9780323031592

SKILLS PERFORMANCE CHECKLISTS

Admitting, Transfer, and Discharge

Skill 1-1 Admitting clients

(2)

Skill 1-2 Transferring clients

(2)

Skill 1-3 Discharging clients

(2)

Communication

Skill 2-1 Establishing the nurse-client relationship

(2)

Skill 2-2 Communicating with the anxious client

(2)

Skill 2-3 Communicating with the angry client

(2)

Skill 2-4 Communicating with the depressed client

(2)

Reporting and Recording

Skill 3-1 Giving a change-of-shift report

(2)

Skill 3-2 Documenting nurses' progress notes

(2)

Skill 3-3 Incident reporting

(2)

Safety

Skill 4-1 Fire, electrical, and radiation safety

(2)

Skill 4-2 Fall prevention in a health care facility

(2)

Skill 4-3 Designing a restraint-free environment

(2)

Skill 4-4 Applying physical restraints

(2)

Skill 4-5 Seizure precautions

(2)

Disaster Preparedness

Skill 5-1 Care of the client after biological exposure

(2)

Skill 5-2 Care of the client after chemical exposure

(2)

Skill 5-3 Care of the client after radiation exposure

(2)

Comfort

Skill 6-1 Providing pain relief

(2)

Skill 6-2 Patient-controlled analgesia (PCA)

(2)

Skill 6-3 Epidural analgesia

(4)

Skill 6-4 Local infusion pump analgesia

(2)

Skill 6-5 Nonpharmacologic aids to promote comfort

(4)

End of Life Care/Palliative Care

Skill 7-1 Supporting clients and families in grief

(2)

Skill 7-2 Symptom management in palliative care

(2)

Skill 7-3 Care of the body after death

(4)

Medical Asepsis

Skill 8-1 Hand hygiene

(2)

Skill 8-2 Caring for clients under isolation precautions

(4)

Sterile Technique

Skill 9-1 Applying and removing cap, mask, and protective eyewear

(2)

Skill 9-2 Preparing a sterile field

(4)

Skill 9-3 Sterile gloving

(2)

Body Mechanics, Transfer, and Positioning

Skill 10-1 Maintaining body alignment

(2)

Skill 10-2 Using safe and effective transfer techniques

(4)

Skill 10-3 Moving and positioning clients in bed

(6)

Exercise and Ambulation

Skill 11-1 Performing range-of-motion (ROM) exercises

(2)

Skill 11-2 Performing isometric exercises

(2)

Skill 11-3 Continuous passive motion (CPM) machine

(2)

Skill 11-4 Applying elastic stockings and sequential compression devices (SCDs)

(2)

Skill 11-5 Assisting with ambulation

(2)

Orthopedic Measures

Skill 12-1 Assisting with cast application

(2)

Skill 12-2 Assisting with cast removal

(2)

Skill 12-3 Care of the client in skin traction

(2)

Skill 12-4 Care of the client in skeletal traction and pin site care

101

(2)

Skill 12-5 Care of the client with immobilization devices

103

(4)

Support Surfaces and Special Beds

Skill 13-1 Placing a client on a support surface

107

(2)

Skill 13-2 Placing a client on an air-suspension bed

109

(2)

Skill 13-3 Placing a client on an air-fluidized bed

111

(2)

Skill 13-4 Placing a client on a bariatric bed

113

(2)

Skill 13-5 Placing a client on a rotokinetic bed

115

(2)

Personal Hygiene and Bed Making

Skill 14-1 Bathing and perineal hygiene

117

(8)

Skill 14-2 Oral hygiene

Part I---Brushing teeth

125

(2)

Part II---Cleaning dentures

127

(2)

Skill 14-3 Performing mouth care for the unconscious or debilitated client

129

(2)

Skill 14-4 Hair care

Part I---Washing

131

(2)

Part II---Combing and shaving

133

(2)

Skill 14-5 Performing nail and foot care

135

(2)

Skill 14-6 Care of the client's environment

Part I---Making an unoccupied bed

137

(2)

Part II---Making an occupied bed

139

(4)

Pressure Ulcer Care

Skill 15-1 Risk assessment, skin assessment, and prevention strategies

143

(2)

Skill 15-2 Treatment of pressure ulcers

145

(2)

Care of Eye and Ear Prostheses

Skill 16-1 Taking care of contact lenses

147

(4)

Skill 16-2 Taking care of an artificial eye

151

(2)

Skill 16-3 Eye irrigation

153

(2)

Skill 16-4 Taking care of hearing aids

155

(2)

Vital Signs

Skill 17-1 Measuring body temperature

157

(6)

Skill 17-2 Assessing radial pulse

163

(2)

Skill 17-3 Part I---Assessing apical pulse

165

(4)

Part II---Assessing apical--radial pulse

167

(2)

Skill 17-4 Assessing respirations

169

(2)

Skill 17-5 Part I---Assessing arterial blood pressure

171

(6)

Part II---Noninvasive automatic blood pressure measurement

175

(2)

Skill 17-6 Measuring oxygen saturation (pulse oximetry)

177

(2)

Health History and Physical Examination

Skill 18-1 General survey

179

(4)

Skill 18-2 Assessing the thorax and lungs

183

(2)

Skill 18-3 Assessing the heart and neck vessels

185

(2)

Skill 18-4 Assessing the abdomen

187

(2)

Skill 18-5 Musculoskeletal, neurologic, and peripheral vascular assessment

189

(4)

Skill 18-6 Assessing intake and output

193

(2)

Preparing for Medication Administration

Oral and Topical Medications

Skill 20-1 Administering oral medications

195

(4)

Skill 20-2 Administering medications by nasogastric (NG) tube

199

(2)

Skill 20-3 Administering skin applications

201

(2)

Skill 20-4 Administering eye medications

203

(4)

Skill 20-5 Administering ear drops

207

(2)

Skill 20-6 Administering ear irrigations

209

(2)

Skill 20-7 Administering nasal instillations

211

(2)

Skill 20-8 Using metered-dose inhalers

213

(4)

Skill 20-9 Using small-volume nebulizers

217

(2)

Skill 20-10 Administering vaginal instillations

219

(4)

Skill 20-11 Administering rectal suppositories

223

(2)

Parenteral Medications

Skill 21-1 Preparing injections from ampules and vials

225

(2)

Skill 21-2 Mixing parenteral medications in one syringe

227

(2)

Skill 21-3 Administering intradermal injections

229

(2)

Skill 21-4 Administering subcutaneous injections

231

(2)

Skill 21-5 Administering intramuscular injections

233

(2)

Skill 21-6 Adding medications to intravenous fluid containers

235

(2)

Skill 21-7 Administering intravenous medications by intermittent infusion sets and mini-infusion pumps

237

(4)

Skill 21-8 Administering medications by intravenous bolus

241

(2)

Skill 21-9 Administering continuous subcutaneous medications

243

(2)

Oxygen Therapy

Skill 22-1 Applying a nasal cannula or oxygen mask

245

(2)

Skill 22-2 Administering oxygen therapy to a client with an artificial airway

247

(2)

Skill 22-3 Using incentive spirometry

249

(2)

Skill 22-4 Care of a client receiving noninvasive ventilation

251

(2)

Skill 22-5 Care of the client on a mechanical ventilator

253

(2)

Performing Chest Physiotherapy

Skill 23-1 Performing postural drainage

255

(2)

Skill 23-2 Use of an acapella device

257

(2)

Skill 23-3 Performing percussion, vibration, and shaking

259

(2)

Airway Management

Skill 24-1 Performing oropharyngeal suctioning

261

(2)

Skill 24-2 Part I---Airway suctioning

263

(6)

Part II---Airway suctioning with a closed system (in-line) catheter

267

(2)

Skill 24-3 Performing endotracheal tube care

269

(4)

Skill 24-4 Performing tracheostomy care

273

(4)

Skill 24-5 Inflating the cuff on an endotracheal or tracheostomy tube

277

(2)

Closed Chest Drainage Systems

Skill 25-1 Caring for clients with chest tube connected to disposable drainage system

279

(4)

Skill 25-2 Assisting with removal of chest tubes

283

(2)

Skill 25-3 Reinfusion of chest tube drainage

285

(2)

Emergency Measures for Life Support

Skill 26-1 Inserting an oropharyngeal airway

287

(2)

Skill 26-2 Use of the automatic external defibrillator (AED)

289

(2)

Skill 26-3 Code management

291

(2)

Intravenous Therapy

Skill 27-1 Initiating intravenous therapy

293

(4)

Skill 27-2 Care and maintenance of the peripherally inserted central catheter

297

(4)

Skill 27-3 Regulating intravenous flow rate

301

(2)

Skill 27-4 Changing a peripheral intravenous dressing

303

(2)

Skill 27-5 Changing intravenous solutions

305

(2)

Skill 27-6 Changing infusion tubing

307

(2)

Skill 27-7 Discontinuing peripheral intravenous access

309

(2)

Skill 27-8 Caring for vascular access devices

311

(6)

Blood Transfusions

Skill 28-1 Initiating blood therapy

317

(2)

Skill 28-2 Monitoring for adverse reactions to transfusion

319

(2)

Oral Nutrition

Skill 29-1 Performing nutritional screening

321

(2)

Skill 29-2 Assisting the adult client with oral nutrition

323

(2)

Skill 29-3 Aspiration precautions

325

(2)

Enteral Nutrition

Skill 30-1 Intubating the client with a nasogastric or nasointestinal feeding tube

327

(2)

Skill 30-2 Verifying feeding tube placement

329

(2)

Skill 30-3 Irrigating a feeding tube

331

(2)

Skill 30-4 Administering enteral nutrition via nasogastric feeding tube

333

(4)

Skill 30-5 Administering enteral nutrition via gastrostomy or jejunostomy feeding tube

337

(2)

Parenteral Nutrition

Skill 31-1 Insertion and removal of a central venous catheter for central parenteral nutrition

339

(4)

Skill 31-2 Caring for the client receiving parenteral nutrition

343

(2)

Skill 31-3 Caring for the client receiving peripheral parenteral nutrition with lipid (fat) emulsion

345

(2)

Urinary Elimination

Skill 32-1 Assisting the client in using a urinal

347

(2)

Skill 32-2 Inserting a straight or indwelling catheter

349

(4)

Skill 32-3 Care and removal of the indwelling catheter

353

(2)

Skill 32-4 Obtaining catheterized specimens for residual urine

355

(2)

Skill 32-5 Performing catheter irrigation

357

(4)

Skill 32-6 Applying a condom catheter

361

(2)

Skill 32-7 Care of a suprapubic catheter

363

(2)

Skill 32-8 Peritoneal dialysis and continuous ambulatory peritoneal dialysis

365

(4)

Bowel Elimination and Gastric Intubation

Skill 33-1 Assisting the client in using a bedpan

369

(4)

Skill 33-2 Removing fecal impaction digitally

373

(2)

Skill 33-3 Administering an enema

375

(4)

Skill 33-4 Inserting and maintaining a nasogastric tube for gastric decompression

379

(4)

Ostomy Care

Skill 34-1 Pouching an enterostomy

383

(4)

Skill 34-2 Pouching an incontinent urinary diversion

387

(2)

Skill 34-3 Catheterizing a continent urinary diversion

389

(2)

Skill 34-4 Maintaining a continent diversion

391

(4)

Preoperative and Postoperative Care

Skill 35-1 Preparing the client for surgery

395

(2)

Skill 35-2 Demonstrating postoperative exercises

397

(4)

Skill 35-3 Performing postoperative care of the surgical client

401

(4)

Intraoperative Care

Skill 36-1 Surgical hand antisepsis

405

(2)

Skill 36-2 Donning sterile gown and closed gloving

407

(2)

Wound Care and Irrigations

Skill 37-1 Performing wound irrigations

409

(4)

Skill 37-2 Performing suture and staple removal

413

(2)

Skill 37-3 Performing drainage evacuation

415

(2)

Dressings

Skill 38-1 Applying a dressing (dry or wet-to-dry)

417

(4)

Skill 38-2 Applying a pressure bandage

421

(2)

Skill 38-3 Applying a transparent dressing

423

(2)

Skill 38-4 Applying hydrocolloid, foam, and absorption dressings

425

(2)

Skill 38-5 Wound vacuum assisted closure

427

(4)

Binders and Bandages

Skill 39-1 Applying gauze and elastic bandages

431

(2)

Skill 39-2 Applying an abdominal and a breast binder

433

(2)

Hot and Cold Therapy

Skill 40-1 Application of moist heat

435

(4)

Skill 40-2 Applying aquathermia and heating pads

439

(2)

Skill 40-3 Applying cold applications

441

(2)

Skill 40-4 Caring for the client requiring hypothermia or hyperthermia blankets

443

(2)

Home Care Safety

Skill 41-1 Modifying safety risks in the home environment

445

(2)

Skill 41-2 Adapting the home setting for clients with cognitive deficits

447

(4)

Skill 41-3 Medication and medical device safety

451

(2)

Home Care Teaching

Skill 42-1 Teaching clients to measure body temperature

453

(2)

Skill 42-2 Teaching clients to measure blood pressure

455

(2)

Skill 42-3 Teaching clients to measure pulse

457

(2)

Skill 42-4 Using home oxygen equipment

459

(4)

Skill 42-5 Teaching home tracheostomy care and suctioning

463

(4)

Skill 42-6 Teaching clients self-medication administration

467

(2)

Skill 42-7 Enteral nutrition in the home

469

(2)

Specimen Collection

Skill 43-1 Collecting a midstream (clean-voided) urine specimen

471

(2)

Skill 43-2 Collecting a timed urine specimen

473

(2)

Skill 43-3 Collecting a sterile urine specimen from an indwelling catheter

475

(2)

Skill 43-4 Measuring chemical properties of urine: glucose, ketones, protein, blood, and pH

477

(4)

Skill 43-5 Measuring occult blood in stool

481

(2)

Skill 43-6 Measuring occult blood in gastric secretions (gastroccult)

483

(2)

Skill 43-7 Collecting nose and throat specimens for culture

485

(2)

Skill 43-8 Obtaining vaginal or urethral discharge specimens

487

(2)

Skill 43-9 Collecting sputum specimens

489

(2)

Skill 43-10 Obtaining wound drainage specimen

491

(2)

Skill 43-11 Collecting blood specimens by venipuncture (syringe method, vacutainer method, and blood cultures)

493

(4)

Skill 43-12 Measuring blood glucose level after skin puncture (capillary puncture)

497

(2)

Skill 43-13 Obtaining an arterial specimen for blood gas measurement

499

(2)

Diagnostic Procedures

Skill 44-1 Intravenous moderate sedation

501

(2)

Skill 44-2 Contrast media studies: angiogram, cardiac catheterization, intravenous pyelogram

503

(2)

Skill 44-3 Assisting with aspirations

Part I---Bone marrow aspiration/biopsy

505

(2)

Part II---Lumbar puncture

507

(2)

Part III---Paracentesis

509

(2)

Part IV---Thoracentesis

511

(2)

Skill 44-4 Assisting with bronchoscopy

513

(2)

Skill 44-5 Assisting with upper gastrointestinal endoscopy and lower gastrointestinal endoscopy

515

(2)

Skill 44-6 Assisting with cardiogram

517

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Skills Performance Checklists : Clinical Nursing Skills and Techniques

0323031595

Summary

Table of Contents

Supplemental Materials

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