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PN Skills Checklist

The PN Students at your facility have received both classroom training, supervised practice, and have completed skill performance checklists on the below skills which have been signed off. These skills can be performed with or without supervision, depending on your level of comfort.

PN Skills Checklist

Supporting the Client Skill 1. Admission, Transfer, Discharge 2. Communication 3. Documentation a. S.O.A.P format b. Care plans c. Doctor's orders d. Charge of shift reporting e. Flow sheets f. Patient classification system g. Patient care conferences h. Policy/ procedure manuals i. Patient education materials j. Standard care plans k. Incident reports
Revised August 17, 2009

Completion Signature

Date

PN Skills Checklist

PN Skills Checklist

Vital Signs and Physical Assessment Skill 1. History Taking 2. Physical Assessment 3. Vital Signs Completion Signature Date

Infection Control Skill 1. Precautions a. Standard b. Contact c. Airborne 2. Sterile Technique a. Cap, Mask, Protective Eyewear b. Preparing a sterile field c. Sterile gloving Completion Signature Date

Activity and Mobility Skill 1. Safe Patient Handling-Transfer and Positioning a. Transfer from bed
Revised August 17, 2009

Completion Signature

Date

PN Skills Checklist

PN Skills Checklist b. Body mechanics c. Transfer lifts 2. Exercise and Ambulation a. Use of crutches b. Use of walkers c. Use of canes 3. Orthopedic Measures a. Antiembolism stockings b. Sequential compression devices 4. Support Surfaces and Special Beds a. Positioning patients b. Interventions to prevent skin breakdown

Safety and Comfort Skill 1. Disaster Preparedness 2. Pain Assessment 3. PCA Pump Completion Signature Date

Hygiene and ADLs Skill 1. Bathing


Revised August 17, 2009

Completion Signature

Date

PN Skills Checklist

PN Skills Checklist 2. Oral care 3. Feeding patients 4. Intake/ output 5. Bed operation 6. Patient call system 7. Range of Motion 8. Daily weight

Medication Administration Skill 1. Unit dose system 2. Documentation 3. Patient education 4. Routes a. Oral b. Nasograstric c. Injections 1) Intradermal 2) Subcutaneous 3) Intramuscular 4) Z-Track 5. Topical Applications Completion Signature Date

Revised August 17, 2009

PN Skills Checklist

PN Skills Checklist a. Eye, Ear, Nose Drops b. Ointments, Powders c. Patches 6. Vaginal Suppositories 7. Rectal Suppositories

Oxygenation Skill 1. Oxygen Therapy a. Nasal Canula b. Partial Nonrebreather c. Nonrebreather 2. Chest Physiotherapy 3. Airway Management a. Oral Suctioning b. Tracheostomy Care c. Incentive spirometry 4. Closed Chest Drainage System Completion Signature Date

Fluid Balance Skill Completion Signature Date

Revised August 17, 2009

PN Skills Checklist

PN Skills Checklist 1. IV Therapy 2. Blood Transfusions

Nutrition Skill 1. Oral 2. Enteral 3. Parenteral Completion Signature Date

Elimination Skill 1. Urinary Catheterization a. Male b. Female c. Clean Catch Specimens 2. Ostomy Care 3. Fecal Disimpaction Completion Signature Date

Dressings and Wound Care Skill 1. Wound care and irrigation Completion Signature Date

Revised August 17, 2009

PN Skills Checklist

PN Skills Checklist 2. Dressings, binders, and bandages 3. Warm and cold therapy

Diagnostics and Laboratory 1. Blood glucometry 2. 12 Lead EKG Application 3. Blood collection venous stick 4. Sputum collection 5. Urine collection

Emergency Procedures Skill 1. CPR 2. Airway Obstruction 3. Fire/ disaster plans/ disruptive patient 4. Seizure precautions 5. Anaphylactic reaction Completion Signature Date

Revised August 17, 2009

PN Skills Checklist

PN Skills Checklist

Revised August 17, 2009

PN Skills Checklist

PN Skills Checklist

Revised August 17, 2009

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