Christina Miller

Clinical Skills Checklist

Below is a list of clinical skills acquired during Fundamentals, Mental Health, and Medical Surgical Clinical rotations. All skills were observed by clinical preceptors.

Key Level 1: Confident Level 2: Needs Assistance Level 3: No Experience

Has Experience with Ability Requires Little or No Supervision Has Some Experience with Skill Requires Moderate Supervision No Experience in Clinical Setting Requires Close Supervision Level 1 Confident X X X X X X X X X X X X X X X X X X X X X X X X 1 Level 2 Needs Assistance Level 3 No Experience

Basic Skills Blood Pressure Apical Pulse Rate, Radial Pulse Rate Respirations Temperature Oral, Axillary, Rectal Hand washing Use of Non-Sterile Gloves Pain as the 5th Vital Sign Skin Care Mouth Care Bathing Complete Bathing Partial Assist with Feeding Bed making Occupied Bed making Unoccupied Standing Scale Weight Bed scale Weight Transfer Wheelchair Transfer Chair Transfer Stretcher Ambulation of Client with Tubes/Equipment Glucometer Isolation Procedures Postmortem Care Repositioning Using Lift (Draw)

Christina M. Miller
Clinical Skills Checklist

Sheet Repositioning Frail Client Side lying Assisting Movement up in Bed

X X Level 1 Confident Level 2 Needs Assistance X X Level 3 No Experience

Neurological Glascoma Scale Cranial Nerve Assessment Motor/Sensory Function Assessment

Cardiopulmonary Normal Heart Sounds (S1, S2) Peripheral Pulses Edema Assessment Application of Antiembolism Hose Management of Sequential Compression Boots Respiratory Assessment Normal Breath Sounds Adventitious Breath Sounds: Wheezing Adventitious Breath Sounds: Crackles (Rales) Adventitious Breath Sounds: Rhonchi Pulsoximetry Nasal Cannula Venti (Venturi) Mask Partial Rebreather Mask NonRebreather Mask Oral Suctioning (Yankauer) Nasopharyngeal Suctioning Tracheal (Endotracheal) Suctioning Closed (Inline) Suctioning System Tracheostomy Care Chest Tube Care Sputum Collection Incentive Spirometer

Level 1 Confident X X X X X X X X X X X X X X X X X X

Level 2 Needs Assistance

Level 3 No Experience

X X X X X 2

Christina M. Miller
Clinical Skills Checklist

12 Lead EKG

Gastrointestinal Auscultation of Bowel Sounds Abdominal Palpation Measurement of PO/Enteral Intake Calorie Counts Enteral Feeding: NGT Enteral Feeding: PEG Enteral Feeding: J Tubes Enteral Tube Site Care Insertion and Placement of NGT Management of NG Suction Tap Water/SSE Enema Fleet Enema Ostomy Care Fecal Bag Stool Specimen Collection Assist with Bedpan

Level 1 Confident X X X X X

Level 2 Needs Assistance

Level 3 No Experience

X X X X X X X X X X X

Genitourinary Assist with Urinal Urine Assessment Appearance Bladder Assessment Measurement of Urine Output Urinary Catheter Insertion Urinary Catheter Removal Bladder Irrigation Catheter Leg Bag Suprpubic Catheter Care Nephrostomy Tube Management Nephrostomy Care Hemodialysis Access (Fistula,

Level 1 Confident X X X X

Level 2 Needs Assistance

Level 3 No Experience

X X X X X X X X 3

Christina M. Miller
Clinical Skills Checklist

Graft) Incontinence Care

Musculoskeletal Inspection and Palpitation of Muscles and Joints Assessment of ROM: Active and Passive Neurovascular Assessment of Extremity Skin Traction (Bucks) Skeletal Traction/External Fixation Devices

Level 1 Confident X X

Level 2 Needs Assistance

Level 3 No Experience

X X X

Skin General: Color Temperature, Texture, Turgor Pressure Ulcer Risk Assessment Pressure Ulcer Care Dry Sterile Dressing Wound Irrigation Wound Packing Hydrocolloid Dressings Hydrogel Dressings Drain Site Care (JP, Penrose, Hemovac) Postop Wound Assessment and Care Warm and Cool Compresses K-Pad Ice Packs Splinting

Level 1 Confident X X X X

Level 2 Needs Assistance

Level 3 No Experience

X X X X X X X X X X

Psychosocial

Level 1 Confident

Level 2 Needs

Level 3 No Experience 4

Christina M. Miller
Clinical Skills Checklist

Assistance Therapeutic Communication Development Assessment Across the Lifespan Cultural/Spiritual Assessment Teaching and Learning Assessment Develop Teaching Plan X X X X X

Medication Interpretation of Medication Order PO Meds Meds Via Feeding Tube Eye Drops Eye Ointments Nose Drops/Sprays Metered Dose Inhalers Topicals Rectal/Vaginal Suppositories Intradermal (PPD) Subcutaneous Injections and Sites Intramuscular Injections and Sites Reconstituting Meds Medication Safety - High Risk PCA Rationale for Med Order Nursing Implications for Medications

Level 1 Confident X X X X X

Level 2 Needs Assistance

Level 3 No Experience

X X X X X X X X X X X X

Intravenous Assessment of Peripheral Site Setting up New IV Tubing, Attaching to Patient IV site Via Gravity and Pump Secondary IV Piggy Back Via Lock and Pump Conversion of IV to Lock

Level 1 Confident X X X X

Level 2 Needs Assistance

Level 3 No Experience

Christina M. Miller
Clinical Skills Checklist

Flushing Intermittent Infusion Infusion Pump (mL/HR) Gravity Flow (GTT/Min) D/C IV Peripheral Line Central Line Site Assessment Central Line Dressing Change Sterile Gloves Sterile Field and Dressing PICC Line Assessment Management Hyperalimentation

X X X X X X X X X X

Professional Role Communication with Nursing Staff Communication with Physicians Communication with Other Disciplines Delegation Skills Clinical Decision Making Admitting a Client Discharging Planning Transferring a Client Discharging a Client Documentation Giving and Getting Report Critical Thinking

Level 1 Confident X X X X X

Level 2 Needs Assistance

Level 3 No Experience

X X X X X X X