PPR Healthcare Staffing, Inc.
333 1st. St. North -- Suite 200
Jacksonville Beach, FL 32250
Fax:(888) 794-5038

  

POST ANESTHESIA CARE UNIT SKILLS CHECKLIST
First Name:
Last Name:
Phone:
Email:
SSN (last 4 only):
Date:
 
Key - for each box mark:   1 - Limited or no experience 2 - Somewhat experienced but may need review
    3 - Can function independently 4 - Competent to supervise
  1     2     3     4     1     2     3     4
System   |   Care of Patient with continued
Cardiovascular   |     Shock
  Assessment   |       Septic
    Abnormal Heart Sounds |       Hypovolemic
    Auscultation (rate, rhythm) |       Cardiogenic
    Doppler |       Neurogenic
    Pulses |       Anaphylactic
  Procedures   |   Medications  
    Hemodynamic Monitoring – Invasive |     ACLS Drugs
      Mean Arterial (MAP) |     Beta Blockers
      Central Venous (CVP) |     Digoxin
      Pulmonary Artery/Capillary Wedge |     Isuprel
      Radial Artery |     Nipride
      Cardiac Index |     Nitroglycerine
      Cardiac Output |     Calcium Channel Blockers
      SVO2 |     Thrombolytic Agents
    Monitoring – Non-invasive | Pulmonary  
      Arrhythmia Interpretation |   Assessment  
  Equipment   |     Breath/Lung Sounds
    Pacemakers |     Breathing Patterns
      External |     Skin/Nail Color
      Permanent |     Lab Values
      Temporary |       Blood Gases
      Transthoracic (Epicardial) |   Procedures  
    Intra-aortic Balloon Pump |     Airway Management/Suctioning
  Care of Patient with   |       Endotracheal Suctioning
    Aneurysm |       Extubation
    Cardiac Arrest |       Tracheostomy Suctioning
    PTCA |
    Heart Transplant |
    Open-Heart Surgery |
    Post Stent Intracoronary Placement |
    Post Arthrectomy |
    Pre/Post Cardiac Catheterization |
|

 
 
  1     2     3     4     1     2     3     4
  Procedures continued   |   Medications  
    Assist with |     Corticosteroids
      Bronchoscopy |     Ventolin (Albuterol)
      Chest Tube Insertion | Neurological  
      Emergency Tracheostomy |   Assessment  
      Thoracentesis |     Cranial Nerves
      Intubation |     Level of Consciousness
      Oral Airway Insertion |     Pathologic Reflexes
    Respiratory Complication Intervention |     Reflex/Motor Reflexes
      Aspiration |   Procedures  
      Laryngospasm |     Seizure Precautions
      Tension Pneumothorax |     Spinal Precautions
  Equipment   |     Measuring Intracranial Pressure
    Pleurevac or Thoraclex Drainage |   Equipment  
    Water Seal Drainage |     Halo Traction
    O2 Therapy Delivery Systems |     Crutchfield Tongs
      Ambu Bag and Mask |     Stryker Frame
      ET Tube |     Nerve Stimulators
      Face Masks |     Rotating/Circular Bed
      Nasal Cannula |     Hyper/Hypothermia Blanket
      Portable O2 Tank |   Care of Patient with  
      Trach Collar |     Skull Fracture
    Ventilator Management |     CVA
      External CPAP |     Cranial Hemorrhage
      High Frequency Jet Ventilation |     Externalized VP Shunts
      IMV |     Increased ICP
      PEEP |     Laminectomy
      Pressure Support |     Intracranial Tumor
      Weaning Modes |     Spinal Cord Injury
    Nebulizers |     Craniotomy
  Care of Patient with   |   Medications  
    Chest Trauma |     Decadron
    COPD |     Solu-Medral
    Fresh Tracheostomy |     Magnesium Sulfate
    Lobectomy |     Mannitol
    Pneumonectomy |     Anti-convulsants
    Pulmonary Edema |     Anti-depressants
    Pulmonary Embolism |     Versed
    Pneumonthorax |
    Thoracotomy |
    Chest Wall Injuries |
|


 
 
  1     2     3     4     1     2     3     4
Musculoskeletal/Integumentary   |   Procedures  
  Assessment   |     Management of
    Circulation Checks |       Jejunostomy Tube
    ROM/Joint Movement |       T-tube
    Skin Integrity |       TPN and Lipids Administration
  Procedures   |       PPN (Peripheral Parenteral Nurtition)
    Body Mechanics |     NG Tube Insertion
    Burn Care |     Paracentesis
  Equipment   |   Equipment  
    Continuous Motion Devices |     Drains
    Traction |     Tubes
    K-Pad |       N/G
    Splints/Immobilizers |       T-Tube
    TENS |       Miller Abbott
    Support Devices |       Blakemore
      Cervical Collar |   Care of Patient with  
      Sling |     Trauma
  Care of Patient with   |     Bowel Obstruction
    Amputation |     Colostomy
    Arthroscopic Surgery |     Esophageal Bleeding
    Cast |     GI Bleeding
    Pinned Fractures |     GI Surgery
    Joint Replacement |     Hepatitis
    Laminectomy/Cervical Fusion |     Ileostomy
    Burns |     Liver Transplant
    Skin Grafts |     Paralytic Ileus
  Medications   |   Medications/Supplements  
    Analgesics |     AquaMephyton (Vitamin K)
    Muscle Relaxants |     Anti-emetics
    Topical Agents |     Anti-spasmotics
Gastrointestinal   |     Kayexelate
  Assessment   | Renal/Genitourinary  
    Bowel Sounds |   Assessment  
    Lab Values |     Fluid and Electrolyte Status
      Serum Ammonia |     A/V Fistula/Shunt Status
      Serum Amylase |     Lab Values
      Liver Function Tests |       Electrolytes
|       BUN and Creatinine
  |   Procedures  
  |     Supra-pubic Catheter Management
  |     Nephrostomy Tube Management
  |     Peritoneal Dialysis
  |

 
 
  1     2     3     4     1     2     3     4
  Equipment   |   Procedures  
    Bladder Irrigation |     Patient/Family Counseling
  Care of Patient with   |       Grieving Process
    Hemodialysis |       Altered Image
    Peritoneal Dialysis |     Patient Teaching
    Nephrectomy |       Relaxation Techniques
    Renal Transplant |       Imagery
    Renal Rejection Syndrome |       Side Effects of Chemotherapy
    TURP |     Bone Marrow Aspiration
    Ileal Conduit Nephrostomy |   Care of Patient with  
  Medications   |     AIDS
    KCl |     Bone Marrow Transplant
    Diuretics |     Anemia
Endocrine/Metabolic   |     Immunosuppressed Conditions
  Assessment   |     Radiation Therapy/Implants
    Mental Status |     Inpatient Chemotherapy
    Diabetic Coma |     Leukemias
    Insulin Reaction |     DIC
    Lab Values |   Medications  
      Blood Glucose |     Antineoplastic Agents
      Ketone Bodies |     Chemotherapeutic Agents
      Serum Calcium |     Anticoagulant Agents
  Care of Patient with   |     Anticoagulant Antidotes
    Diabetes Mellitus |
    Diabetic Ketoacidosis |
    Drug Overdose |
    Thyroidectomy |
  Medications   |
    Insulins |
      Long-acting |
      Medium-acting |
      Short-acting |
    Steroids-Adrenocorticosteroids |
Hematology/Oncology   |
  Assessment   |
    Tumor Classifications |
    Lab Values |
      Blood Count Markers |
      Blood Chemistry |
|

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize PPR to release this information to client facilities of PPR in relation to consideration of my employment to those facilities.
 



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