Perform patient admission

Perform post mortem care

Formulate nursing diagnoses

Initiate

Prioritize nursing interventions/activities

Calculate intake and output

Adhere to and implement variety of diets

Apply variety patient restraints as indicated by patient condition/medical status

Implement

Implement aspiration precations

Implement fall precations

Implement suicide precautions

Obtain VS (Manual/automated BP)

Determine appropriate size blood pressure cuff

Determine age-appropriate normal vital sign parameters

Initiate interventions for abnormal vital signs

Obtain surgical/procedure informed consent

Complete pre-op checklists

Perform antimicrobial baths

Auscultate heart sounds (rate)

Normal heart tones (S1)

Abnormal heart tones (murmur)

Pulses/Circulation checks

S/S DVT

Atherosclerosis

Cardiac arrest

Cardiomyopathy

Carotid endarterectomy

Chest pain (initiate chest pain protocols)

Congestive Heart Failure (CHF)

Myocardial Infarction (MI)

Pericarditis

Post angioplasty

Post cardiac surgery

Sudden onset of Atrial Fibrillation

Sudden onset of chest pain

Thrombophlebitis

Valve disorders

Apply compression stockings

Assist with central line placement

Assist with central line removal

Assist with emergency tracheostomy

S/S Hyperglycemia

S/S Insulin Reaction

Addisons disease

Cushings Syndrome

Diabetes Insipidus

Diabetes Mellitus

Diabetic Ketoacidosis

Hyperthyroidism (Graves disease)

Hypothyroidism

Insulin Shock

Thyroidectomy

Perform finger stick glucose testing

Interpretation of blood glucose monitoring

Implement interventions for hyperglycemia & hypoglycemia

Implement sliding scale insulin

Administer anti-diabetic agents

Identify contraindications for anti-diabetic medications

Utilize insulin pen

Utilize insulin pump

Alteration in elimination

Bowels sounds

Fluid balance

Nutritional status

Bowel obstruction

Colostomy

ERCP

Esophageal bleed

Gastroenteritis

GI bleed

Hemicolectomy

Hepatitis

Ileostomy

Inflammatory bowel disease

Liver failure

Liver transplant

Pancreatitis

Paralytic ileus

Small bowel resection

Administer tube feedings

Utilize and maintain feeding pump

Utilize and maintain gravity feeding

Insertion & Removal of nasogastric tube

Maintain and monitor nasogastric tube suction

Management of gastrostomy tube

Management of jejunostomy tube

Management of T-tube

Assess residual

Perform ostomy care and maintenance

Perform occult blood testing

Assess skin breakdown & integrity

Assess pressure ulcers

S/S wound infection

Assess Surgical Wounds

Assess wound dehiscence

Assess wound classification system

Implement prevention measures to protect skin (turning)

Consult skin/wound care staff as needed

Perform non-sterile dressing changes

Perform sterile dressing changes

Remove staples

Assist with wound debridement

Assist with biopsy

Set-up

Perform wound care/irrigations

Assess cranial nerves

Assess LOC

Assess GCS

Assess visual/communication deficits

Aneurysm precautions

Closed head injury

Coma

CVA

DTs

Encephalitis

Laminectomy

Externalized VP shunts

Meningitis

Neuromuscular disease

Post craniotomy

Seizure disorde

Spinal cord injury

TIA

Assist with lumbar puncture

Use of hyper/hypothermia blanket

Implement seizure precautions

Implement spinal precautions

Assess nutritional status

Assess pain control

Bone marrow transplant

Inpatient chemotherapy

Inpatient hospice

Leukemia

Radiation implant

Reverse isolation

Assessment - circulation checks

Assessment - gait

Assessment - range of motion

Amputation

Arthroscopic surgery

Care of cast

Osteoporosis

Pinned fractures

Rheumatic/arthritic disease

Total hip replacement

Nutritional

Total knee replacement

Equipment & Procedures - Continuous passive motion devices

Equipment & Procedures - cervical collar

Equipment & Procedures - gait belt

Equipment & Procedures - prosthetic device

Equipment & Procedures - sling

Equipment & Procedures - traction devices

Equipment & Procedures - traction devices

Equipment & Procedures - transfer boards/devices

Equipment & Procedures - walker

Assessment - Auscultate breath sounds

Assessment -Identify adventitious lung sounds

Assessment - Assess and interpret pulse oximetry

Assessment - Assess respiratory effort and rate

Assessment - Recognize signs of hypoxia

Assessment - Assess capillary refill

Asthma

Bronchoscopy

Chest trauma

COPD

Lobectomy

Pleural effusion

Pneumonectomy

Pneumonia

Pulmonary Edema

Pulmonary embolism

Status asthmaticus

Thoracotomy

Tuberculosis

Assist with thoracentesis

Perform chest tube set-up

Assist with chest tube insertion

Assist with chest tube removal

Perform chest tube care

Maintain chest tube suction

Identify and intervene for chest tube air leak

Identify and intervene for chest tube suction compromise

Monitor and record chest tube output

Perform chest physiotherapy

Instruct and assess patient to perform deep breathing exercises

Instruct and assess patient use of Incentive spirometer

Perform oral suctioning

Perform tracheal suctioning

Perform nasopharyngeal suctioning

Recognize potential causes for airway obstructions (mucus plugs)

Perform trach care

Obtain sputum specimen

Apply variety oxygen delivery systems (nasal cannula)

Titrate oxygen therapy based on patient needs

Assess for skin breakdown related to oxygen delivery device

Monitor patient CO2 retention

Assessment - AV fistula/shunt (arterio-venous)

Assessment - Fluid Balance

Acute Renal failure

Chronic Renal failure

Fluid restrictions

Hemodialysis

Nephrectomy

Peritoneal dialysis

Renal transplant

Renal rejection syndrome

TURP

Urinary diversion (ileal conduit)

Urinary tract infection

Bladder irrigation (Intermittent)

Continuous bladder irrigation (CBI)

Insert/Remove & care for indwelling urinary catheter

3-way urinary catheter

Suprapubic catheter

Urine specimen collection

Perform bladder scan

Application of Standard Precautions/Universal Precautions

Application of Isolation Precautions (droplet)

Utilize aseptic technique as indicated

Utilize sterile technique as indicated

Ensure cardiac stability through the analysis and interpretation of ECG

Apply portable ECG monitor

Verify correct placement of leads

Troubleshoot ECG monitor

Recognize characteristics of ECG (P wave)

Utilize calipers or other acceptable methods to ensure correct measurements of ECG

Determine time and time intervals on ECG strip

Obtain 12-lead ECG

Sinus bradycardia

Sinus tachycardia

Atrial fibrillation

Atrial flutter

Premature atrial contractions

Premature ventricular contractions

Ventricular fibrillation

Ventricular tachycardia

Paced rhythms

Asystole

Implement ACLS guidelines

Initiate CPR/Basic Life Support

Utilize AED

Perform chest compressions

Perform defibrillation

Perform manual ventilation

Administer IVP medications

Initiate rapid response team

Identify and intervene shock states (hypovolemic)

Adhere to advance directives/DNR orders

Respond to a variety of codes (fire)

Perform heimlich maneuver

Collect variety of specimens (blood)

Properly label specimens

Properly transport specimens

ABGs

BUN & Creatinine

Cardiac enzymes

Coagulation Studies

Complete Blood Count (CBC)

Serum chemistriest

Thyroid Panel

Insert and maintain peripheral IV line

Identify and manage IV complications (erythema)

Perform venipuncture

Perform blood draw from central line

Perform central line dressing change

Perform IV site care

Perform tubing changes

Administer medications utilizing 6 rights of medication administration (patient)

Recognize contraindications related allergies

Monitor medication administration for effectiveness

Monitor patient for side effects

Monitor and intervene for adverse reactions

Perform monitoring of therapeutic parameters for desired responses

Waste narcotics per protocols

Infuse IV solutions by gravity and/or via IV infusion pump

Administer medications via - Intradermal

Administer medications via - Intramuscular

Administer medications via - Intravenous

Administer medications via - Oral

Administer medications via - Subcutaneous

Administer medications via - Sublingual

Administer medications via - Topical

Accurately perform dosage calculations - oral dosages

Accurately perform dosage calculations - Parenteral dosages

Accurately perform dosage calculations - IV drip rates

Accurately perform dosage calculations - IV flow rates

Administer

Blood Product Administration - Administer a variety of blood products (packed cells)

Blood Product Administration - Assess for signs of transfusion reactions

Blood Product Administration - Initiate appropriate treatment for reactions

Provide and assess patients understanding of: Pre-op teaching

Provide and assess patients understanding of: Post-op teaching

Provide and assess patients understanding of: Medication information

Provide and assess patients understanding of: Discharge instructions

Provide and assess patients understanding of: Disease process education

Provide and assess patients understanding of: Treatment/Procedure education

Provide and assess patients understanding of: Infection control education

Assess pain level - Utilize variety of approved pain scales

Assess pain level - Utilize age appropriate pain assessment techniques

Initiate non-pharmacologic comfort measures

Administer pain medication per doctor�s orders

Monitor for effectiveness of pain management

Administer and monitor patient controlled analgesia (PCA)

Monitor and maintain epidural pain pump

Monitor for adverse side effects

Initiate reversal agents when necessary

Administer and/or monitor IV conscious sedation

Joint Commission Standards

HIPAA Guidelines

Patient Rights

Privacy Rights

Advance Directives

Participate in a variety of quality/performance improvement activities (such as NDNQI data)

Patient Advocacy - Demonstrate spiritual and cultural considerations

Patient Advocacy - Provide care for end-of-life decisions

Patient Advocacy - Provide for the integration of comfort care and death with dignity

Patient Advocacy - Provide education and assist with protocols for organ donation

Patient Advocacy - Recognize and report abuse/neglect

Patient Advocacy - Recognize and report other patient conditions per state/federal regulations (gunshot wound)

Patient Advocacy - Report errors

Initiate use of interpreter when appropriate

Demonstrate assertiveness when advocating for patients

Utilize chain of command to ensure patient safety

Utilize conflict resolution techniques effectively

Utilize SBAR communication

Appropriately delegate using the 5 rights for delegation

Communicate clearly and effectively in delegating care/tasks

Patient Advocacy - Report errors

Assess skills and abilities of person chosen for delegation

Supervise care provided by others (patient care technicians)

Infant (Birth to 1 year)

Toddler (1-3 years)

Pre-school (3-6 years)

School Age (6-12 years)

Adolescent ( 12-18 years)

Young Adult ( 18-30 years)

Mature Adult (30-60 years)

Elderly (>60 years)