LPN / LVN SKILL CHECKLIST

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1 LPN / LVN SKILL CHECKLIST Name: When completing this ckecklist, please indicate your level of proficiency in each area according to the scale below. Place a check mark in box which best describes your expertiese with each skill. The scale is as follows: 1. Not performed 2. Intermitten experience 3. Very experienced. CARDIOVASCULAR 1. Auscultation of heart rate / rhythm Blood pressure Doppler Pulses Circulatory checks CPR ACLS Post abdominal aortic bypass Angina Aneurysm Congestive heart failure Fem-pop bypass Permanent pacemaker Post carotic endarterectomy Post acute MI Post cardiac surgery Thrombophlebitis DVT Administration of post-op cardiac meds CERTIFICATIONS 1. BLS ACLS DIABETIC CARE 1. Diabetic Patient Teaching 1 2 3

2 2. Diabetic Monitoring S/S of Hyper / Hypoglycemia Performing Fingersticks Glucometer use Insulin infusion Regular / Long Acting Insulin Mixing Insulin Calculating Caloric Intake EXPERIENCE IN PRIMARY AREAS 1. Hospitals Clinics Nursing Homes Home Health GASTROINTESTINAL 1. Tube feeding administration - Bolus Tube feeding administration - Pump Medication administration via tube Bowel prep G.I. Bleeding Inflammatory Bowel Disease Guaiac testing Assessing nutritional status Enema administration Assessment of bowel incontinence Signs/symptoms of fecal impaction NG tube care Assessment of NG tube placement Colostomy care Assessment of abdomen Assessment of Bowel sounds Post op care - Abdominal surgeries 1 2 3

3 INTRAVENOUS THERAPY 1. IV certified Peripheral IV insertion IV Dosage Calculation IV Infusion Pumps IV site care Central Line site care Implanted catheter site care Administration of IV Antibiotics Administration of IV Fluids Administration of IV Narcotics Blood draws from Central Lines Blood Draws from Implanted Catheter Blood draws from Peripheral Line MEDICATION ADMINISTRATION 1. Dosage Calculation -5 RIGHTS Documentation on M.A.R. & pt chart PDR / Drug Book usage Narcotic Wastage / Verification Drug Action/Interaction knowledge Generic Drug Equivalents Swallowing Precautions Ear Drops Eye Drops Intradermal meds Intramuscular meds Oral meds Parenteral meds Sublingu al meds Topical meds NEUROLOGICAL

4 1. Neuro checks Seizure precautions Dementias Neuromuscular disease CVA DTs Aneurysm precautions Anticonvulsants Antispasmodics Long term spinal cord injuries Pain control measures Post craniotomy care Meningitis TENS unit ORTHOPEDIC 1. Circulation assessment Gait assessment Range of motion Continuous passive motion Cervical collars Gait belts Canes / crutches Slings Brace application Traction application Transfer Boards Walkers Wheelchairs Prosthesis Casts and care Amputation care 1 2 3

5 17.Post-arthroscopy care Pinned fractures Osteoporosis Care of total hip replacements Care of total knee replacements Rheumatic / Arthritic disease OTHER SKILLS 1. Charting systems hr written & verbal reporting CODE status; ie Full Code or DNR Accident & Incident reporting Using the 911 system in LTC setting Regulatory guidelines related to residents rights in LTC setting Regulatory guidelines related to prevention of neglect and abuse of residents PAIN MANAGEMENT 1. Pain "level" assessment Documentation of Characteristics of pain ie: Location, Duration, character Document effectiveness of pain meds PSYCHOSOCIAL 1. Assessment & documentation of any behavioral problems Assess & document signs & symptoms of depression Assess & document patients response to psychotropic medications Assess & document effectiveness of all psychiatric meds patient is given Assess & document effectiveness of all groups and therapy Parameters for restraint use in LTC PULMONARY 1. Airway management Apnea monitor Differentiate Breath Sounds Chest tube care Chest physiotherapy 1 2 3

6 6. Incentive spirometry Inhaler use Tracheal/nasotracheal suctioning Oropharangeal suctioning Oxygen therapy Pulse Oximetry Postural drainage & percussion Pulmonaide use Sputum specimen collection Tracheostomy care / suctioning Ventilator patient care UNIVERSAL PRECAUTIONS / INFECTION CONTROL 1. AIDS / HIV Hepatitis MRSA VRE Fever management Decubitus/Wound care (contaminated) Reverse Isolation Standard / Universal Precautions Linen: Transporting, storing, handling A. Clean B. Solid C. Personal clothing Double bagging technique Proper disposal of sharps and waste URINARY / RENAL 1. Assessment & care of AV shunt Post renal surgery Renal Failure ESRD Assessment of urinary incontinence 1 2 3

7 6. Assess I & O Signs & symptoms of UTI Signs & symptoms of distended bladder Indwelling catheter insertion - Female Indwelling catheter insertion - Male Straight Cath -Male Straight Cath - Female Suprapubic catheter care Urine dipsticks for Ketones Urine dipsticks for UTI WOUNDS, PRESSURE S ORES, S KIN IMPAIRMENTS 1. Assessment and care of Post Op wounds Assessment, prevention and care of pressure wounds Assessment and documentation of skin conditions and wounds Sterile dressing changes Aseptic dressing changes Wound irrigation Use of wound care products Beds - Air fluidized, low air loss beds Pressure relieving devices Staple removal Suture removal The information I have given is true and accurate to the best of my knowledge. Please sign and date below. SIGNATURE: (Last 4 digits of your SSN) Reenter your last 4 digits of your SSN: DATE: set

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