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LPN Checklist

Please provide the following information in the form

Name *

Date of Hire

1 = Clinicals Only

2 = Some Experience

3 = Experienced

4 = Can Perform Task Independently

Neurological System

NEURO ASSESSMENT/NEURO VITALS *1234

HALO TRACTION *1234

SEIZURE PRECAUTIONS *1234

SPINAL CORD INJURY *1234

HEAD INJURY *1234

PRE / POST NEUROLOGICAL SURGERY *1234

REHABILITATION OF THE NEURO PATIENT *1234

CNS INFECTIONS *1234

PARKINSONS *1234

AUTONOMIC DYSREFLEXIA *1234

ALZHEIMERS *1234

CHRONIC C.V.A / T.I.A *1234

USING GLASCOW COMA SCALE *1234

Cardiovascular

CAPILLARY REFILL *1234

EDEMA *1234

HEART TONES *1234

PULSES *1234

ANGINA (ACUTE AND CHRONIC) *1234

ASSESSING AND TREATING ORTHOSTATIC BP *1234

ASSESSING ABNORMAL HEART TONES *1234

ANTIEMBOLIC DEVICES *1234

Patients with Respiratory Problems

Assessing the Respiratory System including:

BREATH SOUNDS *1234

BREATHING PATTERN / EFFORT *1234

COUGH EFFORT *1234

SKIN AND NAIL BED COLOR *1234

SPUTUM (COLOR/CHARACTER) *1234

Care and Maintenance of:

ACUTE AIRWAY *1234

NASOPHARYNGEAL AIRWAY *1234

OROPHARYNGEAL AIRWAY *1234

Administering and Monitoring O2 including:

NASAL CANNULA *1234

MASK *1234

O2 SATS *1234

DEMONSTRATING PROPER USE OF AMBU BAG *1234

Care of Ventilator Dependent Patient:

SUCTIONING: LENGTH OF TIME SUCTIONING *1234

HYPERVENTILATION *1234

VENTILATOR SETTINGS *1234

DOCUMENTATION *1234

Caring for a Patient with:

RESPIRATORY FAILURE *1234

RESPIRATORY INFECTIONS *1234

STATUS ASTHMATICUS *1234

RESPIRATORY DISTRESS SYNDROME *1234

PULMONARY EDEMA *1234

PULMONARY EMBOLI *1234

TENSION PNEUMOTHORAX *1234

TRACHEOSTOMY *1234

USE OF INCENTIVE SPIROMETER *1234

Gastrointestinal

ASSESSING BOWEL SOUNDS *1234

IDENTIFYING ABNORMALITIES *1234

CARING FOR PATIENT ON TOTAL PARENTERAL NUTRITION *1234

INSERTING /MAINTAINING FEEDING TUBES (NG) *1234

ADMINISTERING TUBE FEEDINGS *1234

ABDOMINAL WOUNDS OR INFECTIONS *1234

ILEOSTOMY/COLOSTOMY *1234

STOOL TESTS *1234

I&O: SHIFT VOLUMES AND TOTALS INCLUDING MARKING AND/ *1234

OR MEASURING AMOUNTS OF URINE, GASTRIC FLUID *1234

NG DRAINAGE, EMESIS, DIARRHEA *1234

Genitourinary / Renal

INSERTING/MAINTAINING URINARY DRAINAGE TUBES: *1234

INSERTION OF FOLEY *1234

MANAGING UROSTOMY *1234

MANAGING SUPRAPUBIC CATHETER *1234

PLACING CONDOM CATHETER *1234

CARING FOR PATIENTS WITH CHRONIC RENAL FAILURE *1234

CARING FOR PATIENT RECEIVING DIALYSIS *1234

ASSESSING FLUID AND ELECTROLYTE PROBLEMS *1234

KNOWLEDGE OF UA VALUES *1234

COLLECTING SPECIMENS *1234

Endocrine

Caring for the Diabetic Patient:

CHECKING CAPILLARY BLOOD GLUCOSE *1234

DIABETIC TEACHING *1234

TREATING HYPO/HYPERGLYCEMIA *1234

INSULIN ADMINISTRATION *1234

HORMONE THERAPY *1234

Muscuskeletal

TRACTION *1234

BRACES *1234

CASTS *1234

COLLARS *1234

SLINGS/SPLINTS *1234

SKELETAL AND SKIN TRACTION *1234

Beds:

CLINITRON *1234

ROTO REST *1234

CRUTCH WALKING/WALKERS *1234

CIRCELECTRIC *1234

ARTHROSCOPY/ARTHROTOMY *1234

Caring for Patients with:

JOINT/BONE DISORDERS *1234

TOTAL KNEE REPLACEMENT *1234

TOTAL HIP REPLACEMENT *1234

AMPUTATION *1234

Vital Signs and Weights

Obtaining and Recording:

BP, INCLUDING ORTHOSTATIC *1234

PULSE, RADIAL *1234

TEMPERATURE, ORAL *1234

TEMPERATURE, RECTAL *1234

RECOGNIZING CARDIAC ARREST *1234

CARDIOVERSION DEFIBILATION *1234

ACTIVATING CODE TERM *1234

BRINGING EMERGENCY EQUIPMENT TO ROOM *1234

DNR STATUS *1234

TEMPERATURE, AXILLARY *1234

TEMPERATURE, TYMPANIC *1234

RESPIRATIONS *1234

WEIGHT, POUNDS AND KILOGRAMS *1234

Use of Electronic VS equipment:

APPLYING OXIMETER *1234

ELECTRONIC THERMOMETER *1234

AUTOMATIC BP MACHINE (DYNAMAP) *1234

Scale Use:

STANDING *1234

CHAIR *1234

BED *1234

RECODING AND REPORTING INFORMATION *1234

Hygiene / Skin

RISK FACTORS FOR SKIN BREAKDOWN *1234

OBSERVING, RECORDING AND REPORTING PRESSURE POINTS FOR REDNESS OF BREAKDOWN *1234

RECORDING AND REPORTING HYGIENE/SKIN//BREAKDOWN *1234

Bathing/Daily Hygiene:

BATHING (SHOWER/TUB/ARJO) *1234

USE OF SHOWER CHAIR *1234

USE OF BATH/SHOWER BOAT *1234

ORAL CARE INCLUDING PATIENTS WHO ARE NPO, COMATOSE, WITH DENTURES *1234

PERI CARE *1234

FOOT CARE FOR PATIENTS WITH IMPAIRED CIRCULATION OF SENSATION *1234

INCONTINENCE CARE *1234

SHAVING AND PRECAUTIONS *1234

Use of Pressure and Friction Reduction Devices:

SPECIAL BEDS/MATTRESSES *1234

HEELS AND ELBOW PROTECTION *1234

FOOT CRADLES *1234

Nutrition

ESTIMATING INTAKE *1234

SETTING UP FOR MEALS *1234

ASPIRATION PRECAUTIONS *1234

NOURISHMENTS *1234

FEEDING PATIENTS *1234

COUNTING CALORIES *1234

FLUID RESTRICTION *1234

NPO *1234

RECORDING AND REPORTING NUTRITIONAL INFORMATION *1234

Care Routine

New Admissions and Transfers:

ROOM PREPARATION *1234

VS. HEIGHT AND WEIGHT *1234

INVENTORY AND DISPOSITION OF BELONGINGS *1234

ROOM ORIENTATION, CALL BELL *1234

BASIC COMFORT MEASURES *1234

PREPARING FOR AND EXPLAINING ROUTINES TO PATIENT *1234

POST MORTEM CARE *1234

Safety and Activity

DETERMINING PATIENT ID *1234

IDENTIFYING/RESPONDING TO SAFETY HAZARDS *1234

DETERMINING NEED FOR ADDITIONAL HELP *1234

Recognizing Abuse:

SUBSTANCE *1234

PHYSICAL *1234

EMOTIONAL *1234

MAINTAINING CLEAN , ORDERLY WORK AREA *1234

HANDLING HAZARDOUS MATERIALS *1234

PROPER BODY MECHANICS *1234

ROM EXERCISES *1234

TRANSFER TO BED, WC, COMMODE WITH OR WITHOUT DEVICE *1234

TURNING AND POSITIONING *1234

REPORTING BROKEN EQUIPMENT *1234

AMBULATING WITH OR WITHOUT DEVICE *1234

PATIENT SAFETY MODULE *1234

USE OF HOYER LIFT (DEXTRA/MAXI) *1234

BED OPERATION *1234

USE OF WHEEL LOCKS *1234

USE OF ALARMS (BED, PATIENT, UNIT) *1234

USE OF ALARMS (BED, PATIENT, UNIT) *1234

USE OF CALL LIGHT *1234

APPLICATION AND DOCUMENTATION OF RESTRAINTS: BELT, INCLUDING SEAT BELT WRIST/ANKLE VEST USE OF SEIZURE PADS *1234

Infection Control

Proper Use of Specific Barrier Methods:

GLOVES *1234

GOWN *1234

MASK/GOGGLES *1234

PROTECTIVE/REVERSE ISOLATION *1234

BRODY SUBSTANCE ISOLATION *1234

TB PRECAUTIONS *1234

MRSA PRECAUTIONS *1234

HAND WASHING *1234

INFECTIOUS/HAZARDOUS WASTE DISPOSAL *1234

SUPPLY/EQUIPMENT DISPOSAL *1234

USE OF DISPOSABLE THERMOMETER *1234

USE OF CPR MASK/BAG *1234

DISPOSAL OF SHARPE *1234

Line Skills

VENIPUNCTURE FOR SPECIMEN *1234

ADMINISTERING BLOOD AND BLOOD PRODUCTS *1234

IV Therapy Including:

STARTING IV *1234

CHANGING IV SITES *1234

CHANGING IV DRESSINGS *1234

CHANGING IV TUBING *1234

ADMINISTERING FLUIDS ON CONTINUOUS IV PUMPS *1234

SETTING UP AND MONITORING PCA *1234

OBTAINING CENTRAL VENOUS/PERIPHERAL VENOUS BLOOD *1234

USING PICC, HICKMAN, TRIPLE LUMEN CATHS *1234

SET UP AND MONITORING FOR TPN *1234

Medication and Administration

CIMETIDINE (TAGAMET) *1234

DIAZEPAM (VALIUM) *1234

DIAZEPAM (VALIUM) *1234

DURAMORPH *1234

FUROSEMIDE (LASIX) *1234

HEPARIN *1234

INSULIN *1234

TERBUTALINE *1234

THEOPHYLLINE *1234

VERAPAMIL (CALAN) *1234

ORAL MEDICATIONS *1234

LORAZEPAM (ATIVAN) *1234

MORPHINE *1234

NALOXONE (NARCAN) *1234

NITROGLYCERINE *1234

PENTOBARBITAL *1234

PHENYTOIN (DILANTIN) *1234

POTASSIUM CHLORIDE *1234

TOPICAL MEDICATIONS *1234

Suppositories:

VAGINAL *1234

RECTAL *1234

ORDERING MEDS *1234

Other Skills

PROVIDING EDUCATION TO PATIENT FAMILY RELATED TO MEDICAL CONDITION, SELF CARE AND HEALTH CARE HABITS *1234

USING COMPUTERIZED TOOLS EFFECTIVELY *1234

Communication

USING APPROPRIATE ABBREVIATIONS *1234

IDENTIFYING NEED FOR ALTERNATE COMMUNICATING MECHANISMS *1234

Communicating to Charge RN:

CHANGES IN PATIENT CONDITION *1234

PATIENT NEEDS, COMPLAINTS AND CONCERNS *1234

UNUSUAL INCIDENTS *1234

REINFORCING RN TEACHING WITH PATIENT *1234

SELECTING AND USING FORMS APPROPRIATELY *1234

USING ALTERNATE COMMUNICATION TOOLS/DEVICES *1234

Unit Activity

IDENTIFYING UNUSUAL INCIDENTS ON THE UNIT THAT REQUIRE REPORTING *1234

LOCATING AND USING APPROPRIATE REFERENCE MATERIALS *1234

COMPLETING RISK MANAGEMENT REPORTS AS NEEDED *1234

CHARGING FOR PATIENT CARE ITEMS *1234

OBTAINING NEEDED SUPPLIES AND EQUIPMENT *1234

USING TELEPHONE SYSTEM *1234

Miscellaneous

Knowledge of Serum Lab Values Including:

CHEM 7, CHEM 10 *1234

CBC *1234

SERUM DRUG LEVELS *1234

PAIN MANAGEMENT *1234

CARING FOR DRAINS/TUBES (I.E. HEMOVAC, PENROSE) *1234

MONITORING AND ASSESSING I & O *1234

PERFORMING COMPLEX DRESSING CHANGES *1234

ALERT CHARTING *1234

Confirmation

Full Name *

DATE

12/04/2024

Please do not fill in this field.

For more information on our services, kindly contact us.

We offer flexible payment options, including acceptance of most insurance

We ensure that all your needs are met with genuine care! Our Company’s mission is to provide cost-effective, safe, skilled, and specialized or professional health care services to our clients.

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5915 N. Lincoln Avenue
Chicago, IL 60659
773-942-7752
773-853-0250
773-409-5235
[email protected]

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