Bon Secours Memorial College of Nursing
Nursing Skills Checklist
Name:
Jeanne Indelicato
Faculty:
Doyne/Nadoo
Competencies for Nursing Practice I
Faculty:
Shultz/Faw
Competencies for Nursing Practice II
Student will indicate the date that the skill is performed in the course specified. Student should indicate if the
skill was performed in the lab (L) or if the skill was performed during direct patient contact (P). If the student
has the opportunity to perform a skill during direct patient care that has previously been noted as done in the
lab, the student should update this form to indicate performance of skill with a (P) and the revised date if during
the same course. If the student performs a skill previously learned in Nur 2103 during direct care in Nur 3104,
the student should indicate this in the Nur 3104 column and not change the Nur 2103 notes. This document
should be completed electronically and submitted to clinical instructor at midterm and final. In addition, the
checklist should be kept up to date in the individual student portfolio. Skills taught in Nur 2102 do not require a
date of completion but provide a frame of reference for the student to monitor health assessment skills. It is
the sole responsibility of the student to keep this document up to date.
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Transmission based precautions
1/10/2013
Transfers
1/10/2013
Bed positioning
1/10/2013
Body mechanics
1/10/2013
Lifts
1/10/2013
Joint mobility
1/10/2013
Restraints
1/10/2013
Assistive devices
1/10/2013
Fall prevention
1/10/2013
Seizure precautions
1/10/2013
Ambulation
1/10/2013
Hand hygiene
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 1
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Sequential compression devices
1/17/2013
Client hygiene: oral, hair, perineal,
foot
1/17/2013
Anti-embolic stockings
1/17/2013
Hand hygiene
Holistic Health Assessment
Health Promotion and Maintenance
Critical Thinking in Health
Assessment
Modules I-III
Interviewing
Module I-III
Health history
Module I-III
Genetics/Genomics
Modules I-III
Comp I:Nur 2103
Date(s)
Performed
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Cultural assessment
Modules I-II
Spiritual assessment
Modules I-II
Behavioral change assessment
Nutrition
Module I
2/21/2013
Module I
Environment
Module I
Functional
Module I
Mental Status
Pain
Module I-III
3/28/2013
Module I
Psychosocial Integrity
Domestic Violence
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 2
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Hand hygiene
Physical Examination
Health Promotion and Maintenance
General Survey
Module I-III
Vital Signs
Module I-III
Skin, Hair, Nails, and Wounds
Module II-III
Head, Face, Neck, Eyes, Ears,
Nose, Mouth, and Throat
Module II-III
Thorax and lungs
Module II-III
Cardiovascular
Module II-III
Abdomen
Module II-III
Musculoskeletal
Module II-III
Neurologic
Module II-III
Breast, Lymphatics and
Genitourinary
Module II-III
Integration of Health
Assessment to the Lifespan
Health Promotion and Maintenance
Complete Health Assessment
Module II-III
Assessment of the Pregnant and
Postpartum Female
Module III
Assessment of the Newborn,
Infant and Child
Module III
Functional Assessment of the
Older Adult
Module III
General Computer Skills
Basic computer navigation
Email
Web navigation
Management of Care
!
!
Orientation
!
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 3
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Hand hygiene
Computer/internet security
procedures
Comp I:Nur 2103
Date(s)
Performed
Navigation of the Electronic
Medical Record
4/4/2013
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Module II-III
Reduction of Risk Potential
Specimen collection: stool, urine,
sputum, wound, nose, throat,
capillary, phlebotomy
2/7/2013
Urine testing
2/7/2013
Glucose testing
2/7/2013
Interpretation of Common Laboratory and Diagnostic Tests:
Blood chemistries
Hematology
Culture
Urinalysis
!
!
!
!
Module II
Fecal analysis
Cerebrospinal fluid
Computed tomography
Doppler studies
Electrocardiography
Endoscopy
Magnetic resonance
imaging
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 4
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Hand hygiene
Radiography
Skin testing
Ultrasound
Perform electrocardiogram
9/23/2013
Initiate telemetry monitor
9/23/2013
Physiological Adaptation
Diaphragmatic breathing
2/21/2013
Incentive spirometer
2/21/2013
Administer oxygen: nasal cannula, 2/21/2013
face mask,
L
9/16/2013
Tracheostomy care
9/16/2013
Suctioning: oropharyngeal,
nasopharyngeal, tracheostomy
9/16/2013
Chest tubes: assisting with
insertion, maintaining, removal
9/9/2013
Mechanical Ventilation:
maintaining, suctioning, alarms,
complications
Pulse oximeter
2/21/2013
Peak expiratory flow
2/21/2013
Chest physiotherapy
2/21/2013
Comp I:Nur
2103
Date(s)
Performed
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Reduction of Risk Potential
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 5
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Aspiration Precautions
2/21/2013
Hand hygiene
9/9/2013
Basic Care & Comfort
Feeding clients
2/21/2013
Recording intake
2/21/2013
Physiological Adaptation
Gastric tube feedings: nasogastric
tube, Gastrostomy/jejunostomy
2/21/2013
Nasogastric tube: insertion,
maintenance, removal
2/21/2013
Gastric and jejunum tube care
2/21/2013
Catheter insertion and
removal
2/7/2013
Catheter care
2/7/2013
Bladder irrigation
2/7/2013
Urinary ostomy care
2/7/2013
Urinary
11/11/2013
Peritoneal dialysis
Fecal
Bedpan
2/7/2013
Fecal impaction
2/7/2013
Enema
2/7/2013
Fecal ostomy (also in Comp 2/7/2013
II)
Basic Care & Comfort
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 6
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Recording Output
2/7/2013
Hand hygiene
Physiological Adaptation
Assessment
3/7/2013
Dressing change
3/7/2013
Wound irrigation
3/7/2013
Sitz bath
3/7/2013
L
11/18/2013
Applying binders
3/7/2013
Wound Vaccum
Basic Care & Comfort
Compression wrap
11/18/2013
Splint
11/18/2013
Brace
11/18/2013
Cast
11/18/2013
Traction
11/18/2013
3/7/2013
Heat and cold: dry, moist
Pharmacological & Parenteral Therapies
3/21/2013
Drug Calculations
Safety, legal, and ethical issues
Comp I:Nur
2103
Date(s)
Performed
Controlled substances
3/21/2013
6 rights, 3 checks
3/21/2013
Documentation
3/21/2013
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 7
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
3/21/2013
Oral
3/21/2013
Enteral tubes
3/21/2013
Topical
3/21/2013
o Otic
3/21/2013
o Ophthalmic
3/21/2013
o Nasal
3/21/2013
o Inhalant
3/21/2013
o Dermatologic
3/21/2013
o Vaginal
3/21/2013
o Rectal
3/21/2013
Intramuscular
3/21/2013
Subcutaneous
3/21/2013
Intradermal
3/21/2013
Hand hygiene
Error reporting
Medication Administration
Starting, maintaining, and
discontinuing an
intravenous infusion
8/19/2013
Intravenous push
8/19/2013
Intravenous additives
8/19/2013
Intravenous fluids
8/19/2013
Patient controlled analgesia
pump
8/26/2013
Total parenteral nutrition
8/26/2013
Eye and ear irrigation
81/19/13
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 8
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Hand hygiene
9/9/2013
9/9/2013
o Aspiration
9/9/2013
o Flushing
9/9/2013
o Medication
administration
9/9/2013
o Tubing
9/9/2013
o Complications
9/9/2013
9/9/2013
9/23/2013
Product types
9/23/2013
Safety
9/23/2013
Procedure
9/23/2013
Assessment of
complications
9/23/2013
Central Venous Access Devices
Types
Dressing Changes
Blood Transfusions
Comp I:Nur
2103
Date(s)
Performed
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Reduction of Risk Potential
Pre-op teaching
Surgical hand scrub (also in Comp 2/7/2013
II)
Applying sterile gown and gloves
(also in Comp II)
Managing GI suction (also in
Comp II)
1/10/2013
11/18/2013
11/18/2013
11/18/2013
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 9
!
Comp I:Nur 2103
Date(s)
Performed
Daily Patient Care
Comp II: Nur 3104
Date(s) Performed
Assessment
Nur 2102
Safety & Infection Control
1/10/2013
Standard precautions
1/10/2013
Personal protective equipment
1/10/2013
Hand hygiene
Suture and staple care
11/18/2013
Suture and staple removal
11/18/2013
Epidural care
11/18/2013
Safety/Infection
Sterile field (also in Comp II)
2/7/2013
Sterile gloves (also in Comp II)
1/10/2013
Psychosocial Integrity
Palliative care
12/2/2013
Performing post-mortem care
12/2/2013
[ Ty p e t h e c o m p a n y a d d r e s s ]
B S M C O N N u r s i n g S k i l l s C h e c k l i s t 8 / 1 9 / 1 1 Page 1
! 0