Bon Secours Memorial College of Nursing

Nursing Skills Checklist

Name: Abigail Hennigan

Faculty: Booker Competencies for Nursing Practice I
Faculty: Shultz Competencies for Nursing Practice II

Student will indicate the date that the skill is performed in the course specified. Student should indicate if the
skill was performed in the lab (L) or if the skill was performed during direct patient contact (P). If the student
has the opportunity to perform a skill during direct patient care that has previously been noted as done in the
lab, the student should update this form to indicate performance of skill with a (P) and the revised date if during
the same course. If the student performs a skill previously learned in Nur 2103 during direct care in Nur 3104,
the student should indicate this in the Nur 3104 column and not change the Nur 2103 notes. This document
should be completed electronically and submitted to clinical instructor at midterm and final. In addition, the
checklist should be kept up to date in the individual student portfolio. Skills taught in Nur 2102 do not require a
date of completion but provide a frame of reference for the student to monitor health assessment skills. It is
the sole responsibility of the student to keep this document up to date.

Comp I:Nur 2103 Comp II: Nur 3104 Assessment

Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

Transmission based precautions 9/12/2016 P

Transfers 11/21/2016 P

Bed positioning 9/12/2016 P

Body mechanics 9/12/2016 P

Lifts 8/15/2016 L 3/21/2017 P

Joint mobility 8/15/2016 L

Restraints 8/29/2016 L 6/14/2018 P

Assistive devices 8/29/2016 L 3/20/2017 P

Fall prevention 9/12/2016 P

Seizure precautions 9/12/2016 L 10/18/2017 P

Ambulation 8/15/2016 L 1/24/2017 P

Sequential compression devices 8/29/2016 L 1/24/2017 P

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

Client hygiene: oral, hair, perineal, 9/12/2016 P

foot
Anti-embolic stockings 8/29/2016 L 2/7/2017 P

Holistic Health Assessment Health Promotion and Maintenance

Critical Thinking in Health Modules I-III
Assessment
Interviewing Module I-III
Health history Module I-III

Genetics/Genomics Modules I-III

Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Cultural assessment Modules I-II
Spiritual assessment Modules I-II

Behavioral change assessment Module I

Nutrition 9/12/2016 P Module I

Environment Module I

Functional Module I

Mental Status Module I-III

Pain 1/24/2017 P Module I
Psychosocial Integrity
Domestic Violence
Physical Examination Health Promotion and Maintenance

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

General Survey Module I-III

Vital Signs Module I-III
Skin, Hair, Nails, and Wounds Module II-III
Head, Face, Neck, Eyes, Ears, Module II-III
Nose, Mouth, and Throat
Thorax and lungs Module II-III
Cardiovascular Module II-III
Abdomen Module II-III
Musculoskeletal Module II-III
Neurologic Module II-III
Breast, Lymphatics and Module II-III
Genitourinary
Integration of Health Health Promotion and Maintenance
Assessment to the Lifespan
Complete Health Assessment Module II-III
Assessment of the Pregnant and Module III
Postpartum Female
Assessment of the Newborn, Module III
Infant and Child
Functional Assessment of the Module III

Older Adult
General Computer Skills Management of Care
Basic computer navigation
Email Orientation
Web navigation

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

Computer/internet security
procedures

Comp I:Nur 2103 Comp II: Nur 3104 Assessment

Date(s) Date(s) Performed Nur 2102
Performed
Navigation of the Electronic 9/26/2016 P Module II-III
Medical Record
Reduction of Risk Potential
Specimen collection: stool, urine, 9/19/2016 L 2/15/2017 P
sputum, wound, nose, throat,
capillary, phlebotomy
Urine testing 9/19/2016 L

Glucose testing 11/7/2016 P

Interpretation of Common Laboratory and Diagnostic Tests:

• Blood chemistries
• Hematology
• Culture
Module II
• Urinalysis
• Fecal analysis
• Cerebrospinal fluid
• Computed tomography
• Doppler studies
• Electrocardiography
• Endoscopy
• Magnetic resonance
imaging

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

• Radiography
• Skin testing
• Ultrasound

Perform electrocardiogram 2/15/2017 P

Initiate telemetry monitor 2/15/2017 P

Physiological Adaptation
Diaphragmatic breathing 10/3/2016 L 2/7/2017 P

Incentive spirometer 10/3/2016 L 3/21/2017 P

Administer oxygen: nasal cannula, 10/3/2016 L 11/7/2017 P

face mask,
Mechanical Ventilation: 2/8/2017 L
maintaining, suctioning, alarms,
complications
Pulse oximeter 11/14/2016 P

Peak expiratory flow 10/3/2016 L

Chest physiotherapy 10/3/2016 L P

Tracheostomy care 6/16/2018 P

Suctioning: oropharyngeal, 6/19/2018 P

nasopharyngeal, tracheostomy
Chest tubes: assisting with
insertion, maintaining, removal

Comp I:Nur Comp II: Nur 3104 Assessment

2103 Date(s) Performed Nur 2102
Date(s)
Performed
Reduction of Risk Potential

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

Aspiration Precautions 9/12/201603 P

Basic Care & Comfort

Feeding clients 9/12/2016 P

Recording intake 11/14/2016 P

Physiological Adaptation
Gastric tube feedings: nasogastric 10/3/2016 L 6/6/2018 P
tube, Gastrostomy/jejunostomy
Nasogastric tube: insertion, 10/3/2016 L
maintenance, removal
Gastric and jejunum tube care 10/3/2016 L

Urinary

• Catheter insertion and 9/19/2016 L 6/29/2018 P

removal
• Catheter care 9/12/2016 P

• Bladder irrigation 4/5/2017 L

• Urinary ostomy care 4/5/2017 L

• Peritoneal dialysis 4/5/2017 L

Fecal
• Bedpan 11/14/2016 P

• Fecal impaction 9/19/2016 L

• Enema 9/19/2016 L

• Fecal ostomy (also in Comp 9/19/2016 L

II)
Basic Care & Comfort
Recording Output 11/14/2016 P

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

Physiological Adaptation
Assessment 10/24/2016 L 1/24/2017 P

Dressing change 10/24/2016 L 3/7/2017 P

Wound irrigation 10/24/2016 L 3/7/2017 P

Sitz bath 10/24/2016 L

Applying binders 4/5/2017 L

Wound Vaccum 10/24/2016 L

Basic Care & Comfort

Compression wrap 4/5/2017 L

Splint 4/5/2017 L

Brace 4/5/2017 L

Cast 4/5/2017 L

Traction 4/5/2017 L

Heat and cold: dry, moist 10/24/2016 L 2/7/2017 P

Pharmacological & Parenteral Therapies

Drug Calculations 11/7/2016 P

Safety, legal, and ethical issues

Comp I:Nur Comp II: Nur 3104 Assessment
2103 Date(s) Performed Nur 2102
Date(s)
Performed
• Controlled substances 11/7/2016 P

• 6 rights, 3 checks 11/7/2016 P

• Documentation 11/7/2016 P

• Error reporting 10/24/2016 L

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

Medication Administration
• Oral 10/24/2016 L 1/31/2017 P

• Enteral tubes 11/7/2016 P

• Topical 10/24/2016 L 10/31/2017 P

o Otic 10/24/2016 L

o Ophthalmic 10/24/2016 L

o Nasal 10/24/2016 L

o Inhalant 10/24/2016 L 10/24/2017 P

o Dermatologic 10/24/2016 L

o Vaginal 10/24/2016 L

o Rectal 10/24/2016 L 8/22/2017 P

• Intramuscular 10/24/2016 L 2/28/2017 P

• Subcutaneous 10/24/2016 P

• Intradermal 10/24/2016 L

• Starting, maintaining, and 2/15/2017 P

discontinuing an
intravenous infusion
• Intravenous push 10/31/2017 P

• Intravenous additives 10/24/2017 P

• Intravenous fluids 10/24/2017 P

• Patient controlled analgesia P

pump
Total parenteral nutrition 1/11/2017 L

Eye and ear irrigation

Central Venous Access Devices 1/25/2017 L

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

• Types 1/25/2017 L

o Aspiration 1/25/2017 L

o Flushing 1/25/2017 L

o Medication 1/25/2017 L
administration
o Tubing 1/25/2017 L

o Complications 1/25/2017 L

• Dressing Changes 6/7/2018 P

Blood Transfusions 2/22/2017 L

• Product types 2/22/2017 L

• Safety 2/22/2017 L

• Procedure 2/22/2017 L

• Assessment of 2/22/2017 L
complications
Comp I:Nur Comp II: Nur 3104 Assessment
2103 Date(s) Performed Nur 2102
Date(s)
Performed
Reduction of Risk Potential
Pre-op teaching 4/5/2017 L

Surgical hand scrub (also in Comp

II)
Applying sterile gown and gloves L
(also in Comp II)
Managing GI suction (also in 10/3/2016 L
Comp II)
Suture and staple care 4/5/2017 L

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 Comp I:Nur 2103 Comp II: Nur 3104 Assessment
Date(s) Date(s) Performed Nur 2102
Performed
Daily Patient Care Safety & Infection Control
Hand hygiene 9/12/2016 P

Standard precautions 9/12/2016 P

Personal protective equipment 9/12/2016 P

Suture and staple removal 4/5/2017 L

Epidural care 4/5/2017 L

Safety/Infection
Sterile field (also in Comp II) 9/5/2016 L 6/7/2018 P

Sterile gloves (also in Comp II) 8/15/2016 L 6/7/2018 P

Psychosocial Integrity
Palliative care 4/5/2017 L

Performing post-mortem care 4/5/2017 L

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