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STUDENT NAME: Lab Setting Mane orem — 7 Lab Faculty Printed Name, Si Clinical Setting. Clinician Printed Name, Signature, and Date Greens aw 5/5/14. Crest Honey 13-2919 Dpters ps 5Iiai/4 | we Hrhive 2,45 03: 08.2019 3.2014 0, Hohnee Qt thhue 865) ssing radial pulse i/sla bt Metooe ku, 88 03-0. 24 vA al pulse 1p Lire MV &» WINS Cast hebouwr 2,35 O35 B 307 Curae theRast RN PS) 03-08-2019 “Assessing respirations : Cb ME /eha Lao beRevet Lo B51 03-08 -2al Cask Hehe 2,050 “Assessing manual ‘thle 1/69 | CutHeivew Cu, £5.) 03.08.2014 Cth dekrerky fs) 0 b 03-1.30q | 9 2 é © 208 Stuvewt mae farenzle BCA Lg- ssing blood pressure electronically : Aglare A-7-/9 | Gust Sekaor fu, B51) 05:01 5012 = : Chr Nednoy hey Asi) 03:0) Bal © ll ing oxygen saturation (pulse oximetry) o Crs [river hy, BW 93.08 509 | Win, 1/8115 Ciret_Hstror RO BSW 93'0/-30/9 ° “PBA - Vital Signs (Level 1) me fargfe Csre. ABs 2-5-19 ath assesment ; maceqeral survey) | | CureheRnue Rv, BS) 03-08. 20/9 | D sl, aA ‘fro : fe Chet Hotes by 5) 13.15: Phi fis Ouetttrlaar fa, 85) g31514 ° Orint Hrhnw, kv, BS 03-15. 3019 | _0 lisa Ma) Souls 2 sess Gust Nelo fu, Bs D315-009| _» acta MWee 35 Cut. Nerhower hi), B51) 03-08-2019 | 0 > ° Bausheer Re, B51) 03-08. do DPR nS BL /10/14 lo |e Jolo STUDENT NAME: Mavenal© prew Ae | Cut Bakers fu, BS O3.Ly. 20/9 | 0 Oe ae Lisl Nrkrac Ru, As 03+ 0f.2419| 0 “Isolation precautions a Dee cee’ ol [19 o Mberide QO Cush Heuer Cd, 83 35 -n/2419| © Stele Tee Sra [eae PTT hy 2 \ : ’ it Sag wolatia shy Ru fat astace fi 43.3919 |_o antl a : hee TOMENT | RY Oil WS BS faly Cons Ntbnar Ri, ASV _03-39-, ° Safe Patient Weng, Transfer and Poitoning “Using soles efecie Gaetertchoagns Cart Mebnse bi), B5V 0306. ac| MeensaZe Nislig eo : “Moving and positioning cients in bed Syren es) aaa» Mike ndalb 5 At ¢ ° Petes Gai Sod bod nig a “Bathing a client 6) ey Miandad vish; ae : *Perineal care | Oust tehune bu, esl VAD oD ae 05 2014 M Kerala Wo Nis/} a. a makenale Bollea STUDENT NAME: Ay ot Mater Py 88 03-46. 30/9 o ‘Cac Hrtyo bd Rs) 03-2) - 20K oO Doerr Aid D Chae Medaoe QBS 0301. 309 9 Dipeeres be 20S 1/2214, ° o perm wwe © ° Casal Wide ki) BSN 03.08G. D o Use of a urinal S/n/i ORI ES Z O2Y iafada a alll, Mr oO * Makin ed bi pes y Gort thbase &0),BSN 03-29 ° M ken OO Ls We é lient on a bedpan or fracture pan Ost bilat Bs BEN 13-0679 |_d 7 Condado Ushe ° Oxygen Therapy “poping rasan Fone mask Gx (Ba GRU ies F WL. tn Le Hote ° *Usiog incentive spirometry BIA SN ee Pre~ o/s) > Mi Mh prs Yel ° marenzie prodley Go Ge @/3/ 4 D Carat Nohnse 24,050) ° | ASitiece ohne | in | Cucst Hrheaset kb), B50 O31S IG o Ope mR VWelia si SNS Dttletaa ctu sn 034 o eines Hes) MW yap 3 *Administering nasal instillatior 2 > Ccret Mebasd PL) $Y D3usiP- oO ° [Ones thetnes i} 9) 131 ° ase eS 18a Bi oe s DR 2S orenia > (extt Methnee £0,83 O329- (: ° o Nekaey 80,85) 63-(SIP ° t a Dp mere ene) | Ue leh Milas BYBSY 6915 - mavena « eral Y pees alist ° Pre rwre- lili i 3 (ecet baac feu, 250) £320 .. 3 weimention | — pe ney a guy OS? wiefia | 3 Spas pee AS olaaniat © Ree IAI S | Cas talaes Re BSA) 02.06. = 3 reéning for glucose, ketones, protein, blood, and pH Coit Hed non 24 se 23.019 D os/ia Joo19 bal We baa 2 mavenai’ Bind log’ STUDENT NAME | Optional Additional skills to Demonstrate in Clinical Anytime During or After Level 1 Health as vent ® Gentaa and rectum asessment o ie o ae ‘ j ie Sag wefan WY y , ° hy oo, us ‘Applying elastic stockings and sequential compeechon device pe gayeo V7/9lI4 |» l o Lb Andi le ting with ambulation and use of canes, crutches, and walker gul 8.08/44) 0 z /y j 4 : WUM prt Sats 3 Support Surfaces and Special Beds e Utilizing support surfaces p Mu) Ly Placing a client dn an air-suspension or Capt Hekews LBA O31: Doe Ape 71 22h4 lo jo Jo |o STUDENT NAME: marrzie Brealey) Bic pain management | Cast Wednow tu, Bd tits Veale 03 08 [FC o WaPo Vere o c @ L Ri 8/4 Do WU mil gad, A Z an eal 2245 301 i ° | Care of the Eye and Ear Se Eye care for nonresponsive cients o ° Care of hearing aids D ot | Airway Management Performing oropharyngeal suctioning, OPS) 7/2214 / 4; W Dh Ves peta es Dressings and Bandage: ‘Applying a dressing NOD er eas cea U22/14 03-0514 cH | Applying a transparent bandage ‘Applying gauze and elastic bandages ‘fo |o Jo Jo |o |e Jo |e | jo jo P ‘STUDENT NAME! Specimen Collection Measuring occult blood in stool _— D 3 [efef aan LB Lt Sputum colecion ; ae © tying af ostomy bag , a/ 2014 ei Me fe on | Required Level 2 Lab Skills--nessitsmust be sgn om nu | mecistes Secon Add pel | Parenteral Med “Admin Hf nirverous oh PPLE AE) alia |. 4 AL hiss leg een Museen by piggyback, intermittent aera! o1 sly ¢ *PBA- Medi ration (Level 2) gi 22k S f| ERO Be 3 “STUDENT NaN; Additional 0, Ptional Skills to be Demonstrated in Clinical mornaAr Baal 8 Or Aftey vel 2 | y CMH w woizeli4 |, |U phe aa 2 a Cefis fond MD Ta aeseaea pes wala l 5 | oO l : (et ef a Bs, Maw Qpterwe MgG7 A (l24h ° / ° eedenfgals Clad. Lo ame — oat ° ° ° Sysaw w/41iq mE NY if o CShalll, why feeding tog ° ° o ° mavenae BVA? | Peer mao a7 Of/ee/ia Qarss ww Wala > lw [eet eaten tng ee Tiasthe Kiddoed, FEW Auli mavonere bradley cama a et a rd Vast PEGE z aa) E ee ig Alaa CFs 4 ° ef, pls ont tex ie ! E lucas? Bre es : ; ° ° Height an ana arnt _| STUDENT NAME: mMarenere Optional Skills to be ¥e Demonstrated in Clini i ical Anytime During or After Level 3 Me Oxygen Therapy "Administering oxygen toa cle om ef } oO Using a peak flow meter WB peak flow met o ° Care of a cient on a mechanical yepilator 5 o Airway Management ‘Airway suctioning D IC a Performing endotracheal tube c: Unser 24 lia] 12 o 0 Parenteral Nutrition LP Thaministering parenteral nutiion through a cen D ° -aministering parenteral nutiion through a periph D ° jon to pediatric cent parenteral 7 Sure ° ‘Medication administration to pediatric client - oral @ 5 Ube ° Required Level 4 Lab Skills-these skis must be stned off 3) demonstration in clinica Medication Administration D *PBA- Medication Administration (Level 4) STUDENTNAME: AKENZ| & Bradley P5- Alar Hackett, MIN, soesy Nyda dot Ms) ‘ MNiudelo L~ Msn Prglee Core Ad f25N) — Finale Searphel, cm CBr fern Wh arte [Ary WW Wetmrra MWe nase Iekeror Rv, BS) Carol Hohner ZA Cheably Bieta, ase? bi S\ SOALGIES RLESN, GF tin FD pare MEMRN) Candac Schmit. MEn Zr CPNP cPen ; Singhs 8S Kirn Singh ars neem SE yw Satna GES 8a ApSusrenies msn 4 SSM, Mas, PrS~ Lower Este! Qhryerr pee ned, Wap, aca kV Chane Cue ard LE tat Fe ae

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