Académique Documents
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NAME
Katelin Wells
FACULTY
FACULTY
INSTRUCTIONS
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 of 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 be submitted to the clinical instructor at midterm
and final. In addition, the checklist should be kept up-to-date in the individual student portfolio. Skills taught in the 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
ASSESSMENT
DATE(S) PERFORMED
DATE(S) PERFORMED
NUR 2102
Ambulation
ASSESSMENT
DATE(S) PERFORMED
DATE(S) PERFORMED
NUR 2102
Modules I-III
Interviewing
Modules I-III
Health History
Modules I-III
Genetics | Genomics
Modules I-III
Cultural Assessment
Modules I-II
Spiritual Assessment
Modules I-II
Module I
2/27/15 learned
1/17/17
last
performed
Module I
Environment
Functional
Module I
1/30/15 learned
1/17/17
last
performed
Module I
Mental Status
Modules I-III
8/19/15 learned
12/1/16
last
performed
Pain
Module I
PSYCOSOCIAL INTEGRITY
DOMESTIC VIOLENCE
PHYSICAL EXAMINATION
General Survey
Modules I-III
Vital Signs
Modules I-III
Modules II-III
Modules II-III
Modules II-III
Cardiovascular
Modules II-III
Abdomen
Modules II-III
Musculoskeletal
Modules II-III
Neurologic
Modules II-III
Modules II-III
Modules II-III
Modules III
Modules III
Modules III
COMP I: NUR 2103
ASSESSMENT
DATE(S) PERFORMED
DATE(S) PERFORMED
NUR 2102
MANAGEMENT OF CARE
Orientation
Web Navigation
Navigation of the Electronic Medical Record
1/23/15 learned
12/1/16
last
performed
Modules II-III
2/27/15 learned
Urine Testing
2/13/15 learned
4/27/16
performed
4/27/16
performed
Glucose Testing
last
2/13/15 learned
4/27/16
performed
INTERPRETATION OF COMMON
LABORATORY & DIAGNOSTIC TESTS
last
last
Blood Chemistries
Hematology
Culture
Urinalysis
Fecal Analysis
Cerebrospinal Fluid
Computer Tomography
Doppler Studies
Module II
Electrocardiograph
Endoscopy
9/30/15 learned
4/27/16
performed
last
9/30/15 learned
4/27/16
performed
last
ASSESSMENT
DATE(S) PERFORMED
DATE(S) PERFORMED
NUR 2102
PSYCHOSOCIAL ADAPTATION
Diaphragmatic Bleeding
Incentive Spirometer
2/27/15 learned
4/27/16
last
performed
2/27/15 learned
4/27/16
last
performed
2/27/15 learned
12/8/16
last
performed
9/23/15 learned
4/27/16
last
performed
Chest Physiotherapy
Tracheostomy Care
2/27/15 learned
1/17/17
last
performed
2/27/15 learned
4/27/16
last
performed
2/27/15 learned
9/20/16
last
performed
9/23/15 learned
4/27/16
last
performed
9/23/15 learned
4/27/16
last
performed
9/30/15 learned
4/20/16
last
performed
2/27/15 learned
1/17/17
performed
last
2/27/15 learned
1/17/17
performed
Recording Intake
last
2/27/15 learned
12/8/16
performed
last
PHYSIOLOGICAL ADAPTATION
Gastric Tube Feedings: Nasogastric Tube,
Gastrostomy | Jejunostomy
2/27/15 learned
2/27/15 learned
9/20/16
performed
4/27/16
performed
last
last
2/27/15 learned
4/27/16
performed
last
URINARY
Catheter Insertion & Removal
PHYSIOLOGICAL ADAPTATION
2/13/15 learned
4/20/16
performed
Catheter Care
2/13/15 learned
4/20/16
performed
Bladder Irrigation
last
last
11/4/15 learned
3/16/16
performed
11/4/15 learned
3/16/16
performed
Peritoneal Dialysis
last
last
11/4/15 learned
4/13/16
performed
last
ASSESSMENT
DATE(S) PERFORMED
DATE(S) PERFORMED
NUR 2102
FECAL
Bedpan
PHYSIOLOGICAL ADAPTATION
3/27/15 learned
1/17/17
performed
Fecal Impaction
3/27/15 learned
2/10/16
performed
Enema
last
3/27/15 learned
2/10/16
performed
last
last
3/27/15 learned
4/20/16
performed
last
3/27/15 learned
12/1/16
performed
last
PHYSIOLOGICAL ADAPTATION
Assessment
3/13/15 learned
12/1/16
performed
Dressing Change
3/13/15 learned
4/27/16
performed
Wound Irrigation
last
3/13/15 learned
4/6/16
performed
Sitz Bath
last
last
3/13/15 learned
12/1/16
performed
last
Applying Binders
11/4/15 learned
1/17/17
performed
Wound Vacuum
last
3/13/15 learned
4/6/16
performed
last
11/4/15 learned
4/6/16
performed
Splint
11/4/15 learned
1/17/17
performed
Brace
last
11/4/15 learned
1/17/17
performed
Cast
last
11/4/15 learned
1/17/17
performed
Traction
last
11/4/15 learned
1/17/17
performed
last
last
3/13/15 learned
1/17/17
performed
last
3/27/15 learned
1/15/17
performed
last
3/27/15 learned
11/30/16
performed
6 Rights | 3 Checks
3/27/15 learned
11/30/16
performed
Documentation
last
3/27/15 learned
11/30/16
performed
Error Reporting
last
last
3/27/15 learned
never performed
ASSESSMENT
DATE(S) PERFORMED
DATE(S) PERFORMED
NUR 2102
MEDICATION ADMINISTRATION
Oral
Enteral Tubes
3/27/15 learned
4/27/17
performed
Topical
last
3/27/15 learned
4/27/16
performed
Vaginal
last
3/27/15 learned
4/27/16
performed
Dermatologic
last
3/27/15 learned
3/2/16
performed
Inhalant
last
3/27/15 learned
3/2/16
performed
Nasal
last
3/27/15 learned
11/26/16
performed
Ophthalmic
last
3/27/15 learned
11/30/16
performed
Optic
last
last
3/27/15 learned
never performed
Rectal
3/27/15 learned
3/2/16
performed
Intramuscular
3/27/15 learned
3/2/16
performed
Subcutaneous
last
3/27/15 learned
3/2/16
performed
Intradermal
last
last
3/27/15 learned
never performed
3/27/15 learned
never performed
8/19/15 learned
12/1/16
last
performed
Intravenous Push
8/19/15 learned
11/30/16
performed
Intravenous Additives
8/19/15 learned
4/27/16
performed
Intravenous Fluids
Aspiration
8/26/15 learned
last
9/30/15 learned
4/27/16
performed
Safety
last
9/30/15 learned
4/27/16
performed
Product Types
last
8/26/15 learned
4/27/16
performed
Blood Transfusion
last
8/26/15 learned
4/27/16
performed
Dressing Changes
last
8/26/15 learned
4/27/16
performed
Complications
last
8/26/15 learned
4/27/16
performed
Tubing
last
8/26/15 learned
4/27/16
performed
Medication Administration
last
8/26/15
4/27/16
performed
Flushing
last
8/26/15 learned
4/27/16
performed
Types:
last
8/19/15 learned
2/18/16
performed
last
8/19/15 learned
4/20/16
performed
last
8/19/15 learned
11/30/16
performed
last
last
9/30/15 learned
4/27/16
performed
Procedure
last
9/30/15 learned
4/27/16
performed
Assessment of Complications
last
9/30/15 learned
4/27/16
performed
last
ASSESSMENT
DATE(S) PERFORMED
DATE(S) PERFORMED
NUR 2102
11/4/15 learned
4/27/16
performed
2/13/15 learned
1/17/17
performed
last
2/13/15 learned
1/17/17
performed
last
last
2/27/15 learned
4/27/16
performed
last
11/4/15 learned
3/20/16
performed
last
11/4/15 learned
3/20/16
performed
Epidural Care
last
11/4/15 learned
12/1/16
performed
last
SAFETY | INFECTION
Sterile Field (also in Comp II)
2/13/15 learned
1/17/17
performed
last
2/13/15 learned
1/17/17
performed
last
PSYCHOSOCIAL INTEGRITY
Palliative Care
12/2/15 learned
4/27/16
performed
Performing Post-mortem Care
last
12/2/15 learned
4/27/16
performed
last