Skills Competency List

Safety/ Risk Reduction

- ID band check
- Allergy band check
- Side rails
- Call light
- Fall risk
- Skin breakdown
- Anti-embolism (TED, SCD)
- Environmental assessment
- Restraints
- Risk for suicide
- Risk for violence
- Seizure precautions
Assessment
- Vital signs (including newborn)
- Pain
- Basic physical assessment
- Beginning focused assessment
- Intermediate focused assessment
- Advanced focused assessment (including ICU, post operative, maternal, newborn,
pediatric, mental health/ psych, & community health risk)
- Mini mental status exam
- Opiate withdrawal assessment
- Alcohol withdrawal (CIWA)
Hygiene/ Infection Control
- Hand washing
- Standard precautions
- Isolation (mask, gown, & gloves)
- Bathing
- Oral care
- Foley catheter care
- Sitz bath
- Peri care
- Sterile gloving
- Sterile field
Body Mechanics/ Moving/ Positioning
- Ambulation with assistive devices
- Wheelchair
- Gait belt
- Positioning
- Transfer (bed, stretcher, chair)

Hoyer lift
Range of motion (active, passive)
Turning immobile patient

Monitoring
- Calculation of I & O
- Basic EKG interpretation
- Pacemaker
- Electronic fetal monitoring
Medication Administration
- Safety/ six rights
- Oral
- Topical
- Intramuscular
- Subcutaneous
- Intradermal
- Gastrointestinal tube
- IV piggy back
- IV push
- Suppository (vaginal or rectal)
- Enema administration
- Ophthalmic
- Otic
- Inhalation therapy
- Total parenteral nutrition
- IV infusion pump
- PCA
- Syringe pump
- Blood product administration
- Drip calculation/ regulation
Wound Management
- Suture/ staple removal
- Dressing changes (including clean/ dry, transparent/ duoderm/ hydrocolloid,
damp/ dry, sterile, packing, & central line)
- Drains (Hemovac, Jackson-Pratt, T-tube)
- Ostomy (application, management, & emptying ostomy bag)
Specimen Collection
- Urinalysis (clean catch & catheter urinalysis)
- Culture (throat, viral, sputum, & blood)
- Finger stick blood sugar
- Heel stick
- Venipuncture
- Arterial line blood draw (VAMP)

Respiratory Management
- Oxygen delivery
- Pulmonary toilet (TCDB, IS, P&PD)
- Peak flow meter
- Suctioning
- Tracheostomy care
- Ventilation (ambu bag & ventilator)
Invasive Lines & Tubes
- Foley catheter (insertion & removal)
- Duodenal feeding tube (assessment, insertion, & removal)
- NG/ OG, G-tube, J-tube (assessment, maintenance, insertion, & removal)
- Chest tube (assessment & maintenance)
- IV (assessment of site/ line/ fluid, fluid administration, IV drip calibration,
insertion, removal, & heparin/ saline lock conversion/ flush)
- Central line (assessment of site/ line/ fluid, PICC line flush, central venous line
flush, Swan-Ganz, & arterial line)
- Ventriculostomy
Communication
- Nursing process
- Shift report
- SBAR
- Therapeutic communication
- Documentation (including electronic)
- Intra/ Interprofessional communication