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LPN CheckList

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 Rating Stars (Click) 1 2 3 4  
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 oxymetry 
 
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 Rating Stars (Click) 1 2 3 4  
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)