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LPN Skills Checklist

Please rate your experience with each skill below using the scale provided. Every skill requires a rating before you can submit.

Skill categories
  1. Neurological System
  2. Cardiovascular
  3. Patients with Respiratory Problems
  4. Gastrointestinal
  5. Genitourinary / Renal
  6. Endocrine
  7. Muscuskeletal
  8. Vital Signs and Weights
  9. Hygiene / Skin
  10. Nutrition
  11. Care Routine
  12. Safety and Activity
  13. Infection Control
  14. Line Skills
  15. Medication and Administration
  16. Other Skills
  17. Communication
  18. Unit Activity
  19. Miscellaneous
  20. Confirmation

Please provide the following information

Rating scale:  1 = Clinicals Only  ·  2 = Some Experience  ·  3 = Experienced  ·  4 = Can Perform Task Independently

Neurological System

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NEURO ASSESSMENT/NEURO VITALS
HALO TRACTION
SEIZURE PRECAUTIONS
SPINAL CORD INJURY
HEAD INJURY
PRE / POST NEUROLOGICAL SURGERY
REHABILITATION OF THE NEURO PATIENT
CNS INFECTIONS
PARKINSONS
AUTONOMIC DYSREFLEXIA
ALZHEIMERS
CHRONIC C.V.A / T.I.A
USING GLASCOW COMA SCALE

Cardiovascular

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CAPILLARY REFILL
EDEMA
HEART TONES
PULSES
ANGINA (ACUTE AND CHRONIC)
ASSESSING AND TREATING ORTHOSTATIC BP
ASSESSING ABNORMAL HEART TONES
ANTIEMBOLIC DEVICES

Patients with Respiratory Problems

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Assessing the Respiratory System including:

BREATH SOUNDS
BREATHING PATTERN / EFFORT
COUGH EFFORT
SKIN AND NAIL BED COLOR
SPUTUM (COLOR/CHARACTER)
ACUTE AIRWAY
NASOPHARYNGEAL AIRWAY
OROPHARYNGEAL AIRWAY
NASAL CANNULA
MASK
O2 SATS
DEMONSTRATING PROPER USE OF AMBU BAG
SUCTIONING: LENGTH OF TIME SUCTIONING
HYPERVENTILATION
VENTILATOR SETTINGS
DOCUMENTATION
RESPIRATORY FAILURE
RESPIRATORY INFECTIONS
STATUS ASTHMATICUS
RESPIRATORY DISTRESS SYNDROME
PULMONARY EDEMA
PULMONARY EMBOLI
TENSION PNEUMOTHORAX
TRACHEOSTOMY
USE OF INCENTIVE SPIROMETER

Gastrointestinal

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ASSESSING BOWEL SOUNDS
IDENTIFYING ABNORMALITIES
CARING FOR PATIENT ON TOTAL PARENTERAL NUTRITION
INSERTING /MAINTAINING FEEDING TUBES (NG)
ADMINISTERING TUBE FEEDINGS
ABDOMINAL WOUNDS OR INFECTIONS
ILEOSTOMY/COLOSTOMY
STOOL TESTS
I&O: SHIFT VOLUMES AND TOTALS INCLUDING MARKING AND/
OR MEASURING AMOUNTS OF URINE, GASTRIC FLUID
NG DRAINAGE, EMESIS, DIARRHEA

Genitourinary / Renal

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INSERTING/MAINTAINING URINARY DRAINAGE TUBES:
INSERTION OF FOLEY
MANAGING UROSTOMY
MANAGING SUPRAPUBIC CATHETER
PLACING CONDOM CATHETER
CARING FOR PATIENTS WITH CHRONIC RENAL FAILURE
CARING FOR PATIENT RECEIVING DIALYSIS
ASSESSING FLUID AND ELECTROLYTE PROBLEMS
KNOWLEDGE OF UA VALUES
COLLECTING SPECIMENS

Endocrine

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CHECKING CAPILLARY BLOOD GLUCOSE
DIABETIC TEACHING
TREATING HYPO/HYPERGLYCEMIA
INSULIN ADMINISTRATION
HORMONE THERAPY

Muscuskeletal

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TRACTION
BRACES
CASTS
COLLARS
SLINGS/SPLINTS
SKELETAL AND SKIN TRACTION
CLINITRON
ROTO REST
CRUTCH WALKING/WALKERS
CIRCELECTRIC
ARTHROSCOPY/ARTHROTOMY
JOINT/BONE DISORDERS
TOTAL KNEE REPLACEMENT
TOTAL HIP REPLACEMENT
AMPUTATION

Vital Signs and Weights

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BP, INCLUDING ORTHOSTATIC
PULSE, RADIAL
TEMPERATURE, ORAL
TEMPERATURE, RECTAL
RECOGNIZING CARDIAC ARREST
CARDIOVERSION DEFIBILATION
ACTIVATING CODE TERM
BRINGING EMERGENCY EQUIPMENT TO ROOM
DNR STATUS
TEMPERATURE, AXILLARY
TEMPERATURE, TYMPANIC
RESPIRATIONS
WEIGHT, POUNDS AND KILOGRAMS
APPLYING OXIMETER
ELECTRONIC THERMOMETER
AUTOMATIC BP MACHINE (DYNAMAP)
STANDING
CHAIR
BED
RECODING AND REPORTING INFORMATION

Hygiene / Skin

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RISK FACTORS FOR SKIN BREAKDOWN
OBSERVING, RECORDING AND REPORTING PRESSURE POINTS FOR REDNESS OF BREAKDOWN
RECORDING AND REPORTING HYGIENE/SKIN//BREAKDOWN
BATHING (SHOWER/TUB/ARJO)
USE OF SHOWER CHAIR
USE OF BATH/SHOWER BOAT
ORAL CARE INCLUDING PATIENTS WHO ARE NPO, COMATOSE, WITH DENTURES
PERI CARE
FOOT CARE FOR PATIENTS WITH IMPAIRED CIRCULATION OF SENSATION
INCONTINENCE CARE
SHAVING AND PRECAUTIONS
SPECIAL BEDS/MATTRESSES
HEELS AND ELBOW PROTECTION
FOOT CRADLES

Nutrition

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ESTIMATING INTAKE
SETTING UP FOR MEALS
ASPIRATION PRECAUTIONS
NOURISHMENTS
FEEDING PATIENTS
COUNTING CALORIES
FLUID RESTRICTION
NPO
RECORDING AND REPORTING NUTRITIONAL INFORMATION

Care Routine

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ROOM PREPARATION
VS. HEIGHT AND WEIGHT
INVENTORY AND DISPOSITION OF BELONGINGS
ROOM ORIENTATION, CALL BELL
BASIC COMFORT MEASURES
PREPARING FOR AND EXPLAINING ROUTINES TO PATIENT
POST MORTEM CARE

Safety and Activity

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DETERMINING PATIENT ID
IDENTIFYING/RESPONDING TO SAFETY HAZARDS
DETERMINING NEED FOR ADDITIONAL HELP
SUBSTANCE
PHYSICAL
EMOTIONAL
MAINTAINING CLEAN , ORDERLY WORK AREA
HANDLING HAZARDOUS MATERIALS
PROPER BODY MECHANICS
ROM EXERCISES
TRANSFER TO BED, WC, COMMODE WITH OR WITHOUT DEVICE
TURNING AND POSITIONING
REPORTING BROKEN EQUIPMENT
AMBULATING WITH OR WITHOUT DEVICE
PATIENT SAFETY MODULE
USE OF HOYER LIFT (DEXTRA/MAXI)
BED OPERATION
USE OF WHEEL LOCKS
USE OF ALARMS (BED, PATIENT, UNIT)
USE OF ALARMS (BED, PATIENT, UNIT)
USE OF CALL LIGHT
APPLICATION AND DOCUMENTATION OF RESTRAINTS: BELT, INCLUDING SEAT BELT WRIST/ANKLE VEST USE OF SEIZURE PADS

Infection Control

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GLOVES
GOWN
MASK/GOGGLES
PROTECTIVE/REVERSE ISOLATION
BRODY SUBSTANCE ISOLATION
TB PRECAUTIONS
MRSA PRECAUTIONS
HAND WASHING
INFECTIOUS/HAZARDOUS WASTE DISPOSAL
SUPPLY/EQUIPMENT DISPOSAL
USE OF DISPOSABLE THERMOMETER
USE OF CPR MASK/BAG
DISPOSAL OF SHARPE

Line Skills

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VENIPUNCTURE FOR SPECIMEN
ADMINISTERING BLOOD AND BLOOD PRODUCTS
STARTING IV
CHANGING IV SITES
CHANGING IV DRESSINGS
CHANGING IV TUBING
ADMINISTERING FLUIDS ON CONTINUOUS IV PUMPS
SETTING UP AND MONITORING PCA
OBTAINING CENTRAL VENOUS/PERIPHERAL VENOUS BLOOD
USING PICC, HICKMAN, TRIPLE LUMEN CATHS
SET UP AND MONITORING FOR TPN

Medication and Administration

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CIMETIDINE (TAGAMET)
DIAZEPAM (VALIUM)
DIAZEPAM (VALIUM)
DURAMORPH
FUROSEMIDE (LASIX)
HEPARIN
INSULIN
TERBUTALINE
THEOPHYLLINE
VERAPAMIL (CALAN)
ORAL MEDICATIONS
LORAZEPAM (ATIVAN)
MORPHINE
NALOXONE (NARCAN)
NITROGLYCERINE
PENTOBARBITAL
PHENYTOIN (DILANTIN)
POTASSIUM CHLORIDE
TOPICAL MEDICATIONS
VAGINAL
RECTAL
ORDERING MEDS

Other Skills

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PROVIDING EDUCATION TO PATIENT FAMILY RELATED TO MEDICAL CONDITION, SELF CARE AND HEALTH CARE HABITS
USING COMPUTERIZED TOOLS EFFECTIVELY

Communication

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USING APPROPRIATE ABBREVIATIONS
IDENTIFYING NEED FOR ALTERNATE COMMUNICATING MECHANISMS
CHANGES IN PATIENT CONDITION
PATIENT NEEDS, COMPLAINTS AND CONCERNS
UNUSUAL INCIDENTS
REINFORCING RN TEACHING WITH PATIENT
SELECTING AND USING FORMS APPROPRIATELY
USING ALTERNATE COMMUNICATION TOOLS/DEVICES

Unit Activity

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IDENTIFYING UNUSUAL INCIDENTS ON THE UNIT THAT REQUIRE REPORTING
LOCATING AND USING APPROPRIATE REFERENCE MATERIALS
COMPLETING RISK MANAGEMENT REPORTS AS NEEDED
CHARGING FOR PATIENT CARE ITEMS
OBTAINING NEEDED SUPPLIES AND EQUIPMENT
USING TELEPHONE SYSTEM

Miscellaneous

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CHEM 7, CHEM 10
CBC
SERUM DRUG LEVELS
PAIN MANAGEMENT
CARING FOR DRAINS/TUBES (I.E. HEMOVAC, PENROSE)
MONITORING AND ASSESSING I & O
PERFORMING COMPLEX DRESSING CHANGES
ALERT CHARTING

Confirmation

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Confirmation

By submitting, I confirm that the ratings above accurately reflect my experience.

Please rate every skill (1–4) before submitting.

Your checklist is sent securely to Kaff Homecare staff for clinical onboarding.