ADN CLINICAL SKILLS VALIDATION CHECKLIST
The following clinical skills indicated by an asterisk (*) in the left hand margin must be
successfully completed in the clinical setting prior to graduation. If more than 7% of the
required skills have not been performed satisfactorily by the end of the 5th semester, the
student must perform a satisfactory return demonstration in the lab setting. Those skills
not asterisked in the left hand margin will be validated as clinical opportunities are available.
Skills typed in small letters may be performed independently after instructor validation in
the clinical setting. The skills typed in all CAPITAL LETTERS may not be performed
without direct supervision of the instructor/preceptor.
The instructors must initial the clinical skill as it is performed satisfactorily in the clinical
setting for each semester. If the skill is performed unsatisfactorily, then the instructor places
a red asterisk in the designated sign-off slot, but does not initial it. Additional instructor
comments may be written on the last page of this form to explain red asterisks.
The ultimate responsibility for maintaining this document rests on the student. It is to be
used as a guide for seeking out appropriate and needful learning experiences.
NAME: _________________________________
Page 1 of 8
Banner ID#: _________________
ADN CLINICAL SKILLS VALIDATION CHECKLIST
*
*
*
*
DEMONSTRATION OF
COMPETENCE
A. CPR (Independent Study)
B. Temperature
1. Oral
2. Rectal
3. Tympanic
C. Pulse
1. Apical
2. Peripheral
D. Respirations
BASIC SKILLS
LAB
1ST
SEM
NUR 101
NUR 101
NUR 101
NUR 101
NUR 101
NUR 101
NUR 101
* E. Blood Pressure
NUR 101
F. Height
G. Weight
H. Assessment
1. Head to toe
2. Breath Sounds
3. Bowel Sounds
*
4. Fundus check
NUR 101
NUR 101
*
NUR 220
5. Fetal heart tones
NUR 120
NUR 120
NUR 120
NUR 220
I. Documentation
*
*
1. Vital Signs & Graphics
NUR 101
2. Admission
NUR 101
3. Discharge
NUR 101
4. Transfer
NUR 101
5. Head to toe assessment
NUR 120
SAFETY
* A. Handwashing
NUR 101
* B. Occupied bedmaking
NUR 101
C. Unoccupied bedmaking
NUR 101
D. Restraints
NUR 101
* E. Standard Precautions
F. Isolation Procedures
NUR 101
NUR 120
Page 2 of 8
2ND
SEM
3RD
SEM
4TH
SEM
5TH
SEM
ADN CLINICAL SKILLS VALIDATION CHECKLIST
1ST
SEM
DEMONSTRATION OF
COMPETENCE
G. Baths
LAB
1. Complete bedbath
NUR 101
2. Tepid sponge bath
NUR 220
3. Sitz bath
NUR 220
4. Baby bath
NUR 220
5. Peri Care
NUR 101
6. Shampoo
NUR 101
7. Oral care
NUR 101
8. Facial shave
NUR 101
H. Medications
*
1. Oral
NUR 101
*
2. Subcutaneous
NUR 101
3. Intradermal
NUR 101
4. Intramuscular
NUR 101
5. Z-track
NUR 101
6. Filter Needle
NUR 101
7. Inhalants
NUR 101
8. Topicals
NUR 101
9. Suppositories
NUR 101
*
10. Ear Gtts
NUR 101
11. Eye Gtts
NUR 101
12. Via NGT or GT
NUR 101
*
13. INSULIN MIX OR
NUR 101
*
14. Pre Op Mix
NUR 101
15. Mix Powdered Drugs
NUR 101
* I. Sterile gloving
NUR 101
J. Operative Procedures
1. Skin prep
NUR 120
2. Pre-op checklist
NUR 120
3. Sterile gowning/gloving
NUR 120
Page 3 of 8
2ND
SEM
3RD
SEM
4TH
SEM
5TH
SEM
ADN CLINICAL SKILLS VALIDATION CHECKLIST
DEMONSTRATION OF
LAB
1ST
2ND
3RD
4TH
COMPETENCE
SEM
SEM
SEM
SEM
4. Suture/staple removal
NUR 120
K. Dressings/Changes
*
1. Clean dressing
NUR 120
*
2. Sterile Dressing
NUR 120
3. Wet to dry dressing
NUR 120
L. Specimen collection
1. Sputum
NUR 150
2. Cultures
NUR 150
3. Urine
a. Mid-stream urine
NUR 101
b. 24 hour urine
NUR 101
c. “U” Bag
NUR 220
4. Stool
NUR 101
EMOTIONAL/COGNITIVE
* A. Group participation
NUR 162
* B. Communication
NUR 162
C. Psycho-social assessment
*
1. Adult
NUR 120
*
2. Elderly
NUR 120
*
3. Child
NUR 220
*
*
a. Denver Developmental
Screening Test
NUR 220
4. Family
NUR 220
5. Individual chronic
NUR 150
6. Individual crisis
NUR 162
D. Psychotherapeutic Interventions
NUR 162
TEACHING LEARNING PRINCIPLES
*
A. Health concepts
NUR 101
*
B. Medications
NUR 120
*
C. Nutrition
NUR 101
*
D. Treatment
NUR 120
*
E. Anticipatory guidance
NUR 220
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5TH
SEM
ADN CLINICAL SKILLS VALIDATION CHECKLIST
MOBILITY
1ST
SEM
*
DEMONSTRATION OF
COMPETENCE
A. Protective positioning
NUR 101
*
B. Standing
NUR 101
*
C. Ambulating
NUR 101
D. Wheelchair transfer
NUR 101
E. Stretcher transfer
NUR 101
F. Bed to chair transfer
NUR 101
*
LAB
G. Range of Motion
*
1. Active
NUR 101
2. Passive
NUR 101
H. Traction
NUR 120
I. Cast Care
NUR 120
J. Crutch walking
NUR 120
OXYGENATION
*
A. Turn, Cough, and Deep Breath
NUR 101
B. Incentive spirometer
NUR 101
C. Suctionings
*
*
1. Oropharyngeal
NUR 101
2. Tracheal
NUR 120
3. Endotracheal
NUR 221
4. Bulb
NUR 220
D. O2 Administration
1. Nasal Cannula
NUR 101
2. Face mask
NUR 101
3. Croup tent
NUR 220
E. Thrombo Embolic Device/Sequential
NUR 101
Compression Device
*
F. Electrocardiogram Strip Reading
NUR 221
G. Apnea Monitoring
NUR 220
H. Postural Drainage
NUR 220
I. Pulse Oximetry
NUR 101
J. Trach Care
NUR 120
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2ND
SEM
3RD
SEM
4TH
SEM
5TH
SEM
ADN CLINICAL SKILLS VALIDATION CHECKLIST
DEMONSTRATION OF
LAB
1ST
2ND
3RD
4TH
COMPETENCE
SEM
SEM
SEM
SEM
K. Chest Tubes
NUR 120
NUTRITION
*
A. Feeding (oral)
NUR 101
*
B. (NG/GT) feeding
NUR 101
*
C. Urine Dipstick
NUR 150
*
D. Finger Stick Blood Sugar (FSBS)
NUR 150
*
E. Calorie count
NUR 101
F. Diet History
NUR 101
G. Intake Measurement
NUR 101
*
H. NG TUBE (at least one)
1. Insertion
NUR 101
2. Irrigation
NUR 101
3. Removal
NUR 101
I. Gastric Lavage
NUR 220
J. IV Therapy
*
1. Hangs Lg Vol. (1000cc)
NUR 120
*
2. Changes Primary IV Tubing
NUR 120
3. IV/INT Dressing Change
NUR 120
4. Covert IV to INT Device
NUR 120
5. Start IV or
NUR 150
6. Start INT (Intermittent Needle Therapy)
NUR 150
7. D/C IV/INT Device
NUR 120
*
8. INT Flush
NUR 120
*
9. Hangs PB Med
NUR 120
10. IV Push Med
NUR 150
*
11. Rate Calculation
a. Manual
NUR 120
b. Device
NUR 120
K. Central Line Dsg. Change
NUR 150
L. Hanging Blood Products
NUR 120
M. TPN/PPN
NUR 150
Page 6 of 8
5TH
SEM
ADN CLINICAL SKILLS VALIDATION CHECKLIST
ELIMINATION
DEMONSTRATION OF
COMPETENCE
A. Enemas (at least one)
1ST
SEM
LAB
1. Fleets
NUR 101
2. Soap Suds
NUR 101
3. Tap Water
NUR 101
B. Rectal Tube
NUR 101
C. Output measurement
NUR 101
2ND
SEM
D. Catherization
1. Foley/In and Out
NUR 101
2. Bladder irrigation
NUR 120
E. Ostomy
1. Care
NUR 150
2. Irrigation
NUR 150
COMFORT/SLEEP
A. Back Massage
NUR 101
LAB/FACULTY SIGNATURE
NUR 101 FACULTY
NUR 120 FACULTY
NUR 150 FACULTY
NUR 162 FACULTY
NUR 201 FACULTY
NUR 217 FACULTY
NUR 220 FACULTY
NUR 221 FACULTY
Page 7 of 8
3RD
SEM
4TH
SEM
5TH
SEM
ADN CLINICAL SKILLS VALIDATION CHECKLIST
Associate Degree Nursing
STUDENT PROGRESS NOTE
Date
Comments
Initials
Signature
Signature
Signature
Signature
Signature
Signature
Signature
Signature
Initials
Initials
Initials
Initials
Initials
Initials
Initials
Initials
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