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LPN

LPN

  • MM slash DD slash YYYY

  • Self-Assessment Rating Scale

    No Experience
    Theory or observation only during the past 12 months

    Limited Experience
    Performed less than 12 times within the past 12 months and may need a review

    Experienced
    Performed at least once per month within the past 12 months and may need minimal assistance

    Highly Skilled
    Performed on at least a weekly basis over the past 12 months; proficient
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Newborn/neonatal (Birth-30 days)
    Infant (30 days-1 yr)
    Toddler (1-3 yrs)
    Preschool (3-5 yrs)
    School Age Children (5-12 yrs)
    Adolescent (12-18 yrs)
    Young Adults (19-39 yrs)
    Middle Adults (39-64 yrs)
    Older Adults (64+ yrs)
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Burn unit
    Cardiac care
    Emergency department
    Intensive care unit
    Step down
    Gynecology
    Labor and delivery
    Medical
    Mother/baby
    Neurology
    Nursery
    Obstetrics
    OR
    Oncology
    Orthopedics
    Pediatrics
    Post partum
    Psychiatry
    Rehabilitation
    Renal/dialysis
    Respiratory
    Surgical
    Telemetry
    Doctor's office
    Health department
    Corrections
    Home health
    Long term care
    Hospice
    Respite care
    Outpatient clinic
    Nursing home
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Admissions of a patient
    Transfer of a patient
    Discharge of a patient
    Assist with emergency situations/codes
    Vital signs
    Post mortem care
    Assist with defibrillation
    Assist with cardioversion
    Documentation
    Patient and family education
    Assessment of abuse
    Restraints
    Body mechanics
    Aseptic technique
    Isolation precautions
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Auscultation (rate, rhythm)
    Blood pressure/non-invasive
    Doppler
    Heart sounds/mumurs
    Abdominal aortic aneurysm/bypass
    Angina
    Cardiac arrest
    Cardiomyopathy
    Carotid endarterectomy
    Congestive heart failure
    Femoral-popliteal bypass
    Myocarditis
    Status post MI
    Post angioplasty
    Post cardiac cath
    Thrombophlebitis
    Temporary pacemaker
    Permanent pacemaker
    Cardiac enzymes
    Blood chemistries
    Basic arrhythmia interpretation
    Lead placement
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Ventilator/weaning
    Breath sounds
    Rate and work of breathing
    Arterial blood gases (ABG)
    Asthma
    COPD
    Tracheostomy
    Lobectomy
    Pneumonectomy
    Pneumonia
    Pulmonary embolism
    Thoracotomy
    Tuberculosis
    pulmonary edema
    Pneumothorax
    Laryngospasm
    Endotracheal tube/suctioning
    NAsal airway/suctioning
    Oropharyngeal/suctioning
    Sputum specimen collection
    Tracheostomy/suctioning
    Assist with intubation
    Assist with thoracentesis
    Chest tube management
    Chest physiotherapy
    Incentive spirometry
    Pulse oximetry
    Bag and mask
    Face mask
    Nasal cannula
    Portable O2 tank
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Glascow coma scale
    Level of consciousness
    Assist with lumbar puncture
    Use of hypo/hyperthermia blanket
    Aneurysm precautions
    Basal skull fracture
    Closed head injuries
    Coma
    CVA
    TIA
    Delirium tremens
    Encephalitis
    Meningitis
    Neuromuscular disorders
    Psychiatric disorders
    Seizures
    Overdose
    Guillain-Barre syndrome
    Externalized VP shunts
    Post Craniotomy
    Spinal cord injuries
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Circulation checks
    Gait
    Range of motion
    Skin
    Wheelchair use
    Cane/crutches/walker use
    Amputation
    Arthroscopic surgery
    Cast
    Splint
    Knee immobilizer
    Osteoporosis
    Pinned fractures
    Total joint replacements
    Continuous Passive Motion devices
    Cervical collar
    Prosthetics
    Traction - Bucks/skeletal
    Auto transfuser
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Abdominal/bowel sounds
    Fluid balance
    Placement of NG tube
    Placement of flexible feeding tube
    Administration of tube feeding
    Feeding pumps
    Gravity feeding
    Salem sump to suction
    Care of gastrostomy tube
    Colostomy care
    Bowel obstruction
    GI bleeding
    GI surgery
    Hepatits
    Inflammatory bowel disease
    Liver failure
    Liver transplant
    Paralytic ileus
    Colostomyileostomy
    Abdominal trauma
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Fluid balance
    Urinary output
    BUN and Creatinine
    Catheter care
    Specimen collection - Routine
    Specimen collection - 24 hours
    Specimen collection - Clean catch
    Insertion and care of straight and Foley catheters - Female
    Insertion and care of straight and Foley catheters - Male
    Hemodialysis
    Nephrectomy
    Peritoneal dialysis
    Renal failure
    Renal transplant
    TURP
    Ileal conduit
    Bladder irrigations
    Urinary tract infections
    Gyn surgery
    Renal trauma
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    S/S diabetic coma
    S/S insulin coma
    Blood glucose monitoring
    Performing finger/heel stick
    Sliding scale insulin protocols
    Adrenal disorders (Addison's)
    Diabetes mellitus
    Diabetes insipidus (pituitary disorder)
    Diabetic ketoacidosis
    Hyperthyroidism
    Hypothyroidism
    Thyroidectomy
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assess skin for impending breakdown
    Surgical wound healing
    Sterile dressing change
    Wound vac
    Wet to dry dressings
    Burns - 1st degree
    Burns - 2nd degree
    Burns - 3rd degree
    Decubitus ulcers
    Surgical wounds with drain(s)
    Traumatic wounds
    Wound care irrigations
    Multiple abdominal wounds and drains
    Gunshot wound
    Stab wound
    Lacerations
    Abrasions
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Bone marrow transplant
    Inpatient chemotherapy
    Leukemia
    Radiation implant
    Lymphoma
    Depressed immune system
    Radiation therapy
    Fresh oncology surgery
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    HIV
    MRSA
    C. Difficile
    VRE
    Hepatitis
    Influenza
    Isolation precautions
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Site assessment
    Administration of blood/blood products
    Drawing blood from a central line
    IV insertion
    Heplock flushes
    Administration of IV fluid
    Administration of IV piggy back
    Administration of IV push medications
    Access VAD
    Central line
    Peripheral line
    Administration - TPN/lipids
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Assessment of pain level/tolerance
    Administration of narcotic analgesia
    PCA pumps
    IV conscious sedation
    Epidural anesthesia
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Computerized charting
    Automated med. dispensing systems
    Safe needle devices
    PO medications
    IM injections
    Z-track injections
    Rectal suppositories
    Nasal sprays
    Ear drops
    Eye drops
    Inhalers
    Assist with emergency drugs/code cart
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