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LPN / LVN - Orthopedic

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

SETTINGS

Clinic
Hospital
Long Term Acute Care (LTAC)
Long Term Care
Medical Units
Outpatient Clinics
Rehab
Skilled Nursing Units
Surgical Units

PATIENT CARE WITH NEUROLOGIC DISEASE

Acute Head Injury
Alzheimer's/Dementia
Neuromuscular Disease
Seizure Disorder
Spinal Cord Injury
Stroke

PATIENT CARE WITH CARDIOVASCULAR DISEASE

Acute Myocardial Infarction
Angina
Cardiac Arrest/ Cardiopulmonary Resuscitation (CPR)
Congestive Heart Failure
Hypertension
Pacemaker - Permanent

PATIENT CARE WITH PULMONARY DISEASE

Acute Pneumonia
Asthma
Chest Trauma
Chest Tubes
Chronic Obstructive Pulmonary Disease (COPD)
Pulmonary Embolism
Tracheostomy

PATIENT CARE WITH ENDOCRINE/METABOLIC DISEASE

Diabetes Mellitus

PATIENT CARE WITH GASTROINTESTINAL DISEASE

Bowel Obstruction
Colostomy
Gastrointestinal Bleeding
Paralytic Ileus

PATIENT CARE WITH RENAL/GENITOURINARY DISEASE

Acute Renal Failure
End Stage Renal Disease
Urinary Tract Infection

PATIENT CARE WITH KNEE LIGAMENT INJURIES

Medial Collateral Ligament (MCL)
Lateral Collateral Ligament (LCL)
Posterior Cruciate Ligament (PCL)
Anterior Cruciate Ligament (ACL)
Meniscus Repair
Knee joint dislocation
Knee fractures

EQUIPMENT AND PROCEDURES

Administration using Feeding Pump
Administration using Gravity Feeding
Assist with Thoracentesis
Assist with Lumbar Puncture
Air Fluidized, Low Air Loss Beds
Bag and Mask
Balanced Suspension Traction
Buck's Traction
Blood Glucose Monitoring
Cane
Cast Care
Catheter Care
Chest Physiotherapy
Cervical Collar
Circulation Checks
Continuous Bladder Irrigations
Continuous Passive Motion Devices
Crutch Walking
Endotracheal Tube/Suctioning
External CPAP
Face Masks
Flexible Feeding Tube
K – Wires
Incentive Spirometry
Inhalers
Insertion & Care of Straight and Foley Catheter - Female
Insertion & Care of Straight and Foley Catheter - Male
Management of Gastrostomy Tube
Management of Jejunostomy Tube
Management of T – Tube
Narcotic Agents
Non – Narcotic Agents
Non – Pharmacological Measures
Nasal Cannula
Nasal Airway/Suctioning
Oropharyngeal/Suctioning
Oximetry
Performing Finger Stick
Placement of Nasogastric Tube
Prosthetic
Portable Oxygen Tank
Pain Assessment using Pain Scales
Patient Controlled Analgesia (PCA)
Routine Specimen Collection
Range of Motion Activities (ROM)
Sputum Specimen Collection
Sling
Saline Lavage
Salem Sump to Suction
Sterile Dressing Changes
Skeletal Traction
Spica Casts
Splint Application
Splint Care
Traction
Transfer Boards
Trach Collar
Tracheostomy/Suctioning
Use of Hyper/Hypothermia Blanket
Visual Blood Glucose Strips
Walker
Wheelchair
Wound Care/Irrigations
24-hour Specimen Collection

MEDICATIONS

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

AUTOMATED MEDICATION DISPENSING SYSTEMS

Accudose
Metro
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 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 (18-35)
Middle Age (36 to 55 years)
Older Adulthood (56 years and older)