blood Glucose Meter Device
2c. Use of Visual Blood Glucose Strips

H - Patients with Renal/GU Problems

1. Insertion of Catheter - Female
2. Insertion of Catheter - Male
3a. Continuous Bladder Irrigations
3b. Intermittent Bladder Irragations
4a. Manual Peritoneal Dialysis
4b. Automatic Cycler Machine Peritoneal Dialysis
5. Collection of Urine Specimens
6a. Hemodialysis A-V Fistula/Shunt Care
6b. Hemodialysis Pre- and Post-Dialysis Care
7. Care of Patient with Urinary Diversion
8. Care of Patient with Supra-Pubic Catheter
9. Care of Patient with Nephrostomy Tube

I - Patients with Gastrointestinal Problems

1. Nasogastric Tubes (Salem Sump, Levine)
2. Nasointesinal Tubes (Cantor, Miller-Abbot)
3. Jejunostomy, Gastrostomy, Cecestomy Tubes
4. Inserting Nasogastric Tubes
5a. Administration of Tube Feedings via Flexible Tubes by Gravity Infusion
5b. Administration of Tube Feedings via Flexible Tubes by Feeding Pump
6. Collection of Stool Specimens
7. Bowel Preparation and Cleansing Procedures
8a. Care of Patient with Ileostomy
8b. Care of Patient with Colostomy
8c. Care of Patient with Inflammatory Bowel Disease

J - Patients with Orthopedic Problems

1. Cast Care
2. Circulation Checks
3. Traction-Skin
4. Traction-Skeletal
5. Range of Motion Exercises
6. Use of Assistive Devices (Canes, Walkers)
7. Care of Patient with Total Joint Replacement
8. Care of Patient with Rheumatic/Arthritic Disease
9. Care of Patient with an Amputation
10. Application of Splints to Extremities
11. Continuous Passive Motion Machine (CPM)

K - Additional Medical-Surgical Skills

1a. Care of Patients with Hemovacs
1b. Care of Patients with Jackson-Pratt Tubes
1c. Care of Patients with Penrose Drains
1d. Care of Patients with T-Tubes
2. Surgical Wound Irrigations and Dressings
3. Universal Precautions

L - Age of Patients Cared For

1. Infants and Toddlers (ages 0-3 years)
2. Young Children (ages 4-6 years)
3. Older Children (ages 7-12 years)
4. Adolescents (ages 13-20 years)
5. Young Adults (ages 21-39 years)
6. Middle Adults (ages 40-64 years)
7. Older Adults (ages 65-79 years)
8. Adults (ages > 80)

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