NURSING SKILLS CHECKLIST

NAME Sarah Lewis

FACULTY Brownie Competencies for Nursing Practice I

FACULTY Liverman Competencies for Nursing Practice II

INSTRUCTIONS 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 of 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 be submitted to the clinical instructor at midterm
and final. In addition, the checklist should be kept up-to-date in the individual student portfolio. Skills taught in the 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 I: NUR 3104 ASSESSMENT

DATE(S) PERFORMED DATE(S) PERFORMED NUR 2102

DAILY PATIENT CARE SAFETY & INFECTION CONTROL

Hand Hygiene 8/18/16 L 1/31/17 P

Standard Precautions 8/18/16 L 1/31/17 P

Personal Protective Equipment 8/18/16 L 1/31/17 P

Transmission-based Precautions 8/18/16 L 3/29/17 P

Transfers 8/18/16 L 3/29/17 P

Bed Positioning 8/18/16 L 1/31/17 P

Body Mechanics 8/18/16 L 3/29/17 P

Lifts 8/18/16 L 3/29/17 P

Joint Mobility 8/18/16 L

Restraints 9/1/16 L

Assistive Devices 8/18/16 L 3/29/17 P

Fall Prevention 9/1/16 L 1/31/17 P

Seizure Precautions 8/18/16 L 8/6/18 P

Ambulation 8/18/16 L 8/6/18 P

Sequential Compression Devices 9/1/16 L

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Client Hygiene: Oral, Hair, Perineal, Foot 9/1/16 L

Anti-Embolic Stockings 9/1/16 L

COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMENT

DATE(S) PERFORMED DATE(S) PERFORMED NUR 2102

HOLISTIC HEALTH ASSESSMENT HEALTH PROMOTION & MAINTENANCE

Critical Thinking in Health Assessment Modules I-III
Interviewing Modules I-III
Health History Modules I-III
Genetics | Genomics Modules I-III
Cultural Assessment Modules I-II
Spiritual Assessment Modules I-II
Behavioral Change Assessment Module I
Nutrition 9/29/16 L Module I
Environment Module I
Functional 9/29/16 L Module I
Mental Status Modules I-III
Pain 1/31/2017 P Module I

PSYCOSOCIAL INTEGRITY
DOMESTIC VIOLENCE
PHYSICAL EXAMINATION HEALTH PROMOTION & MAINTENANCE
General Survey Modules I-III
Vital Signs Modules I-III
Skin, Hair, Nails & Wounds Modules II-III
Head, Face, Neck, Eyes, Ears, Nose, Mouth & Throat Modules II-III
Thorax & Lungs Modules II-III
Cardiovascular Modules II-III
Abdomen Modules II-III
Musculoskeletal Modules II-III
Neurologic Modules II-III
Breast, Lymphatics & Genitourinary Modules II-III

INTEGRATION OF HEALTH ASSESSMENT THE TO LIFESPAN HEALTH PROMOTION & MAINTENANCE

Complete Health Assessment Modules II-III
Assessment of the Pregnant & Postpartum Female Modules III
Assessment of the Newborn, Infant & Child Modules III
Functional Assessment of the Older Adult Modules III

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 COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMENT
DATE(S) PERFORMED DATE(S) PERFORMED NUR 2102

GENERAL COMPUTER SKILLS MANAGEMENT OF CARE

Basic Computer Navigation
Email
Orientation
Computer/Internet Security Procedures
Web Navigation
Navigation of the Electronic Medical Record 9/22/16 P 1/31/2017 P Modules II-III

REDUCTION OF RISK POTENTIAL

Specimen Collection: Stool, Urine, Sputum, Wound, 9/15/16 L 1/31/2017 P
Nose Throat, Capillary, Phlebotomy
Urine Testing 9/15/16 L 1/31/2017 P
Glucose Testing 9/15/16 L 1/31/2017 P

INTERPRETATION OF COMMON
REDUCTION OF RISK POTENTIAL
LABORATORY & DIAGNOSTIC TESTS
Blood Chemistries
Hematology
Culture
Urinalysis
Fecal Analysis
Cerebrospinal Fluid
Computer Tomography Module II
Doppler Studies
Electrocardiograph
Endoscopy
Magnetic Resonance Imaging
Radiology
Skin Testing
Ultrasound
Perform Electrocardiogram 1/31/2017 P
Initiate Telemetry Monitor 1/31/2017 P

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 COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMENT
DATE(S) PERFORMED DATE(S) PERFORMED NUR 2102

PSYCHOSOCIAL ADAPTATION
Diaphragmatic Bleeding 9/29/16 L

Incentive Spirometer 9/29/16 L 2/7/2017 L

Administer Oxygen: Nasal Cannula, Face Mask 9/29/16 L 3/22/17 P

Mechanical Ventilation: Maintaining, Suctioning, 2/14/18 P

Alarms, Complications
Pulse Oximeter 9/29/16 L 3/22/17 P

Peak Expiratory Flow 9/29/16 L

Chest Physiotherapy 9/29/16 L

Tracheostomy Care 2/14/18 P

Suctioning: Oropharyngeal, Nasopharyngeal, 2/14/18 P

Tracheostomy
Chest Tubes: Assisting with Insertion, Maintaining, 2/7/2017 L
Removal

REDUCTION OF RISK POTENTIAL

Aspiration Precautions 9/29/16 L 3/29/17 P

BASIC CARE & COMFORT

Feeding Clients 9/29/16 L 3/7/17 P
Recording Intake 9/29/16 L 3/7/17 P

PHYSIOLOGICAL ADAPTATION
Gastric Tube Feedings: Nasogastric Tube, 9/29/16 L 2/14/18 P
Gastrostomy | Jejunostomy
Nasogastric Tube: Insertion, Maintenance, Removal 9/29/16 L
Gastric and Jejunum Tube Care 9/29/16 L 2/14/18 P

URINARY PHYSIOLOGICAL ADAPTATION

Catheter Insertion & Removal 9/15/16 L 1/31/2017 P
Catheter Care 9/15/16 L 1/31/2017 P
Bladder Irrigation
Urinary Ostomy Care
Peritoneal Dialysis

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 COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMENT
DATE(S) PERFORMED DATE(S) PERFORMED NUR 2102

FECAL PHYSIOLOGICAL ADAPTATION

Bedpan 9/15/2016 L 1/31/2017 P
Fecal Impaction 9/15/2016 L
Enema 9/15/2016 L
Fecal Ostomy (also in Comp II) 9/15/2016 L

BASIC CARE & COMFORT

Recording Output 9/29/2016 L 1/31/2017 P

PHYSIOLOGICAL ADAPTATION
Assessment 9/29/16 L
Dressing Change 10/13/16 L
Wound Irrigation 10/13/16 L
Sitz Bath 10/13/16 L
Applying Binders
Wound Vacuum 10/13/16 L

BASIC CARE & COMFORT

Compression Wrap
Splint
Brace
Cast
Traction
Heat & Cold: Dry, Moist 10/13/16 L

PHARMACOLOGICAL & PARENTERAL THERAPIES

Drug Calculation 10/20/16 L 3/22/17 P
Safety Legal & Ethical Issues
Controlled Substances 10/20/16 L 3/22/17 P

6 Rights | 3 Checks 10/20/16 L 3/22/17 P

Documentation 10/20/16 L 3/22/17 P
Error Reporting 10/20/16 L

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 COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMENT
DATE(S) PERFORMED DATE(S) PERFORMED NUR 2102

MEDICATION ADMINISTRATION PHARMACOLOGICAL & PARENTERAL THERAPIES

Oral 11/3/16 P
Enteral Tubes 10/20/16 L
Topical 10/20/16 L 3/29/17 P
Optic 10/20/16 L
Ophthalmic 10/20/16 L
Nasal 10/20/16 L 3/22/17 P
Inhalant 11/3/16 P
Dermatologic 11/3/16 P

Vaginal 10/20/16 L
Rectal 10/20/16 L
Intramuscular 10/20/16 L 3/7/17 P
Subcutaneous 11/3/16 P 3/22/17 P
Intradermal 10/20/16 L
Eye and Ear Irrigation 11/10/16 P
Starting, Maintaining and Discontinuing, & 3/17/17 P
Intravenous Infusion
Intravenous Push 3/7/17 P
Intravenous Additives 1/10/2017 L
Intravenous Fluids 3/7/2017 P
Patient Controlled Analgesic Pump 1/10/2017 L
Total Parenteral Nutrition 1/10/2017 L
Central Venous Access Devices 1/17/2017 P
Types: 1/17/2017 P
Aspiration 1/17/2017 L
Flushing 1/17/2017 L
Medication Administration 1/17/2017 L
Tubing 1/17/2017 L
Complications 1/17/2017 L
Dressing Changes 2/1/17 P
Blood Transfusion 2/28/17 L

Product Types 2/28/17 L

Safety 2/28/17 L

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 Procedure 2/28/17 L
Assessment of Complications 2/28/17 L

COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMENT

DATE(S) PERFORMED DATE(S) PERFORMED NUR 2102

REDUCTION OF RISK POTENTIAL

Pre-Op Teaching
Surgical Hand Scrub (also in Comp II) 8/18/16 L

Applying Sterile Gown & Gloves (also in Comp II) 8/18/16 L 3/28/17 P
Managing GI Suction (also in Comp II) 8/18/16 L
Suture & Staple Care
Suture & Staple Removal
Epidural Care

SAFETY | INFECTION
Sterile Field (also in Comp II) 8/18/16 L 3/28/17 P
Sterile Gloves (also in Comp II) 8/18/16 L 3/28/17 P

PSYCHOSOCIAL INTEGRITY
Palliative Care 3/29/17 P
Performing Post-mortem Care

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