Nursing Skills Checklist

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0 = No Experience 1 = Not Performed 2 = Minimal Experience 3 = Proficient

General Nursing

Correctional Health Admissions

0	1	2	3

Data Collection for Vital Signs/Height/Weight

0	1	2	3

Assist with Routine Health Services

0	1	2	3

Assist with First Aide

0	1	2	3

Initiates Emergency Procedures

0	1	2	3

Discharge Physicals/Inmates

0	1	2	3

Supervise Unlicensed Personnel

0	1	2	3

Pulse Oximetry

0	1	2	3

Urine Dipstick

0	1	2	3

Blood Glucose Monitoring

0	1	2	3

Assist with Basic Treatment Procedures

0	1	2	3

Wound Care/Debridement

0	1	2	3

Dressing Changes

0	1	2	3

Wound Drains (JP/Hemovac)

0	1	2	3

Positioning/Transferring

0	1	2	3

Pre-Operative Care/Preparation

0	1	2	3

Universal Precautions

0	1	2	3

Center for Disease Control Guidelines

0	1	2	3

General Nursing, Part 2

Isolation Techniques

0	1	2	3

Wrist Restraints

0	1	2	3

Ambulatory Cuffs

0	1	2	3

Full Restraints

0	1	2	3

Alarm Systems

0	1	2	3

Cultural Diversity

0	1	2	3

Ethnic Awareness

0	1	2	3

Meds/IV Therapy

Administer PO Medications

0	1	2	3

Administer IM & SQ Meds

0	1	2	3

Peripheral IV Insertion

0	1	2	3

Use of Heparin/Saline Locks

0	1	2	3

Needle-less Systems

0	1	2	3

Administer IV Medications

0	1	2	3

Discontinue Peripheral IVs

0	1	2	3

Pain Assessment/Management

0	1	2	3

Venipuncture for Lab Work

0	1	2	3

Prepare Specimens for Lab

0	1	2	3

Respiratory

Establish Airway

0	1	2	3

Assist with Intubation (ETT)

0	1	2	3

Ventilate with Ambu-bag

0	1	2	3

Suctioning

0	1	2	3

Incentive Spirometry

0	1	2	3

Nasal Cannula

0	1	2	3

Face Masks

0	1	2	3

Assessment of Breath Sounds

0	1	2	3

Ambuing Techniques

0	1	2	3

Neurology

Neuro Assessment/Vital Signs

0	1	2	3

Seizure Precautions

0	1	2	3

Assist with Lumbar Puncture

0	1	2	3

Administrative Duties

Documentation

0	1	2	3

Maintain Clinic Flow

0	1	2	3

Order Supplies/Equipment

0	1	2	3

Restock Infirmary

0	1	2	3

Use Computer to Obtain/Enter Info

0	1	2	3

Assemble Medical Record

0	1	2	3

Maintain Medical Record

0	1	2	3

Manager Provides Orders

0	1	2	3

Schedule Appointments

0	1	2	3

Maintains Unit Logs/Records

0	1	2	3

Multi-Disciplinary Planning

0	1	2	3

OSHA Guidelines

0	1	2	3

Inmate/Patient Education

0	1	2	3

Cardiac

Cardiac Assessment Vital Signs

0	1	2	3

Perform 12-lead EKG

0	1	2	3

Assist with Code

0	1	2	3

Defibrillation/Cardioversion

0	1	2	3

Cardiac Arrest/CPR

0	1	2	3

Genitourinary

Straight/Foley Cath Female

0	1	2	3

Straight/Foley Cath Male

0	1	2	3

Obtain/Instruct Clean Cath Urine

0	1	2	3

Gastrointestinal

Assess Bowel Sounds

0	1	2	3

Assess GI Distress/Bleeding

0	1	2	3

Insertion/Monitoring NG Tube

0	1	2	3

Tube Feedings via Flexible Tubes

0	1	2	3

Care of Patient with Abdominal Wounds

0	1	2	3

Care of Patient with Drains

0	1	2	3

Care of Psychiatric Disorders

Initial Assessment

0	1	2	3

Intial Assessment

0	1	2	3

Suicide Risk Assessment

0	1	2	3

Scizoprenia

0	1	2	3

Paranoid Psychotic Disorder

0	1	2	3

Catatonic Psychotic Disorder

0	1	2	3

Hallucinations

0	1	2	3

Bipolar Disorder

0	1	2	3

Depression

0	1	2	3

Suicidal Ideation/Attempts

0	1	2	3

Delusional Disorders

0	1	2	3

Anxiety Disorders

0	1	2	3

Panic Attacks

0	1	2	3

Phobias

0	1	2	3

Obsessive/Compulsive Disorder

0	1	2	3

Dissociative Identity Disorder

0	1	2	3

Cluster A - Paranoid/Schizoid

0	1	2	3

Cluster B - Antisocial/Borderline

0	1	2	3

Cluster C - Anxious/Fearful

0	1	2	3

Delirium

0	1	2	3

Dementia

0	1	2	3

Alzheimer's (Dementia)

0	1	2	3

Amnestic Disorders

0	1	2	3

Anorexia Nervosa

0	1	2	3

Bulimia Nervosa

0	1	2	3

Bulimia Nervosa

0	1	2	3

Obesity

0	1	2	3

Alcohol Related Disorders

0	1	2	3

Drug Related Disorders

0	1	2	3

Sexual Disorders

0	1	2	3

Sexual Abuse/Assault

0	1	2	3

Survivor of Abuse/Violence

0	1	2	3

Post Traumatic Stress Disorder

0	1	2	3

Somatoform Disorders (Pain, etc.)

0	1	2	3

Developmental Disabilities

0	1	2	3

ADHD

0	1	2	3

Crisis Intervention

0	1	2	3

Therapeutic Communication

0	1	2	3

Therapeutic Milieu

0	1	2	3

Education or Vocational Training

0	1	2	3

Drug & Alcohol Education

0	1	2	3

ElectroConvulsive Therapy

0	1	2	3

Crisis Management: Homocide

0	1	2	3

Crisis Management: Violent Individual

0	1	2	3

Crisis Management: Suicide

0	1	2	3

Psychotropic Agents

Rapid Tranquilization

0	1	2	3

Antipsychotic Agents

0	1	2	3

Hypnotics

0	1	2	3

Antianxiety Agents

0	1	2	3

Antianxiety Agents

0	1	2	3

Antidepressants/Mood Elevators

0	1	2	3

Antimanic Agents

0	1	2	3

Anticonvulsants

0	1	2	3

Anticholinergics/Antiparkinsons

0	1	2	3

Meds Side Effects (Recognition/Management)

Blurred Vision

0	1	2	3

Constipation

0	1	2	3

Drowsiness

0	1	2	3

Dry Mouth

0	1	2	3

Gastrointestinal Effects

0	1	2	3

Hypo/Hypergycemia

0	1	2	3

Hypotension/Orthostatic

0	1	2	3

Insomnia

0	1	2	3

Tachycardia

0	1	2	3

Urinary Retention

0	1	2	3

Weight Gain

0	1	2	3

Parkinsonism

0	1	2	3

Akathisia

0	1	2	3

Acute Dystonic Reactions

0	1	2	3

Tardive Dyskinesia

0	1	2	3

Neuroleptic Malignant Syndrome

0	1	2	3

Age of Patients Care For

Newborn (Birth - 30 Days)

0	1	2	3

Infant (30 Days - 1 Year)

0	1	2	3

Toddler (1 - 3 Years)

0	1	2	3

Preschooler (3 - 5 Years)

0	1	2	3

School Age (5 - 12 Years)

0	1	2	3

Adolescents (12 - 18 Years)

0	1	2	3

Young Adults (18 - 39 Years)

0	1	2	3

Middle Adults (39 - 64 Years)

0	1	2	3

Older Adults (64+ Years)

0	1	2	3

VENT/TRACHEOSTOMY CARE

VENT/TRACHEOSTOMY CARE RESPONSES

Please check the following Vent/tracheostomy Care Responses as they apply to you.

Respond immediately to alarms sounding despite if there is a respiratory team

Perform a respiratory assessment, check stoma and skin, document all findings, report abnormal findings to the MD and Supervisor

Monitor your patient closely for any changes on your shift, implement, evaluate and document

Communicate with the respiratory team and follow-up to ensure appropriate measures were address

Ensure when your ‘re in a patients room all tubing are always connected and free of debris

Check your patient positioning ensure patient is comfortable and all safety measures are in place

Check all orders and compare to what is at bedside to ensure you are compliant with following the current orders, such as vent settings and trach type/size

Provide your staff with a complete report to ensure quality care is being rendered

Know the locations of the Clinical Policies and Procedures and adhere per your scope of practice

Perform hand hygiene and always maintain aseptic techniques

When suctioning, follow the physician’s orders and document amount, color, and consistency

Trach Care

Gather all supplies, wash your hands, remove inner cannula, cleanse cannula

Clean the skin around the tracheostomy ensure you are using aseptic techniques

Understand inner cannula can be re-usable or disposable, never suction without the inner cannula in place

INTRAVENOUS CARE

INTRAVENOUS CARE RESPONSES

Please check the following Intravenous Care Responses as they apply to you.

Prior to administration confirm the 5 rights Patient, route, dose, frequency, and time

Prior to administration assess site, change tubing, flush per physicians’ order, and document your findings

If removing an IV line, follow physician’s orders and the facilities’ Policy and Procedures.

Clinical Consideration

Always document length, appearance, and patient's response.

Always notify your supervisor and Physician of any abnormal findings and document clear and concise

Always monitor vital signs and oxygen saturations

Always notify your supervisor and Physician of any abnormal findings and document clear and concise

Always monitor vital signs and oxygen saturations

Understand inner cannula can be re-usable or disposable, never suction without the inner cannula in place

Any change in conditions identified needs to be addressed according to facility’s policy while also using best nursing judgment and practices

HEMODIALYSIS/TUBE FEEDS

HEMODIALYSIS/TUBE FEEDS RESPONSES

Please check the following Hemodialysis/tube Feeds Responses as they apply to you.

Understand it is your responsibility to assess the patient before and after HD including access site, vs, weight, and mental status

Document all your findings, provide the dialysis center with an accurate report to also include the required follow-up

Notify the physician with any pre or post dialysis orders, labs, and any abnormal findings

Always monitor the patient for signs/symptoms of bleeding and infections

Understand the lack of bruit or thrill and any abnormal findings needs to be reported immediately to the Physician

Ensure to confirm the 5 rights before providing the enteral feeding and document patient’s response

Ensure you complete a GI assessment and check stoma site during your shift and document

If you do not understand how to use the tube feed pump notify your supervisor to receive support to ensure safe delivery of care

MEDICATION/TREATMENT PASS

MEDICATION/TREATMENT PASS RESPONSES

Please check the following Medication/treatment Pass Responses as they apply to you.

Always confirm the 5 rights prior to a medication/treatment pass

Document all yourAlways assess patients for pain and administer pain medication per physician ‘s orders. FYI sleeping is not an indicator of patient not in pain findings, provide the dialysis center with an accurate report to also include the required follow-up

Document the patient’s response to the pain medication if ineffective notify the physician

If medications are not available, make every attempt to get medication call pharmacy and notify the supervisor

Understand treatments are to be completed per physician orders, document all refusal and the education provided

Labs

Understand it is your responsibility to find out if labs were drawn and notify the physician if abnormal

If you do not know how to address labs notify the supervisor for assistance

Commonly used Medications

Coumadin is an anticoagulant it increases the risk for bleeding, lab to consider PT/INR

Administer Insulin as ordered, follow the sliding scale and the frequency of the blood sugar including parameters

When administering psychotropic medications also document non- pharmacological interventions initiated

RN SUPERVISORS

RN SUPERVISORS RESPONSES

Please check the following RN Supervisors Responses as they apply to you.

Always do rounds and collect report from charge nurses and give report to on-coming supervisor

Ensure if there are new admissions on your shift , they get completed as much as possible and give report on what wasn’t completed

Eliminate standing water from your property to avoid attracting unwanted bugs and animals

Trim bushes, shrubs, and trees regularly

Remove leaves, debris, and roots from gutters, vents, and outdoor heating and air conditioning units

Call professionals for pest and termite control

Install a fence with a locking gate around swimming pools

Inspect and repair decks, stairs, railings, roof, chimney, downspouts, drains, gutters, and flashings

Inspect the building basement and crawl spaces for water damage, mold, and mildew

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