Emory University Nell Hodgson Woodruff School of Nursing CLINICAL SKILLS INVENTORY Class/Lab Clinical - Adult Clinical - Peds Adult / Geriatric Newborn/ Child only Clinical Competency (Record Date) ASSESSMENT Complete Health History Pedigree Nutrition Screening Skin Assessment (Braden) Risk to Fall Assessment Health disparity Vulnerability Health Literacy Cultural implications Physical Assessment Complete Focused/bedside Post Op Assessment Vital Signs Pain scale Manual/dynamap BP Apical pulse Pulse oximetry Rectal/Temporal temperature Neuro Checks Cardiac monitoring/telemetry Ht/wt Bedscale/NB scale BMI Intake & Output Palpate Contractions Electronic Fetal Monitoring Leopold’s Maneuvers Vaginal Exam Postpartum Assessment Newborn Assessment HYGIENE& ASEPSIS Bed Bath Oral Care Foot Care Peri Care Sitz Bath Wound Care Tube site care Ostomy Care Cord Care Circumcision Care Occupied Bed Change Work 1 Clinical Competency (Record Date) MOBILITY Body Mechanics Turning & Positioning Ambulation Range of Motion Walker Gait Belt Use of lift devices Use of specialty beds SPECIMEN COLLECTION Blood Glucose Stool (O/P & OB) Sputum Wound culture PKU Urinalysis Routine & Midstream Draw Blood Venipuncture Heel Stick Finger Stick Venous catheter - central line Class/Lab Clinical -Adult Adult / Geriatric only Clinical - Peds Newborn/ Child Work ELIMINATION Bedpan Urinary catheter Condom catheter Foley insertion Foley Removal Intermittent/straight cath Continuous bladder irrigation Diaper Changes Ostomy pouch (bag & irrigation) Enema Fleets // bag Rectal Tube Peritoneal dialysis NUTRITION Feed Calorie Count Fluid Restriction/NPO Enteral Feedings GT // NG Bolus // pump Breast Feeding Support 2 Clinical Competency (Record Date) QUALITY & SAFETY Restraint Use Seizure Precautions Isolation Precautions Airborne, Droplet, Contact Fall Precautions Root Cause Analysis Near Miss Variance Sentinel Event Failure Mode Effects Analysis Patient “Rescue” Medical Response Team Code Team Unit Based QI Projects RESPIRATORY CARE Pulse Oximetry O2 Therapy Inhalation Therapy Nasal Cannula Mask Tent Pulmonary Hygiene TCDB Chest PT Suctioning – OT, NT, ET, Trach Chest Tubes Bulb Suctioning Ventilators Trach Care MEDICATION ADMINISTRATION Medication Reconciliation Omnicell/Pixis delivery system Bar Code delivery system PO Medication Ear, Eye, Nose Aerosol//Inhalation Topical Suppository Subcutaneous Sliding Scale IM Injections IVPB Medications IV Push Medications IV medications - Titration Class/Lab Clinical -Adult Adult / Geriatric only Clinical - Peds Newborn/ Child Work 3 Clinical Competency (Record Date) IV THERAPY Venipuncture IV maintenance Tubing change Infusion Pump PCA Pump INT flushes Discontinuing IV Accessing Venous Port Central Line Dressing Pulling Central IV Catheter Blood Administration POST OPERATIVE CARE Post OP Recovery-Immediate Post Op Care TED/SCD Incentive Spirometer TCDB Drainage Tube Care NG Tube Care Staple removal/steristrip application Epidural Catheter Removal LEGAL/ETHICAL Documentation Delegation (UAP, LPN) Variance/Incident Report Living Will DNR Organ Donation CLIENT SUPPORT Communication Barrier: Language - translator Mental confusion Deaf/mute Trach Admission Discharge Teaching Breast Pump Teaching Post partum Teaching Pre OP Teaching Care of Dying Patient: Palliative Care Post Mortum Care Spiritual Care Client Advocacy Family Centered Care Class/Lab Clinical -Adult Adult / Geriatric only Clinical - Peds Newborn/ Child Work 4 Clinical Competency Class/Lab Clinical -Adult (Record Date) Adult / Geriatric only Professional Communication Handoffs Bedside report SBAR Call to Order Multidisciplinary Team Rounds Discharge planning Team LeadershipBrief/huddle/debrief Conflict resolution Unit leadership - UPC TECHNOLOGY Utilize electronic MR Utilize decision support tools Participate in tele-health Patient Education Resources Utilize PDA/Smartphone Professional e-portfolio COMMUNITY Health Promotion Intervention: Health Screenings Health Education Programs Health Behavior Change Plans Community Clinic Intake Triage Windshield Assessment Mapping Capacities Model Group Process PATCH model Census Tract data collection MENTAL HEALTH Therapeutic Communication Mental Status Exam Asssessments: Depression Anxiety Substance Abuse Eating Disorder Suicide Potential Autism ECT Stress Reduction Techniques Self Care Behaviors Age Specific Competencies Clinical - Peds Newborn/ Child Work 5