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STUDENT NAME: Thanh-Thao Duong

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

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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 4/5/2022 4/12/2022 8/23/2022 1/17/2023 10/24/2023 1/25/2024
Pregnant female N/A N/A N/A N/A 10/24/2023
Postpartum female N/A N/A N/A N/A 11/28/2023
Newborn N/A N/A N/A N/A 11/14/2023
Infant N/A N/A N/A N/A 9/12/2023
Child N/A N/A N/A N/A 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 1/25/2024
Standard Precautions 1/11/2022 2/1/2022 8/30/2022 1/17/2023 8/22/2023 1/25/2024
Transmission-based Precautions 1/11/2022 2/1/2022 8/30/2022 2/7/2023 8/22/2023 1/25/2024
Patient mobility & positioning 1/11/2022 2/1/2022 9/6/2022 1/17/2023 8/29/2023 1/25/2024
Restraints 1/25/2022 2/1/2022 1/29/2024
Anti-embolitic devices 1/25/2022 2/1/2022 1/17/2023 11/28/2023 3/5/2024
Client Hygiene 1/25/2022 2/1/2022 9/6/2022 1/17/2023 8/22/2023 1/29/2024
Nutrition: Care of the patient 1/25/2022 2/1/2022 1/17/2023 8/29/2023 1/29/2024
Recording Intake 1/25/2022 2/1/2022 1/17/2023 11/28/2023 1/29/2024
SPECIMEN COLLECTION
Nose 2/8/2022 3/22/2022 3/25/2024
Sputum 2/8/2022 3/22/2022 2/7/2023 1/26/2024
Stool 2/8/2022 4/12/2022 2/21/2023 1/26/2024
Throat 2/8/2022 4/12/2022
Urine 2/8/2022 3/22/2022 9/14/2022 2/14/2023 9/12/2023 3/5/2024
Wound 2/8/2022 3/22/2022 8/22/2023

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

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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 2/8/2022 3/22/2022 9/6/2022 1/17/2023 11/28/2023 2/1/2024
RESPIRATORY
Oxygen delivery devices 1/25/2022 2/1/2022 9/13/2022 1/17/2023 8/22/2023 1/25/2024
Pulse Oximetery 1/25/2022 3/22/2022 8/23/2022 1/17/2023 8/22/2023 1/25/2024
GI
Enteral Tubes: Care of the patient 2/15/2022 3/22/2022 2/28/2023 2/29/2024
Nasogastric Tube: Insertion 2/15/2022 3/22/2022 2/23/2023 2/29/2024
Nasogastric Tube: Care of the patient 2/15/2022 3/22/2022 2/28/2023 2/29/2024
Nasogastric Tube: Managing Suction 2/15/2022 3/22/2022 2/23/2023 3/8/2024
Nasogastric Tube: Removal 2/15/2022 3/22/2022
WASTE ELIMINATION
Urinary Catheter: Insertion 2/15/2022 3/22/2022 3/7/2023 10/24/2023
Urinary Catheter: Care of the patient 2/15/2022 3/22/2022 2/7/2023 10/24/2023 1/29/2024
Urinary Catheter: Removal 2/15/2022 3/22/2022 3/28/2023 10/24/2023 1/25/2024
Urinary Catheter: External devices 2/15/2022 3/22/2022 2/21/2023 1/25/2024
Bladder Scan 2/15/2022 3/22/2022 2/7/2023 1/26/2024
Bedpan 1/25/2022 2/1/2022 1/24/2023 2/25/2024
Fecal Disimpaction 1/25/2022 3/22/2022
Enema 1/25/2022 3/22/2022 8/22/2023 1/29/2024
Ostomy Care 1/25/2022 3/22/2022
Recording Output 1/25/2022 2/1/2022 9/13/2022 1/17/2023 11/28/2023 2/15/2024
WOUNDS
Wound Assessment 2/8/2022 4/12/2022 9/6/2022 2/21/2023 8/22/2023 1/25/2024
Dressing Change 2/8/2022 4/12/2022 9/6/2022 2/21/2023 1/25/2024
Wound Irrigation 2/8/2022 4/12/2022 9/6/2022 2/21/2023 8/22/2023 2/1/2024
Wound Vacuum 2/8/2022 4/12/2022 9/6/2022 1/25/2024
Heat & Cold: Dry, Moist 2/8/2022 4/12/2022 3/5/2024

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

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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 2/8/2022 4/12/2022 9/7/2022 3/7/2023 10/24/2023 2/6/2024
Sterile Field 2/8/2022 4/12/2022 9/7/2022 3/7/2023 10/24/2023 3/19/2024
MEDICATION ADMINISTRATION
Drug Calculations 1/25/2022 4/12/2022 9/13/2022 1/17/2023 10/24/2023 1/29/2024
3 Medication Safety Checks 3/29/2022 4/12/2022 9/13/2022 1/17/2023 8/29/2023 1/25/2024
Oral Administration 3/29/2022 4/12/2022 9/13/2022 1/17/2023 8/29/2023 1/25/2024
Enteral Tube Administration 3/29/2022 4/12/2022 2/6/2024
Ophthalmic Administration 3/29/2022 4/12/2022 10/24/2023 1/29/2024
Nasal Administration 3/29/2022 4/12/2022 2/21/2023 3/5/2024
Inhalant Administration 3/29/2022 4/12/2022 4/18/2023 3/5/2024
Topical Administration 3/29/2022 4/12/2022 10/18/2022 2/14/2023 11/28/2023 1/29/2024
Vaginal Administration 3/29/2022 4/12/2022
Rectal Administration 3/29/2022 4/12/2022 1/29/2024
Intramuscular Administration 3/29/2022 4/12/2022 10/18/2022 2/28/2023 10/24/2023
Subcutaneous Administration 3/29/2022 4/12/2022 9/13/2022 1/17/2023 1/26/2024
Intradermal Administration 3/29/2022 4/12/2022
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 8/17/2022 N/A 9/13/2022 1/17/2023 8/29/2023 2/1/2024
VENIPUNCTURE & IV THERAPY
Performing phlebotomy 8/24/2022 N/A 10/12/2022 3/7/2023 1/25/2024
Specimen Collection: Venous Blood 8/24/2022 N/A 10/12/2022 3/7/2023 1/25/2024
Inserting a peripheral intravenous access device 8/24/2022 N/A 9/14/2022 3/7/2023 1/26/2024
Medication Administration: Intravenous push 8/17/2022 N/A 9/14/2022 1/17/2023 10/24/2023 1/25/2024
Programming IV Pump: Starting an infusion 8/17/2022 N/A 9/13/2022 1/17/2023 10/24/2023 1/25/2024

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

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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: Maintaining an infusion 8/17/2022 N/A 9/13/2022 1/17/2023 10/24/2023 1/25/2024
Programming IV Pump: Discontinuing an infusion 8/17/2022 N/A 11/1/2022 2/7/2023 10/24/2023 2/22/2024
Medication Administration: Intravenous piggyback 8/17/2022 N/A 9/13/2022 1/17/2023 2/1/2024
CARDIAC MONITORING
Perform Electrocardiogram 8/24/2022 N/A 9/1422 4/4/2023 3/8/2024
Identify Lethal Arrhythmias (V-Fib, V-Tach, Asystole) 10/19/2022 N/A 4/4/2023
Place telemetry leads for continuous monitoring 8/24/2022 N/A 9/14/2022 4/4/2023 3/5/2024
RESPIRATORY
Mechanical Ventilation: Care of the patient 9/21/2022 N/A 4/4/2023
Tracheostomy Care 9/21/2022 N/A 4/4/2023 2/6/2024
Suctioning: Oropharyngeal & Nasopharyngeal 9/21/2022 N/A 9/14/2022 11/14/2023 2/6/2024
Suctioning: Tracheostomy 9/21/2022 N/A 4/4/2023 2/6/2024
Suctioning: Endotracheal 9/21/2022 N/A
Chest Tubes: Care of the patient 9/21/2022 N/A 4/18/2023 2/22/2024
WASTE ELIMINATION
Bladder Irrigation: Manual 10/19/2022 N/A
Bladder Irrigation: Continuous 10/19/2022 N/A
POST OP CARE
Maintaining surgical drains & dressings 10/19/2022 N/A 2/28/2023 2/15/2024
Suture & Staple Care & Removal 10/19/2022 N/A 2/22/2024
CENTRAL VENOUS ACCESS DEVICES
Aspiration 11/9/2022 N/A 2/15/2024
Flushing 11/9/2022 N/A 4/18/2023 2/15/2024
Medication Administration 11/9/2022 N/A 2/15/2024
Dressing Changes 11/9/2022 N/A 4/18/2023 3/25/2024
Specimen collection 11/9/2022 N/A 4/18/2023
BLOOD TRANSFUSIONS

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

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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 product transfusion: Care of the patient 9/21/2022 N/A 4/4/2023 3/19/2024
END OF LIFE
Post-mortem Care 11/9/2022 N/A 11/14/2023 3/19/2024

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