LPN Skills Checklist

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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

Skills

Activities of daily living:

★★★★

Admission of patient:

★★★★

Administration of medication:

★★★★

Ambulation:

★★★★

Application of heat and cold:

★★★★

Aseptic Technique:

★★★★

Assist with medical examination:

★★★★

Bathing: Sitz, tub, bed, shower:

★★★★

Bandaging:

★★★★

Binders:

★★★★

Body Alignment:

★★★★

Body Systems Review (Head to Toe data collection):

★★★★

Cast care:

★★★★

Catheterization / Foley catheter care:

★★★★

Charting:

★★★★

Colostomy Care and irrigation:

★★★★

CPR:

★★★★

Crutch walking:

★★★★

Decubitus Care:

★★★★

Diabetic tests and preparation forms:

★★★★

Diabetic blood glucose testing:

★★★★

Discharge patients:

★★★★

Dosage computation:

★★★★

Draping:

★★★★

Dressing (sterile):

★★★★

Ear drops:

★★★★

Elimination needs:

★★★★

Enemas, cleansing, retention, Harris flush:

★★★★

Restraints:

★★★★

Infection Control: Standard Universal Precautions:

★★★★

Infection Control: Reverse Isolation:

★★★★

Infection Control: TB/ Airborne Precautions:

★★★★

Infections Control: MRSA/ VRE Precautions:

★★★★

Isolation procedure for specimen collection:

★★★★

IVs: Monitor rate and infusion site:

★★★★

Medications: Oral, IM, SQ:

★★★★

Mouth care:

★★★★

Nail Care:

★★★★

Neurological Check:

★★★★

Nutritional check:

★★★★

Observations: Response to treatments/ meds:

★★★★

Observations: Signs of significant body system changes:

★★★★

Observations: Signs of shock:

★★★★

Observations: Signs of pain:

★★★★

Observes safety procedures:

★★★★

O2 administration:

★★★★

Pain assessment:

★★★★

Patient care plans (revise and update):

★★★★

Patient safety standards/ precautions:

★★★★

Positioning patient:

★★★★

Postural drainage:

★★★★

Pre-op and post-op care:

★★★★

Provide comfort, safety and privacy:

★★★★

Pulse oximetry:

★★★★

Range of motion:

★★★★

Report observations/ changes:

★★★★

Hand hygiene:

★★★★

Skin care:

★★★★

Specimen collection: routine urine:

★★★★

Specimen collection: clean catch:

★★★★

Specimen collection: 12 & 24 hour specimen:

★★★★

Specimen collection: stool:

★★★★

Specimen collection: culture:

★★★★

Specimen collection: sputum:

★★★★

Specimen collection: from foley catheter:

★★★★

Suppositories:

★★★★

Suction-oral:

★★★★

Surgical Preps:

★★★★

Computerized charting:

★★★★

Trach care/suctioning:

★★★★

Telephone manners:

★★★★

Topical Medication Application:

★★★★

Traction:

★★★★

Transfer/ transport patients: wheelchair:

★★★★

Transfer/ transport patients: gurney:

★★★★

Transfer/ transport patients: to chair:

★★★★

Urine test for glucose/ acetone:

★★★★

Vital Signs:

★★★★

Weight: Bed scales and standing scales:

★★★★

IV therapy certified:

★★★★

Age Specific Competencies

Infant (Birth - 1 year):

★★★★

Preschooler (ages 2-5 years):

★★★★

Childhood (ages 6-12 years):

★★★★

Adolescents (ages 13-21 years):

★★★★

Young Adults (ages 22-39 years):

★★★★

Adults (ages 40-64 years):

★★★★

Older Adults (ages 65-79 years):

★★★★

Elderly (ages 80+ years):

★★★★