MONTANA STATE UNIVERSITY COLLEGE OF NURSING POLICY # C-10

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MONTANA STATE UNIVERSITY COLLEGE OF NURSING POLICY # C-10 TITLE: POLICY: UNDERGRADUATE STUDENT SKILLS CHECKLIST The undergraduate student skills checklist allows a student to record and rate their own skill performance. RATIONALE: A thoughtful and comprehensive inventory of nursing skills: a. assists in identifying and recording skills b. provides a communication mechanism for informing clinical preceptors (e.g. in NRSG 477, NRSG 487, NRSG 498) of previously demonstrated skills c. provides information to prospective employers and others seeking information about a student's learning experiences during the MSU nursing curriculum d. helps in development and implementation of MROs e. assists in evaluating courses Reviewed/Approved: Level I: UAAC (October, 2015) Level II: Associate Dean for Undergraduate Programs (October, 2015)

MONTANA STATE UNIVERSITY COLLEGE OF NURSING Procedure for Undergraduate Student Skills Checklist (Policy #C-10) PROCEDURE: 1. Students rate themselves using the attached student skills checklist prior to NRSG 477, NRSG 487 and NRSG 498. 2. UAAC will review and revise the student skills checklist every 5 years and more frequently as necessary. Student Skills Checklist STUDENT Instructions: Date: The student is to self evaluate the level of skill performance prior to NRSG 498 and NRSG 487 using the following criteria. This checklist may be required for additional courses, instructor review, or agency validation. Rating Scale: 1 - Received instruction 2 - Observational in clinical only 3 - Practiced in clinical with faculty 4 - Practiced Independently NO - No Opportunity Semester: F Fall; S Spring; Su Summer Year: YY Age: I Infant; C Child; A - Adult

ASSESSMENT SKILLS SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES Audiometric Screening 346/348 Musculoskeletal System 238, 346/348, Cardiovascular System 238, 336,,346/348, Developmental Screening Diabetic Patients 346/348,, Gastrointestinal 238, 336, System 346/348, Genitourinary System 238, 336, 346/348 Head and Neck 238, 336,, 346/348 Home Safety Med Alert Integumentary System 238, 336, 225, Braden 346/348, Medication Responses 336, 346/348, Mental Status 238, 336, 346/348,, CIWA Assessment,, Safety Assessments Fall risk Neurological System 238, 345/348,, 348, Newborn Physical 238, 346/348 Nutritional Assessment 346/348,, Pain Evaluation and 225, 336,, Control (5 th Vital Sign) 346/348, Pediatric Physical 238, 348 Perinatal Assessment 238, 346 348, Psychosocial Assessment 225, 341,, 346/348, Respiratory System 238, 346/348, Vision Screening 238, 348, Taking a health history 238, 336, Home environment 225, 336, 341 346/348,, 346/348 PSYCHOMOTOR SKILLS SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES

SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES Ambulation, Chest tube management Gait belt 225, Cough and Deep breath: assist to 225, 346/348, Walker/cane 225 (some); Enema administration: 225, (some), Crutches fleets Transfer to 225, soap suds chair/commode To stretcher tap water Bandaging Technique Feed: Anti-embolic hose 225, 346, Adult & 225, aspiration precautions Cold Packs 225, 346, child 348 Compression (Ace) 225 infant 346/348 wraps Hot Packs 225, 346 Hair and Nail Care 225, 346/348 Sling Hand washing technique, basic 225, 336, 346/348, Splint Bath: Monitor Nutritional intake 225, 346/348, adult bed bath w/ perineal care; foot care I & O 225, Nasogastric tube management: infant bath 346 care of patient 348, with: sitz 346 insertion 348, Bed Making: irrigation 348, occupied 225, lavage 336, 346/348, unoccupied 225, 346, removal 346, Bed Pan/Urinal 225, 346/348, tube feedings: 225, 336 (some), Blood drawing: 348, continuous finger 225, 336, 348,

SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES stick/glucometer 346/348, intermittent heel stick 346 Oral hygiene 225, 346/348, phlebotomy Ostomy care Cast Care 346, Oxygen therapy:, Change dressing: nasal cannula 346/348, sterile 225, 346, mask 346/348, unsterile 225, 346, pulse oximetry 225, 346/348, wet 225, Types of dressings 225 Palliative Care 341, information Advance Directives 341, 444, PSYCHOMOTOR SKILLS: (CONTINUED) SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES Positioning:, Telemetry application 348, bed pans 225, Tracheotomy care 346/348, lifting and 225, 346/348, Traction: moving log rolling 225, 346/348, skeletal 348 turning 225, 346/348, skin 348 urinal 348, Urinary Catheter Range of joint 225, 348, Catheter care 346/348 motion exercises Skin Care: Insertion of: 346/348, back massage 225, 346 condom catheter foot care (diabetic) female 346/348, perineal care 346 male 348, Suction: irrigation

SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES endotracheal, 225 (future) continuous nose and 346/348,, 225 (future throat intermittent pharyngeal, removal of 346/348, tracheal, 348, Urine Sp. Gr. with chem. 348 strips Surgical Asepsis Ventilator: monitor response to gloving: open 225, 346/348, Wound irrigation 225, 348 346/348, Wound suction (e.g., closed Hemovac, Jackson Pratt) Gowning/PPE 225, 346/348, Wound Vac. opening sterile packs 225, 346/348, surgical scrub 346, Additions: Specimen collection: Bladder scanning 225, sputum 348 Pitting edema 225, stool 225, 346/348 Diabetic foot care 225, throat urine, clean catch/ccms & UA from a catheter wound 225 MRSA naris culture 225 225, 346/348 Restraints proper use and documentation, not in Msla MEDICATION SKILLS: SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES Intravenous therapy management: Medication administration: A. Peripheral Line: ear 336, 346/348,

SKILL 498 administer blood/blood products Bottle/bag change convert to heparin/saline lock 477/487 COURSES SKILL 498 477/487 COURSES 346/348, eye 336, 346/348, 346/348 I.M. 336, 336, 346/348 inhalation 336, 348, discontinuation 336, 346/348 intradermal 336, 346/348, Saline/flush 336, 346/348, I.V. piggy back 336, 346/348, infusion pump 336, 346/348, I.V. push 336, 346/348, regulation of 336, 348, nasal 336, 348, flow rate site care 336, 346/348, PO 336, 346/348, tubing change 336, 348, rectal 336, 346/348, venipuncture Subcutaneous Insulin orders and carb counting 336, 346/348, B. Central Line sublingual 336, 346 Bottle/bag change 346/348,, transdermal 336, 346/348, CVP reading vaginal 336, 346 site care 346/348,, Z-track 336, 346 tubing change 346/348,, Controlled substance 336, protocols intermittent 346/348,, Medication actions/side 336,, flushing effects High Alert medications Validating allergies and 336, Reporting of medication error/proper,487

SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES contraindications documentation of error Dual sign-off meds Patient identification 336, MANAGEMENT SKILLS: SKILL 498 477/487 COURSES SKILL 498 477/487 COURSES Charting Vital Signs/TPR Pain (5 th VS) 225, 238, 346/348, I & O 225, 346/348, Treatments 346/348, Meds 336, 346/348,,, Conduct change of shift report 346/348,, Nurses notes 225, 346/348, Medication reconciliation 336,,, SBAR 225,, 487 Documentation of patient teaching/discharge 336,,, 487 planning Weight,, 348, Interdisciplinary communication,, 487 Appropriate communication with family and visitors 341,, 346/348,,