Licensed Practical Nurse (LPN)

SKILLS CHECKLIST

Name______

Date______

CHECK PROFICIENCY / 1 / 2 / 3 / 4 /

CARDIOVASCULAR

Assessment of heart sounds
Assessment of peripheral pulses
Use of ultrasonic Doppler
Use of noninvasive automatic BP cuff/Dina map
Placement and management of patient on telemetry monitor
Perform CPR
Care of patient with
Permanent pacemaker
Congestive heart failure
Acute or chronic angina
Acute MI (post 48 hour)
Thrombophlebitis/DVT
Vascular Surgery
Prepare, administer and manage
Oral antiarrhythmics
Oral antihypertensive

RESPIRATORY

Assessment of breath sounds
Identify abnormalities
Oropharyngeal suctioning
Nasotracheal suctioning
Tracheotomy care and suctioning
Administration of O2 (mask, cannula)
Apnea and O2 sat monitoring
Incentive spirometry
Care of patient with
COPD
Pneumonia
Asthma
RESPIRATORY cont.
Pulmonary emboli
Thoracotomy
Pneumonectomy/lobectomy
NEUROLOGICAL
Assessment of LOC (level of consciousness)
Pupil checks
Seizures precaution
Assist with lumbar puncture
Use of hyper/hypothermia blanket
Care of patient with neuro trauma (stable)
CVA
Seizures
Spinal cord injury (stable)
Neuro trauma (stable)
Neuromuscular disease
GASTROINTESTINAL
Assessment of bowel sounds
Management of NG tube
Intermittent/continuous NG suction
Assessment and maintenance of feeding tubes
Administration of table feedings
Use of feeding pumps
Bowel preps
Collection of stool specimens
Enterostomal care
Care of patient with
Colostomy/ileostomy
Bowel obstruction
GI bleed
Gastrectomy
Colon resection
ERCP
EGD/colonoscopy
Pancreatitis
Hepatitis

ENDOCRINE

Blood glucose monitoring
Administration of SQ insulin
Care of patient with
Diabetes
Hyper/hypothyroidism

ORTHO/SKIN

Assessment of skin integrity
Identify abnormalities
Cast care
Circulation checks
Dressing changes
Use of pressure relief devices/beds
Traction-skin
Traction-skeletal
Use of assistive devices (canes, crutches, walkers)
Application and use of CPM
Application of slings, cervical collars, splints
Care of patient with:
Pressure sores, skin ulceration
Total joint replacement
Amputation
Rheumatic/arthritic disease
Arthrotomy/arthroscopy
Laminectomy or fusion
ORIF
Burns
RENAL/GENITOURINARY/GYN
Assessment of renal/GU system
Insertion catheter
Bladder irrigation (intermittent, continuous)
Collection of urine specimens
Care of patient with
Nephrostomy tube
A-V fistula/shunt
Ileal conduit
Supra-pubic catheter
Chronic renal failure

RENAL/GENITOURINARY/GYN cont.

Acute renal failure
Nephrectomy
TURP
Hysterectomy
Mastectomy
Peritoneal dialysis
Pre- and post hemodialysis
ONCOLOGY
Provide emotional support for patient and family
Knowledge of the Kubler-Ross stages of grieving
Assess and institute neutropenic precautions
Mucositis and stomatitis care
Care of patient with
Radiation therapy
AIDS
Neutropenia
ADDITIONAL SKILLS AND PROCEDURES
Maintenance of IV
Knowledge of serum lab values
Care of drains (Penrose, Jackson Pratt, Hemovac)
Administration of Meds (oral, IM, SC, rectal)
Medication dosage calculation
Isolation/universal precautions
Charge experience

AGE SPECIFIC EXPERIENCE

Care of patients in age ranges
Neonatal (birth to 1 month)
Infant (1 month to 1 year)
Pediatric (1 year to 12 years)
Adolescent (12 years to 18 years)
Adult (18 years to 65 years)
Geriatric (65 years and older)

MCNW-F-011, R2 (10/03) Page 2 of 3

Licensed Practical Nurse (LPN)

SKILLS CHECKLIST

YEARS OF EXPERIENCE LPN

Field /

Years

Medical/MED
Telemetry/TELE
Oncology/ONCOL
Surgical/SURG
Orthopedics/ORTHO
Intermediate/TMC
Stepdown/SDU
Med/Surg/M/S
Neuro/NEURO

The information I have provided is true and accurate to the best of my knowledge. I authorize MedCall NorthWest, Inc. to release this Skills Checklist to client hospitals as needed in relation to my employment.

Print name: ______

Signature: ______

Date: ______

MCNW-F-011, R2 (10/03) Page 2 of 3