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> Nursing Clinical Skills Check Off List
Nursing Clinical Skills Check Off List
I. Patient Assessment
Perform hand hygiene before patient contact.
Introduce yourself and verify patient identity.
Conduct a brief health history interview.
Assess vital signs (temperature, pulse, respiration, blood pressure).
Perform a head-to-toe physical examination.
II. Medication Administration
Verify the medication order and patient allergies.
Calculate the correct dosage and prepare the medication.
Educate the patient about the medication being administered.
Administer the medication via the correct route (oral, IV, etc.).
Monitor the patient for adverse reactions post-administration.
III. Infection Control
Use appropriate personal protective equipment (PPE).
Follow standard precautions and isolation protocols.
Properly dispose of biohazardous waste.
Perform hand hygiene before and after patient contact.
Clean and disinfect surfaces and equipment as needed.
IV. Documentation
Document patient assessments accurately and timely.
Record medication administration details (time, dosage, route).
Note any patient responses or changes in condition.
Ensure all documentation is clear, concise, and legible.
Sign and date all entries appropriately.
V. Communication
Use clear and professional language when speaking with patients.
Engage in active listening and address patient concerns.
Collaborate with other healthcare team members effectively.
Provide clear instructions and education to patients and families.
Document all interactions and communications in the patient record.
VI. Emergency Procedures
Recognize and respond to emergency situations (e.g., codes, falls).
Perform CPR and use an AED if necessary.
Call for help and activate emergency response protocols.
Maintain a calm demeanor and reassure the patient.
Document the incident and follow up with appropriate reporting.
VII. Patient Care Procedures
Assist with activities of daily living (ADLs) as needed.
Foster a safe and supportive environment for the patient.
Implement care plans and interventions as directed.
Evaluate patient responses and adjust care as necessary.
Communicate any changes in patient status to the healthcare team.
This checklist serves as a guideline for nursing clinical skills assessment and can be adjusted based on specific institutional requirements.
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