1. Professional Nursing Practice Skill 1.1 Documenting Nurses' Progress Notes * Skill 1.2 Giving a Change-of-Shift Report 2. Facilitating Communication Skill 2.1 Establishing Nurse-Client Relationship * Skill 2.2 Interviewing * Skill 2.3 Communicating With Anxious Client * Skill 2.4 Communicating with Angry Client * Skill 2.5 Communicating with Depressed Client NEW! 3. Promoting a Safe Environment Procedural Guideline 3-1 Fire, Electrical and Radiation Safety NEW! * Skill 3.1 Fall Prevention * Skill 3.2 Designing a Restraint-Free Environment * Skill 3.3 Applying Physical Restraints * Skill 3.4 Seizure Precautions * Procedural Guideline 3-2 Writing an Incident Report 4. Medical Aseptic Techniques Skill 4.1 Hand Hygiene * Procedural Guideline 4-1 Using Disposable Clean Gloves * Skill 4.2 Caring for Clients Under Isolation Precautions * Skill 4-3 Special Tuberculosis Precautions 5. Basic Sterile Techniques Skill 5.1 Applying Personal Protective Equipment NEW! * Skill 5.2 Preparing a Sterile Field * Skill 5.3 Sterile Gloving 6. Promoting Activity and Mobility Skill 6.1 Assisting With Moving and Positioning Clients in Bed * Skill 6.2 Using Safe and Effective Transfer Techniques * Skill 6.3 Assisting with Ambulation * Skill 6.4 Teaching Use of Cane, Crutches and Walker * Skill 6.5 Continuous Passive Motion Machine (CPM) (For Client with Total Knee Replacement). * Procedural Guideline 6-1 Applying Elastic Stockings and Sequential Compression Device. NEW! * Procedural Guideline 6-2 Range of Motion Exercises 7. Promoting Hygiene Skill 7.1 Complete Bathing, * Procedural Guideline 7-1 Commercial Bag Bath or Cleansing Pack NEW! * Skill 7.2 Oral Care for the Debilitated or Unconscious Client, * Procedural Guideline 7-2 Care of Dentures * Skill 7.3 Hair Care, * Skill 7.4 Foot and Nail Care, * Skill 7.5 Bedmaking, * Procedural Guideline 7-3 Unoccupied Bedmaking and Surgical Bed EXPANDED! 8. Promoting Nutrition Skill 8.1 Feeding Dependent Clients * Skill 8.2 Aspiration Precautions * Procedural Guideline 8-1 Standing Height and Weight on Platform or Chair Scale 9. Assisting With Elimination Skill 9.1 Monitoring Intake and Output * Skill 9.2 Providing a Bedpan and Urinal * Skill 9.3 Applying an External Catheter * Skill 9.4 Catheter Care * Skill 9.5 Administering an Enema 10. Promoting Comfort and Pain Control Skill 10.1 Nonpharmacological Comfort Measures * Skill 10.2 Relaxation and Guided Imagery NEW! * Skill 10.3 Pharmacological Pain Management * Skill 10.4 Patient-Controlled Analgesia * Skill 10.5 Epidural Analgesia * Skill 10.6 Local Anesthetic Infusion Pump for Analgesia 11. Vital Signs Skill 11.1 Assessing Temperature, Pulse, Respirations, and Blood Pressure * Procedural Guideline 11-1 Obtaining Blood Pressure from Lower Extremity by Auscultation * Procedural Guideline 11-2 Electronic Blood Pressure Measurement * Skill 11.2 Measuring Oxygen Saturation with Pulse Oximetry 12. Health Assessment Skill 12.1 General Survey * Skill 12.2 Assessing the Head and Neck * Skill 12.3 Assessing the Thorax and Lungs * Skill 12.4 Cardiovascular Assessment NEW! * Skill 12.5 Assessing the Abdomen * Skill 12.6 Musculoskeletal and Neurological Assessment NEW! 13. Laboratory Tests Skill 13.1 Urine Specimen Collection-Midstream, Sterile Urinary Catheter * Procedural Guideline 13-1 Collecting 24-Hour Timed Urine Specimens * Procedural Guideline 13-2 Urine Screening for Glucose, Ketones, Protein, Blood, and pH * Skill 13.2 Testing for Gastrointestinal Alterations (Gastroccult Test, Stool Specimen, and Hemoccult Test) * Skill 13.3 Blood Glucose Monitoring * Skill 13.4 Collecting Blood Specimens-Venipuncture With Vacutainer, Venipuncture With Syringe, and Blood Cultures * Skill 13.5 Collecting Specimens From the Nose and Throat * Skill 13.6 Collecting a Sputum Specimen by Suction * Procedural Guideline 13-4 Collecting a Sputum Specimen by Expectoration * Skill 13.7 Obtaining Wound Cultures 14. Diagnostic Procedures Skill 14.1 Intravenous Moderate Sedation, * Skill 14.2 Contrast Media Studies: Arteriogram, Cardiac Catheterization, Intravenous Pyelogram, * Skill 14.3 Assisting With Aspirations: Bone Marrow, Lumbar Puncture, Paracentesis, Thoracentesis, * Skill 14.4 Assisting With Bronchoscopy, * Skill 14.5 Assisting With Gastrointestinal Endoscopy * Skill 14.6 Assisting With Electrocardiogram 15. Preparation for Medication Administration 16. Administration of Nonparenteral Medications Skill 16.1 Administering Oral Medications * Skill 16.2 Administering Medication Through a Feeding Tube * Skill 16.3 Applying Topical Medications * Skill 16.4 Instilling Eye and Ear Medications * Skill 16.5 Using Metered-Dose Inhalers * Skill 16.6 Using Small-Volume Nebulizers * Skill 16.7 Inserting Rectal and Vaginal Medications 17. Administration of Injections Procedural Guideline 17-1 Reconstituting Medications From a Powder * Procedural Guideline 17-2 Mixing Medications From a Vial * Skill 17.1 Subcutaneous Injections (Includes Insulin) * Skill 17.2 Intramuscular Injections * Skill 17.3 Intradermal Injections * Skill 17.4 Continuous Subcutaneous Medications 18. Preparing the Client for Surgery Skill 18.1 Preoperative Assessment * Skill 18.2 Preoperative Teaching * Skill 18.3 Physical Preparation 19. Intraoperative Techniques Skill 19.1 Surgical Hand Antisepsis * Skill 19.2 Donning Sterile Gown and Closed Gloving 20. Caring for the Postoperative Client Skill 20.1 Providing Surgical Wound Care * Skill 20.2 Monitoring and Measuring Drainage Devices * Skill 20.3 Removing Staples and Sutures (Including Applying Steri-Strips) 21. Pressure Ulcers Skill 21.1 Pressure Ulcer Risk Assessment and Prevention Strategies * Skill 21.2 Treatment of Pressure Ulcers and Wound Management 22. Dressings Skill 22.1 Applying Dressings * Skill 22.2 Applying Pressure Dressings NEW! * Skill 22.3 Changing Transparent Dressings * Skill 22.4 Wound Vacuum Assisted Closure * Skill 22.5 Applying Binders and Bandages 23. Therapeutic Use of Warm and Cold Applications Skill 23.1 Moist Heat * Skill 23.2 Dry Heat * Skill 23.3 Cold Compresses and Ice Bags 24. Special Mattresses and Beds Skill 24.1 Using a Support Surface * Skill 24.2 Using an Air Suspension Bed * Skill 24.3 Using an Air-Fluidized Bed * Skill 24.4 Using a Rotokinetic Bed * Skill 24.5 Using a Bariatric Bed 25. Traction, Cast Care, and Immobilization Devices Skill 25.1 Care of the Client in Skin Traction * Skill 25.2 Care of the Client in Skeletal Traction and Pin Site Care * Skill 25.3 Care of the Client During Cast Application * Skill 25.4 Care of the Client During Cast Removal * Skill 25.5 Care of the Client With an Immobilization Device (Brace, Splint, Sling) * Procedural Guideline 25-1 Sling Application 26. Intravenous Therapy Skill 26.1 Insertion of a Peripheral Intravenous Device (Intermittent and Continuous Infusion) * Skill 26.2 Regulating Intravenous Infusion Flow Rates * Skill 26.3 Maintenance of Intravenous Site * Skill 26.4 Administering Intravenous Medications * Skill 26.5 Transfusions of Blood Products 27. Fluid, Electrolyte, and Acid-Base Balance Skill 27.1 Monitoring Fluid Balance * Skill 27.2 Monitoring Electrolyte Balance * Skill 27.3 Monitoring Acid-Base Balance 28. Promoting Oxygenation Skill 28.1 Oxygen Administration * Skill 28.2 Airway Management: Noninvasive Interventions * Skill 28.3 Airway Management: Suctioning * Skill 28.4 Airway Management: Endotracheal Tube and Tracheostomy Care * Skill 28.5 Managing Closed Chest Drainage Systems 29. Gastric Intubation Skill 29.1 Inserting Nasogastric Tube (Includes Checking Placement of Nasal Tube) * Skill 29.2 Irrigating Nasogastric Tube * Skill 29.3 Removing Nasogastric Tube 30. Enteral Nutrition Skill 30.1 Intubating the Client With a Small-Bore Nasogastric or Nasointestinal Feeding Tube * Skill 30.2 Verifying Tube Placement for a Large-Bore or Small-Bore Feeding Tube * Skill 30.3 Administering Tube Feedings for Nasogastric, Gastrostomy, and Jejunostomy tubes 31. Altered Bowel Elimination Skill 31.1 Removing Impactions * Skill 31.2 Pouching an Enterostomy * Skill 31.3 Inserting and Maintaining a Nasogastric Tube for Gastric Decompression 32. Altered Urinary Elimination Skill 32.1 Urinary Catheterization With Straight or Indwelling (Retention) Catheter: Female and Male * Skill 32.2 Removal of an Indwelling Catheter * Skill 32.3 Inserting Straight Catheter for Specimen Collection or Post-void Residual Urine * Skill 32.4 Closed and Open Intermittent Catheter Irrigation * Skill 32.5 Suprapubic Catheter Care * Skill 32.6 Pouching a Urinary Diversion 33. Altered Sensory Perception Skill 33.1 Caring for an Eye Prosthesis * Skill 33.2 Eye Irrigations * Skill 33.3 Caring for Clients with Hearing Aids * Skill 33.4 Ear Irrigations 34. Emergency Measures for Life Support in the Hospital Setting Skill 34.1 Code Management * Skill 34.2 Inserting an Oral Pharyngeal Airway NEW! 35. Care of the Client With Special Needs Skill 35.1 Managing Central Venous Lines * Skill 35.2 Administration of Total Parenteral Nutrition * Skill 35.3 Mechanical Ventilation * Skill 35.4 Care of Client Receiving Hemodialysis * Skill 35.5 Peritoneal Dialysis 36. Palliative Care Skill 36.1 Care of the Dying Client * Skill 36.2 Care of the Body After Death 37. Client Teaching and Home Health Management Skill 37.1 Risk Assessment and Accident Prevention * Skill 37.2 Adapting the Home Setting for Clients with Cognitive Deficits * Skill 37.3 Medication and Medical Device Safety * Procedural Guideline 37-1 Teaching Clients Self-Injections * Skill 37.4 Using Home Oxygen Therapy
