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• Scrub Tech Application
• Scrub Comp Checklist
• OR Nurse Application
• OR Comp Checklist
• PACU Nurse Application
• PACU Comp Checklist

 

PERIOPERATIVE NURSES, INC.

PACU Competency Checklist

Name Date Years of PACU experience

Do you have experience in an ambulatory care setting? YES NO

Do you have experience recovering critically ill patients? YES NO

Do you have experience in admission and/or discharge of patients? YES NO

Please assess your experience in the following areas:

M=Minimal A=Average E=Extensive

Comments: