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LPN / LVN - Long Term Care / Skilled Nursing Facility Medication

LPN / LVN - Long Term Care / Skilled Nursing Facility Medication

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 patients’ 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

PATIENT ASSESSMENT (CEPHALOCAUDAL APPROACH)

NEUROLOGICAL SYSTEM (HEAD/BRAIN)
Behavioral changes monitoring
Cognitive function evaluation
Confusion and delirium recognition
Fall risk assessment related to neurological status
Level of consciousness assessment (Glasgow Coma Scale)
Memory assessment tools (Mini-Mental State Exam basics)
Orientation assessment (person, place, time
Seizure precautions and management

HEAD, EYES, EARS, NOSE, THROAT (HEENT)

Ear cleaning and cerumen removal awareness
Eye care and artificial tear administration
Hearing assessment
Nasal passage assessment
Oral hygiene assessment and care
Swallowing evaluation basics
Visual acuity screening

RESPIRATORY SYSTEM

Aspiration precautions
Breath sound assessment
Cough effectiveness evaluation
Incentive spirometry instruction
Oxygen saturation monitoring
Oxygen therapy administration and monitoring
Respiratory isolation procedures
Respiratory rate and pattern assessment
Sputum characteristics documentation

CARDIOVASCULAR SYSTEM

Blood pressure measurement (manual and automated)
Capillary refill testing
Cardiac monitoring basics
DVT prevention and recognition
Edema assessment and grading
Heart sound recognition (basic)
Peripheral circulation assessment
Pulse assessment (rate, rhythm, quality)

GASTROINTESTINAL SYSTEM

Abdominal inspection and palpation
Bowel movement monitoring and documentation
Bowel sound assessment
Dysphagia management
Feeding assistance techniques
Nausea and vomiting management
Nutritional status assessment
Ostomy care assessment

GENITOURINARY SYSTEM

Bladder distention assessment
Catheter care and monitoring
Fluid balance monitoring
Incontinence management
Perineal care
Urinary output monitoring
UTI prevention and recognition

MUSCULOSKELETAL SYSTEM

Assistive device assessment
Contracture prevention
Gait assessment
Joint function evaluation
Mobility level evaluation
Muscle strength testing (basic)
Range of motion assessment
Transfer ability evaluation

INTEGUMENTARY SYSTEM

Moisture-associated skin damage recognition
Nail and hair assessment
Pressure ulcer staging and documentation
Rash and lesion identification
Skin color and temperature assessment
Skin tear evaluation
Wound assessment and measurement

COMMON DISEASES AND CONDITIONS IN LONG-TERM CARE

CARDIOVASCULAR CONDITIONS
Atrial fibrillation recognition
Deep vein thrombosis prevention
Heart failure assessment
Hypertension management and monitoring
Myocardial infarction post-care
Peripheral vascular disease care
Stroke rehabilitation support

RESPIRATORY CONDITIONS

Aspiration pneumonia prevention
Asthma management
Chronic obstructive pulmonary disease (COPD) management
Pneumonia prevention and care
Sleep apnea awareness

NEUROLOGICAL CONDITIONS

Understanding Alzheimer's disease progression
Dementia care and management
Multiple sclerosis care
Parkinson's disease care
Seizure disorder management
Stroke recovery support

ENDOCRINE CONDITIONS

Diabetes mellitus management (Type 1 and 2)
Blood glucose monitoring
Hypoglycemia and hyperglycemia recognition
Thyroid disorder awareness
Adrenal insufficiency recognition

MUSCULOSKELETAL CONDITIONS

Arthritis care (osteoarthritis, rheumatoid)
Amputation care
Contracture prevention
Fracture care and rehabilitation
Osteoporosis management
Ostomy care

INFECTIOUS DISEASES

Influenza prevention and management
Methicillin-resistant Staphylococcus aureus (MRSA) management
Respiratory infections
Skin and soft tissue infections
Urinary tract infections
Vancomycin-resistant Enterococci (VRE) precautions

MENTAL HEALTH CONDITIONS

Anxiety management techniques
Behavioral issues in dementia
Depression recognition and support
Psychosis recognition
Substance use disorder awareness
Sundowning management

ESSENTIAL CLINICAL RESPONSIBILITIES

VITAL SIGNS AND MONITORING
Blood pressure monitoring
Intake and output measurement
Oxygen saturation monitoring
Pain assessment using appropriate scales
Pulse assessment and documentation
Respiratory rate and quality assessment
Temperature measurement (oral, rectal, axillary, tympanic)
Weight monitoring and documentation

WOUND CARE

Drainage system management
Dressing selection and application
Moisture-associated skin damage prevention
Pressure ulcer prevention strategies
Skin tear management
Wound assessment and staging
Wound cleaning techniques
Wound documentation and photography

ACTIVITIES OF DAILY LIVING (ADL) SUPPORT

Bathing assistance and supervision
Dressing and undressing assistance
Feeding assistance and supervision
Grooming and personal hygiene
Mobility and transfer assistance
Positioning and repositioning
Toileting and incontinence care

NUTRITION AND HYDRATION

Diabetic diet compliance
Fluid restriction monitoring
Nutritional screening and assessment
Swallowing assessment basics
Weight management support

SAFETY AND FALL PREVENTION

Bed and wheelchair safety
Emergency response protocols
Environmental safety evaluation
Fall risk assessment tools
Incident reporting procedures
Restraint alternatives
Wandering prevention strategies

MEDICATION ROUTES & TECHNIQUES

Oral medications (tablets, capsules, liquids)
Sublingual and buccal administration
Topical applications (creams, ointments, patches)
Transdermal patch application and rotation
Ophthalmic drops and ointment instillation
Otic medication administration
Nasal spray and drop administration
Rectal suppository insertion
Vaginal medication administration
Subcutaneous injections
Intramuscular injections
Intradermal injections
Insulin administration (various types and devices)
Inhalation medications (MDI, nebulizers, dry powder)

MEDICATION MANAGEMENT

Medication reconciliation processes
PRN medication assessment and administration
Medication refusal documentation and intervention
Adverse drug reaction recognition and reporting
Drug interaction awareness
Medication storage and security protocols
Medication disposal procedures
Emergency medication protocols

MEDICATIONS

Antianginal
Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Antihyperlipidemic Drugs
Antihypertensive
Anti-Infectives
Diuretics
Electrolyte Therapy
Gastrointestinal Drugs
Hormones
Mental Health Medications
Muscle Relaxants
Narcotics/Opioids
Neurocognitive Drugs
Neuromuscular Blocking Agent
NS Stimulants
Ophthalmic
Pulmonary Drugs
Steroids
Vaccines

AUTOMATED MEDICATION DISPENSING SYSTEMS

Accudose
eMAR
Metro
Omnicell
Promanager Rx
Pyxis

ELECTRONIC DOCUMENTATION

Allscripts
Amazing Charts
Aprima Medical Software
athenaClinicals
Athenahealth
AthenaOne by Epocrates
Azalea Health
Care360
Cerner (Oracle)
CPSI
DrChrono
eCLinicalWorks
Eclipsys
EPIC
GE Centricity
GE Healthcare
Greenway Health
Kareo
MACLAB
McKesson/Paragon
Meditech
Modernizing Medicine
NaviNet
Netsmart
NextGen Healthcare
PACS
Praxis EMR
Quadramed
Quanum EHR by Quest Diagnostics
Soarian
Surescripts
Virence Health

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)