NURSING SKILLS CHECKLIST

NAME Paula Gravitt

FACULTY Claudette Doyne Competencies for Nursing Practice I

FACULTY Wendi 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 January 15, 2015 (L) Ongoing since January 2015 (H)
Standard Precautions January 15, 2015 (L) Ongoing since January 2015 (H)
Personal Protective Equipment January 15, 2015 (L) Ongoing since January 2015 (H)
Transmission-based Precautions January 15, 2015 (L) Ongoing since January 2015 (H)
Transfers January 22, 2015 (L) Ongoing since January 2015 (H)
Bed Positioning January 22, 2015 (L) Ongoing since January 2015 (H)
Body Mechanics January 15, 2015 (L) Ongoing since January 2015 (H)
Lifts January 22, 2015 (L) Ongoing since January 2015 (H)
Joint Mobility January 29, 2015 (L) Ongoing since January 2015 (H)
Restraints January 22, 2015 (L) September 9, 2015 (H)
Assistive Devices January 29, 2015 (L) September 9, 2015 (H)
Fall Prevention January 19, 2015 (L) Ongoing since January 2015 (H)
Seizure Precautions January 19, 2015 (L) Ongoing since January 2015 (H)
Ambulation January 29, 2015 (L) Ongoing since January 2015 (H)

Sequential Compression Devices January 22, 2015 (L) January 2017 (H)
Client Hygiene: Oral, Hair, Perineal, Foot January 22, 2015 (L) January 2017 (H)
Anti-Embolic Stockings
COMP I: NUR 2103 COMP II: NUR 3104 ASSESSMENT

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

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 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 March 5, 2015 (L) Ongoing since January 2015 (H) Module I
Environment Module I
Functional March 5, 2015 (L) Ongoing since January 2015 (H) Module I
Mental Status Modules I-III
Pain March 5, 2015 (L) Ongoing since January 2015 (H) 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

COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMEN

T
DATE(S) PERFORMED DATE(S) PERFORMED
NUR 2102
GENERAL COMPUTER SKILLS MANAGEMENT OF CARE
Basic Computer Navigation
Email

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Computer/Internet Security Procedures
Orientation
Web Navigation
Navigation of the Electronic Medical Record March, 2015 (L) Ongoing since January 2015 (H) Modules II-III

REDUCTION OF RISK POTENTIAL

Specimen Collection: Stool, Urine, Sputum, Wound, March, 2015 (L) January 2017 (H)
Nose Throat, Capillary, Phlebotomy
Urine Testing March, 2015 (L) October 27, 2015 (H)
Glucose Testing March, 2015 (L) Ongoing since January 2015 (H)

INTERPRETATION OF COMMON
REDUCTION OF RISK POTENTIAL
LABORATORY & DIAGNOSTIC TESTS
Blood Chemistries
Hematology
Culture
Urinalysis
Fecal Analysis
Cerebrospinal Fluid
Computer Tomography
Doppler Studies Module II
Electrocardiograph
Endoscopy
Magnetic Resonance Imaging
Radiology
Skin Testing
Ultrasound
Perform Electrocardiogram March, 2015 (L) September 29, 2015 September
(L) 2016 (H)
Initiate Telemetry Monitor March, 2015 (L) September 29, 2015 October 27,
(L) 2015 (H)

COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMENT

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

PSYCHOSOCIAL ADAPTATION
Diaphragmatic Breathing March 5, 2015 (L) September 2016 (H) January
2017 (H)
Incentive Spirometer March 5, 2015 (L) September 2016 (H) January
2017 (H)

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 Administer Oxygen: Nasal Cannula, Face Mask March 5, 2015 (L) October 28, 2015 January
(H) 2017 (H)
Mechanical Ventilation: Maintaining, Suctioning, March 5, 2015 (L) September 22, 2015 November
Alarms, Complications (L) 2016 (H)
Pulse Oximeter March 5, 2015 (L) Ongoing since January
January 2015 (H) 2017 (H)
Peak Expiratory Flow March 5, 2015 (L) October 2015 (H)
Chest Physiotherapy March 5, 2015 (L) November
2016 (H)
Tracheostomy Care March 5, 2015 (L) September 22, 2015 November
(L) 2016 (H)
Suctioning: Oropharyngeal, Nasopharyngeal, March 5, 2015 (L) September 22, 2015 November
Tracheostomy (L) 2016 (H)
Chest Tubes: Assisting with Insertion, Maintaining, March 5, 2015 (L) September 29, 2015
Removal (L)

REDUCTION OF RISK POTENTIAL

Aspiration Precautions March 5, 2015 (L) November
2016 (H)

BASIC CARE & COMFORT

Feeding Clients March 5, 2015 (L) September 9, 2015 November January 2017
(H) 2016 (H) (H)
Recording Intake March 5, 2015 (L) September 2, 2015 November January 2017
(H) 2016 (H) (H)

PHYSIOLOGICAL ADAPTATION
Gastric Tube Feedings: Nasogastric Tube, March 5, 2015 (L) September 9, 2015 November
Gastrostomy | Jejunostomy (H) 2016 (H)
Nasogastric Tube: Insertion, Maintenance, Removal March 5, 2015 (L) September 9, 2015
(H)
Gastric and Jejunum Tube Care March 5, 2015 (L) September 9, 2015
(H)

URINARY PHYSIOLOGICAL ADAPTATION

Catheter Insertion & Removal February 19, 2015 October 28, 2015 Septembe February 1,
(L) (H) r 2016 (H) 2017 (H)
Catheter Care February 19, 2015 October 28, 2015 Septembe February 1,
(L) (H) r 2016 (H) 2017 (H)
Bladder Irrigation February 19, 2015 October 28, 2015
(L) (H)
Urinary Ostomy Care February 19, 2015 October 28, 2015
(L) (H)
Peritoneal Dialysis February 19, 2015 October 28, 2015
(L) (H)

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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 February 19, 2015 October 27, 2015 January
(L) (H) 2017 (H)
Fecal Impaction February 19, 2015 October 27, 2015
(L) (H)
Enema February 19, 2015 October 27, 2015
(L) (H)
Fecal Ostomy (also in Comp II) February 19, 2015 October 27, 2015
(L) (H)

BASIC CARE & COMFORT

Recording Output March 5, 2015 (L) Ongoing since January
January 2015 (H) 2017 (H)

PHYSIOLOGICAL ADAPTATION
Assessment March 26, 2015 (L)
Dressing Change March 26, 2015 (L)
Wound Irrigation March 26, 2015 (L)
Sitz Bath March 26, 2015 (L)
Applying Binders March 26, 2015 (L)
Wound Vacuum March 26, 2015 (L)
Ongoing since
January 2015 (H)
January 2017 (H)
September 2015 (L)
September 2015 (L)
September 2015 (L)
September 2015 (L)

BASIC CARE & COMFORT

Compression Wrap March 26, 2015 (L) September 2015 (L)
Splint March 26, 2015 (L) September 2015 (L)
Brace March 26, 2015 (L) September 2015 (L)
Cast March 26, 2015 (L) September 2015 (L)
Traction March 26, 2015 (L) September 2015 (L)
Heat & Cold: Dry, Moist March 26, 2015 (L) November
2016 (H)

PHARMACOLOGICAL & PARENTERAL THERAPIES

Drug Calculation April 2, 2015 (L) Ongoing
since
2015
Safety Legal & Ethical Issues
Controlled Substances April 2, 2015 (L) Ongoing
since
2015
6 Rights | 3 Checks April 2, 2015 (L) Ongoing

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 since
2015
Documentation April 2, 2015 (L) Ongoing since
August 2015 (H)
Error Reporting April 2, 2015 (L) August 2015 (H)

COMP I: NUR 2103 COMP I: NUR 3104 ASSESSMENT

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

MEDICATION ADMINISTRATION PHARMACOLOGICAL & PARENTERAL THERAPIES
Oral April 2, 2015 (L) Ongoing since
August 2015 (H)
Enteral Tubes April 2, 2015 (L)
Topical April 2, 2015 (L) January 2017 (H)
Otic April 2, 2015 (L) April 2, 2015 (L)
Ophthalmic April 2, 2015 (L) April 2016 (H)
Nasal April 2, 2015 (L) October 14, 2015 November
(H) 2016 (H)
Inhalant April 2, 2015 (L) November
2016 (H)
Dermatologic April 2, 2015 (L) November
2016 (H)
Vaginal April 2, 2015 (L) April 2, 2015 (L)
Rectal April 2, 2015 (L) April 2, 2015 (L)
Intramuscular April 9, 2015 (L) November
2016 (H)
Subcutaneous April 9, 2015 (L) October 14, 2015
(H)
Intradermal April 9, 2015 (L) January 2017 (H)
Eye and Ear Irrigation April 2, 2015 (L) April 2, 2015 (L)

Starting, Maintaining and Discontinuing Intravenous August 18, 2015 (L) February
Infusion September 23, 2015 1, 2017
(H) (H)
Intravenous Push August 18, 2015 (L) February
1, 2017
(H)
Intravenous Additives August 25, 2015 (L)
Intravenous Fluids August 25, 2015 (L) November
2016 (H)
Patient Controlled Analgesic Pump January
2017 (H)
Total Parenteral Nutrition August 25, 2015 (L)

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Central Venous Access Devices August 25, 2015 (L) February
1, 2017
(H)
Types:
Aspiration August 25, 2015 (L)
Flushing August 25, 2015 (L) February
September 23, 2015 1, 2017
(H) (H)
Medication Administration August 25, 2015 (L)
Tubing August 25, 2015 (L)
Complications August 25, 2015 (L)
Dressing Changes August 25, 2015 (L)
Blood Transfusion September 29, 2015 January
(L) 2017 (H)
Product Types September 29, 2015 January
(L) 2017 (H)
Safety September 29, 2015 January
(L) 2017 (H)
Procedure September 29, 2015 January
(L) 2017 (H)
Assessment of Complications September 29, 2015 January
(L) 2017 (H)

COMP I: NUR 2103 COMP II: NUR 3104 ASSESSMENT

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

REDUCTION OF RISK POTENTIAL
Pre-Op Teaching February, 19, 2015 September 2015 (L)
(L)
Surgical Hand Scrub (also in Comp II) February, 19, 2015 September 2015 (L)
(L)
Applying Sterile Gown & Gloves (also in Comp II) February, 19, 2015 November
(L) 2016 (H)
Managing GI Suction (also in Comp II) February, 19, 2015 September 2015 (L)
(L)
Suture & Staple Care February, 19, 2015 October 28, 2015
(L) (H)
Suture & Staple Removal February, 19, 2015 October 28, 2015
(L) (H)
Epidural Care February, 19, 2015 September 2015 (L)
(L)

SAFETY | INFECTION
Sterile Field (also in Comp II) February, 19, 2015 November
(L) 2016 (H)
Sterile Gloves (also in Comp II) February, 19, 2015 November

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 (L) 2016 (H)

PSYCHOSOCIAL INTEGRITY
Palliative Care February 2015 (L) January 2017 (H)
Performing Post-mortem Care February 2015 (L) December 2016

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