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LPN / LVN - Medical-Surgical

LPN / LVN - Medical-Surgical

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 under 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
Comply with nursing staff responsibilities included in the hospital policy related to organ donation
Meet patients' and families' communication needs
Provide accurate information to patients and families on time

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

EQUIPMENTS

Automatic BP cuff
Cardiac Monitors
Hemovac/Davol suction pump
Jackson-Pratt drain
Wall suction
Incentive spirometer
Pleur Evac
Enteral pump
Oxygen mask
Nasal cannula
Non-rebreather mask
Ambu-bag
Humidifiers
Doppler
TED hose
Continuous Passive Motion (CPM) machine
Alternating pressure mattress
Hypo/Hyperthermia blanket
Blood glucose monitors
Chest tubes

GASTROINTESTINAL TUBES EQUIPMENTS

Nasogastric tube care
Miller-Abbott
Blakemore (Minnesota)

SPECIMEN COLLECTION

Urine - Clean catch
Urine - From indwelling catheter
Urine - 24-hour urine specimen
Stool
Sputum

NURSING PROCEDURES

Activating the emergency response system
Blood glucose monitoring / Fingerstick
Straight catheterization
Indwelling catheter insertion - male
Indwelling catheter insertion - female
Condom catheter application
Wound irrigation
Debridement
Pressure ulcer staging and management
Wet-to-dry dressing change
Sterile dressing change
Administer tap water/saline enema
Administer soap suds enema
Administer oil retention enema
Nasogastric tube insertion
Bladder irrigation
Nasogastric tube feeding
Total Parenteral Nutrition
Gastrostomy tube feeding
Ostomy care
Nephrostomy catheter management
Jejunostomy tube management
Oral suctioning
Nasal suctioning
Chest physiotherapy
Bowel preparation and cleansing procedures

NEUROLOGY – CARE OF PATIENT WITH

Spinal Cord Injury – Acute Care
Spinal Cord Injury – Long Term
Cerebrovascular Accident
Neuromuscular Disease
Other neurological conditions
Performing neurological assessment

CARDIAC – CARE OF PATIENT WITH

Basic and Life-threatening Dysrhythmia
Congestive Heart Failure
Obtain EKGs – 12 Lead
Other cardiac conditions
Perform cardiovascular assessment
Management of cardiopulmonary arrest

RESPIRATORY – CARE OF PATIENT WITH

Emphysema
Chronic Obstructive Pulmonary Disease (COPD)
Asthma Exacerbation
Pneumonia
Pre/Post Thoracic Surgery
Other pulmonary conditions
Performing respiratory assessment

GASTROINTESTINAL – CARE OF PATIENT WITH

Liver cirrhosis/injury
Bowel resection
Gastrointestinal bleeding
Cholecystectomy
Appendectomy
Bowel obstruction
Other gastrointestinal conditions
Performing gastrointestinal assessment
Bowel disimpaction
Bowel retraining
Sitz bath treatments

RENAL/GENITOURINARY – CARE OF PATIENT WITH

Acute/Chronic kidney injury
Renal stones
Chronic kidney disease
Hemodialysis patients
Peritoneal dialysis patients
Other renal/genitourinary conditions
Performing genitourinary assessment

ORTHOPEDIC – CARE OF PATIENT WITH

Total joint replacement
Rheumatic/Arthritic Disease
Amputation
Fracture
Skin traction
Skeletal traction
Cast care
Performing Circulation, Motor, Sensory (CMS) checks
Application of splints to extremities
Gait training/retraining
Application of Prosthetic Devices
Application of Orthotic Devices

ENDOCRINE – CARE OF PATIENT WITH

Diabetes Mellitus
Hypoglycemia
Diabetic Ketoacidosis
Other endocrine conditions

INTEGUMENTARY/SKIN – CARE OF PATIENT WITH

Pressure ulcer
Burns
Other integumentary conditions
Performing skin assessment

SENSORY DEFICITS – CARE OF PATIENT WITH

Dentures
Hearing Aid Devices
Hearing loss/impairment
Prosthetic eye

MEDICATIONS

Antianginal
Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Antihyperlipidemic Drugs
Antihypertensive
Anti-Infectives
Anti-Inflammatory/Analgesic Drugs
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
Athena
Care360
Cerner (Oracle)
CPSI
eCLinicalWorks
Eclipsys
EPIC
Greenway Primesuite
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Soarian

AGE-SPECIFIC COMPETENCIES

Newborn/Neonate (birth-30days)
Infant (31 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)