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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 12/2016 Modules I-III
Vital Signs 12/2016 Modules I-III
Skin, Hair, Nails & Wounds 12/2016 Modules II-III
Head, Face, Neck, Eyes, Ears, Nose, Mouth & Throat 12/2016 Modules II-III
Thorax & Lungs 12/2016 Modules II-III
Cardiovascular 12/2016 Modules II-III
Abdomen 12/2016 Modules II-III
Musculoskeletal 12/2016 Modules II-III
Neurologic 12/2016 Modules II-III
Breast, Lymphatics & Genitourinary 12/2016 Modules II-III
INTERPRETATION OF COMMON
REDUCTION OF RISK POTENTIAL
LABORATORY & DIAGNOSTIC TESTS
Blood Chemistries 09/2016
Hematology 09/2016
Culture 09/2016
Urinalysis 09/2016
Fecal Analysis 09/2016
Cerebrospinal Fluid
Computer Tomography
Doppler Studies 03/2016 Module II
Electrocardiograph
Endoscopy
Magnetic Resonance Imaging
Radiology
Skin Testing
Ultrasound
Perform Electrocardiogram 09/2015
Initiate Telemetry Monitor 09/2015
PHYSIOLOGICAL ADAPTATION
Gastric Tube Feedings: Nasogastric Tube, 10/20/14 09/2016
Gastrostomy | Jejunostomy
Nasogastric Tube: Insertion, Maintenance, Removal 10/20/14 03/2015
Gastric and Jejunum Tube Care 10/20/14 10/2016
SAFETY | INFECTION
Sterile Field (also in Comp II) 8/18/14 10/2016
Sterile Gloves (also in Comp II) 8/18/14 10/2016
PSYCHOSOCIAL INTEGRITY
Palliative Care 11/4/15 04/2016
Performing Post-mortem Care 11/4/15