stwcentname: LAUCON TDW Instructions far Stents Toke a rnted copy fh checst to every lb suaton, and cameras ial faculty verify ist and upload it fam. Uploading the is required to advance from semester to semester and to graduate, Students are not required to demonstrate 3 this form in the clinical setting, Instructions for Lab Faculty: Pr must be signed off by lab faculty for ign, and date below each skill to acknowledge the student's successful demonstration in the lab setting. Students ‘required skills prior to demonstration in clinical. ‘each skill to acknowledge the student's successful demonstration/ observation prior to demonstration in clinical. Students are not expected to observe or ians should look for opportunities for students to observe and demonstrate as many skils as Instructions for Clinicians: Sign and date in the appropriate box next ofthe i. Stade must ested ff by ab fc = Signature and Date - Level 2: a B\21\\9 08|20 eg ee a wie Indicoted, ‘observed the skills indict Student Signature and Date - Level 3 ‘Student Signature and Date - Level 4: By signing, acknowledge that | have demonstrated or observed the sls By signing! acknowledge that |have demonstrated or indicated. ‘observed the sils indicated. ‘kil checklists can be found in the textbook Clinical Nursing Skilsand Techniques, 8th ed, by Perry, Potter and Ostendorfwmwawe: LANCON\ ALYY Lab Setting Glnial Setting Student Lab Faculty Printed Name, Signature, and Date (Include bel fter le Demoed ttn en bce : cari Prism Mace slepature bol Dom o Observe “thes sls must be signed of in ab > Gee ror tbelea : Documenting nares progress notes D FR ee maseirn s]q a nS 6 KOoO 2 io ms Jor 3 “*Adverse event/incident reporting D Kletituo MREDAD G-3.8 ° Vital Signs Measuring body temperature 00 ees ax \ KO eQ0tts mobo 4 1o-B44 oX * Assessing radial pulse Koren QQ MSL Wt (0-ariy oX | KGedlio WenoN BATA Vimo0mo MEN On 10-0119 ox “apap pte 02.00 Tika DX Ww, o pibessing bpiatons mata aa KOnWirs wn OM BAIA IYdarQQree MANIA JD-AUG oX “Assessing mario blood presse 0 ay | F@eDSs mea SMI Keegy MAS Oy (O.at Ga oxi ox Kieddirs msn 2 jpalia ox KCedlus Meren BIE ye Oso: *PBA - Vital Signs (Level 1) Vee Uie oe aa Wor (VEO \'9A)\4 wey ° ) ’ ox 0%. 21-14 KO 00tts fre ON 1o-ais one cod and deck assessment - - ,mI TiN l/o [Gri Qere misrs we io raxiq |e ZS wear za >fro)r4 ee odd ont ar “Thorax and lng assessment Weedduo Mog Or VIR IT . Wedbers Msn Ox ASA of neurologic assessment Ke eotts NEP Do 101-14 PBA - Head-to-Toe Assessment (Level 1) KOodode Cet on yaoitea Saas Bud NES O19 BRAS “Isolation precautions Te aa ‘a vy t Seite WI ae ee) On QQere DES Ve 10.389 ° removing ig cap, mask, and protective eyewear Wb [24 [2 ox Klaus ren 2 ASR beh ak “Prgparing ate Wild ; Queer, MITTAS® Sale - "Serie gloving = a ao Shale " | KQeihewo ent On ID al19 oX ie ie reaped aah Konrad § La 0X poke se Paee tec [WO R00 (YEN ON IO-ALI9 ox VroO0er2 cei 29 yout ox Kaedluwo mepen VShi = Ke erlire NES 2 aahVtetQus reir ant io ae ° . ° Whe O0tvo msn 9 10149 Dx *Making an unoccupied bed z Wablus roa 9918 5 *Use ofa urinal Kae.Q0tr MHS 2H 101-17 - ; 5 KQeQ0 tuo Sto '219_10-ALIS, oX “waking an occupied bed od F es Kee Wis WED BH 4.30 8 i faa [20 oX Wes [a4 ( Ze oX | Warm 1 [ari(2o ax Ko Ghee EN On oA ox sing i try 5 Crud, MIAN 'fe/ep ae .Wires 1 [ya [20 ox | Weliro ven On l1gi9 oX ° ° wlelia Kies 1 [aa [20 oX Weds Men 2 WAR 19 oX wlohe D ° wleleg > WO oD eis sy OM [EAS oX wlelg D ° ulelg o Okewiehy msn Rn a [Mes laa (o. ox ° Wes— [aa l2o ox ° Wes i [24{20 oXUNE HON "*Admin)sx6fing intramuscular injections D ° D o D o idstream urine; Urine specimen from D MH OD 10119 : “ ved urine specimen D UQoWHuw MAW [01.19 ° “Blood glucose monitoring *{U ED i DR ce Geer marcditen 'Y2/e : ° KQie Sts MSN 2 1O-ALIS, a “Urine sereening for glucose, Ketones, protein, blood, and pH D KGeiiue mesa 10-1-\9 °| Laveen ery nal Skills to Demonstrate in Cl Anytime During or After Level 1 Health Assessment Genitalia and rectum assessment Exercise and Ambulation PF er range-of-motion exercises aul eee eE ee {DAL G mee Slastic stockings and sequential compression device T Penta ‘Lele, Wierdlrer msn 90 1o-u-A isting with ambulation and use of canes, crutches, and walker g wet rt Surfaces and Special Beds Utilizing support surfaces Kae UL. AD BD 318 WB @ client on an air-suspension or air fluidized bed Applying a physi Seizure precautions= Lauren (Lr Pain Management and Basie Comfort Measures A chun management ore Aare Was [24 [20 oX VOsiQito (ren QM Dar Care offthe Fye and Ear eee Eye care for nonresponsive clients ‘Care of hearing aids lo jo Jo ‘Airway Management Performing oropharyngeal suctioning = Queen -M "Yo/ey lo lo Dressings and Ba ae Yrla MeeQQe2 mes aio 14-9 ‘Applying a pressure bandage ‘Applying a transparent bandage ‘Applying gauze and elastic bandages lo Jo |o Jo Jo jo Jo Jo° > ° Elimination Emptying of ostomy bag > KO DLS MES BD Ww 3 Required Level 2 Lab Skills-hese skits mst be signed ofin ab insertion of an G Tabein the equred 1s by intravenous bolus mS) | /a/tow 2 ° ion by piggyback ntermitent and mininfusion pumps D ° a \ XK Wshwchy Msn on Noe (aa [20 o ° Urinary Elimination PBA. Foley Catheter Insertion (Level) .Pevrssne Lau Hey Additional Optional Skills to be Demonstrated in Clinical Anytime During or After Level 2 Intravenous and Vascular Access Therapy ing intravenous therapy (eae Regulating intravenous flow rate lo Jo jo Changing IV solutions lo lo ‘Changing infusion tubing ° Discontinuing short peripheral intravenous access felon. (HES In lo Jo Jo Enteral Nutrition Inserting and removing a small-bore nasogastric/nasoenteric feeding tube io Verifying feeding tube placement lo Irrigating a feeding tube ‘Checking feeding tube residualsjejunostomy tube Ostomy Care Pouching a colostomy or an ileostomy Perioperative Care Preparing a client for surgery ‘Wound Care: Performing @ wound assessment Wound irrigation ‘Managing wound drains Urinary Elimination Insertion ofa straight or indwelling urinary catheter Beutyprap) Tofro ‘Care and removal of an indwelling catheter [beuctesres Pfo0Prove Renced Level 3 Lab Skills--these sits must be signed off in lab ‘Administration ‘Airway Management * Performing tracheostomy care Closed Chest Drainage Systems Managing closed-chest drainage system Specimen Collection Blood glucose monitoring *(Level 1 and 3) ‘Antepartum/Intrapartum/Postpartum *Gestational assessment *Fundus check lojo jolo *Lochia evaluation ioFreer rse N00 tert *Perineum assessment “Breast assessment "*Wound assessment ‘Newborn/Pediatric "Newborn head to toe assessment signs (TPR, BP, pain management, pulse oximetry) Weight and Height Measurements (OFC, Chest circumference, abdominal girth) "Gestational age assessment *Refiex assessment FHead-to-Toe assessment of pediatric cient“oer LOUNON Hert Optional Skills to be Demonstrated in Clinical Anytime During or After Level 3 ‘Oxygen Therapy ‘Administering oxygen to a client with an artificial airway jo |o Using a peak flow meter lo lo Care of client on a mechanical ventilator Airway Management ‘Airway suctioning Performing endotracheal tube care lo ° Parenteral Nutrition ‘Administering parenteral nutrition through a central “Administering parenteral nutrition through a peripheral line lolojolo Newborn/Pediatric ‘Medication administration to pediatric client - parenteral Medication administration to pediatric client - oral olololo Is-*these skills must be signed off in Medication Administration “PBA. Medication Administration (Level 8)Comdace Scrinda. msn Bn CPP Pen Qe MW Xg Mel 35a Leperson Malan JebS Menon Niolle Watton en es0 se ty fb rec