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St. John Fisher College
Wegmans School of Nursing
Clinical Skills Competency Checklist
Student: ____________________________________Email:_______________________________________
The purpose of this document is to enable the student, the instructor and the faculty to know at any time what
skills the student has successfully demonstrated in the lab and or in the clinical setting. The skills are initially
presented in specific courses (noted by shaded areas) and practiced during that time on the campus lab, however
there is no ideal order in which to achieve these skills in the clinical setting. This is often dependent upon the
clinical experiences available on the clinical units.
Students must demonstrate competency for every skill with an *.
Student responsibilities:
• Maintain skills checklist and have available for the clinical instructor in the clinical setting for initialing
of skills performed
Clinical Instructor responsibilities:
• At the completion of each clinical shift, initial and date the student’s skills checklist for all skills
performed that have not been signed off
• Utilize this form during the mid and final evaluation to determine skill performance opportunities
• Reconcile document with master copy in campus lab at mid and final evaluation.
Skills
Vital Signs
Measuring body temperature
Assessing radial pulse
Assessing apical pulse
Assessing respirations
Assessing manual blood pressure
• upper extremity
• lower extremity
Measuring oxygen saturation
Utilization of Doppler
300 Fund
317 Jr
M/S
•
•
•
•
*313
Measuring vital signs- manual cuff &
automatic/dynamap
Oxygen administration/Respiratory
therapy skills
Administer oxygen via NC & mask
Instruct deep breathing, coughing, & use
of incentive spirometer
Perform oral suctioning
Provide tracheostomy care
Collect sputum specimen
Perform throat culture
Provide care of chest tubes
Use of metered dose inhalers
Use of small volume nebulizers
Tracheal Suctioning
•
•
6/8/09 tcr; 5/10/11 MLD; 8/11/11 MLD; 8/29/11 MLD
•
•
423 Sr
M/S
403
Psych
445 OB
445 Peds
2
Skills
300 Fund
317 Jr
M/S
Caring for Pt w/Mechanical ventilation
423 Sr
M/S
•
•
Suctioning (in-line)
Weaning of oxygen therapy
Care of a patient on Bi Pap, CPAP
Basic Care & Hygiene
Perform height/weight measurement
Feed/assist
Demonstrate proper aspiration precautions
Calculate intake & output
Hand washing
Isolation precautions/PPE
Apply sterile gloves
Perform bath on a client
Perform perineal care on a client
Perform Oral care on a unresponsive client
Making an unoccupied/occupied bed
Assisting with ambulation
Safe and effective transfer techniques
Moving and positioning clients in bed
Assisting client to use urinal
Assisting client to use bedpan
Apply hot/cold treatments
Perform post mortem Care
Use of Hoyer, crutch walking, assistive
device ambulation
SCDS, TEDS
Providing passive ROM exercises
•
•
•
•
•
•
•
•
Medication Administration
Oral
Rectal suppositories
Subcutaneous injections
Intramuscular injections
Intradermal Injection
SC insulin
SC heparin/Lovenox
IVPB administration (Antibiotics, etc)
Parenteral Fluids/Meds
IV fluid administration
IV drug continuous drip administration
(e.g. Heparin, Cardizem, Insulin)
IV saline flushes
IV push* per hospital policy
Meds via NG tube or PEG tube
Care of patient with epidural
Care of patient with PCA
•
•
•
•
6/8/09 tcr; 5/10/11 MLD; 8/11/11 MLD; 8/29/11 MLD
403
Psych
445 OB
445 Peds
3
Skills
Blood product administration
TPN administration
Enema administration
Preparing injections from ampules and
vials
Mixing 2 parenteral medications in one
syringe
Intravenous Therapy
Regulating IV flow rate
Changing IV solution
Changing/priming IV tubing
IV infusion pump
Care of patient with Central venous access
devices (dressings, flushes)
Care of PICC line
IV insertion** lab only
Discontinuing a peripheral IV
IV site assessment
GI Interventions
Perform enteral feeding via NG, G-Tube,
PEG, etc
Check gastric residual
NG tube insertion
Managing NG tube to gravity/suction
Ostomy Care
Care of patient with drains/tubes:
• J-tube, NG/PEG tube
•
•
•
300 Fund
317 Jr
M/S
403
Psych
•
•
•
•
•
•
•
•
•
•
Which
course
T-tube, JP, hemovac
percutaneous, flexiseal, rectaseal,
Other drains/tubes specify:
Dressings/Treatments
Sterile gloving
Apply dry sterile dressing
Sterile dressing change
Skin care with special dressings (e.g.
Tegaderm)
Chest tube care/drainage systems
Point of Care Testing
• Blood glucose
• Guaiac
• Urine Dip
• Urine pregnancy test
• Specific gravity
Telemetry-rhythm identification
423 Sr
M/S
•
•
•
•
•
VAC dressing care
6/8/09 tcr; 5/10/11 MLD; 8/11/11 MLD; 8/29/11 MLD
•
?
?
445 OB
445 Peds
4
Skills
300 Fund
317 Jr
M/S
GU Interventions
Urinary catheter insertion
Urostomy care
Care of patient with Foley catheter
Care of patient with suprapubic tube
Care of patient with nephrostomy tube
Safety
Applying physical restraints
Implement fall precautions
423 Sr
M/S
403
Psych
445 OB
•
•
Mental Health
Active listening skills
Clarity in expression thoughts/feelings
Accept professional feedback
Demonstration of conflict management
techniques
Seeks assistance when needed
Profile for beliefs-mental illness
Profile for beliefs-psych nursing
Journal reflections
Process recording
History collection
•
Goal oriented 1:1 therapeutic interactions
Biopsychosocial assessment
Focused nursing care plan
•
•
Interdisciplinary treatment planning
Therapeutic group facilitation
Mini Mental Status exam
Full mental status exam
Lethality assessment-suicide
Lethality assessment violence/homicide
Global assessment of functioning
•
•
•
•
•
AIMS exam/tardive dyskinesia
Depression assessment (Becks)
Anxiety Assessment (Hamilton)
Substance Abuse Screening (Cage)
•
•
•
Substance abuse withdrawal assessment and
intervention
Obstetrics
Read fetal monitoring strips
Assess monitoring strips for change
Provide labor support
Perform postpartum teaching
BUBBLE-HE assessment
•
•
Perform newborn exam
Perform daily newborn assessment
Perform newborn hearing screen
6/8/09 tcr; 5/10/11 MLD; 8/11/11 MLD; 8/29/11 MLD
•
445 Peds
5
Skills
300 Fund
317 Jr
M/S
423 Sr
M/S
403
Psych
445 OB
445 Peds
Perform newborn bath
Assist mother with breastfeeding
Assess newborn latch, suck and feeding
Bottle-feed infant
Burp infant
Change diaper and assess stool
Assess circumcision
Care for infant circumcision
Pediatrics
Vital Signs:
Temperature, rectal
Temperature, temporal
•
Temperature, oral
Respiratory assessment
•
Perform postural drainage and
percussion/vibration
Identification of respiratory distress
Use of pain assessment scales
•
Use of sedation assessment scale
Perform focused assessment
•
Use of Pediatric Glasgow Coma Scale
Perform growth assessment (head
circumference, weight, height, BMI)
Administration of oxygen therapy
•
Blow by
•
Mask
•
Nasal Cannula
Perform nasopharyngeal suctioning
Use of metered dose inhaler
Provide developmentally appropriate care
Calculate daily fluid requirement for
hydration/rehydration
Calculate urine output cc/kg/hr
Medication Administration:
•
ophthalmic
•
otic
•
intranasal
•
determination of safe doses by weight
•
syringe pump
•
•
•
•
•
IV therapy
Insertion of orogastric/nasogastric tube
Removal of orogastric/nasogastric tube
Care of external fixation device: pin care
Perform skin assessment-Braden Scale
Perform skin puncture for blood sampling: heel,
finger
Obtain urine culture from indwelling catheter
Obtain urine culture via intermittent cath
6/8/09 tcr; 5/10/11 MLD; 8/11/11 MLD; 8/29/11 MLD
•
6
Skills
300 Fund
317 Jr
M/S
423 Sr
M/S
Side rails up
•
Crib sides up
•
Developmentally appropriate
supervision
Clinical Course
NURS 300 Foundations
NURS 317 Jr. M/S
NURS 319 Jr. Precept
NURS 423 Sr. M/S
NURS 403 Psych
NURS 445 OB
NURS 445 Peds
NURS 413/449
CC/Sr. Preceptorship
445 OB
445 Peds
•
•
•
•
Provide safe environment
•
403
Psych
Clinical Instructor Name (printed)
6/8/09 tcr; 5/10/11 MLD; 8/11/11 MLD; 8/29/11 MLD
Initials