NURSING SKILLS CHECKLIST 1 of 6

STUDENT NAME: Leann Li

PURPOSE – Psychomotor skills are introduced throughout the first two semesters of the BSMCON program. This document is used to reflect the student’s
experiences in performing these skills throughout the program at BSMCON. Your completed checklist will be included in your e-portfolio in your Senior year.

INSTRUCTIONS- Skills introduced in the program are listed below, and grouped by course in which the concepts are generally introduced. You, as the student,
are then responsible for tracking when skills are performed in the lab or in the practicum setting. All skills must be faculty supervised; therefore, skills performed
while in a paid position should not be documented on this form. As skills are introduced and practiced update the table appropriately to reflect your clinical
experiences while in the nursing program.

In the lab or simulation setting: Write the date on which the skill is first performed in the ‘Date Performed in Lab/Sim’ column.

In the practicum setting: Write the date on which the skill is first performed in the live patient environment. No skill should be performed in the live patient
environment until it has been satisfactorily completed in the lab under the guidance of an instructor.

Once a skill has been documented as complete in the practicum setting the skill is considered complete and no longer needs to be updated. The expectation is
that all skills will be performed in the lab setting by completion of the Junior 1 semester. As each student’s opportunities in the live patient environment will differ,
this checklist will then uniquely reflect each student’s experiences in the practicum setting throughout the remainder of the program.

This document must be updated and submitted along with the practicum evaluation tool for midterm and final evaluations in each practicum course, unless
otherwise instructed by faculty.

Revised 5/7/2020 Curriculum Approval: 05/15/2020

 NURSING SKILLS CHECKLIST 2 of 6

Date Performed in
Date Performed in Date Performed in Date Performed in Date Performed in Date Performed in
Content Sophomore 2
Lab/Sim Junior 1 Practicum Junior 2 Practicum Senior 1 Practicum Senior 2 Practicum
Practicum

NUR 2102: Health Assessment

COMPLETE HEALTH ASSESSMENT

Adult 4/30/2021 9/8/2021 1/19/2022 1/20/2023
Pregnant female 8/15/2022
Postpartum female 8/15/2022 9/9/2022
Newborn 8/15/2022 9/9/2022
Infant 8/15/2022 11/25/2022
Child 8/15/2022 11/25/2022

NUR 2103P: Competencies for Nursing Practice I

GENERAL CARE
Identify Patient Using Proper Identifiers 1/26/2021 2/16/2021 9/8/2021 1/19/2022 8/26/2022 1/20/2023
Standard Precautions 1/12/2021 2/16/2021 9/15/2021 1/19/2022 8/26/2022 1/20/2023
Transmission-based Precautions 1/12/2021 3/3/2021 9/7/2021 1/19/2022 8/26/2022 1/20/2023
Patient mobility & positioning 1/12/2021 2/16/2021 9/15/2021 1/19/2022 8/26/2022 1/20/2023
Restraints 1/26/2021 4/6/2022 1/20/2023
Anti-embolitic devices 1/26/2021 4/13/2021 11/10/2021 2/16/2022 8/26/2022 2/23/2023
Client Hygiene 1/26/2021 2/16/2021 9/15/2021 1/19/2022 8/26/2022 1/20/2023
Nutrition: Care of the patient 2/2/2021 2/16/2021 9/15/2021 1/19/2022 9/2/2022 1/20/2023
Recording Intake 2/2/2021 4/13/2021 9/15/2021 1/19/2022 9/2/2022 3/10/2023
SPECIMEN COLLECTION
Nose 2/2/2021 11/11/2022 3/3/2023
Sputum 2/2/2021 3/24/2023
Stool 2/2/2021
Throat 2/2/2021
Urine 2/2/2021
Wound 2/2/2021

Revised 5/7/2020 Curriculum Approval: 05/15/2020

 NURSING SKILLS CHECKLIST 3 of 6

Date Performed in
Date Performed in Date Performed in Date Performed in Date Performed in Date Performed in
Content Sophomore 2
Lab/Sim Junior 1 Practicum Junior 2 Practicum Senior 1 Practicum Senior 2 Practicum
Practicum
Point-of-Care Glucose Testing 2/9/2021 3/2/2021 9/15/2021 3/30/2022 1/20/2023
RESPIRATORY
Oxygen delivery devices 2/9/2021 4/13/2021 9/14/2021 1/26/2022 1/20/2023
Pulse Oximetery 2/9/2021 2/16/2021 9/15/2021 1/26/2022 1/20/2023
GI
Enteral Tubes: Care of the patient 3/9/2021 1/25/2023
Nasogastric Tube: Insertion 3/9/2021
Nasogastric Tube: Care of the patient 3/9/2021
Nasogastric Tube: Managing Suction 3/9/2021
Nasogastric Tube: Removal 3/9/2021
WASTE ELIMINATION
Urinary Catheter: Insertion 2/2/2021 2/16/2021 8/26/2022
Urinary Catheter: Care of the patient 2/2/2021 9/15/2021 1/26/2022 8/26/2022 1/25/2023
Urinary Catheter: Removal 2/2/2021 4/13/2022 9/9/2022 1/25/2023
Urinary Catheter: External devices 2/2/2021 4/13/2021 9/8/2021 1/19/2022 2/17/2023
Bladder Scan 2/2/2021 4/20/2022 1/25/2023
Bedpan 1/19/2021 4/20/2021 9/8/2021 2/16/2022 1/25/2023
Fecal Disimpaction 1/19/2021
Enema 2/19/2021
Ostomy Care 1/19/2021 11/10/2021 3/30/2023
Recording Output 1/19/2021 2/16/2021 9/15/2021 1/19/2022 9/9/2022 2/17/2023
WOUNDS
Wound Assessment 3/9/2021 9/15/2021 2/17/2023
Dressing Change 3/9/2021 9/15/2021 2/17/2023
Wound Irrigation 3/9/2021 9/15/2021
Wound Vacuum 3/9/2021
Heat & Cold: Dry, Moist 3/9/2021

Revised 5/7/2020 Curriculum Approval: 05/15/2020

 NURSING SKILLS CHECKLIST 4 of 6

Date Performed in
Date Performed in Date Performed in Date Performed in Date Performed in Date Performed in
Content Sophomore 2
Lab/Sim Junior 1 Practicum Junior 2 Practicum Senior 1 Practicum Senior 2 Practicum
Practicum
Applying Sterile Gloves 1/12/2021 2/16/2021 8/26/2022 1/25/2023
Sterile Field 1/12/2021 2/16/2021 8/26/2022 1/25/2023
MEDICATION ADMINISTRATION
Drug Calculations 3/23/2021 10/13/2021 11/11/2022 2/18/2023
3 Medication Safety Checks 3/23/2021 4/16/2021 9/8/2021 1/19/2022 8/26/2022 1/20/2023
Oral Administration 3/23/2021 4/13/2021 9/8/2021 1/19/2022 9/9/2022 1/20/2023
Enteral Tube Administration 3/30/2021 11/11/2022 1/25/2023
Ophthalmic Administration 3/30/2021 11/10/2021 2/24/2023
Nasal Administration 3/30/2021 4/13/2021 3/24/2023
Inhalant Administration 3/30/2021 2/23/2023
Topical Administration 3/30/2021 4/6/2021 9/8/2021 1/25/2023
Vaginal Administration 3/30/2021
Rectal Administration 3/30/2021
Intramuscular Administration 3/23/2021 8/26/2022
Subcutaneous Administration 3/23/2021 4/6/2021 9/8/2021 2/16/2022 1/20/2023
Intradermal Administration 3/23/2021
Eye Irrigation 3/30/2021
Ear Irrigation 3/30/2021

NUR3104P: Competencies for Nursing Practice II

SBAR REPORT
Using SBAR to give report 8/31/2021 4/6/2021 9/8/2021 1/19/2022 1/26/2023
VENIPUNCTURE & IV THERAPY
Performing phlebotomy 8/24/2021 10/12/2021 4/6/2022 1/20/2023
Specimen Collection: Venous Blood 8/24/2021 10/12/2021 4/6/2022 1/20/2023
Inserting a peripheral intravenous access device 8/24/2021 10/12/2021 4.20/2022 3/24/2023
Medication Administration: Intravenous push 8/24/2021 10/12/2021 1/19/2022 11/11/2022 1/20/2023

Revised 5/7/2020 Curriculum Approval: 05/15/2020

 NURSING SKILLS CHECKLIST 5 of 6

Date Performed in
Date Performed in Date Performed in Date Performed in Date Performed in Date Performed in
Content Sophomore 2
Lab/Sim Junior 1 Practicum Junior 2 Practicum Senior 1 Practicum Senior 2 Practicum
Practicum
Programming IV Pump: Starting an infusion 8/17/2021 9/14/2021 4/20/2022 11/18/2022 1/20/2023
Programming IV Pump: Maintaining an infusion 8/17/2021 9/14/2021 4/20/2022 11/18/2022 1/20/2023
Programming IV Pump: Discontinuing an infusion 8/17/2021 9/14/2021 2/16/2022 11/18/2022 1/20/2023
Medication Administration: Intravenous piggyback 8/17/2021 9/14/2021 4/20/2022 1/20/2023
CARDIAC MONITORING
Perform Electrocardiogram 8/31/2021 9/14/2021
Identify Lethal Arrhythmias (V-Fib, V-Tach, Asystole) 10/19/2021
Place telemetry leads for continuous monitoring 8/31/2021 10/12/2021 3/30/2022 1/20/2023
RESPIRATORY
Mechanical Ventilation: Care of the patient 9/21/2021 4/13/2022
Tracheostomy Care 9/21/2021 1/26/2023
Suctioning: Oropharyngeal & Nasopharyngeal 9/21/2021
Suctioning: Tracheostomy 9/21/2021 1/26/2023
Suctioning: Endotracheal 9/21/2021
Chest Tubes: Care of the patient 9/21/2021 2/17/2023
WASTE ELIMINATION
Bladder Irrigation: Manual Oct-21 3/10/2023
Bladder Irrigation: Continuous 10/19/2021 3/10/2023
POST OP CARE
Maintaining surgical drains & dressings 10/19/2021
Suture & Staple Care & Removal 10/19/2021 4/13/2022
CENTRAL VENOUS ACCESS DEVICES
Aspiration 10/19/2021 1/20/2023
Flushing 8/17/2021 1/20/2023
Medication Administration 8/24/2021 11/10/2021 1/20/2023
Dressing Changes 11/9/2021 1/26/2023
Specimen collection 8/24/2021 1/20/2023

Revised 5/7/2020 Curriculum Approval: 05/15/2020

 NURSING SKILLS CHECKLIST 6 of 6

Date Performed in
Date Performed in Date Performed in Date Performed in Date Performed in Date Performed in
Content Sophomore 2
Lab/Sim Junior 1 Practicum Junior 2 Practicum Senior 1 Practicum Senior 2 Practicum
Practicum
BLOOD TRANSFUSIONS
Blood product transfusion: Care of the patient 9/21/2021 4/6/2022 1/20/2023
END OF LIFE
Post-mortem Care 11/9/2021 4/13/2022 1/26/2023

Revised 5/7/2020 Curriculum Approval: 05/15/2020