LPN Skills 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 (Theory or observation only during the past 12 months)
    2 = Limited Experience (Performed less than 12 times within the past 12 months and may need a review)
    3 = Experienced (Performed at least once per month within the past 12 months and may need minimal assistance)
    4 = Highly Skilled (Performed on at least a weekly basis over the past 12 months; proficient)

    Rating Stars (Click) Skills
    Activities of daily living
    Admission of patient
    Administration of medication
    Application of heat and cold 
    Aseptic Technique 
    Assist with medical examination
    Bathing: Sitz, tub, bed, shower
    Body Alignment
    Body Systems Review (Head to Toe data collection)
    Cast care 
    Catheterization / Foley catheter care
    Colostomy Care and irrigation
    Crutch walking
    Decubitus Care 
    Diabetic tests and preparation forms 
    Diabetic blood glucose testing 
    Discharge patients
    Dosage computation 
    Dressing (sterile) 
    Ear drops
    Elimination needs
    Enemas, cleansing, retention, Harris flush 
    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
    Surgical Preps
    Computerized charting 
    Trach care/suctioning
    Telephone manners
    Topical Medication Application
    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
    Rating Stars (Click) 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)
    By submitting this checklist, I hereby certify that ALL information I have provided to FILL IN THE BLANK on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.