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LPN / LVN - Adult / General

LPN / LVN - Adult / General

This checklist was electronically signed on September 12, 2026

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

PATIENT RIGHTS

Communicate and obtain information while respecting patient rights, privacy, and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involve the patient and family and respect their role in determining the nature of care to be provided
Meet patient's and families' needs regarding communication, including interpreter services
Provide accurate information to patients and families in a timely manner

APPROPRIATE PPE FOR THE FOLLOWING SCENARIOS

Standard Precautions (PPE to be Worn Based on Anticipated Level of Exposure)
Contact/Contact Enteric Precautions (Gown & Gloves)
Droplet Precautions (Surgical Mask)
Airborne Precautions (N95 where Appropriate)

REGULATORY AGENCIES/STANDARDS OF CARE AGENCIES

World Health Organization (WHO)
Centers of Medicare and Medicaid Services (CMS)
Agency for Healthcare Research and Quality (AHRQ)

INTERDISCIPLINARY COMMUNICATION

Communicate with patients and their companions in a courteous manner using age and cultural appropriate methods.
Understand the chain of communication, who to contact, and when.
Listen actively to patient concerns and address them appropriately.
Perform and maintain accurate patient records and documentation related to nursing interventions, plan of care, nursing diagnoses.
Maintain patient confidentiality according to HIPAA guidelines i.e.: status updates to family members.
Implement effective solutions for communication with patients when barriers exist i.e.: physiological, cultural, language.

NEUROLOGICAL ASSESSMENT

Glasgow Coma Scale
Level of Consciousness

NEUROLOGICAL EQUIPMENT AND PROCEDURES

Assist with Lumbar Puncture
Use of Hyper/Hypothermia Blanket

CARE OF PATIENT WITH NEUROLOGICAL DISEASE

Closed Head Injury
Coma
Cerebrovascular accident (CVA)
Post Craniotomy
Seizures
Spinal Cord Injury

PULMONARY ASSESSMENT

Breath Sounds
Rate and Work of Breathing

PULMONARY EQUIPMENT AND PROCEDURES

Endoctracheal Tube/Suctioning
Nasal Airway/Suctioning
Oropharyngeal/Suctioning
Sputum Specimen Collection
Tracheostomy/Suctioning
Assist with Thoracentesis
Chest Physiotherapy
Incentive Spirometry
Bag and Mask
External CPAP
Face Masks
Inhalers
Nasal Cannula
Portable Oxygen Tank
Trach Collar
Oximetry

CARE OF PATIENT WITH PULMONARY DISEASE

Bronchoscopy
Chronic Obstructive Pulmonary Disease (COPD)
Fresh Tracheostomy
Lobectomy
Pneumonectomy
Pulmonary Embolism
Thoracotomy
Tuberculosis
Pneumonia

CARDIOVASCULAR ASSESSMENT

Auscultation (Rate, Rhythm)
Blood Pressure/Non- Invasive
Doppler
Heart Sounds/Murmurs
Pulse
Circulation Checks

CARDIOVASCULAR EQUIPMENT AND PROCEDURES

Basic 12 Lead Interpretation
Basic Arrhythmia Interpretation
Lead Placement

CARE OF PATIENT WITH CARDIOVASCULAR DISEASE

Abdominal Aortic Bypass
Aneurysm
Angina
Cardiac Arrest
Cardiomyopathy
Carotid Endarterectomy
Congestive Heart Failure (CHF)
Femoral-Popliteal Bypass
Myocarditis
Post-acute Myocardia Infarction (24-48 hours)
Post Angioplasty
Post Cardiac Catheter
Post Cardiac Surgery
Thrombophlebitis

GASTROINTESTINAL ASSESSMENT

Abdominal/Bowel Sounds
Fluid Balance
Nutritional
Interpretation of Blood Chemistry

GASTROINTESTINAL EQUIPMENT AND PROCEDURES

Administration using Feeding Pump
Administration using Gravity Feeding
Saline LavageFlexible Feeding Tube
Flexible Feeding Tube
Management of Gastrostomy Tube
Management of Jejunostomy Tube
Management of T-tube
Placement of Nasogastric tube
Salem Sump to Suction

CARE OF PATIENT WITH GASTROINTESTINAL DISEASE

Bowel Obstruction
Colostomy
Ileostomy
GI Bleeding
GI Surgery
Hepatitis
Inflammatory Bowel Disease
Invasive Diagnostic Testing
Liver Failure
Paralytic Ileus

RENAL/GENITOURINARY ASSESSMENT

Arterio Venous Fistula/Shunt
Fluid Balance
BUN & Creatinine
Electrolytes

RENAL/GENITOURINARY EQUIPMENT & PROCEDURES

Insertion & Care of Straight and Foley Catheter - Male
Insertion & Care of Straight and Foley Catheter - FeMale
Catheter Care
Continuous Bladder Irrigations
Routine Specimen Collection
24-hour Specimen Collection

CARE OF PATIENT WITH RENAL/GENITOURINARY DISEASE

Hemodialysis
Nephrectomy
Peritoneal Dialysis
Renal Failure
Renal Transplant
Transurethral Resection of the Prostate (TURP)
Urinary Diversion/Ileal Conduit Nephrostomy
Urinary Tract Infection

ORTHOPEDICS ASSESSMENT

Circulation Checks
Gait
Range of Motion
Skin

ORTHOPEDICS EQUIPMENT AND PROCEDURES

Continuous Passive Motion Devices
Cane
Cervical Collar
Gait Belt
Prosthetic
Prosthetic
Transfer Boards
Walker
Wheelchair
Traction

ENDOCRINE/METABOLIC ASSESSMENT

Signs and Symptoms of Diabetic Coma
Signs and Symptoms of Insulin Reaction

ENDOCRINE/METABOLIC EQUIPMENT & PROCEDURES

Blood Glucose Monitoring
Performing Finger Stick
Visual Blood Glucose Strips

CARE OF PATIENT WITH ENDOCRINE/METABOLIC DISEASE

Diabetes Mellitus

WOUND ASSESSMENT

Skin for Impending Breakdown
Stasis Ulcers
Surgical Wound Healing

WOUND MANAGEMENT EQUIPMENT & PROCEDURES

Air Fluidized, Low Air Loss Beds
Sterile Dressing Changes
Wound Care/Irrigations

CARE OF PATIENT WITH WOUND

Burns
Pressure Sores
Staged Decubitus Ulcers
Surgical Wounds with Drain(s)
Traumatic Wounds

CARE OF PATIENT WITH PAIN

Patient Controlled Analgesia (PCA pump)

MEDICATIONS

Antianginal
Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Antihyperlipidemic Drugs
Antihypertensive
Anti-Infectives
Anti-Inflammatory/Analgesic Drugs
Antineoplastic / Anti-Cancer Drugs
Biological Agents/Monoclonal Antibodies
CNS Stimulants
Diuretics
Electrolyte Therapy
Gastrointestinal Drugs
Hormones
Immunosuppressants
Mental Health Medications
Muscle Relaxants
Narcotics/Opioids
Neurocognitive Drugs
Neuromuscular Blocking Agent
Ophthalmic
Pulmonary Drugs
Steroids
Vaccines

AUTOMATED MEDICATION DISPENSING SYSTEMS

Accudose
Metro
Omnicell
Promanager Rx
Pyxis
eMAR

ELECTRONIC DOCUMENTATION

Allscripts
Care360
Cerner
CPSI
eCLinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Soarian

AGE SPECIFIC-COMPETENCIES

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18- 39 years)
Middle adults (39- 64 years)
Older adults (64-79 years)
Elderly adults (80+ years)