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PACU

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Cardiovascular

Open Heart Recovery *

AAA Repair *

Vascular Surgery *

Pacemaker - Permanent & Temporary *

Cardioversion *

AICD Insertion *

Cardiac Arrest *

Cardiac Tamponade *

CHF/Pulmonary Edema *

Abnormal Heart Sounds/Murmurs *

Pulses/Circulation Checks *

Pulmonary

Ventilator Management *

Fresh Tracheostomy *

Thoracotomy/Lobectomy/Pneumonectomy *

Pneumothorax/Hemothorax *

Laryngospasm *

Pulmonary Embolism *

COPD *

ABG Interpretation *

Neurologic

Post Craniotomy *

Anterior/Posterior Spinal Fusion *

Carotid Endardarectomy *

Spine Surgery *

CVA *

Stroke Scale *

Glascow Coma Scale *

Spinal Precautions *

Hypothermia Protocol *

Hypo/Hyperthermia Blanket *

Sedation Scales/Levels *

Gastrointestinal

Pancreas/Liver Transplant *

Colon Surgery *

Colostomy/Ileostomy *

ERCP *

G Tube/J Tube Management *

T Tube Management *

Renal/Genitourinary

Renal Surgery *

TURP *

Arteriovenous Fistula/Shunt *

Nephrostomy Tubes *

Endocrine Metabolic

Diabetes - Hypo/Hyperglycemic Crisis *

IV Insulin Protocols *

Endocrine

Care of Diabetic Patient *

Diabetic Teaching *

Orthopedic

Laminectomy *

Total Joint Replacement *

Amputation *

Open Reduction/Internal Fixation *

General Orthopedic Surgeries *

CPM/Traction *

Circulation Checks *

Wound Management

Surgical Drains *

Wound Vac *

Surgical Wound Assessment *

Skin Assessment for Breakdown *

Staging Decubitus Ulcers *

Medications

Procedural Sedation *

Anesthesia Medications *

Anti-Arrhythmics *

Anticoagulants *

Anti-Hypertensives *

Anti-Seizure Medications *

Benzodiazepines *

Emergency Medications *

Insulin *

Narcotics/Opioid Analgesics *

Nitrates *

Non-Opioid Analgesics *

Reversal Agents *

Steroids *

Automated Medication Dispensing (i.e. Pyxis, Omnicell) *

IV Therapy

Starting IVs *

Central Line Blood Draws *

Central Line/Implanted Line Care *

Blood Product Administration *

Cardiac Monitoring & Emergency Response

Malignant Hyperthermia *

Dysrhythmia Interpretation *

Dysrhythmia Management *

12 Lead EKG *

Professional Knowledge and Skills

National Patient Safety Goals/Core Measures *

Fall Risk Assessment/Prevention *

Pressure Ulcer Risk Assessment/Prevention *

Age Specific/Population-Based Care *

Pain Assessment & Management *

Charge Experience *

Interpretation and Communication of Lab Values *

Specialty Beds *

EMR

Epic *

Cerner *

Eclipsys *

McKesson *

Meditech *

Other Computerized System *

Computerized Physician Order Entry *

Bar Coding for Medication Administration *

Pulmonary *

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) *

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