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STUDENT NAME: Holly Longest

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

NUR 2102: Health Assessment

COMPLETE HEALTH ASSESSMENT


Adult 1/29/21 10/6/21 10/27/22 1/17/23
Pregnant female 10/27/22
Postpartum female 10/27/22
Newborn 10/27/22

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


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Infant 9/22/22
Child 9/1/22
NUR 2103P: Competencies for Nursing Practice I

GENERAL CARE
Identify Patient Using Proper Identifiers 9/8/20 9/22/20 1/29/21 10/6/21 9/1/22 1/17/23
Standard Precautions 8/18/20 9/22/20 1/29/21 11/10/21 9/1/22 1/19/23
Transmission-based Precautions 8/18/20 3/5/21 10/27/21 9/22/22 2/2/23
Patient mobility & positioning 8/18/20 9/22/20 1/29/21 10/6/21 9/1/22 1/26/23
Restraints 9/1/20 10/6/20 11/3/21 9/1/22 3/23/23
Anti-embolitic devices 9/1/20 1/19/23
Client Hygiene 9/1/20 9/22/20 1/29/21 10/6/21 9/22/22 1/17/23
Nutrition: Care of the patient 9/8 9/22/20 11/3/21 8/25/22 4/6/23
Recording Intake 9/8 9/22/20 1/29/21 10/6/21 9/22/22 1/28/23
SPECIMEN COLLECTION
Nose 9/8 9/15/22 1/29/23
Sputum 9/8
Stool 9/8 10/6/20
Throat 9/8 9/15/22
Urine 9/8 9/22/20 10/20/21 2/2/23
Wound 9/8
Point-of-Care Glucose Testing 9/15/20 9/29/20 1/29/21 10/6/21 1/17/23
RESPIRATORY
Oxygen delivery devices 9/15/20 11/10/20 3/5/21 10/20/21 9/22/22 1/17/23
Pulse Oximetery 9/15/20 9/22/20 1/29/21 9/22/21 8/25/22 1/17/23
GI
Enteral Tubes: Care of the patient 10/13/20 11/3/20 11/17/21 9/1/22 1/29/23
Nasogastric Tube: Insertion 10/13/20 3/23/23
Nasogastric Tube: Care of the patient 10/13/20 11/3/20 11/17/21 9/1/22 3/23/23
Nasogastric Tube: Managing Suction 10/13/20 11/17/21 9/1/22 3/23/23

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


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Nasogastric Tube: Removal 10/13/20 4/10/23


WASTE ELIMINATION
Urinary Catheter: Insertion 9/8 3/4/21 10/27/21 11/10/22
Urinary Catheter: Care of the patient 9/8 9/22/20 3/5/21 10/27/21 11/10/22 3/28/23
Urinary Catheter: Removal 9/8 11/10/21 11/10/22 3/28/23
Urinary Catheter: External devices 9/8 11/3/20 10/13/21 4/6/23
Bladder Scan 9/8/20 3/4/21 9/22/21 2/2/23
Bedpan 8/25/20 9/22/20 9/15/21 11/10/22 1/19/23
Fecal Disimpaction 8/25/20
Enema 8/25/20 1/29/23
Ostomy Care 8/25/20 9/22/20 11/17/21 4/6/23
Recording Output 9/8/20 9/22/20 1/29/21 10/6/21 9/22/22 1/17/23
WOUNDS
Wound Assessment 10/13/20 11/10/20 9/15/22 3/28/23
Dressing Change 10/13/20 11/10/20 11/3/21 9/15/22 3/28/23
Wound Irrigation 10/13/20 3/28/23
Wound Vacuum 10/13/20
Heat & Cold: Dry, Moist 10/13/20 11/10/20
Applying Sterile Gloves 8/18/20 3/4/21 10/27/21 11/10/22 4/10/23
Sterile Field 8/18/20 3/4/21 10/27/21 11/10/22 4/10/23
MEDICATION ADMINISTRATION
Drug Calculations 10/20/20 11/10/20 9/22/21 9/1/22 1/17/23
3 Medication Safety Checks 10/20/20 11/10/20 1/29/21 9/22/21 9/1/22 1/29/23
Oral Administration 10/20/20 1/29/21 9/22/21 9/22/22 1/29/23
Enteral Tube Administration 10/20/20 11/3/21 1/29/23
Ophthalmic Administration 10/27/20 11/3/22 3/28/23
Nasal Administration 10/27/20 1/17/23
Inhalant Administration 10/27/20 2/26/21 10/13/21 9/1/22
Topical Administration 10/27/20 9/22/22 1/29/23
Vaginal Administration 10/27/20
Revised 5/7/2020 Curriculum Approval: 05/15/2020
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Rectal Administration 10/27/20 4/6/23


Intramuscular Administration 10/20/20 11/17/21
Subcutaneous Administration 10/20/20 11/10/20 1/29/21 10/27/21 3/28/23
Intradermal Administration 10/20/20
Eye Irrigation 10/27/20
Ear Irrigation 10/27/20

NUR3104P: Competencies for Nursing Practice II

SBAR REPORT
Using SBAR to give report 3/5/21 11/10/21 9/1/22 4/6/23
VENIPUNCTURE & IV THERAPY
Performing phlebotomy 1/21/21 11/17/21 3/23/23
Specimen Collection: Venous Blood 1/21/21 11/17/21 3/23/23
Inserting a peripheral intravenous access device 1/21/21 3/4/21 11/3/21 4/10/23
Medication Administration: Intravenous push 1/14/21 1/29/21 10/6/21 9/1/22 4/10/23
Programming IV Pump: Starting an infusion 1/14/21 2/4/21 9/22/21 9/1/22 3/23/23
Programming IV Pump: Maintaining an infusion 1/14/21 2/4/21 9/22/21 9/1/22 3/23/23
Programming IV Pump: Discontinuing an infusion 1/14/21 4/16/21 9/22/21 9/1/22 3/23/23
Medication Administration: Intravenous piggyback 1/21/21 1/29/21 9/22/21 3/23/23
CARDIAC MONITORING
Perform Electrocardiogram 3/25/21 3/4/21
Identify Lethal Arrhythmias (V-Fib, V-Tach, Asystole) 3/25/21 4/23/21 10/6/21 9/1/22 1/29/23
Place telemetry leads for continuous monitoring 1/21/21 4/9/21 10/6/21 9/22/22 1/17/23
RESPIRATORY
Mechanical Ventilation: Care of the patient 3/5/21 11/17/21 1/17/23
Tracheostomy Care 11/17/21 4/10/23
Suctioning: Oropharyngeal & Nasopharyngeal 3/5/21 11/17/21 9/22/22 4/6/23
Suctioning: Tracheostomy 11/17/21 4/10/23
Suctioning: Endotracheal
Chest Tubes: Care of the patient 4/9/21 1/29/23

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


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WASTE ELIMINATION
Bladder Irrigation: Manual 3/25/21 10/27/21
Bladder Irrigation: Continuous 3/25/21 10/27/21 3/23/23
POST OP CARE
Maintaining surgical drains & dressings 3/25/21 4/23/21 11/17/21 10/27/22 3/28/23
Suture & Staple Care & Removal 3/25/21
CENTRAL VENOUS ACCESS DEVICES
Aspiration 9/22/21 3/23/23
Flushing 9/22/21 3/23/23
Medication Administration 9/22/21 3/23/23
Dressing Changes 9/22/21 4/6/23
Specimen collection 9/22/21 3/23/23
BLOOD TRANSFUSIONS
Blood product transfusion: Care of the patient 2/25/21 4/10/23
END OF LIFE
Post-mortem Care 3/25/21 2/2/23

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


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