TOP 100 ACTVITIES RANK ORDERED BY AVERAGE SETTING-SPECIFIC FREQUENCY

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36.

Apply principles of infection control (e.g., hand hygiene, room assignment, isolation, aseptic/sterile technique, universal/standard precautions) Provide care within the legal scope of practice Ensure proper identification of client when providing care Prepare and administer medications, using rights of medication administration Practices in a manner consistent with a code of ethics for registered nurses Prioritize workload to manage time effectively Use approved abbreviations and standard terminology when documenting care Maintain client confidentiality/privacy Provide individualized/client-centered care consistent with Standards of Practice Review pertinent data prior to medication administration (e.g. vital signs, lab results, allergies, potential interactions) Protect client from injury (e.g. falls, electrical hazards) Evaluate therapeutic effects of medications Establish and maintain a therapeutic relationship with client Perform focused assessment and re-assessment (e.g. gastrointestinal, respiratory, cardiac) Evaluate appropriateness/accuracy of medication order for client per institution policy including reconciling orders Verify appropriateness and/or accuracy of a treatment order Monitor intravenous infusion and maintain site (e.g. central, PICC, epidural and venous access) Perform skin assessment and implement measures to maintain skin integrity and prevent skin breakdown (e.g. turning, repositioning, pressure-relieving support surfaces) Facilitate appropriate and safe use of equipment Use pharmacological measure for pain management as needed Calculate client intake and output Perform diagnostic testing (e.g. electrocardiogram, oxygen saturation, glucose monitoring) Receive and/or transcribe health care provider orders Evaluate responses to procedures and treatments Use therapeutic communication techniques to provide support to client Perform comprehensive health assessment Collaborate with health care members in other disciplines when providing client care Comply with requirements governing controlled substances Assess and respond to changes in client vital signs Use ergonomic principles when providing care (e.g. assistive devices, proper lifting) Assess/triage clients to prioritize the order of care delivery Educate client about medications Use emerging technology in managing client health care (e.g. telehealth, electronic records Provide and receive report on assigned clients Act as a client advocate Assess client need for pain management and intervene as needed using non-pharmacological comfort measures

environmental allergies) Recognize non-verbal cues to physical and/or psychological stressors Follow procedures for handling biohazardous materials Supervise care provided by others (e. sequential compression devices) Perform procedures necessary to safely admit. evaluate. seek assistance and/or begin corrective measure at the earliest opportunity Assess readiness to learn.g. 61. assistive devices. 54. 46.g. positioning and mobilization) Use precautions to prevent injury and/or complications associated with a procedure or diagnosis Perform calculations needed for medication administration Recognize impact of illness/disease on individual/family lifestyle Incorporate evidence-based practice/research results when providing care Assess client need for sleep/rest and intervene as needed Verify that the client comprehends and consents to care/procedures. 56. implanted.g. 55. 69. food.g. 62. anti-embolic stockings. books) to enhance the care provided for a client Initiate. Provide care and education that meets the special needs of the adult client ages 19 to 64 years Educate client about treatments and procedures Provide care and education that meets the special needs of the older adult client ages 65 to 85 years Use information technology (e. 50. including procedures requiring informed consent Recognize signs and symptoms of complications and intervene appropriately when providing client care Evaluate the results of diagnostic testing and intervene as needed Apply and maintain devices used to promote venous return (e. 52. latex. 70. time and food preferences) . 64. 67. 49.37. 47. 40. 42.g. 39. 48.. maintain and remove a peripheral intravenous line Assess and intervene in client performance of activities of daily living (ADL) and instrumental activities of daily living (IADL) Manage the care of a client on telemetry Evaluate the effectiveness of the treatment regimen for a client with an acute or chronic diagnosis Assess and manage client with an alteration in elimination (e.g. and update plan of care. transfer or discharge a client Provide care and education that meets the special needs of the older adult. 57. computer. compensatory techniques) Manage the client who has an alteration in nutritional intake (e. LPN/VN. 45. 44. 41. 38.g. 68. giving insulin according to blood glucose levels. monitor height and weight. over 85 years Access venuous access devices. change delivery to include method. 66. including tunneled. active or passive range of motion. clinical pathway used to guide and evaluate client care Assess for client allergies/sensitivities and intervene as needed (e. 53. 43. urinary) Identify pathophysiology related to an acute or chronic condition (e. 58. titrating medication to maintain a specific blood pressure) Promote circulation (e. 51. bowel. assistive personnel. and central lines Assist client to compensate for a physical or sensory impairment (e. signs and symptoms) Titrate dosage of medication based on assessment and ordered parameters (e..g. 63. video. 60. 59.g. 65. adjust diet. care map. other RNs) Recognize limitations of self/others. learning preferences and barriers to learning Recognize trends and changes in client condition and intervene appropriately Insert. positioning.g..

Obtain specimens other than blood for diagnostic testing (e. Assess client understanding or and ability to manage self care in the home environment (i.. Provide support to client in coping with life changes (e.g. Provide newborn care and education 99. dementia.71.. Assess family dynamics in order to determine plan of care (e.g... stress) 82. Educate client on home safety issues Copyright. ethical/legal issues) 88. eating disorders) 86. Assist client to cope with life transition 90. Incorporate client cultural practice and beliefs when planning and providing care 98. stool.e. Obtain blood specimens peripherally or through central line 79. coping mechanisms) 85. Plan. Recognize the need for referrals and obtain necessary orders 93. elevate limb) 77. swelling (e. Incorporate behavioral management techniques when caring for a client (e. bonding.g. structure. Provide therapies for comfort and treatment of inflammation. Manage the care of client with impaired ventilation/oxygenation 89. peripheral) 87. Insert.. Perform wound care and/or assist with dressing change 96. Assess psychosocial. community resources) 76. anxiety. Provide information about healthy behaviors and health promotion/maintenance recommendations (e. Manage the care of a client with alteration in hemodynamics. NCSBN... Manage the care of the client with a fluid and electrolyte imbalance 81. immunizations) 75. 2008 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice . physician visits. Serve as a resource person to other staff 84. Provide postoperative care 100. spiritual and occupational factors affecting care and plan interventions as appropriate 72.g. apply heat and cold treatments. communication. Participate in performance improvement/quality assurance process (e. new diagnosis. implement and evaluate cost-effective care 73. depression. wound. urine specimens) 78.. chest physiotherapy. January 2009.g. Educate client and staff about client rights and responsibility (e. setting limits) 74. Participate in educational activities to maintain/improve professional knowledge and skills of self and others 91. Provide care and education for acute and chronic behavioral health issues (e. loss. positive reinforcement.g.g. cardiac.g.. tissue perfusion and hemostasis (e. collect data or participate on a team) 95.. maintain and remove nasogastric tubes and/or urethral catheters 97.. Educate client and staff regarding infection control measures 80. incentive spirometry) 94. boundaries.g. Provide a therapeutic environment for clients with emotional/behavioral issues 92. Provide pulmonary hygiene (e.. cerebral.g. Maintain continuity of care between/among health care agencies 83. role change.g.

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