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A NURSING 111 SKILL CHECKLIST Name: wm DEAN Fasuliy initinl/date Clinical Site Pass ‘ baw ween | Topic | SK") Code eo Neri Note Med Exam [matin Ain am yw Gather equipment needed Tor pareteral admin ation (Fundamentals Proe 23-9), Assemble and practice using | men Yup |B 'b. Syringe and needle sizes for ID, SQ, and IM o Pld it ge teagan Fer rts on vcs fcppar ees) Deg pen mens Siete ad eens Use of aseptic technique, correct angle my Patents | Bag i, Documentation sas eee ee 2 | MED Preparing Drawing Up, and Mixing Parte medications Practice dawing up mediation fom amples, ‘se filer nde or straw (Fundamentals Proc 23+ 9A) '._Prctice dawing up medication fom vial, use vial access deviee (VAD), and needle (Fund 23 aie 9B) Practice using prefilled unit dosage system (Fund 249) 4. Practice reconstituting medications | Practice mixing medication in one syringe | 1. From two vials Fund 23-9C) 2. From one ampule and one vial (Fund 23.90) Practice measuring dosages when changin | Carding “Asses eat sounds rate & rythm review Fond 19-13, Insight 19-2) Extra sounds 1b. Murmurs, licks ©. Tachyeardia a_Bradyeardia Ps |-hed 10 Demostrate performing crdias monitoring (Fund Proc 383) entity code cart contents, puposefnetion, and lotion ofitems and equipment Emergen a | 2 Code practice one parson and two-porson CAB, adult and cildinfant 1B ‘sep tehnique “6 ‘Assess Tang sounds Fund 19-12) Whoozes| . Rhonchi Bas Resp ‘Demonarate adiinitring oxygen (Fund, Chpt 35) via 2. Nasal cannula Simple face mask ©. Mask with eservoir bag (partial rebreatherinontebreather), Venturi mask Face tent Oxygen hood Oxygen tent aos _pechl aeeppersties eres 16 ‘Demonstrate ad teach a client sta peak ant measuring device Fund V1, 881-2) 7 ory ‘Demonstrate the assessment and interventions Tora lent with pneumonia 10 Sim Testing |_'8 sim Sima TESTING rosa MED Demonstrate giving an intradermal injection (Fund Proc 23411) ‘Demonstrate giving a subcutaneous jection (Fund Proe 2312) ‘Discuss administration issues for anicongulants 'b_ Discuss administration issues for insulin Bur | Ay sens Demonstrate giving an IM injection (Fund Proe 3-13, 3- 1) Locating the ventoglutea site Locating the deltoid site Locating the vastus lateralis ite “Locating the rectus femoris site Perform an IM injection using the traditional method (23-144) b 4 (23-148) Perform IM injection using the Z-track method | Be Manage ‘& Demonstrate & document seting up an IV infusion Fund Proe 36-1, step 1, 220-28) Demonstrate regulating the flow rate (Proc 362) ‘© Damonsvatesetng up and using volume contol pump (Proe 363) EDemonsivate and document changing 1V sohaions and tubing (Poe 36-44-B) Demonstrate an document Changing IV Dressing (Pr0e 365A) TDemonsimte ad document converting a primary line to saline lock (Poe 365) @ Demonstrate and document dicontinuing @ peripheral ine (Proe 36-7) wv Manage ment Deseibe, demonstrate, and document a ‘medications by intermittent infosion (Proc 23 ‘Using a Volume Contol Administration Set (23- 7A) initering a. c._Using «Tandem Administration Set ‘Using Piggyback Administration Set 3-178) ag vay te ‘Using Volume contol infusion pump [s13/i5 90

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