PACU Skills Checklist Name* First Last Email* Phone*Proficiency: 1 = Minimal Experience 2 = Limited Experience 3 = Competent 4 = Highly SkilledAge Specific CompetencyNeonates / Newborns (Birth - 30 days)*1234Infants (30 days - 1 year)*1234Toddler (1 - 3 years)*1234Preschooler (3 - 5 years)*1234Older Children (5 - 12 years)*1234Adolescents (12 - 18 years)*1234Young Adults (18 - 39 years)*1234Middle Adults (39 - 64 years)*1234Older Adults / Geriatrics (64+ years)*1234ExperienceAdmission to PACU*1234Physical Assessment of Body Systems*1234Pulmonary / Abnormal Breathing*1234Perform Suctioning*1234O2 Administration*1234Care of Patient with Chest Tube*1234Post-Operative Patient Care*1234Care of Patient with Tubes / Drains*1234Cardiovascular*1234Operate & Monitor Unit Equipment*1234Anesthesia Equipment*1234ChartingComputer*1234DARE*1234APIE*1234SOAPIE*1234FOCUS*1234Discharge Planning*1234Utilization Review*1234Chart Review / Audit*1234Admission to PACUInitial Assessment*1234Airway Management*1234Proper Positioning*1234Vital Signs*1234Skin Color, Temp, Turgor*1234Neurological Status*1234Physical Assessment of Body SystemsRespiratory*1234Cardiovascular*1234Neurologic*1234Gastrointestinal*1234Genitourinary*1234Integumentary*1234Monitor Recovery of Patient From*1234General Anesthesia*1234Regional Anesthesia*1234Local Anesthesia*1234PulmonaryAuscultate Breath Sounds*1234Recognize Abnormal Breath Sounds (e.g. Rales, Rhonchi)*1234Implement Appropriate Nursing Intervention for Abnormal Breath Sounds*1234Reposition Patient*1234Pulmonary Toilet*1234Bronchodilators, Diuretics*1234Suction, O2*1234Airway Insertion / Management*1234Recognize Abnormal Breathing*1234Assess Respiratory Rate, Rhythm, Depth, & Symmetry*1234Labored, Dyspneic*1234Obstructed*1234Laryngospasm*1234Insufficient Reversal*1234Perform SuctioningOral*1234Nasal*1234Endotracheal*1234Tracheal*1234O2 AdministrationFace-trach Mask*1234Nasal Cannula*1234T-Piece*1234ETT Mechanical Ventilator*1234Care of Patient with Chest Tube*1234Set-up Closed Drainage System*1234Recognize Air Leak*1234Assess for Subcutaneous Emphysema*1234Measure Drainage*1234Troubleshoot Problems*1234Post-Operative Care for the Following Patient PopulationsThoracic Surgery*1234Vascular Surgery*1234Orthopedic Surgery*1234Neurosurgery*1234Tonsillectomy / P.E. Tubes*1234Major Abdominal Surgery*1234ENT Surgery*1234Breast Surgery*1234Genitourinary Surgery*1234Hypospadias*1234Circumcision*1234Gynecological Surgery*1234Post-Angiogram*1234Liver Biopsy*1234Eye Surgery*1234Cardiac Surgery*1234Tubes / DrainsPenrose Drain*1234Salem*1234Sump*1234Davol*1234Colostomy*1234Jejunostomy*1234Ileostomy*1234Jackson Pratt*1234T-Tube*1234Foley Catheter*1234Urethral*1234Suprapubic*1234Cystotomy*1234NG Tube*1234CardiovascularPlacement & Care of a Patient on a Cardiac Monitor*1234Arrhythmia Analysis*1234Cardioversion & Defibrillation*1234Assist with Insertion of Temporary Pacemaker*1234Care of Patient with Permanent / Temporary Pacemaker*1234Use of Non-Invasive Temporary Pacing Equipment*1234Care of Patient with Intravascular Hemodynamic Monitoring Equipment*1234Pulmonary Artery Catheters*1234Arterial Catheters*1234Swan-Ganz Catheters*1234Central Venous Catheters*1234Subclavian Lines*1234Epidural Catheters*1234Hemodynamic Monitoring*1234Equipment Maintenance*1234Dressing Changes*1234Prevention of Complications*1234Leveling Waveform Analysis*1234Obtain & Interpret*1234Cardiac Output*1234PA Pressure*1234PCWP / PAWP*1234CVP*1234LAP*1234Identify Usual Dosage, Actions & Side Effects for*1234Antiarrhythmics*1234Inotropes*1234Vasopressors*1234Vasodilators*1234Reversal Agents*1234Beta Blockers*1234Calcium Channel Blockers*1234Inhalation Agents*1234Calculate Infusion Rates in Dosages Ordered*1234Interpret Blood Lab Values for*1234Electrolyte Imbalances / ABG's*1234Operate & Monitor Unit EquipmentPortable Suction Machine*1234Transport Monitor*1234Automatic BP Monitor*1234Blanket Warmer / Bair Hugger*1234Sequential Compression Device*1234Pulse Oximeter*1234Pee Wee Weighing Scale*1234Hyper / Hypothermia Blanket*1234Blood Warmer*1234PACU Stretcher*1234IV Pumps*1234Invasive Pressure Monitors*1234Implements Physician Orders*1234Collaborate with Surgeon & Anesthesiologist with Regard to Patient Care*1234Utilizes Appropriate Infection Control Measures*1234Practice Universal Precautions*1234Document Interventions, Outcomes, Lab Studies, MD Notifications & Follow-up Care*1234Perform a Discharge Physical Assessment*1234Level of Consciousness*1234Pupillary Reactions*1234Motor & Sensory Functions*1234Muscular Strength (e.g. Hand Grasps, Head Lift)*1234Anesthesia EquipmentBlood Warmer*1234BP Monitor*1234Dinamap*1234Ohmeda*1234Defibrillator*1234SAO2 Monitor*1234Nitrogen Controls*1234Tanks*1234Wall Units*1234Thermia Blankets*1234