ration rersatn or breaon fe ‘ene appropiate cop tro sraerte are responsble ae ete the appropite COS deca yon sein te ciel er stevens for ab Fact Irate signed off by inb fc ns Sgn and date Instructions fr cna be signed ob ab 2 es tert afin edhe, ee ‘ose sinqure anda 377/204 ays cnt tt oe eens SET student signature and Date- Level 3 sy iin ctl tet ve censor citer helt ‘sua chess canbe found nthe tentbook ited cop thi chest 0 every ab, simula Fe by signing and dating In the appropriate Ia mthe endef every Siac course with tls ating te onal ied copy of hs chek arto edn rom vests to sere" prin, slg, and date low each sl to acknowedget ret ered ls rir to demonstration nc inthe appropriate box nett each sk to acknowl ty ona equied sil prior to demonstrat “Glan should ook or opportuntis FS and nia day. Ensure absmulation ols! oct erty coyote red Pychorota Sil Checks and upload \abenperences and every clinica course. a Mooprout te ration ofthe program. Uploading the mae eraduate, Students are not requted to demonstrate ye sudent's sucessful demonstration nthe lb ting Stents ee tudes successl demonstration’ obseation ce wna ude rat pected toeerave emt chare snd demons st any sls 8 student saree YfAS ro _1[9ada0 ah ania tetany ht now denoted er ores nace Sudent signature and Date- Level: ay sening, acknowiedpe tht hove emanated or haere the sls ineete. tcl ursng kits an Technique, she, by Per otter and OstendorhLab Faculty Printed Name, Signature, and Date (Include bel student has successfully demonstrated each skilin lab) ‘Ginieal linican Printed Name, Signature, and Date Required Level 1 Lab Skills.*:hece su . prior to demonstration in clinical is must be signed off in lab [Documentation and informatics “Giving a handoff report MHA Men 4-24-19 wae Qewund_@n lo Jo fo Jo Jo jo "Adverse eventfincident reporting Ai "Aja eit? *Mpgsurjng body temperature 6l27\10 essing radial pulse ee ‘Assessing apical pulse Gee 7 AS “Assessing respirations E2116 ing manual blood pressure lo lo Jo fo Jo |e |o |e |o |eay smultion oF lie fcuty vey Peychomeor Stile Checklist ond pions cal our crm. Uploading the : ot requied to demonstrate x Alexis, Gibson “Assessing blood pressure, elecronaty : F 24/9 Z LES ba rs ae i a\® : By sign i | pene "tillage 2 tol ; : [eee 4 pe : cardiatar lesa clzalia 2 . or i 5 sd = OBI : : 5 ay walla i : | Po tans) ores cet (evel 3) pee [Hie gee FFwy roaring a sterile field x Mis bee fre 2 ; a oe = demand en ° ee a 5 favund eylO /-719 ‘@ nasal cannula pan or fracture pan 50 ee D-«-F oF oxygen mask Mila, Using incentive spirometry MG) A WE-9 1i27(2e Imitha Man, Gl W-€§-8een Py Het ew jon eee me ae ert pee | iialng WA ly "Administering nasal if Hifiaf 204 ML. Lhe, “Using metered-dose ithalers whis/204 LU, he “Administering rectal suppositories iections: Ampules and vi ; Scares WAAAQ, Aan 7 Wat eee EIN? “Administering — ke “sy Ke RN Yfofsera es MHD Bilge scaisoutering intramuscular injections Rie e N9-19, > ° Nga nNG uti Use of Heat and Cold ° “Applying heat 3 A & alt D “Applying cold AG 3 ot Specimen Collection “Urine specimen Collection: Midstream urine; Urine specimen fram ae ing catheter PHB ad pl -1-19 imed urine specimet batten Sp as 14-1719 wa ‘monitoring “(Level 1 and 3) yt riten, ni Ween reening for glucose, ketones, protein, blood, and pH Inetea, mons fod P19 | o| of 9) Of Sakebultion and use of canes crutches, and walker Support surfaces and Spatial peas == ‘Support surfaces, lo Jo |o jo Seizure precautions lo |e |o |ormacologic pain management Care of the Eye and Ear ye care for nonresponsive diene ‘and Basic Comfort Measures FF lo Care of hearing aids lo |e Jo lo Airway Management ming oropharyngeal suctioning [RA sy Ad Dressings and Bandages IW &O lo plying a dressing CW lM Be Applying a pressure bandage ‘Applying a transparent bandage ‘Applying gauze and elastic bandages lo Jo Jo | lo |e jo |eParenteral Medication: “Adiministering medications by ittavenom Yay lan, Gale NSA ue Mel-Giael Administering ne pomen sets, and mi n By piggyback, intermittent Pe Bode “PBA - Peripheral intravenoii Insertion (level 2) 2p) d4sbp a + Medication Administration (Level 2) Goer Wet hen) ‘fo2 hoor | a 2]aa) 282% Vela) \Anytime During or After Level 2 Jnteavenous and Vascular A Initiating <= ‘onal Optional Skills to be Demonstrated in Clinical ‘Changing IV solutions eae fy, ‘Changing infusion tubing sone = 2 z 4 ee zi MWK. e a al Nutr a eee ee Inserting and removing a small-bore nasogastric/nasoenteric Verifying Yeeding tube placement cache f | irrigating a feeding tube ur pies mint SN Checking feeling tube resi (rc Sie” siufoce bE al VAland Gir Ami iasoentere, gastrostomy, or Jeunostomy tube Miney ain 1 202~) laa CR ‘ouchingag ‘olostomy or an ileostomy Bey ante mya, as Perioperative Care Preparing a client for surgery Wound Care Performing a wou lo lanaging wound drains mer pel ¢ Urinary Elimination lo |e Jo Jo Jo Insertion of a straight or indwelling urinary catheter iM Ulefrore Care and removal of an indwelling catheter NUNS RS At vfoposs lo jo fo joSys ete ee Otho» kw We Heh, MO OS - Lorraine Bsth7 ’ Thy UR yrs Oo (Amy Hides mee ee . We cs Soe Ee ey pen ey oe VOOWoS Her -ElTeN, y= “meh Pd) / Toscica. Ape