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1.877.891.4286
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
Home
About
Professional Licensure
Payroll & Documents
Apply Now
Open Jobs
Contact
PACU RN – Skills Checklist
This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Precision Nationwide Staffing.
0 = Not Applicable
1 = No Experience
2 = Some Experience
3 = Intermittent Experience
4 = Experienced
5 = Very Experienced
General Skills
Standard Precautions
*
0
1
2
3
4
5
Isolation Precautions
*
0
1
2
3
4
5
Patient Head to Toe Assessment
*
0
1
2
3
4
5
Medication Titration
*
0
1
2
3
4
5
Pediatric Respiratory/Cardiac Arrest
*
0
1
2
3
4
5
Adult Respiratory/Cardiac Arrest
*
0
1
2
3
4
5
Crash Carts
*
0
1
2
3
4
5
Defibrillators
*
0
1
2
3
4
5
Care of Patient in Restraints
*
0
1
2
3
4
5
Automated Med Dispensing Systems
*
0
1
2
3
4
5
Automated Med Dispensing Systems - List Types
*
Care Planning & Discharge Planning
*
0
1
2
3
4
5
Patient/Family Education
*
0
1
2
3
4
5
Electronic Documentation
*
0
1
2
3
4
5
Electronic Documentation - List Types
*
Document Interventions, Outcomes, Lab Studies, MD Notifications & Follow-up Care
*
0
1
2
3
4
5
Admission to PACU
Initial Assessment/Vital Signs
*
0
1
2
3
4
5
Airway Management
*
0
1
2
3
4
5
Proper Positioning
*
0
1
2
3
4
5
Skin Color, Temp, Turgor
*
0
1
2
3
4
5
Neurological Status
*
0
1
2
3
4
5
Monitor Recovery of Patient From
General Anesthesia
*
0
1
2
3
4
5
Regional Anesthesia
*
0
1
2
3
4
5
Local Anesthesia
*
0
1
2
3
4
5
Neuro Skills
Neuro Assessment
*
0
1
2
3
4
5
Glasgow Coma Scale
*
0
1
2
3
4
5
Neuro Skills - Care of the Post Operative Patient With
Spinal Fusion
*
0
1
2
3
4
5
Spinal Cord Injury
*
0
1
2
3
4
5
Ventriculostomy
*
0
1
2
3
4
5
Craniotomy
*
0
1
2
3
4
5
ICP Monitor
*
0
1
2
3
4
5
Medications Knowledge and Use Of
Sedatives
*
0
1
2
3
4
5
Barbituates
*
0
1
2
3
4
5
Cardiac Skills
Use of Doppler
*
0
1
2
3
4
5
Cardiac Assessment (Auscultation)
*
0
1
2
3
4
5
Knowledge of Labs and Normal Values
*
0
1
2
3
4
5
12 Lead Interpretation
*
0
1
2
3
4
5
Arrhythmia Analysis
*
0
1
2
3
4
5
Cardioversion & Defibrillation
*
0
1
2
3
4
5
Assist with Insertion of Temporary Pacemaker
*
0
1
2
3
4
5
Use of Non-Invasive Temporary Pacing Equipment
*
0
1
2
3
4
5
Intravascular Hemodynamic Monitoring
Pulmonary Artery Catheters
*
0
1
2
3
4
5
Arterial Catheters
*
0
1
2
3
4
5
Swan-Ganz Catheters
*
0
1
2
3
4
5
Equipment Maintenance
*
0
1
2
3
4
5
Dressing Changes
*
0
1
2
3
4
5
Prevention of Complications
*
0
1
2
3
4
5
Leveling Waveform Analysis
*
0
1
2
3
4
5
Obtain and Interpret
Cardiac Output
*
0
1
2
3
4
5
PA Pressure
*
0
1
2
3
4
5
PCWP/PAWP
*
0
1
2
3
4
5
CVP
*
0
1
2
3
4
5
LAP
*
0
1
2
3
4
5
Cardiac - Care of the Post Operative Patient With
Malignant Hyperthermia
*
0
1
2
3
4
5
AAA Repair
*
0
1
2
3
4
5
Open Heart Surgery (CABG)
*
0
1
2
3
4
5
Off Pump Heart Surgery
*
0
1
2
3
4
5
Valve Repair
*
0
1
2
3
4
5
Permanent/Temporary Pacemaker
*
0
1
2
3
4
5
Congestive Heart Failure
*
0
1
2
3
4
5
Heart Transplant
*
0
1
2
3
4
5
Medications Knowledge and Use Of
Antiarrhythmics
*
0
1
2
3
4
5
Calcium Channel Blockers
*
0
1
2
3
4
5
Beta Blockers
*
0
1
2
3
4
5
Heparin
*
0
1
2
3
4
5
Dopamine
*
0
1
2
3
4
5
Dobutamine
*
0
1
2
3
4
5
Respiratory Skills
Airway Insertion/Management
*
0
1
2
3
4
5
Assess Respiratory Rate, Rhythm, Depth & Symmetry
*
0
1
2
3
4
5
Auscultate Breath Sounds
*
0
1
2
3
4
5
Recognize Abnormal Breath Sounds (e.g. rales, rhonchi) & Implement Interventions
*
0
1
2
3
4
5
Laryngospasm
*
0
1
2
3
4
5
Obtain ABGs
*
0
1
2
3
4
5
Knowledge of ABGs and Normal Values
*
0
1
2
3
4
5
Set-up Chest Tube Drainage System
*
0
1
2
3
4
5
Recognize Air Leak, Assess for SQ Emphysema
*
0
1
2
3
4
5
Measure Drainage
*
0
1
2
3
4
5
Perform Suctioning
Oral
*
0
1
2
3
4
5
Nasal
*
0
1
2
3
4
5
Endotracheal
*
0
1
2
3
4
5
Tracheal
*
0
1
2
3
4
5
O2 Administration
Mask
*
0
1
2
3
4
5
Nasal Cannula
*
0
1
2
3
4
5
T-Piece
*
0
1
2
3
4
5
ETT Mechanical Ventilator
*
0
1
2
3
4
5
Respiratory - Care of the Post Operative Patient With
Pneumothorax
*
0
1
2
3
4
5
Chest Tube
*
0
1
2
3
4
5
Lung Transplant
*
0
1
2
3
4
5
Thoracotomy
*
0
1
2
3
4
5
Lobectomy
*
0
1
2
3
4
5
Medications Knowledge and Use Of
Bronchodilators
*
0
1
2
3
4
5
Diuretics
*
0
1
2
3
4
5
Corticosteroids
*
0
1
2
3
4
5
Racemic Epinephrine
*
0
1
2
3
4
5
Gastrointestinal Skills
Bowel Sounds/Abdominal Assessment
*
0
1
2
3
4
5
G or J Tube
*
0
1
2
3
4
5
NG Tubes
*
0
1
2
3
4
5
Ostomy Care and Assessment
*
0
1
2
3
4
5
Gastrointestinal - Care of the Post Operative Patient With
Gastric Bypass
*
0
1
2
3
4
5
Appendectomy
*
0
1
2
3
4
5
Colostomy/Ileostomy
*
0
1
2
3
4
5
GI Surgery
*
0
1
2
3
4
5
Liver Transplant
*
0
1
2
3
4
5
Small Bowel Transplant
*
0
1
2
3
4
5
Pancreatic Transplant
*
0
1
2
3
4
5
ERCP
*
0
1
2
3
4
5
Medications Knowledge and Use Of
Antiemetics
*
0
1
2
3
4
5
Lipids/TPN/PPN
*
0
1
2
3
4
5
GU/Renal Skills
Assessment Of Output
*
0
1
2
3
4
5
Catheters
*
0
1
2
3
4
5
Urethral
*
0
1
2
3
4
5
Suprapubic
*
0
1
2
3
4
5
Bladder Irrigation
*
0
1
2
3
4
5
Knowledge of Normal Lab Chemistry Values
*
0
1
2
3
4
5
GU/Renal - Care of the Post Operative Patient With
Shunts/ Fistulas
*
0
1
2
3
4
5
TURB
*
0
1
2
3
4
5
Nephrectomy
*
0
1
2
3
4
5
Kidney Transplant
*
0
1
2
3
4
5
Bladder Repair
*
0
1
2
3
4
5
Testicular Procedures
*
0
1
2
3
4
5
Lithotripsy (ESWL)
*
0
1
2
3
4
5
Orthopedic Skills
Circulation/Movement/Sensation Checks
*
0
1
2
3
4
5
Cold Systems
*
0
1
2
3
4
5
Braces/Casts
*
0
1
2
3
4
5
Orthopedic - Care of Post Operative Patient With
Amputation
*
0
1
2
3
4
5
Total Joint
*
0
1
2
3
4
5
Fractures
*
0
1
2
3
4
5
Arthroscopic Procedures
*
0
1
2
3
4
5
Eye/Ear - Care of Post Operative Patient With
Cataract Extraction
*
0
1
2
3
4
5
Keratoplasty (Corneal Transplant)
*
0
1
2
3
4
5
Laser Eye Surgery
*
0
1
2
3
4
5
Orbital Fracture
*
0
1
2
3
4
5
Orbital Implant
*
0
1
2
3
4
5
Scleral Bucking (for Retinal Detachment)
*
0
1
2
3
4
5
Dacryocystectomy
*
0
1
2
3
4
5
Myringotomy
*
0
1
2
3
4
5
Cochlear Implant
*
0
1
2
3
4
5
Pain Management
Assessment and Documentation of Pain and Follow Up After Intervention
*
0
1
2
3
4
5
PCA Systems
*
0
1
2
3
4
5
Epidural Pain Systems
*
0
1
2
3
4
5
Knowledge and Use Of
IV Sedation
*
0
1
2
3
4
5
Titration of Medication Per Orders
*
0
1
2
3
4
5
Narcotic Analgesic
*
0
1
2
3
4
5
Non-Narcotic Analgesics
*
0
1
2
3
4
5
Muscle Relaxants
*
0
1
2
3
4
5
Additional Medications Knowledge and Use Of
Calculate Infusion Rates in Dosages Ordered
*
0
1
2
3
4
5
Ionotropes
*
0
1
2
3
4
5
Vasopressors
*
0
1
2
3
4
5
Vasodilators
*
0
1
2
3
4
5
Reversal Agents
*
0
1
2
3
4
5
IV Therapy/Phlebotomy
Peripheral IV Insertion, Care and Maintenance
*
0
1
2
3
4
5
PICC Line Care and Maintenance
*
0
1
2
3
4
5
Central Line Care and Maintenance
*
0
1
2
3
4
5
Port-A-Cath Access, Care and Maintenance
*
0
1
2
3
4
5
Drawing Labwork from Central Line/Port
*
0
1
2
3
4
5
Administration of Blood/Blood Products
*
0
1
2
3
4
5
Tubes/Drains - Care of Patient With
Penrose Drain
*
0
1
2
3
4
5
Jackson Pratt
*
0
1
2
3
4
5
T Tube
*
0
1
2
3
4
5
Hemovac
*
0
1
2
3
4
5
Operate and Monitor Unit Equipment
Portable Suction Machine
*
0
1
2
3
4
5
Transport Monitor
*
0
1
2
3
4
5
Automatic BP Monitor
*
0
1
2
3
4
5
Blanket Warmer/Bear Hugger
*
0
1
2
3
4
5
Sequential Compression Device
*
0
1
2
3
4
5
Pulse Oximeter
*
0
1
2
3
4
5
Hyper/Hypothermia Blanket
*
0
1
2
3
4
5
Blood Warmer
*
0
1
2
3
4
5
PACU Stretcher
*
0
1
2
3
4
5
IV Pumps
*
0
1
2
3
4
5
Anesthesia Equipment
Nitrogen Controls
*
0
1
2
3
4
5
Tanks
*
0
1
2
3
4
5
Wall Units
*
0
1
2
3
4
5
Discharge
Perform A Discharge Physical
*
0
1
2
3
4
5
Level of Consciousness
*
0
1
2
3
4
5
Pupillary Reactions
*
0
1
2
3
4
5
Muscular Strength (e.g. Hand grasps, Head lift)
*
0
1
2
3
4
5
Motor & Sensory Function
*
0
1
2
3
4
5
Age
Newborn (birth - 30 days)
*
0
1
2
3
4
5
Infant (30 days - 1 year)
*
0
1
2
3
4
5
Toddler (1 - 3 years)
*
0
1
2
3
4
5
Preschooler (3 - 5 years)
*
0
1
2
3
4
5
School Age (5 - 12 years)
*
0
1
2
3
4
5
Young Adults (18 - 39 years)
*
0
1
2
3
4
5
Middle Adults (39 - 64 years)
*
0
1
2
3
4
5
Older Adults (64+ years)
*
0
1
2
3
4
5
Information & Agreement
Application ID
*
Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.
Applicant Name
*
First
Last
Applicant Email
*
Applicant Phone
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
I agree to the terms below.
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.
Signature
*