360 HCS

Preoperative Skills Checklist

One program to handle all talent management needs from acquisition to development

Personal Information

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Name(Required)
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Proficiency Scale

1 – No Experience
2 – Need Training
3 – Able to perform with supervision
4 – Able to perform independently

General Pre-Operative Preparations

Confirm Patient Identity Using Two Patient Identifiers(Required)
Conduct Physical Assessment Including but not Limited to Skin Integrity and Mobility Deficits(Required)
Confirm Operative Consent Signed(Required)
Collect, Analyze, and Prioritize Patient Data i.e.: Allergies, Lab, Medical / Surgical History, Chart Review(Required)
Confirm Advanced Directives & DNR Status(Required)
Confirm Operative Procedure / Site With Patient(Required)
Document Preoperative Assessment(Required)
Review of Medication History(Required)
Perform a Pain Assessment(Required)
Apply TED Hose as Applicable(Required)
Apply Antithrombic Pump as Applicable(Required)
Initiate IV Therapy as Applicable(Required)
Confirm NPO Status(Required)
Confirm Signed Consent for Blood Transfusion as Applicable(Required)
Medication Reconciliation Documentation Complete(Required)
Confirm Removal of Jewelry, Hairpins, Contact Lenses, Glasses, Prosthesis, Dentures, and Underwear(Required)
Confirm Removal of Dentures / Retainers(Required)
Confirm Personal Belongings / Valuables in Secure Location With Designated Family Member / Locked in Safe(Required)
Administer Pre-Operative Medications as Indicated(Required)

Plan of Care

Perform Preoperative Teaching(Required)
Collaborate With Interdisciplinary Team(Required)
Adhere to Legal / Ethical Guidelines Related to Patient Care(Required)
Assess Behavioral Responses of Patient / Family i.e.: Comfort, Anxiety, Medication, Pain(Required)
Incorporate Cultural Diversity Needs into Plan of Care(Required)
Identify Patient Communication and Barriers(Required)
Utilize Hands Off and Read Back Verbal Orders(Required)
Maintain Patient Confidentiality(Required)
Identify Patient Outcomes Across Care Continuum such as Handoff(Required)
Educate Patient / Family on TED Application(Required)
Educate Patient / Family on Disease Process(Required)
Educate Patient / Family on Turn, Cough, and Deep Breathing(Required)
Educate Patient / Family on Splinting Technique Post-Op(Required)
Educate Patient / Family on use of Incentive Spirometer(Required)
Educate Patient / Family on Importance of Increasing Mobility Post-Op When Applicable(Required)

Age Specific Criteria

Newborn / Neonatal (up to 30 days)(Required)
Infant (30 days to 1 year)(Required)
Toddler (1 to 3 years)(Required)
Preschooler (3 to 5 years)(Required)
School Age (5 to 12 years)(Required)
Adolescents (12 to 18 years)(Required)
Young Adults (18 to 39 years)(Required)
Middle Adults (40 to 64 years)(Required)
Older Adults (65 & up)(Required)

Background Experience

Surgery Center(Required)
Medical Office(Required)
Outpatient Clinic(Required)
Hospital(Required)
Ambulatory Surgical Center(Required)

Authorizations

Legal Consent(Required)