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PACU Skills Checklist

My responses in this checklist represent a true reflection of my experience and comfort level. Please self-rate your comfort level in performing tasks in connection with the below checklist. Rate your level of comfort for each line item by following the below ranking system. Simply fill in the appropriate option immediately following the rating number.

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Level of Comfort/Experience

N/A=Non-applicable
1=Inexperienced in this area
2=Limited comfort/experience in this area
3=Comfortable/experienced in this area
4=Very comfortable/highly experienced in this area

Respiratory	Not Applicable	Inexperienced	Limited Experience	Experienced	Highly Experienced
Respiratory assessment	N/A	1	2	3	4
Insertion/removal oral airway	N/A	1	2	3	4
Insertion/removal nasal airway	N/A	1	2	3	4
Administer O2	N/A	1	2	3	4
Nasal Prongs	N/A	1	2	3	4
Trache Collar	N/A	1	2	3	4
Mask with and without Mist	N/A	1	2	3	4
Face Tent	N/A	1	2	3	4
Nasal cannula	N/A	1	2	3	4
Mask	N/A	1	2	3	4
Ambu bag	N/A	1	2	3	4
Face tent	N/A	1	2	3	4
Use of Ambu bag	N/A	1	2	3	4
Setting up for use	N/A	1	2	3	4
Weaning from ventilator	N/A	1	2	3	4
Troubleshoot Alarms	N/A	1	2	3	4
Endotracheal tube	N/A	1	2	3	4
Tracheostomy	N/A	1	2	3	4
Nasotracheal	N/A	1	2	3	4
Oropharyngeal	N/A	1	2	3	4
Ability to measure pressure cuff	N/A	1	2	3	4
Ability to determine air leaks	N/A	1	2	3	4
Ability to determine placement	N/A	1	2	3	4
Upper airway obstruction	N/A	1	2	3	4
Bronchospasm	N/A	1	2	3	4
Aspiration	N/A	1	2	3	4
Pneumothorax	N/A	1	2	3	4
Hemothorax	N/A	1	2	3	4
Breath sounds	N/A	1	2	3	4
Care/maintenance Chest Tubes	N/A	1	2	3	4
CARDIOVASCULAR	Not Applicable	Inexperienced	Limited Experience	Experienced	Highly Experienced
ABG interpretation	N/A	1	2	3	4
Pulse oximetry	N/A	1	2	3	4
Doppler	N/A	1	2	3	4
Arterial lines	N/A	1	2	3	4
Swan-Ganz	N/A	1	2	3	4
CVP	N/A	1	2	3	4
Subclavian Lines	N/A	1	2	3	4
Cardiac output	N/A	1	2	3	4
Use of cardiac monitors:	N/A	1	2	3	4
Recognizing arrhythmias	N/A	1	2	3	4
Interpreting 12 Lead EKG's	N/A	1	2	3	4
Cardioversion/defibrillation	N/A	1	2	3	4
Intra-aortic balloon pump	N/A	1	2	3	4
Care of immediate open heart	N/A	1	2	3	4
Care of 24-48 hr post-op open heart	N/A	1	2	3	4
Pre/Post op cardiac transplant	N/A	1	2	3	4
Post-op vascular surgery (Aneurysms)	N/A	1	2	3	4
Pre/post-op cardiac catheterizations	N/A	1	2	3	4
Care of patients with pacemakers:	N/A	1	2	3	4
Internal	N/A	1	2	3	4
External	N/A	1	2	3	4
Hypovolemic Shock	N/A	1	2	3	4
Cardiogenic Shock	N/A	1	2	3	4
Hypothermia	N/A	1	2	3	4
Hyperthermia	N/A	1	2	3	4
Inhalants	N/A	1	2	3	4
Injectables	N/A	1	2	3	4
Narcotics	N/A	1	2	3	4
Muscle relaxants	N/A	1	2	3	4
Reversal agents	N/A	1	2	3	4
Spinal anesthesia	N/A	1	2	3	4
Epidural anesthesia	N/A	1	2	3	4
Local anesthesia	N/A	1	2	3	4
Regional anesthesia	N/A	1	2	3	4
Intrathecal anesthesia	N/A	1	2	3	4
Epidural analgesia	N/A	1	2	3	4
Amioderone	N/A	1	2	3	4
Atropine	N/A	1	2	3	4
Dobutamine	N/A	1	2	3	4
Dopamine	N/A	1	2	3	4
Epinephrine	N/A	1	2	3	4
Heparin	N/A	1	2	3	4
Insulin	N/A	1	2	3	4
Isuprel	N/A	1	2	3	4
Lidocaine	N/A	1	2	3	4
Nipride	N/A	1	2	3	4
Nitroglycerin	N/A	1	2	3	4
Procainamide	N/A	1	2	3	4
Sodium bicarbonate	N/A	1	2	3	4
Thrombolytics	N/A	1	2	3	4
Verapamil	N/A	1	2	3	4
Inserting IV's	N/A	1	2	3	4
IV Therapy	Not Applicable	Inexperienced	Limited Experience	Experienced	Highly Experienced
Start peripheral IV's	N/A	1	2	3	4
Set up for cut-down	N/A	1	2	3	4
Administration of blood and blood products:	N/A	1	2	3	4
Blood warmer	N/A	1	2	3	4
Obtaining peripheral venous blood	N/A	1	2	3	4
Obtaining blood from arterial line	N/A	1	2	3	4
Obtaining blood from central venous line	N/A	1	2	3	4
Knowledge serum lab values	N/A	1	2	3	4
Cryoprecipitate	N/A	1	2	3	4
Packed red blood cells	N/A	1	2	3	4
Plasma/albumin	N/A	1	2	3	4
Whole blood	N/A	1	2	3	4
IV calculations/titrate drip rates	N/A	1	2	3	4
Use of infusion pumps	N/A	1	2	3	4
Broviac	N/A	1	2	3	4
Groshong	N/A	1	2	3	4
Hickman	N/A	1	2	3	4
Portacath	N/A	1	2	3	4
Quinton	N/A	1	2	3	4
Other nursing responsibilities	Not Applicable	Inexperienced	Limited Experience	Experienced	Highly Experienced
Charge nurse responsibilities	N/A	1	2	3	4
Isolation procedures/precautions	N/A	1	2	3	4
Use of restraints	N/A	1	2	3	4
Blood glucose monitoring	N/A	1	2	3	4
Pain management	N/A	1	2	3	4
Use of hypothermia blanket	N/A	1	2	3	4