PACU Skills Checklist

First name:	Last name:
Phone:	Email:
SSN (last 4 only):	Date: (MM/DD/YYYY)

Key - for each box mark:

Limited or no experience
Somewhat experienced but may need review
Can function independently
Competent to supervise

	1	2	3	4
Cardiovascular
Assessment
Abnormal Heart Sounds
Auscultation (rate, rhythm)
Doppler
Pulses
Procedures
Hemodynamic Monitoring – Invasive
Mean Arterial (MAP)
Central Venous (CVP)
Pulmonary Artery/Capillary Wedge
Radial Artery
Cardiac Index
Cardiac Output
SVO2
Monitoring – Non-invasive
Arrhythmia Interpretation
Equipment
Pacemakers
External
Permanent
Temporary
Transthoracic (Epicardial)
Intra-aortic Balloon Pump
Care of Patient with
Aneurysm
Cardiac Arrest
PTCA
Heart Transplant
Open-Heart Surgery
Post Stent Intracoronary Placement
Post Arthrectomy
Pre/Post Cardiac Catheterization
Care of Patient with continued
Shock
Septic
Hypovolemic
Cardiogenic
Neurogenic
Anaphylactic
Medications
ACLS Drugs
Beta Blockers
Digoxin
Isuprel
Nipride
Nitroglycerine
Calcium Channel Blockers
Thrombolytic Agents
Pulmonary
Assessment
Breath/Lung Sounds
Breathing Patterns
Skin/Nail Color
Lab Values
Blood Gases
Procedures
Airway Management/Suctioning
Endotracheal Suctioning
Extubation
Tracheostomy Suctioning
Procedures continued
Assist with
Bronchoscopy
Chest Tube Insertion
Emergency Tracheostomy
Thoracentesis
Intubation
Oral Airway Insertion
Respiratory Complication Intervention
Aspiration
Laryngospasm
Tension Pneumothorax
Equipment
Pleurevac or Thoraclex Drainage
Water Seal Drainage
O2 Therapy Delivery Systems
Ambu Bag and Mask
ET Tube
Face Masks
Nasal Cannula
Portable O2 Tank
Trach Collar
Ventilator Management
External CPAP
High Frequency Jet Ventilation
IMV
PEEP
Pressure Support
Weaning Modes
Nebulizers
Care of Patient with
Chest Trauma
COPD
Fresh Tracheostomy
Lobectomy
Pneumonectomy
Pulmonary Edema
Pulmonary Embolism
Pneumonthorax
Thoracotomy
Chest Wall Injuries
Medications
Corticosteroids
Ventolin (Albuterol)
Neurological
Assessment
Cranial Nerves
Level of Consciousness
Pathologic Reflexes
Reflex/Motor Reflexes
Procedures
Seizure Precautions
Spinal Precautions
Measuring Intracranial Pressure
Equipment
Halo Traction
Crutchfield Tongs
Stryker Frame
Nerve Stimulators
Rotating/Circular Bed
Hyper/Hypothermia Blanket
Care of Patient with
Skull Fracture
CVA
Cranial Hemorrhage
Externalized VP Shunts
Increased ICP
Laminectomy
Intracranial Tumor
Spinal Cord Injury
Craniotomy
Medications
Decadron
Solu-Medral
Magnesium Sulfate
Mannitol
Anti-convulsants
Anti-depressants
Versed
Musculoskeletal/Integumentary
Assessment
Circulation Checks
ROM/Joint Movement
Skin Integrity

	1	2	3	4
Procedures
Body Mechanics
Burn Care
Equipment
Continuous Motion Devices
Traction
K-Pad
Splints/Immobilizers
TENS
Support Devices
Cervical Collar
Sling
Care of Patient with
Amputation
Arthroscopic Surgery
Cast
Pinned Fractures
Joint Replacement
Laminectomy/Cervical Fusion
Burns
Skin Grafts
Medications
Analgesics
Muscle Relaxants
Topical Agents
Gastrointestinal
Assessment
Bowel Sounds
Lab Values
Serum Ammonia
Serum Amylase
Liver Function Tests
Procedures
Management of
Jejunostomy Tube
T-tube
TPN and Lipids Administration
PPN (Peripheral Parenteral Nurtition)
NG Tube Insertion
Paracentesis
Equipment
Drains
Tubes
N/G
T-Tube
Miller Abbott
Blakemore
Care of Patient with
Trauma
Bowel Obstruction
Colostomy
Esophageal Bleeding
GI Bleeding
GI Surgery
Hepatitis
Ileostomy
Liver Transplant
Paralytic Ileus
Medications/Supplements
AquaMephyton (Vitamin K)
Anti-emetics
Anti-spasmotics
Kayexelate
Renal/Genitourinary
Assessment
Fluid and Electrolyte Status
A/V Fistula/Shunt Status
Lab Values
Electrolytes
BUN and Creatinine
Procedures
Supra-pubic Catheter Management
Nephrostomy Tube Management
Peritoneal Dialysis
Equipment
Bladder Irrigation
Care of Patient with
Hemodialysis
Peritoneal Dialysis
Nephrectomy
Renal Transplant
Renal Rejection Syndrome
TURP
Ileal Conduit Nephrostomy
Medications
KCl
Diuretics
Endocrine/Metabolic
Assessment
Mental Status
Diabetic Coma
Insulin Reaction
Lab Values
Blood Glucose
Ketone Bodies
Serum Calcium
Care of Patient with
Diabetes Mellitus
Diabetic Ketoacidosis
Drug Overdose
Thyroidectomy
Medications
Insulins
Long-acting
Medium-acting
Short-acting
Steroids-Adrenocorticosteroids
Hematology/Oncology
Assessment
Tumor Classifications
Lab Values
Blood Count Markers
Blood Chemistry
Procedures
Patient/Family Counseling
Grieving Process
Altered Image
Patient Teaching
Relaxation Techniques
Imagery
Side Effects of Chemotherapy
Bone Marrow Aspiration
Care of Patient with
AIDS
Bone Marrow Transplant
Anemia
Immunosuppressed Conditions
Radiation Therapy/Implants
Inpatient Chemotherapy
Leukemias
DIC
Medications
Antineoplastic Agents
Chemotherapeutic Agents
Anticoagulant Agents
Anticoagulant Antidotes

Age Specific Experiences and Certifications

Age Specific Experiences	Infants and Toddlers (birth-2 years)	Children (3-12 years)	Adolescent (13-18 years)	Young Adult (19-39 years)	Middle Adults (40-64 years)	Older Adult (65+ years)
1. Knows the normal growth and development for each age group and adapts care accordingly.
2. Knows the different communication needs for each age group and changes communication methods and terminology accordingly.
3. Knows the different safety risks for each age group and alters the environment accordingly.
4. Knows the different medications, dosages, and possible side effects for each age group and administers medications accordingly.

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize Fortus Group to release this information to client facilities in relation to consideration of my employment.