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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.
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
INTERPRETATION OF COMMON
REDUCTION OF RISK POTENTIAL
LABORATORY & DIAGNOSTIC TESTS
Blood Chemistries 2/8/17 P
Hematology
Culture
Urinalysis 3/29/18 P 2/8/17 P
Fecal Analysis 2/8/17 P
Cerebrospinal Fluid
Computer Tomography Module II
Doppler Studies
Electrocardiograph 3/29/17 P
Endoscopy
Magnetic Resonance Imaging
Radiology
Skin Testing
Ultrasound
Perform Electrocardiogram 3/29/17 P 3/29/17 P
Initiate Telemetry Monitor 3/29/17 P 3/29/17 P
PSYCHOSOCIAL ADAPTATION
Diaphragmatic Bleeding 9/29/16 L
P
Incentive Spirometer 9/29/16 L
P
Administer Oxygen: Nasal Cannula, Face Mask 9/29/16 L
P
Mechanical Ventilation: Maintaining, Suctioning, 2/8/17 P
Alarms, Complications
Pulse Oximeter 9/29/16 L
P
Peak Expiratory Flow 9/29/16 L
P
Chest Physiotherapy 9/29/16 L
PHYSIOLOGICAL ADAPTATION
Gastric Tube Feedings: Nasogastric Tube, 9/29/16 L 3/29/18 P
Gastrostomy | Jejunostomy
Nasogastric Tube: Insertion, Maintenance, Removal 9/29/16 L 3/29/18 P
Gastric and Jejunum Tube Care 9/29/16 L
PHYSIOLOGICAL ADAPTATION
Assessment 10/13/16 L
Dressing Change 10/13/16 P
Wound Irrigation 10/13/16 L
Sitz Bath 10/13/16 L
Applying Binders 4/5/17 L
Wound Vacuum 10/13/16 L
SAFETY | INFECTION
Sterile Field (also in Comp II) 8/18/16 L 1/17/17 P
2/
Sterile Gloves (also in Comp II) 8/18/16 L 1/17/17 P
PSYCHOSOCIAL INTEGRITY
Palliative Care 4/5/17 L 4/5/17 L
Performing Post-mortem Care 4/15/17 L 4/5/17 L