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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.
PSYCOSOCIAL INTEGRITY
DOMESTIC VIOLENCE
PHYSICAL EXAMINATION HEALTH PROMOTION & MAINTENANCE
General Survey Modules I-III,
FALL 16
Vital Signs Modules I-III,
FALL 16
Skin, Hair, Nails & Wounds Modules II-III,
FALL 16
Head, Face, Neck, Eyes, Ears, Nose, Mouth & Throat Modules II-III,
FALL 16
Thorax & Lungs Modules II-III,
FALL 16
Cardiovascular Modules II-III
FALL 16
Abdomen Modules II-III,
FALL 16
INTERPRETATION OF COMMON
REDUCTION OF RISK POTENTIAL
LABORATORY & DIAGNOSTIC TESTS
Blood Chemistries
Hematology
Culture
Urinalysis
Fecal Analysis
Cerebrospinal Fluid
Computer Tomography
Endoscopy
Magnetic Resonance Imaging
Radiology
Skin Testing
Ultrasound
Perform Electrocardiogram SPRING 16
Initiate Telemetry Monitor FALL 16
PHYSIOLOGICAL ADAPTATION
Gastric Tube Feedings: Nasogastric Tube, 3/2/15 L 10/5/15 P FALL 16
Gastrostomy | Jejunostomy
Nasogastric Tube: Insertion, Maintenance, Removal 3/2/15 L 10/5/15 P FALL 16
PHYSIOLOGICAL ADAPTATION
Assessment 3/23/15 L 9/29/15 P FALL 16
Dressing Change 3/23/15 L 9/29/15 P SPRING 16
Wound Irrigation 3/23/15 L 10/5/15 P SPRING 16
Sitz Bath 3/23/15 L 10/5/15 P SPRING 15
Applying Binders 3/23/15 L 10/5/15 P SPRING 15
Wound Vacuum 3/23/15 L 12/6/15 P SPRING 15
SAFETY | INFECTION
Sterile Field (also in Comp II) 1/12/15 L 9/1/15 P FALL 16
Sterile Gloves (also in Comp II) 1/12/15 L 9/1/15 P FALL 16
PSYCHOSOCIAL INTEGRITY
Palliative Care 3/30/15 L 10/14/15 P FALL 16
Performing Post-mortem Care 3/30/15 L 8/19/15 P FALL 15