UCLASchoolofNursing_

PrelicensureNursingSkillsChecklist

Student________________________

Classof______

INDEX
Reference: Altman, Gaylene Bouska: Fundamental & Advanced Nursing Skills. Delmar Cengage Learning, 3rd Edition. 2010.
NOTE: This is a legal document that you will carry with you throughout your clinical rotations, and the original with ink signatures is required to
be handed in at the end of your last clinical rotation prior to graduation. Note: Not all skills will be accomplished at competent level by
graduation, but the core fundamental skills must be completed. It is your responsibility to carry this record and obtain signatures from your
clinical liaisons, the expert staff RNs, and clinical faculty. Your clinical liaisons and/or clinical faculty may ask to look at it at any time to assess
your learning needs and progress, and must view your progress and sign it off at the end of a clinical rotation

Subject

Page #

Index..1
Signature Pages....... 2
Physical Assessment;
(Chapter 1)........5
Safety & Infection Control (Chapter 2) ....6
Client Care & Comfort
(Chapter 3).7
Basic Care
(Chapter 4).8
Medication Administration (Chapter 5).9
Nutrition & Elimination
(Chapter 6)11
Oxygenation
(Chapter 7)13
Skin Integrity & Wound Care (Chapter 9)......17
Immobilization & Support (Chapter 10)..18
Special Procedure Assistance (Chapter11)......20
Obstetric specialized skills...............21
Pediatric specialized skills.......25

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Pre-Licensure Skills Checklist

CLINICAL ROTATIONS

SIGNATURE PAGE

MED SURG A

OBSTETRICS

CL Signature: ______________________ Date: _________

CL Signature: ______________________ Date: _________

Student Signature:__________________ Date: _________

Student Signature:__________________ Date: _________

MED SURG B

PEDIATRICS

CL Signature: ______________________ Date: _________

CL Signature: ______________________ Date: _________

Student Signature:__________________ Date: _________

Student Signature:__________________ Date: _________

MED SURG C

PSYCHIATRY

CL Signature: ______________________ Date: _________

CL Signature: ______________________ Date: _________

Student Signature:__________________ Date: _________

Student Signature:__________________ Date: _________

Med Surg D

IMMERSION

CL Signature: ______________________ Date: _________

CL Signature: ______________________ Date: _________

Student Signature:__________________ Date: _________

Student Signature:__________________ Date: _________

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*See signature pages following for Skills Lab & Clinical preceptors.

Signature Page
Roles :

(Please PRINT name too !)

FAC=Clinical Faculty, TA= UCLA Teaching Assistant ; CL=Clinical Liaison/Instructor, RN=Clinical Preceptor/ Hospital Staff RN

SKILLS LAB A:
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________

SKILLS LAB B:
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
CLINICAL :
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
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Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________

Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________

Signature Page

(Continued)

Roles : FAC=Clinical Faculty, CL=Clinical Liaison/Instructor, RN=Clinical Preceptor/Staff RN

Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
Initials ____SIGNATURE___________________________PRINT NAME______________________Role_____Date________
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Pre-Licensure Nursing Cumulative Skills Checklist

Student Name (Print) : ______________________________________________
Rating Scale: 1-Unable to perform
Video/Reading

2-Limited Ability
Skills Lab
Training

CL or
ENC
review

Date Initiated:___________

3-Competent but needs practice

Demo by
CL or ENC

Return
Demo #1

Return
Demo #2

Student
Competent

4- Competent
Comments

CHAPTER 1 PHYSICAL ASSESSMENT 1

1-1 Physical
Assessment 3
1-2 Taking a
Temperature 29
1-3 Taking a Pulse
43
1-4 Counting
Respirations 52
1-5 Taking Blood
Pressure 58
1-6 Weighing a
Client, Mobile and
Immobile 67
1-7 Measuring Intake
and Output 74
1-8 Breast
Examination 81
1-9 Male Genitalia,
Hernia, and Rectal
Examination 91
1-10 Collecting a
Clean-Catch, Midstream
Urine Specimen 99
1-11 Testing Urine for
Specific Gravity,
Ketones, Glucose, and
Occult Blood 106
1-12 Performing a
Skin Puncture 114

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Video/Reading

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Training

CL or
ENC
review

Demo by
CL or ENC

Return
Demo #1

Return
Demo #2

Student
Competent

Comments

1-13 Measuring
Blood-Glucose Levels
120
1-14 Collecting Nose,
Throat, and Sputum
Specimens 128
1-15 Testing for
Occult Blood with a
Hemoccult Slide 136
CHAPTER 2 SAFETY AND INFECTION CONTROL 141
2-1 Proper Body
Mechanics, Safe Lifting,
and Transferring 143
2-2 Assisting with
Ambulation and Safe
Falling 153
2-3 Applying
Restraints 161
2-4
Handwashing/Hand
Hygiene 173
2-5 Donning and
Removing Clean and
Contaminated Gloves
and Mask 179
2-6 Removing
Contaminated Items
186
2-7 Applying Sterile
Gloves via the Open
Method 194
2-8 Surgical Scrub
201
2-9 Applying Sterile
Gloves and Gown via
the Closed Method
208

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ENC
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CL or ENC

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Demo #1

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Demo #2

Student
Competent

Comments

2-10 Emergency
Airway Management
213
2-11 Administering
Cardiopulmonary
Resuscitation (CPR)
220
2-12 Performing the
Heimlich Maneuver
235
2-13 Responding to
Accidental Poisoning
244
2-14 Emergency
Client Transport 250
CHAPTER 3 CLIENT CARE AND COMFORT 261
3-1 The Effective
Communication
Process 263
3-2 Guided
Imagery 273
3-3 Progressive
Muscle Relaxation
279
3-4 Therapeutic
Massage 286
3-5 Applying Moist
Heat 293
3-6 Warm Soaks and
Sitz Baths 299
3-7 Applying Dry
Heat 305
3-8 Using a Thermal
Blanket and an Infant
Radiant Heat Warmer
312

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ENC
review

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CL or ENC

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Demo #1

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Demo #2

Student
Competent

Comments

3-9 Applying Cold

Treatment 320
3-10 Assisting with a
Transcutaneous
Electrical Nerve
Stimulation (TENS)
Unit 327
CHAPTER 4 BASIC CARE 335
4-1 Changing Linens
in an Unoccupied Bed
337
4-2 Changing Linens
in an Occupied Bed
345
4-3 Turning and
Positioning a Client
352
4-4 Moving a Client
in Bed 361
4-5 Assisting with a
Bedpan or Urinal 369
4-6 Assisting with
Feeding 376
4-7 Bathing a Client
in Bed 383
4-8 Oral Care 391
4-9 Perineal and
Genital Care 402
4-10 Eye Care 409
4-11 Hair and Scalp
Care 417
4-12 Hand and Foot
Care 425
4-13 Shaving a
Client 433
4-14 Giving a Back
Rub 438

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Demo #1

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Student
Competent

Comments

4-15 Changing the

Gown in Clients With
IVs 444
4-16 Assisting from
Bed to Stretcher 450
4-17 Assisting from
Bed to Wheelchair,
Commode, or Chair
457
4-18 Assisting from
Bed to Walking 464
4-19 Using a
Hydraulic Lift 471
4-20 Administering
Preoperative Care 478
4-21 Preparing a
Surgical Site 487
4-22 Administering
Immediate Postoperative
Care 497
4-23 Postoperative
Exercise Instruction
507
4-24 Administering
Passive Range of Motion
(PROM) Exercises
515
4-25 Postmortem
Care 528
CHAPTER 5 MEDICATION ADMINISTRATION 535
5-1 Administering
Oral, Sublingual, and
Buccal Medications
537
5-2 Administering
Eye and Ear
Medications 546

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Student
Competent

Comments

5-3 Administering
Skin/Topical
Medications 556
5-4 Administering
Nasal Medications
563
5-5 Administering
Rectal Medications
570
5-6 Administering
Vaginal Medications
577
5-7 Administering
Nebulized
Medications 584
5-8 Administering an
Intradermal Injection
593
5-9 Administering a
Subcutaneous
Injection 599
5-10 Administering an
Intramuscular
Injection 606
5-11 Administering
Medication via Z-Track
Injection 614
5-12 Withdrawing
Medication from a
Vial 621
5-13 Withdrawing
Medication from an
Ampoule 627
5-14 Mixing
Medications from Two
Vials into One
Syringe 634

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ENC
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CL or ENC

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Demo #1

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Demo #2

Student
Competent

Comments

5-15 Preparing an IV
Solution 642
5-16 Adding
Medications to an IV
Solution 648
5-17 Administering
Medications via
Secondary
Administration Sets
(Piggyback) 654
5-18 Administering
Medications via IV
Bolus or IV Push 661
5-19 Administering
Medications via
Volume-Control Sets
667
5-20 Administering
Medication via a
Cartridge System 673
5-21 Administering
Patient-Controlled
Analgesia (PCA) 678
5-22 Administering
Epidural Analgesia
685
5-23 Managing
Controlled Substances
691
CHAPTER 6 NUTRITION AND ELIMINATION 699
6-1 Inserting and
Maintaining a
Nasogastric Tube 701

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CL or ENC

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Demo #1

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Demo #2

Student
Competent

Comments

6-2 Assessing
Placement of a LargeBore Feeding Tube and
Administering an
Intermittent Feeding
710
6-3 Assessing
Placement of a SmallBore Feeding Tube
716
6-4 Removing a
Nasogastric Tube 722
6-5 Feeding and
Medicating via a
Gastrostomy Tube
728
6-6 Maintaining
Gastrointestinal Suction
Devices 738
6-7 Applying a
Condom Catheter 744
6-8 Inserting an
Indwelling Catheter:
Male 751
6-9 Inserting an
Indwelling Catheter:
Female 760
6-10 Routine Catheter
Care 769
6-11 Obtaining a
Urine Specimen from an
Indwelling Catheter
774
6-12 Irrigating a
Urinary Catheter 779

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ENC
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CL or ENC

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Demo #1

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Demo #2

Student
Competent

Comments

6-13 Irrigating the

Bladder Using a ClosedSystem Catheter 787
6-14 Removing an
Indwelling Catheter
795
6-15 Catheterizing a
Noncontinent Urinary
Diversion 801
6-16 Maintaining a
Continent Urinary
Diversion 808
6-17 Pouching a
Noncontinent Urinary
Diversion 814
6-18 Administering
Peritoneal Dialysis
820
6-19 Administering an
Enema 827
6-20 Digital Removal
of Fecal Impaction
840
6-21 Inserting a
Rectal Tube 846
6-22 Irrigating and
Cleaning a Stoma 852
6-23 Changing a
Bowel Diversion
Ostomy Appliance:
Pouching a Stoma 858
CHAPTER 7 OXYGENATION 865
7-1 Administering
Oxygen Therapy 867

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ENC
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CL or ENC

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Demo #1

Return
Demo #2

Student
Competent

Comments

7-2 Assisting a Client

with Controlled
Coughing and Deep
Breathing 877
7-3 Assisting a Client
with an Incentive
Spirometer 883
7-4 Administering
Pulmonary Therapy and
Postural Drainage 888
7-5 Administering
Pulse Oximetry 892
7-6 Measuring Peak
Expiratory Flow Rates
898
7-7 Administering
Intermittent PositivePressure Breathing
(IPPB) 905
7-8 Assisting with
Continuous Positive
Airway Pressure (CPAP)
911
7-9 Preparing the
Chest Drainage
System 917
7-10 Maintaining the
Chest Tube and Chest
Drainage System 927
7-11 Measuring the
Output from a Chest
Drainage System 934
7-12 Obtaining a
Specimen from a Chest
Drainage System 938
7-13 Removing a
Chest Tube 943

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ENC
review

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CL or ENC

Return
Demo #1

Return
Demo #2

Student
Competent

Comments

7-14 Ventilating the

Client with an Ambu
Bag 949
7-15 Inserting the
Pharyngeal Airway
956
7-16 Maintaining
Mechanical
Ventilation 962
7-17 Suctioning
Endotracheal and
Tracheal Tubes 969
7-18 Maintaining and
Cleaning Endotracheal
Tubes 976
7-19 Maintaining and
Cleaning the
Tracheostomy Tube
983
7-20 Maintaining a
Double Cannula
Tracheostomy Tube
989
7-21 Plugging the
Tracheostomy Tube
996
CHAPTER 8 CIRCULATORY 1001
8-1 Performing
Venipuncture (Blood
Drawing) 1003
8-2 Starting an IV
1012
8-3 Inserting a
Butterfly Needle 1021
8-4 Preparing the IV
Bag and Tubing 1029

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ENC
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CL or ENC

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Demo #1

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Demo #2

Student
Competent

Comments

8-5 Setting the IV

Flow Rate 1036
8-6 Assessing and
Maintaining an IV
Insertion Site 1043
8-7 Changing the IV
Solution 1049
8-8 Discontinuing the
IV and Changing to a
Saline or Heparin
Lock 1055
8-9 Administering a
Blood Transfusion
1062
8-10 Assessing and
Responding to
Transfusion Reactions
1071
8-11 Assisting with
the Insertion of a Central
Venous Catheter 1078
8-12 Changing the
Central Venous
Dressing 1086
8-13 Changing the
Central Venous
Tubing 1092
8-14 Flushing a
Central Venous
Catheter 1098
8-15 Measuring
Central Venous Pressure
(CVP) 1104
8-16 Drawing Blood
from a Central Venous
Catheter 1111

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Training

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ENC
review

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CL or ENC

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Demo #1

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Demo #2

Student
Competent

Comments

8-17 Infusing Total

Parenteral Nutrition
(TPN) and Fat Emulsion
through a Central
Venous Catheter 1118
8-18 Removing the
Central Venous
Catheter 1127
8-19 Inserting a
Peripherally Inserted
Central Catheter (PICC)
1132
8-20 Administering
Peripheral Vein Total
Parenteral Nutrition
1142
8-21 Hemodialysis
Site Care 1149
8-22 Using an
Implantable Venous
Access Device 1155
8-23 Caring for an
Implanted Venous
Access Device 1162
8-24 Obtaining an
Arterial Blood Gas
Specimen 1168
8-25 Assisting with
the Insertion and
Maintenance of an
Epidural Catheter
1174
CHAPTER 9 SKIN INTEGRITY AND WOUND CARE 1181
9-1 Bandaging
1183
9-2 Applying a Dry
Dressing 1191

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Training

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ENC
review

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CL or ENC

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Demo #1

Return
Demo #2

Student
Competent

Comments

9-3 Applying a Wet to

Damp Dressing (Wet to
Moist Dressing) 1197
9-4 Applying a
Transparent Dressing
1204
9-5 Applying a
Pressure Bandage
1209
9-6 Changing
Dressings around
Therapeutic Puncture
Sites 1215
9-7 Irrigating a
Wound 1225
9-8 Packing a
Wound 1231
9-9 Cleaning and
Dressing a Wound with
an Open Drain 1240
9-10 Dressing a
Wound with Retention
Sutures 1248
9-11 Obtaining a
Wound Drainage
Specimen for
Culturing 1255
9-12 Maintaining a
Closed Wound Drainage
System 1261
9-13 Care of the
Jackson-Pratt (JP) Drain
Site and Emptying the
Drain Bulb 1267
9-14 Removing Skin
Sutures and Staples
1274

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Video/Reading

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Training

CL or
ENC
review

Demo by
CL or ENC

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Demo #1

Return
Demo #2

Student
Competent

Comments

9-15 Preventing and

Managing the Pressure
Ulcer 1281
9-16 Managing
Irritated Peristomal
Skin 1295
9-17 Applying a
Pouch to a Draining
Wound 1303
CHAPTER 10 IMMOBILIZATION AND SUPPORT 1311
10-1 Applying an
Elastic Bandage 1313
10-2 Applying a
Splint 1320
10-3 Applying an
Arm Sling 1327
10-4 Applying
Antiembolic
Stockings 1333
10-5 Applying a
Pneumatic Compression
Device 1339
10-6 Applying
Abdominal, T-, or Breast
Binders 1346
10-7 Applying Skin
TractionAdhesive and
Nonadhesive 1353
10-8 Maintaining and
Monitoring Skeletal
Traction 1361
10-9 External Fixation
or Skeletal Traction Pin
Care 1367
10-10 Assisting with
CastingPlaster and
Fiberglass 1372

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ENC
review

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CL or ENC

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Demo #1

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Demo #2

Student
Competent

Comments

10-11 Cast Care and

Comfort 1379
10-12 Cast Bivalving
and Windowing 1386
10-13 Cast
Removal 1392
10-14 Assisting with a
Continuous Passive
Motion Device 1397
10-15 Assisting with
Crutches, Cane, or
Walker 1403
CHAPTER 11 SPECIAL PROCEDURES 1415
11-1 Administering an
Electrocardiogram
1417
11-2 Magnetic
Resonance Imaging
(MRI) 1424
11-3 Assisting with
Computed Tomography
(CT) Scanning 1429
11-4 Assisting with a
Liver Biopsy 1435
11-5 Assisting with a
Thoracentesis 1443
11-6 Assisting with
Abdominal
Paracentesis 1451
11-7 Assisting with a
Bone Marrow
Biopsy/Aspiration 1458

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ENC
review

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CL or ENC

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Demo #1

Return
Demo #2

Student
Competent

Comments

11-8 Assisting with a

Lumbar Puncture1465
11-9 Assisting with
Amniocentesis 1473
11-10 Assisting with
Bronchoscopy 1480
11-11 Assisting with a
Gastrointestinal
Endoscopy 1491
11-12 Assisting with a
Proctosigmoidoscopy
1501
11-13 Assisting with
Arteriography 1508
11-14 PositronEmission Tomography
Scanning 1515

.
OB Beginning Skills Checklist
Students Name: _______________________________________Date Initiated: _________Faculty_________________________
Clinical Liaison (CL) Name(s)/Initials: _______________________;________________________;________________________
Expert Nurse Clinicians (ENC) Name: _______________________; ________________________; ________________________
Rating Scale: 1-Unable to perform
Skill/Competency

Video/Reading
(student)

Newborn Assessment Video

Date______
Initial _____

2-Limited Ability
Skills Lab
Training
(Faculty)

3-Competent but needs practice

CL or ENC
review

Demo by
CL or ENC

Return
Demo #1

4- Competent
Return
Demo #2

Student Competent

ANTEPARTUM
STATION

Leopolds Maneuvers

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Skill/Competency

Video/Reading

Skills Lab
Training

CL or ENC
review

Demo by
CL or ENC

Return
Demo #1

Return
Demo #2

Student Competent

Urine dipstick for

glucose & protein
Measuring fundal height
Giving an appropriate
report

INTRAPARTUM
STATION

Leopolds Maneuvers to
assist in application of
external monitor
Application of external
monitor straps
Birthing
positions/breaking bed
for delivery
Assistance with epidural
administration
Non-pharmacologic
pain relief measures
(massage, guided
imagery, etc.)

POSTPARTUM Station

Postpartum assessment

Breasts
Breast feeding
Uterus

Bowel

Bladder

Lochia

Episiotomy

Sitz bath, Dermoplast

spray

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Application of ice pack

Skill/Competency

Video/Reading

Skills Lab
Training

CL or ENC
review

Demo by
CL or ENC

Return
Demo #1

Return
Demo #2

Student Competent

NEWBORN STATION

Newborn assessment

CNS

moves extremities

Symmetrical features,
movement
Suck, rooting, Moro
response, grasp reflexes
CV:

anterior fontanel soft,

flat
Heart rate regular
rhythm, no murmurs
ausculatated
Brachial, femoral pulses
equal and regular
bilaterally
RESP:
lungs clear to
auscultation
No retractions, nasal
flaring, or grunting
Respiratory rate 30-60
breaths/minute
RESP (cont.)
Chest expansion
symmetric
No upper airway
congestion
GU
Male: urethral opening
at tip of penis, testes
descended bilaterally

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Female: vaginal opening

apparent

Skill/Competency

GI

Abdomen soft, nondistended

Cord clamp attached to
cord, without drainage,
warmth, or redness to
surrounding skin
Anus appears patent

HEENT

Head symmetric or
molded from delivery,
caput, forceps marks,
vacuum cap
Eyes clear, red reflex

Palate intact

Nares patent

Skin

Color pink, cyanotic,

acrocyanosis?
No lesions or abrasions

Birthmarks

No peeling

Taking Vital signs

Wrapping procedure

Video/Reading

Skills Lab
Training

CL or ENC
review

Demo by
CL or ENC

Return
Demo #1

Return
Demo #2

Student Competent

Thermoregulation
Application of heel
warmer for heel stick
Perform heel stick
Vitamin K injection

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Eye prophylactics

Pediatric Nursing Skills Checklist

Student Signature: _____________________________________________

Date Initiated

_________

Clinical Liaisons (CL) Name(s)/Initials: _______________________;________________________;________________________

Expert Nurse Clinicians (ENC) Name: _______________________; ________________________; ________________________
Rating Scale: 1-Unable to perform
Skill/Competency

2-Limited Ability
Video/Reading
(student)

Skills Lab
Training

3-Competent but needs practice

CL or ENC
review

Demo by CL or
ENC

Return
Demo #1

4- Competent
Return
Demo #2

Student
Competent

Pediatric Measurements:
Temperature
Pulse
Respirations
Blood Pressure
Head Circumference
Abdominal Girth
Height (in cm)
Weight (in kg)
Growth Grid

Equipment:
Thermometer

PO

PR
AX
Tympanic
Stethoscope
Blood Pressure cuffs:
Neonate, infant, toddler,
Preschooler, child, adult
Electronic
Tape measure
Scales: infant, toddler, standup

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Chart of normal values

Growth Grid

Skill/Competency

Video/Reading
(student)

Skills Lab
Training
(faculty)

CL or ENC
review

Demo by CL or
ENC

Return
Demo #1

Return
Demo #2

Student Competent

Restraints & Safety:

During procedures
High chair
Stroller
Wheelchair
Wrist restraints
Elbow restraints
Crib rails
Vest
Elbow restraints: No-No
Wrist restraints: 3 sizes
Kerlix
Vest(Jacket)
Receiving Blanket
Mummy Board
Sock
IV Board-Finger Restraint

Cardio-Respiratory:
Lead Placements
Apnea/Bradycardia Monitoring
O2 Sat Monitoring
O2 Administration
Trachs:
Ensuring patency
Securing ties
Must haves at bedside
Suctioning
Sputum collection

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Nasal Cannulas infant, child, adol/adult

Oxygen masks: all ages

Skill/Competency

Video/Reading

Skills Lab
Training

CL or ENC
review

Demo by CL or
ENC

Return
Demo #1

Return Demo #2

Student Competent

Cardio-Respiratory (contd)
Oxygen Moisture canister
Oxygen Tank
Oxygen Flowmeter: Hi vs. Lo
Suction canister & tubing
Bulb syringe
Olive tip
Cutoff catheter
Yankuer
6FR to 16FR suction catheters
Trachs: different sizes
Trach ties

GI:
Oral feedings:
Positioning,
Warming formulas
Storing breast milk
Breast feeding
NG Feedings
Gastrostomy Care & Feeds
Different formulas, nipples
Cleft lip/palate bottle
Syringe bulb
Kangaroo volutrol/bag
Kangaroo pump
GT feed: Button/MIC/
MIC-KEY/Foley/PEG tube

GU:
Urine collection

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29

U-bag application
Diapering
Buttocks/Skin Care Desitin, etc.

Skill/Competency

Video/Reading
(student)

Skills Lab
Training

CL or ENC
review

Demo by CL or
ENC

Return
Demo #1

Return
Demo #2

Student Competent

Vit A & D
Nystatin Cream
Urine cup specimen collection
Urine bags (infant/pediatric)
Diapers
(newborn, infant, toddler)
Foleys/leg bags

IV Therapy:
Site Assessment
Taping & Securing
Fluid Monitoring
correct solution
correct rate

IV Therapy (cont.):
volume (2 hrs max)
current tubing
setting rate, VTBI

Medication Administration:
PO
IV
PR
SQ
IM
Ear, Eye, Nose Drops
Liquids/syrups/suspensions
Tablets/crusher/cutter
Gel caps
Syringes 1cc, 3cc, 5cc, 10cc
Needle catheters (yellow 24g, blue 22g,
pink 20g)

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30

Vials, ampoules

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