NURSING SKILLS CHECKLIST

NAME Tara Michelle Myers

FACULTY Jenny Thomas-Wright Competencies for Nursing Practice I

FACULTY Dowling & Schultz 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 09/10/15 (P) 03/30/16 (P) Module 1

Standard Precautions 09/10/15 (P) 03/30/16 (P) Module 1

Personal Protective Equipment 09/10/15 (P) 03/30/16 (P) Module 1

Transmission-based Precautions 11/05/15 (P) 5/17 (PCT @ MRMC) Module 1

Transfers 09/10/15 (P) 03/30/16 (P)

Bed Positioning 09/10/15 (P) 5/17 (PCT @ MRMC)

Body Mechanics 09/10/15 (P) 03/30/16 (P)

Lifts 11/19/15 (P) 03/30/16 (P)

Joint Mobility 08/20/15 (L) 5/17 (PCT @ MRMC)

Restraints 09/03/15 (L) 5/17 (PCT @ MRMC)

Assistive Devices 09/10/15 (P) 03/16/16 (P)

Fall Prevention 09/10/15 (P) 5/17 (PCT @ MRMC)

Seizure Precautions 08/20/15 (L)

Ambulation 09/10/15 (P) 5/17 (PCT @ MRMC)

Sequential Compression Devices 11/12/15 (P) 5/17 (PCT @ MRMC)

Client Hygiene: Oral, Hair, Perineal, Foot 09/10/15 (P) 5/17 (PCT @ MRMC)

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Anti-Embolic Stockings 09/03/15 (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 10/01/15 (L) 01/20/16 (L) Module I
Environment Module I
Functional 10/01/15 (L) 01/20/16 (L) Module I
Mental Status Modules I-III
Pain 11/12/15 (P) 01/20/16 (L) 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 09/10/15 (P) 01/20/16 (L) Modules II-III

REDUCTION OF RISK POTENTIAL

Specimen Collection: Stool, Urine, Sputum, Wound, 09/17/15 (L) 03/16/16 (P)
Nose Throat, Capillary, Phlebotomy
Urine Testing 09/17/15 (L) 03/16/16 (P)
Glucose Testing 11/05/15 (P) 04/05/16 (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 03/16/16 (P)
Initiate Telemetry Monitor 03/16/16 (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 10/01/15 (L)

Incentive Spirometer 10/01/15 (L) 03/15/16 (P)

Administer Oxygen: Nasal Cannula, Face Mask 10/01/15 (L) 5/17

Mechanical Ventilation: Maintaining, Suctioning, 02/10/16 (L)

Alarms, Complications

Pulse Oximeter 09/24/15 (P) 03/16/16 (P)

Peak Expiratory Flow 10/01/15 (L) 03/30/16 (P)

Chest Physiotherapy 10/01/15 (L)

Tracheostomy Care 02/10/16 (L)

4/17Childrens
Hospital
Suctioning: Oropharyngeal, Nasopharyngeal, 02/10/16 (L)
Tracheostomy 4/17Childrens
Hospital
Chest Tubes: Assisting with Insertion, Maintaining, 02/24/16 (L)
Removal

REDUCTION OF RISK POTENTIAL

Aspiration Precautions 10/01/15 (L) 03/30/16 (P)

BASIC CARE & COMFORT

Feeding Clients 10/01/15 (L) 5/17(PCT@ MRMC)
Recording Intake 10/01/15 (L) 04/05/16 (P)

PHYSIOLOGICAL ADAPTATION
Gastric Tube Feedings: Nasogastric Tube, 10/01/15 (L) 4/17Childrens
Gastrostomy | Jejunostomy Hospital
Nasogastric Tube: Insertion, Maintenance, Removal 10/01/15 (L)
Gastric and Jejunum Tube Care 10/01/15 (L) 4/17Childrens
Hospital

URINARY PHYSIOLOGICAL ADAPTATION

Catheter Insertion & Removal 09/17/15 (L)
Catheter Care 09/24/15 (L) 5/17(PCT@ MRMC)
Bladder Irrigation 04/06/16 (L)

Urinary Ostomy Care 04/06/16 (L)

Peritoneal Dialysis 04/06/16 (L)

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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 09/17/15 (L) 5/17(PCT@ MRMC)
Fecal Impaction 09/17/15 (L) 04/06/16 (L)
Enema 09/17/15 (L) 04/06/16 (L)
Fecal Ostomy (also in Comp II) 09/17/15 (L) 04/06/16 (L)

BASIC CARE & COMFORT

Recording Output 09/17/15 (L) 04/05/16 (P)

PHYSIOLOGICAL ADAPTATION
Assessment 10/15/15 (L)
Dressing Change 11/05/15 (P)
Wound Irrigation 11/05/15 (P)
Sitz Bath 10/15/15 (L)
Applying Binders 04/06/16 (L)
Wound Vacuum 10/15/15 (L)

BASIC CARE & COMFORT

Compression Wrap 04/06/16 (L)
Splint 04/06/16 (L)
Brace 04/06/16 (L)
Cast 04/06/16 (L)
Traction 04/06/16 (L)
Heat & Cold: Dry, Moist 10/15/15 (L)

PHARMACOLOGICAL & PARENTERAL THERAPIES

Drug Calculation 11/22/15 (L) 01/13/16 (L)
Safety Legal & Ethical Issues
Controlled Substances 10/22/15 (L)
6 Rights | 3 Checks 10/22/15 (L)
Documentation 11/5/15 (L)
Error Reporting 10/22/15 (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 10/22/15 (L) 04/05/16 (P)
Enteral Tubes 10/22/15 (L)
Topical 10/22/15 (L)
Optic 10/22/15 (L)
Ophthalmic 10/22/15 (L)
Nasal 10/22/15 (L)
Inhalant 10/22/15 (L)
Dermatologic 10/22/15 (L)
Vaginal 10/22/15 (L)
Rectal 10/22/15 (L)
Intramuscular 10/22/15 (L)
Subcutaneous 11/12/15 (P) 04/05/16 (P)
Intradermal 10/22/15 (L)
Eye and Ear Irrigation 10/22/15 (L)
Starting, Maintaining and Discontinuing, & 03/30/16 (P)
Intravenous Infusion
Intravenous Push 01/13/16 (L)
Intravenous Additives 01/13/16 (L)
Intravenous Fluids 01/13/16 (L)
Patient Controlled Analgesic Pump
Total Parenteral Nutrition 01/20/16 (L)
Central Venous Access Devices 01/20/16 (L)
Types:
Aspiration 01/13/16 (L)
Flushing 01/13/16 (L)
Medication Administration 03/16/16 (P)
Tubing 04/05/16 (P)
Complications 01/20/16 (L)
Dressing Changes 01/20/16 (L)
Blood Transfusion 02/24/16 (L)
Product Types 02/24/16 (L)
Safety 02/24/16 (L)

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Procedure 02/24/16 (L)
Assessment of Complications 02/24/16 (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 04/06/16 (L)
Surgical Hand Scrub (also in Comp II) 8/20/15 (L)

Applying Sterile Gown & Gloves (also in Comp II) 08/20/215 (L) 02/03/16 (P)
Managing GI Suction (also in Comp II)
Suture & Staple Care 04/06/16 (L)
Suture & Staple Removal 04/06/16 (L)

Epidural Care 04/06/16 (L)

SAFETY | INFECTION
Sterile Field (also in Comp II) 08/20/15 (L) 02/03/16 (P)
Sterile Gloves (also in Comp II) 08/20/15 (L) 02/03/16 (P)
4/17Childrens
Hospital

PSYCHOSOCIAL INTEGRITY
Palliative Care 5/17(PCT@ MRMC)
Performing Post-mortem Care 5/17(PCT@ MRMC)

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