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LPN / LVN - Skilled Nursing Facility

LPN / LVN - Skilled Nursing Facility

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

COMMUNICATION

Communicate with patients and their companions in a courteous manner
Understand the chain of communication, who to contact, and when
Listen actively to patient concerns and address them appropriately.
Cultural Sensitivity and Language Skills

GENERAL INFECTION CONTROL MEASURES

Aseptic Technique
Standard Precaution
Universal Precaution

TRANSMISSION-BASED PROTOCOL

Airborne Precaution
Contact Precaution
Droplet Precaution
Reverse Precaution

BASIC SKILLS

Vital signs monitoring: BP, PR, RR. Temperature
Pain Management
Skin Care
Mouth Care
Bathing Partial
Bathing Complete
Bed Making Occupied
Biohazard Waste Disposal

IDENTIFIED SKILLS

Transfer with wheelchair
Transfer to Chair
Transfer to Stretcher
Ambulation of Clients with Tubes or Equipment
Postmortem Care
Repositioning Using Lift (Draw Sheet)
Repositioning Frail Client: Supine/Side-lying

PROFESSIONAL ROLE

Admitting Client
Clinical Decision Making
Communication with the Multidisciplinary Team
Critical Thinking
Delegation Skills
Discharge Planning
Documentation
Giving and Getting Report
Transferring Client

CARE OF PATIENT WITH NEUROLOGICAL DISEASE

Spinal Cord Injury
Cerebrovascular Accident
Neuromuscular Disease
Other Neurological Disease

CARDIOPULMONARY ASSESSMENT

Auscultation (Rate, Rhythm)
Blood Pressure
Edema Assessment
Heart Sounds/Murmurs
Doppler
Pulses/Circulation Checks
Respiratory Assessment

CARE OF PATIENT WITH CARDIOPULMONARY DISEASE

Adventitious Breath Sounds
Application of Antiembolism Hose
Basic 12 Lead ECG Interpretation
Chest Tube Care
Chronic Obstructive Pulmonary Disease
Closed (Inline) Suctioning System
Heart Failure
Incentive Spirometer
Management of Sequential Compression Boots
Nasal Cannula
Nasopharyngeal Suctioning
Nonrebreather Mask
Oral Suctioning (Yankauer)
Partial Rebreather Mask
Post Thoracic Surgery
Pulse Oximetry
Tracheal and Endotracheal Suctioning
Tracheostomy Care
Sputum Collection

GASTROINTESTINAL ASSESSMENT

Abdominal Percussion and Palpation
Auscultation of Bowel Sounds
Calorie Count

CARE FOR PATIENT WITH GASTROINTESTINAL DISEASE

Assist with Bedpan
Bowel Obstruction
Bowel Resection
Enteral Feeding: NGT
Enteral Feeding: OGT
Enteral Feeding: PEG Tube
Enteral Feeding: J Tube
Fecal Bag
Fleet Enema
Insertion and Placement of NGT
Liver Cirrhosis/ Injury
Management of NG Suction
Measurement of PO/Enteral Intake
Ostomy Care
Stool Specimen Collection
Tap Water/SS Enema

GENITOURINARY ASSESSMENT

Bladder Assessment
Frequency of Urination
Color and Odor of Urine

CARE FOR PATIENT WITH GENITOURINARY DISEASE

Assist with Urinal
Bladder Irrigation
Catheter Leg Bag
Condom Catheter (Texas Catheter)
Hemodialysis Access (Permacath, Fistula, Graft)
Incontinence Care
Kidney Injury
Measurement of Urine Output
Nephrostomy Care
Nephrostomy Tube Management
Peritoneal Dialysis
Suprapubic Catheter Care
Urinary Catheter Insertion and Removal
Urine Assessment Appearance

MUSCULOSKELETAL ASSESSMENT

Assessment of ROM: Active and Passive
Neurovascular Assessment of Extremity

CARE FOR PATIENT WITH MUSCULOSKLETAL DISEASE

Amputation
Fracture
Inspection and Palpation of Muscles and Joints
Total Hip Replacement

INTEGUMENTARY ASSESSMENT

General: Color, Temperature, Texture, Turgor
Pressure Ulcer Risk Assessment

CARE FOR PATIENT WITH INTEGUMENTARY DISEASE

Burns
Dry Sterile Dressing
Drain Site Care (JP, Penrose, Hemovac)
Hydrocolloid Dressings
Hydrogel Dressings
Ice Packs
K-Pad
Splinting
Pressure Ulcer Care
Post Op Wound Assessment and Care
Warm and Cool Compresses
Wound Irrigation
Wound Packing

PSYCHOSOCIAL

Cultural/Spiritual Assessment
Developmental Assessment Across the Lifespan
Implement Teaching Plan
Teaching and Learning Assessment
Therapeutic Communication

SAFE NEEDLE DEVICES

Use safety-engineered needles, syringes, lancets
Activate needle safety mechanisms post-use
Dispose of needles in biohazard sharps containers
Follow OSHA and facility needle safety protocols
Report needlestick or sharps injuries
Use retractable/shielded needle devices
Verify the needle device's integrity pre-use
Document needle use/incidents per policy
Manage needle-related biohazard spills
Train on facility-specific needle devices
Educate patients on needle safety

MEDICATION

Antianginal
Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Anti-Infectives
Anti-Inflammatory/Analgesic Drugs
Antihyperlipidemic Drugs
Antihypertensive
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

ATOMATED MEDICATION DISPENSING SYSTEMS

Accudose
MetroU
Omnicell
Promanager Rx
Pyxis
eMAR

ELECTRONIC DOCUMENTATION

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

AGE-SPECIFIC COMPETENCIES

Newborn/Neonate (birth-30 days)
Infant (30 days-1 year)
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)