Clinical Nursing Skills Checklist 4583n

CLINICAL NURSING SKILLS CHECKLIST Skill Pulse rates and sites Respiratory rate and quality Blood pressure: manual and palpation Blood pressure: electronic auscultation Temperature: axilla, oral, rectal, tympanic Physical Assessment: The student will perform examination using inspection, auscultation, palpation, and percussion. Health history interview Examination Skin, hair, nails Eyes, vision Ears Nose and sinuses Mouth and throat Neck Neck vessels Lungs Heart Breast and axillae Abdomen Muscoskeletal Peripheral vascular Neurologic General Assessment Appropriate use of instrumentation Assessment of older adult Assessment of infant Assessment of child Infection Control Hand washing Standard/Universal precautions Clean gloving Sterile gloving Sharps disposal Contaminated material disposal Isolation technique (masking, gowning, and gloving) Sterile technique/Sterile field Cleaning bodily fluid spills Toileting Use of bedpan Use of urinal Commode

Hygiene Bed bath Partial bed bath Tub bath Shower Oral care Care of dentures, retainers, bridges Shaving Shampooing and hair care Nail care (fingers and toes) Foot care Care of prosthetics (eyeglasses, s, eye prosthesis, hearing aid, artificial limbs) Eye, ear, and nose care Mobility, Immobility and Positioning Body mechanics Body alignment Turning patient Transferring patient: bed, stretcher, chair Use of safety devices Use of restraints Use of devices to relieve pressure sores Active range of motion ive range of motion Ambulation Use of wheelchair Use of crutches Use of cane Use of walker Bedmaking and Comfort Measures Making occupied bed Making unoccupied bed Back rub Use of the call bell Transporting a patient ID and allergy bands I & O Calculation and Recording Net balance calculation Genitourinary Straight catheter insertion/removal Indwelling catheter insertion Catheter irrigation Continuous bladder irrigation Catheter removal Catheter care: indwelling, condom Perineal care Assist with pap smear Assist with pelvic examination

Bowel Elimination Enema Selection/Application of ostomy appliances Ostomy pouch care Stoma/Peristomal skin care Nutrition Gravity feedings: enteral , gastrostomy Insertion/Maintenance of enteral feeding tube Removal of feeding tube (not gastrostomy tube) Feeding pumps Wound Management Clean dressing change Superficial dressing change (dry, gauze, topical wound products) Deep wound packing Wet to dry dressing change Sterile dressing change Wound irrigation Suture/Staple removal Heat and Cold Therapy Hot and cold applications Safe Medication Preparation and istration Oral (tablets, capsules, and liquids) Topicals, intradermal and transdermal Eye drops, ointment Ear drops Nose drops Nasal sprays Nasal inhalers Rectal Subcutaneous Intramuscular Nasogastric/Gastrostomy Reporting errors Pain Management and Assessment Qualitative and quantitative assessment Patient controlled analgesia Relaxation techniques Body positioning Perioperative Care and Mobility Pre-operative preparation and teaching Post-operative teaching Post-anesthesia care Positioning: supine, prone and side-lying Trendelenburg and reverse trendelenburg positioning

Orthopedic/Vascular Care

Traction care Cast care Continuous ive motion exercise Prosthesis/Amputation care Abduction pillow Application of anti-embolism stockings (TED hose) Application/Maintenance of Sequential Compression Device (SCD) Application of compression stockings/wraps Use of Doppler Basic EKG Specimen Collection Blood specimen/phlebotomy Sputum specimen Stool specimen Fecal occult blood test (hemocult) Gastric specimen from nasogastric tubes (gastrocult) Glucose testing/fingerstick Tubes and Drains Insertion of nasogastric tube Nasogastric tube maintenance Gastrostomy tube maintenance Maintenance of drainage collection device(s): JP drains, hemovacs Respiratory Care Pulse oximeters Nebulizer Use of ambu bag/mask Use of nasal cannula/rebreather Oxygen mask Turn, cough, and deep breathe Incentive spirometry Postural drainage/chest physiotherapy Closed chest tube drainage system care Chest tube insertion site care Tracheostomy care IV Therapy Tube priming Set up single and multi IV line configurations Peripheral IV maintenance Peripheral IV insertion Peripheral IV site care Peripheral IV removal Central line management Central venous catheter care IV tube and bag changes Use of infusion devices

IV Therapy (continued) Regulate flow rate Heplock flush IV medication push IV piggyback medication Assessment for inflammation/infiltration Phlebotomy (blood drawing) Total parenteral nutrition (TPN) istration Mental Health Self-awareness and appropriate self-disclosure Mental status examination Therapeutic communication skills Evaluate risk for suicide Evaluate risk for violence Antepartal Assessment Obstetrical history Estimation of DOB Auscultation of fetal heart rate with Doppler Measurement of fundal height in comparison with McDonald’s Rule Perform Leopold Maneuvers Evaluate extent of edema Evaluate deep tendon reflexes Intrapartal Assessment First stage Second stage Third stage Fourth stage Evaluate extent of edema Evaluate deep tendon reflexes External fetal heart rate Assess contractions manually Monitor contractions electronically Demonstrate comfort/complementary measures for labor contractions Assist positions to promote maternal pushing in third stage Postpartal Assessment (Vaginal or C-Section) Breasts Uterus Perineal/Rectal area Lochia Elimination Lower extremities Assists with breastfeeding

Newborn Assessment Head to toe examination Vital signs Weight and length Head and chest circumference Eye prophylaxis (Labor/Delivery) Inject Vitamin K (Labor/Delivery) Inject Hepatitis B Heel stick Classification of growth and gestational age Newborn labs Vessel count Newborn Neurological Functions Moro Grasp (palmar/plantar) Suck babinski Pediatric Screening Height and weight of children Pediculosis screening Vision screening Hearing screening Scoliosis screening Dental screening istration of parenteral immunization to child/infant Use of growth charts Miscellaneous Patient/Family teaching End of shift report Nutritional assessment