NURSING SKILLS CHECKLIST 1 of 6

STUDENT NAME: Ellie Sullivan

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 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 4/5/2022 4/12/2022 8/23/2022 1/17/2023 10/24/2023 4/8/2024
Pregnant female 10/24/2023
Postpartum female 11/28/2023
Newborn 11/14/2023
Infant 9/12/2023
Child 8/22/2023

NUR 2103P: Competencies for Nursing Practice I

GENERAL CARE
Identify Patient Using Proper Identifiers 1/11/2022 2/1/2022 9/13/2022 1/17/2023 8/22/2023 4/8/2024
Standard Precautions 1/11/2022 2/1/2022 8/30/2022 1/17/2023 8/22/2023
Transmission-based Precautions 1/11/2022 2/1/2022 8/30/2022 2/7/2023 8/22/2023
Patient mobility & positioning 1/11/2022 2/1/2022 9/6/2022 1/17/2023 8/29/2023
Restraints 1/25/2022 2/1/2022 4/8/2024
Anti-embolitic devices 1/25/2022 2/1/2022 1/17/2023 11/28/2023
Client Hygiene 1/25/2022 2/1/2022 9/6/2022 1/17/2023 8/22/2023
Nutrition: Care of the patient 1/25/2022 2/1/2022 1/17/2023 8/29/2023 4/8/2024
Recording Intake 1/25/2022 2/1/2022 1/17/2023 11/28/2023 3/1/2024
SPECIMEN COLLECTION
Nose 2/8/2022 2/22/2022
Sputum 2/8/2022 2/7/2023
Stool 2/8/2022 2/21/2023
Throat 2/8/2022 2/22/2022
Urine 2/8/2022 9/14/2022 2/14/2023 9/12/2023 3/7/2024
Wound 2/8/2022 8/22/2023

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

 NURSING SKILLS CHECKLIST 3 of 6

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
Point-of-Care Glucose Testing 2/8/2022 2/22/2022 9/6/2022 1/17/2023 11/28/2023 3/21/2024
RESPIRATORY
Oxygen delivery devices 1/25/2022 2/1/2022 10/11/2022 8/22/2023
Pulse Oximetery 1/25/2022 2/1/2022 10/18/2022 8/22/2023
GI
Enteral Tubes: Care of the patient 2/15/2022 10/11/2022
Nasogastric Tube: Insertion 2/15/2022 11/8/2022
Nasogastric Tube: Care of the patient 2/15/2022 10/11/2022
Nasogastric Tube: Managing Suction 2/15/2022 10/11/2022
Nasogastric Tube: Removal 2/15/2022 10/6/2022
WASTE ELIMINATION
Urinary Catheter: Insertion 2/15/2022 10/24/2023
Urinary Catheter: Care of the patient 2/15/2022 2/22/2022 11/15/2022 10/24/2023
Urinary Catheter: Removal 2/15/2022 11/2/2022 10/24/2023
Urinary Catheter: External devices 2/15/2022 11/15/2022
Bladder Scan 2/15/2022 11/15/2022
Bedpan 1/25/2022 2/1/2022 11/1/2022
Fecal Disimpaction 1/25/2022 2/1/2022
Enema 1/25/2022 8/22/2023
Ostomy Care 1/25/2022 10/4/2022
Recording Output 1/25/2022 2/1/2022 10/4/2022 11/28/2023 3/1/2024
WOUNDS
Wound Assessment 2/8/2022 4/12/2022 10/4/2022 8/22/2023
Dressing Change 2/8/2022 4/12/2022 11/15/2022
Wound Irrigation 2/8/2022 4/12/2022 11/25/2022 8/22/2023
Wound Vacuum 2/8/2022 4/12/2022
Heat & Cold: Dry, Moist 2/8/2022 4/12/2022

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

 NURSING SKILLS CHECKLIST 4 of 6

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
Applying Sterile Gloves 2/8/2022 10/24/2023
Sterile Field 2/8/2022 10/24/2023
MEDICATION ADMINISTRATION
Drug Calculations 1/25/2022 4/12/2022 11/9/2022 10/24/2023
3 Medication Safety Checks 3/29/2022 4/12/2022 11/8/2022 8/29/2023 4/8/2024
Oral Administration 3/29/2022 4/12/2022 11/8/2022 8/29/2023 4/8/2024
Enteral Tube Administration 3/29/2022 4/12/2022
Ophthalmic Administration 3/29/2022 4/12/2022
Nasal Administration 3/29/2022 4/12/2022 4/8/2024
Inhalant Administration 3/29/2022 4/12/2022 4/8/2024
Topical Administration 3/29/2022 11/15/2022 11/28/2023
Vaginal Administration 3/29/2022 4/12/2022
Rectal Administration 3/29/2022 4/12/2022
Intramuscular Administration 3/29/2022 4/12/2022 11/2/2022 10/24/2023
Subcutaneous Administration 3/29/2022 4/12/2022 11/2/2022
Intradermal Administration 3/29/2022 11/2/2022
Eye Irrigation 3/29/2022 4/12/2022
Ear Irrigation 3/29/2022 4/12/2022

NUR3104P: Competencies for Nursing Practice II

SBAR REPORT
Using SBAR to give report 9/14/2022 10/18/2022 8/19/2023 4/8/2024
VENIPUNCTURE & IV THERAPY
Performing phlebotomy 8/24/2022 9/14/2022
Specimen Collection: Venous Blood 8/24/2022 9/14/2022
Inserting a peripheral intravenous access device 8/24/2022 9/14/2022
Medication Administration: Intravenous push 8/17/2022 9/14/2022 10/24/2023

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

 NURSING SKILLS CHECKLIST 5 of 6

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
Programming IV Pump: Starting an infusion 8/17/2022 9/14/2022 10/24/2023
Programming IV Pump: Maintaining an infusion 8/17/2022 9/14/2022 10/24/2023
Programming IV Pump: Discontinuing an infusion 8/17/2022 9/14/2022 10/24/2023
Medication Administration: Intravenous piggyback 8/17/2022 9/14/2022
CARDIAC MONITORING
Perform Electrocardiogram 8/24/2022 9/14/2022
Identify Lethal Arrhythmias (V-Fib, V-Tach, Asystole) 8/24/2022 9/14/2022
Place telemetry leads for continuous monitoring 8/24/2022 9/14/2022
RESPIRATORY
Mechanical Ventilation: Care of the patient 9/21/2022 9/14/2022
Tracheostomy Care 9/21/2022 9/14/2022
Suctioning: Oropharyngeal & Nasopharyngeal 9/21/2022 11/14/2023
Suctioning: Tracheostomy 9/21/2022 9/14/2022
Suctioning: Endotracheal 9/21/2022 9/14/2022
Chest Tubes: Care of the patient 9/21/2022 9/14/2022
WASTE ELIMINATION
Bladder Irrigation: Manual 10/18/2022 11/2/2022
Bladder Irrigation: Continuous 10/18/2022 11/2/2022
POST OP CARE
Maintaining surgical drains & dressings 10/18/2022 11/8/2022
Suture & Staple Care & Removal 10/18/2022 11/8/2022
CENTRAL VENOUS ACCESS DEVICES
Aspiration 8/24/2022 9/14/2022
Flushing 8/24/2022 9/14/2022
Medication Administration 8/24/2022 9/14/2022
Dressing Changes 11/9/2022 9/14/2022
Specimen collection 8/24/2022 9/14/2022

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

 NURSING SKILLS CHECKLIST 6 of 6

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
BLOOD TRANSFUSIONS
Blood product transfusion: Care of the patient 9/21/2022 11/8/2022
END OF LIFE
Post-mortem Care 11/9/2022 11/14/2023

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