CAPITOL UNIVERSITY COLLEGE OF NURSING RLE 6 List of Supervised Nursing Procedures

NAME: ALFREDO D. ANCOG, III GRP. NO. 2 SEM. 1st SY 2009-2010

 BASIC PROCEDURES
Basic Cleaning Procedure Basic Perineal Care (1x) Bed making : Closed bed (1x) Bed making : Occupied Bed (1x) Bedmaking: Open Bed (1x) Cleansing Bed Bath (1x) Gloving [Open Method] (3x) Ice Cap Application (1x) Medical Handwashing (3x) Morning Care (3x) Mouth Care (3x) Offering & Removing Bedpan (1x) Physical Assessment (3x) Positioning & Draping (3x) Shampoo in Bed (1x) Special Mouth Care (optional) Tepid Sponge Bath (1x) Urine Specimen Collection (1x) Vital Signs Blood Pressure (3x) Vital Signs Pulse: Apical (3x) Vital Signs Pulse: Radial (3x) Vital Signs Respiration (3x) Vital Signs Temperature (3x) Wound Dressing (1x)

Date

Sig.

Date

Sig.

Date

Sig.

 CONCEPT PROCEDURES
Administration of Medication • Anal Suppository (optional) • Intradermal (1x) • Intramuscular (3x) • Per Orem (3x) • Subcutaneous (3x) • Vaginal Suppository (optional) Antepartal Exercises (3x) Application of Abdominal Binder (1x) Application of Ice Cap [ to fundus] (1x) Assisting in Blood Transfusion (optional) Assisting in IVF Insertion (2x) Assisting in NGT Insertion (1x) Bathing the Infant (1x) Breast Care (1x) Catheterization (1x) Labor Watch (1x) DR Circulating Nurse (1x) Estimating Gestational Age (1x) Eye Ointment Application (1x)

Date

Sig.

Date

Sig.

Date

Sig.

Date Sig.RLE 6 List of Supervised Nursing Procedures  CONCEPT PROCEDURES Enema (optional) Handling Delivery (1x) Cord Care (1x) Newborn Assessment/APGAR score (1x) IVF Follow-up (3x) Leopold’s Maneuver (3x) Measuring Intake & Output (3x) Nasogastric Tube Feeding (1x) Oxygen Administration (1x) Perineal Shaving (optional) Postpartum Exercises (1x) Removal of Catheter (1x) Termination of IVF (3x) Urine Examination (optional) Date Sig. Date Sig. REMINDERS: • • • • • Bring this ALWAYS to the clinical area Inform your Clinical Instructor that you will be performing the procedures required of you per year level Submit to your Clinical Instructor for signature and rating:  Satisfactory Rating – blue or black pen  Unsatisfactory Rating – red pen Accomplish the required number of satisfactory supervised performance of a particular procedure This checklist needs to be accomplished within the semester and should be submitted to the 4th Rotation Clinical Instructor and Level Coordinator for evaluation. Non-compliance will result to an INC grade in the RLE. .

.CAPITOL UNIVERSITY COLLEGE OF NURSING RLE 7 List of Supervised Nursing Procedures NAME: _______________________________GRP. Date Sig. Date Sig. ______ SEM. Date Sig. NO. ______ SY __________  BASIC PROCEDURES Admitting Patient in the Unit (1x) Basic Cleaning Procedure (3x) Basic Perineal Care (3x) Bed making : Closed Bed (3x) Bed making : Occupied Bed (3x) Bedmaking: Open Bed (3x) Cleansing Bed Bath (3x) Discharging of Patient (3x) Gloving [Open Method] (3x) Ice Cap Application (1x) Medical Handwashing (3x) Morning Care (3x) Mouth Care (3x) Offering & Removing Bedpan (3x) Physical Assessment (3x) Positioning & Draping (3x) Shampoo in Bed (1x) Special Mouth Care (optional) Tepid Sponge Bath (3x) Urine Specimen Collection (1x) Vital Signs Blood Pressure (3x) Vital Signs Pulse: Apical (3x) Vital Signs Pulse: Radial (3x) Vital Signs Respiration (3x) Vital Signs Temperature (3x) Wound Dressing (3x)  CONCEPT PROCEDURES Administration of Medication • Anal Suppository (optional) • Intradermal (3x) • Intramuscular (3x) • Intravenous (3x) • Per Orem (3x) • Subcutaneous (1x) • Vaginal Suppository(optional) Antepartal Exercises (3x) Application of Abdominal Binder (1x) Application of Ice Cap [ to fundus] (3x) Blood Transfusion (1x) Assisting in IVF Insertion (3x) Assisting in NGT Insertion (1x) Bathing the Infant (3x) Breast Care (3x) Catheterization (1x) Chest Physiotherapy/Chest Tapping (3x) Labor Watch (3x) DR Circulating Nurse (3x) Estimating Gestational Age (3x) Ear Instillation (optional) Ear Irrigation (optional) Eye Instillation (optional) Date Sig. Date Sig. Date Sig.

. Date Sig. Date Sig. Date Sig. Non-compliance will result to an INC grade in the RLE.RLE 7 List of Supervised Nursing Procedures  CONCEPT PROCEDURES Eye Irrigation (optional) Eye Ointment Application (3x) Handling Delivery (3x) Cast Care (1x) Cane Walking (1x) Crutch Walking (1x) Traction Care (optional) Colostomy Care (optional) Cord Care (3x) Enema (1x) Hemoglucotest (1x) Isolation Technique (1x) IVF Follow-up (3x) Leopold’s Maneuver (3x) Measuring Intake & Output (3x) Nasogastric Tube Feeding (1x) Nebulization/Steam Inhalation (3x) Newborn Assessment/APGAR score (3x) Oxygen Administration (1x) Perineal Shaving (optional) Postpartum Exercises (3x) Removal of Catheter (1x) Sputum Collection (optional) Suctioning of Mucus Secretions (1x) Termination of IVF (3x) Neurologic Assessment/Glasgow Coma Scale (1x) Post Mortem Care (optional) Postural Drainage (optional) Pulse Oximeter Application (1x) Range of Motion Exercises (3x) Reverse Isolation Technique (1x) Tracheostomy Care (optional) 24-Hours Urine Collection (optional) REMINDERS: • • • • • Bring this ALWAYS to the clinical area Inform your Clinical Instructor that you will be performing the procedures required of you per year level Submit to your Clinical Instructor for signature and rating:  Satisfactory Rating – blue or black pen  Unsatisfactory Rating – red pen Accomplish the required number of satisfactory supervised performance of a particular procedure This checklist needs to be accomplished within the semester and should be submitted to the 4th Rotation Clinical Instructor and Level Coordinator for evaluation.

Date Sig.CAPITOL UNIVERSITY COLLEGE OF NURSING RLE 8 List of Supervised Nursing Procedures NAME: _______________________________GRP. . Date Sig. ______ SEM. NO. ______ SY __________ BASIC PROCEDURES Administration of Medication • Intradermal (3x) • Intramuscular (3x) • Intravenous (3x) • Per Orem (3x) • Subcutaneous (3x) Admitting Patient in the Unit (3x) Assisting in IVF Insertion (3x) Assisting in NGT Insertion (1x) Basic cleaning procedure (3x) Basic perineal care (optional) Bedmaking : Closed bed (1x) Bedmaking : Occupied Bed (3x) Bedmaking: Open Bed (3x) Blood Transfusion Catheterization (1x) Cleansing Bed Bath (3x) Discharge of Patient (3x) Gloving [Open Method] (3x) Ice Cap Application (1x) IVF Follow-up (3x) Measuring Intake & Output (3x) Medical Handwashing (3x) Morning Care (3x) Mouth Care (3x) Offering & Removing Bedpan (3x) Oxygen Administration (1x) Physical Assessment (3x) Positioning & Draping (3x) Removal of Catheter (1x) Shampoo in Bed (1x) Special Mouth Care (1x) Stool Specimen Collection (1x) Tepid Sponge Bath (3x) Termination of IVF (3x) Urine Specimen Collection (3x) Vital Signs: Blood Pressure (3x) Vital Signs Pulse: Apical (3x) Vital Signs Pulse: Radial (3x) Vital Signs Respiration (3x) Vital Signs Temperature (3x) Wound Dressing (3x) Date Sig.

Non-compliance will result to an INC grade in the RLE.RLE 8 List of Supervised Nursing Procedures  CONCEPT PROCEDURES Ambubagging (1x) Anesthetic Bed (3x) Assisting in Abdominal Paracentesis (optional) Assisting in Lumbar Puncture (1x) Assisting in Thoracentesis (optional) Assisting in Thoracostomy (optional) Assisting in Dialysis (Hemo & Peritoneal) (1x) Cardiac Monitoring (3x) Care of the Patient with Respirator/Ventilator (optional) Cardiopulmonary Resuscitation-Advance Life Support (optional) Central Venous Pressure Reading (1x) Chest Physiotherapy/Chest Tapping (3x) Ear Instillation (optional) Ear Irrigation (optional) ECG Taking (1x) Enema (1x) Eye Instillation (optional) Eye Irrigation (optional) Hemoglucotest (1x) Isolation Technique (1x) Nebulization/Steam Inhalation (3x) Sputum Collection (optional) Suctioning of Mucus Secretions (1x) Nasogastric Tube Feeding (3x) NGT Lavage (optional) Neurologic Assessment/Glasgow Coma Scale (3x) Post Mortem Care (optional) Postural Drainage (optional) Pulse Oximeter Application (3x) Range of Motion Exercises (3x) Reverse Isolation Technique (1x) Tracheostomy Care (optional) 24-Hours Urine Collection (1x)  OPERATING ROOM PROCEDURES Date Sig. Date Sig. Gowning (2x) Instrumentation (2x) Surgical Gloving [Close Method] (2x) Surgical Scrub (2x) Surgical Shaving (2x) Skin Preparation & Draping (2x) REMINDERS: • Bring this ALWAYS to the clinical area • Inform your Clinical Instructor that you will be performing the procedures required of you per year level • Submit to your Clinical Instructor for signature and rating:  Satisfactory Rating – blue or black pen  Unsatisfactory Rating – red pen • Accomplish the required number of satisfactory supervised performance of a particular procedure • This checklist needs to be accomplished within the semester and should be submitted to the 4th Rotation Clinical Instructor and Level Coordinator for evaluation. . Date Sig.

Date Sig. ______ SY __________  BASIC PROCEDURES Administration of Medication • Intradermal (3x) • Intramuscular (3x) • Intravenous (3x) • Per Orem (3x) • Subcutaneous (3x) Admitting Patient in the Unit (3x) Ambubagging (1x) Anesthetic Bed (3x) Assisting in Abdominal Paracentesis (optional) Blood Transfusion (1x) Assisting in IVF Insertion (3x) Assisting in Lumber Puncture (1x) Assisting in NGT Insertion (1x) Assisting in Thoracentesis (optional) Assisting in Thoracostomy (optional) Basic cleaning procedure (3x) Basic Perineal care (1x) Bedmaking : Closed bed (3x) Bedmaking : Occupied Bed (3x) Bedmaking: Open Bed (3x) Catheterization (1x) Central Venous Pressure Reading (1x) Chest Physiotherapy/ Chest Tapping (3x) Cleansing Bed Bath (3x) Discharging of Patient (3x) Ear Instillation (optional) Ear Irrigation (optional) ECG Taking (1x) Enema (1x) Eye Instillation (optional) Eye Irrigation (optional) Gloving [Open Method] (3x) Hemoglucotest (1x) Ice Cap Application (1x) Isolation Technique (3x) IVF Follow-up (3x) Measuring Intake & Output (3x) Medical Handwashing (3x) Morning Care (3x) Mouth Care (3x) Nasogastric Tube Feeding (3x) NGT Lavage (1x) Nebulization/Steam Ihalation (3x) Neuro Assessment/Glasgow Coma Scale (3x) Offering & Removing Bedpan (3x) Oxygen Administration (3x) Physical Assessment (3x) Positioning & Draping (3x) Post Mortem Care (optional) Postural Drainage (optional) Pulse Oximeter Application (3x) Date Sig. .CAPITOL UNIVERSITY COLLEGE OF NURSING RLE 9 List of Supervised Nursing Procedures NAME: _______________________________GRP. Date Sig. NO. ______ SEM.

 CONCEPT PROCEDURES Assisting in Bone Marrow Aspiration (optional) Assisting in Liver Biopsy (optional) Assisting in Dialysis (Hemo & Pertoneal) (1x) Bladder Irrigation (optional) Cardiac Monitoring (3x) Care of the Patient with Respirator/Ventilator (1x) Cardiopulmonary Resuscitation-Advance Life Support (optional) Defibrillation/Cardioversion (1x) Post-mastectomy Exercises (optional) Self-Breast Exam (1x) Testicular Exam (optional)  OPERATING ROOM PROCEDURES Gowning (3x) Instrumentation (3x) Surgical Gloving [Close Method] (3x) Surgical Scrub (3x) Surgical Shaving (3x) Skin Preparation & Draping (3x) REMINDERS: • • • • • Date Sig. Non-compliance will result to an INC grade in the RLE. Date Sig. Bring this ALWAYS to the clinical area Inform your Clinical Instructor that you will be performing the procedures required of you per year level Submit to your Clinical Instructor for signature and rating:  Satisfactory Rating – blue or black pen  Unsatisfactory Rating – red pen Accomplish the required number of satisfactory supervised performance of a particular procedure This checklist needs to be accomplished within the semester and should be submitted to the 4th Rotation Clinical Instructor and Level Coordinator for evaluation. Date Sig. .RLE 9 List of Supervised Nursing Procedures  BASIC PROCEDURES Range of Motion Exercises (3x) Removal of Catheter (1x) Reverse Isolation (1x) Shampoo in Bed (1x) Special Mouth Care (1x) Sputum Collection (optional) Stool Specimen Collection (1x) Suctioning of Mucus Secretions (3x) Tepid Sponge Bath (3x) Termination of IVF (3x) Tracheostomy Care (optional) Urine Specimen Collection (3x) Vital Signs Blood Pressure (3x) Vital Signs Pulse: Apical (3x) Vital Signs Pulse: Radial (3x) Vital Signs Respiration (3x) Vital Signs Temperature (3x) Wound Dressing (3x) 24-Hours Urine Collection (1x) Date Sig. Date Sig. Date Sig.

Sign up to vote on this title
UsefulNot useful