MATRIX PERSONNEL SERVICE, INC.
RN PROFICIENCY RECORD ( SKILLS CHECKLIST )
PACU

 


NAME DATE

E -MAIL ADDRESS

 

LEVEL OF PROFICIENCY
Theory - NO Experience
1
Minimal Experience
2
Competent and Experienced
3

SKILLS
1
2
3
CHARGE DUTIES
Primary Care
Team Nursing
Precautions
Regular Isolation
Reverse Isolation
Respiratory Isolation
Skin/Wound Isolation
Dressing Change Isolation
Universal Isolation
IV Therapy
Heparin/Saline Lock
Insertion of IV Line
CVP Lines and Dressing Change
Infusion Pumps
Hanging Blood/Blood Products
Care of Cut Down
Veni Puncture
Crisis Management
Defibrillation
Shock management
Hypotensive Crisis Management
Hypertensive Crises Management
Vasoactive Drug Administration
Cardiac Drug Administration
Anesthetic and Reversal Agents
Pain Evaluation
CPR
Arrest Med Administration
IV Additives and IVPB'S
Respiratory Therapy
Suctioning Oro/Naso/Pharynx
Tracheostomy Care
Ventilators
Endotracheal Tubes
Chest Tubes
GI Tubes
Nasogastric
Miller Abbott
Blackemore (MN) for Bleeding
Central Venous Pressure Monitor
Setup CVP Line
Care of CVP Line
Obtaining CVP Reading
Recognize Abnormal Measurement
Discontinuing a Central Line
Blood Pressure Monitor
Manual and Doppler Devices
Arterial
Automatic
Swan Ganz Pressure Monitor
Intracranial Pressure Monitor
 
Cardiac Monitoring
Interpretation of Arrythmias
Recognize Basic Cadiac Rhythms
Troubleshoot Monitors
Peripheral Pulses, Skin Color, Temp
Arterial Pressure Monitoring
Calibration
Care of Arterial Line
Recognition of Normal Waveform
Withdrawal of Arterial Blood
ABG Interpretation
Care of Patients Having IV'S
Aminophyline
Dopamine
Lidocaine
Pitressin
Isuprel
Chemotherapy
Nipride
Intralipid Administration
Hyperalimentation Administration
Diagnosis of Problems
Fresh MI
Renal Failure
GI Bleed
Intubated Patients
Care Management
Assisting with Intubation
Use/Select Mask with Ambu
Extubation
Tracheostomies
Ambulation
IVP Medications
Digoxin
Lasix
Burnex
Morphine
Demerol
Decadron
Valium
Dilantin
Ventilator Management
Monitoring Parameters
Operation/Troubleshooting
Respiratory/Cardiac Emergencies and Arrest
Pumps
Gomco Emersion Suction
PCA Pumps
Airway Management
Assess Tidal Volumes
Assess Breath Sounds
Insert/Remove Nasal Oral Tubes
Oral/Nasal/Nasotracheal/Endotracheal Suctioning
Respiratory Obstruction
Hypoventilation
Laryngospasm/Bronchospasm
Aspiration
Atelectasis
Oxygen Therapy
O2 Equipment
Nasal Cannula
T Tube
Additional Nursing Skills
Neurological Checks
Arrhythmia Interpretation
Set Up and Run 12 Lead EKG
Dressing Change
Discharge of Patient
Computer Use Documentation
Cast Care and Observation
Post Surgical Documentation
GU
Foley Catheter Insertion (Male)
Foley Catheter insertion (Female)
3-Way Foley
Suprapubic
Catheter Care



Certification
Expiration Date
Certification
Expiration Date
ACLS
PALS
BLS
TNCC
CEN
Other  
ENPC
Other  


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