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Apply aseptic technique
Assessment Strategies
oral, written or performance assessment
Criteria
perform appropriate hand hygiene
use standard and transmission-based precautions
maintain a sterile field and equipment
apply and remove sterile gloves
dispose of contaminated wastes appropriately
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Perform clinical mathematical calculations and conversions
Assessment Strategies
oral, written or performance assessment
Criteria
solve calculations and conversions accurately
include appropriate units in solutions
complete calculations in a timely manner
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Perform wound care
Assessment Strategies
oral, written or performance assessment
Criteria
verify provider order
assemble necessary supplies
explain procedure to client
obtain culture specimen according to designated procedure/checklist
cleanse or irrigate wound according to designated procedure/checklist
assess wound
apply appropriate dressings according to providers orders
document actions and observations
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Perform tracheostomy care and suctioning procedures (oral, nasal, pharyngeal, and tracheostomy)
Assessment Strategies
oral, written or performance assessment
Criteria
maintain adequate oxygenation
verify availability of back-up tracheostomy kit
maintain aseptic technique
explain procedure to client
verify providers orders
document actions and observations
manage oxygen therapy
simulate sputum specimen collection procedures
set suction level appropriate to client age
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Manage enteral tubes (feeding, irrigation, suction)
Assessment Strategies
oral, written or performance assessment
Criteria
maintain aseptic technique
select appropriate equipment
explain procedure to client
verify appropriate tube placement and security
verify provider orders
document actions and observations
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Administer medications via the enteral route (oral/tube/rectal)
Assessment Strategies
oral, written or performance assessment
Criteria
modify procedures to reflect variations across the lifespan
verify provider orders
verify client allergies
verify the medication expiration date
perform three checks using the medication administration rights
explain medication information to client
calculate correct medication dose prior to administration
perform assessments related to medication administration
document actions and observations
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Administer medications via the parenteral routes (Intradermal/Subcutaneous/Intramuscular)
Assessment Strategies
oral, written or performance assessment
Criteria
maintain aseptic technique
modify procedures to reflect variations across the lifespan
verify provider orders
verify client allergies
verify the medication expiration date
perform three checks using the medication administration rights
explain medication information to client
select appropriate equipment
calculate correct medication dose prior to administration
Identify appropriate anatomical landmark or site for administration
perform assessments related to medication administration
document actions and observations
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Administer medications via topical, transdermal, eye, ear, inhalation, and vaginal routes
Assessment Strategies
oral, written or performance assessment
Criteria
maintain aseptic technique
modify procedures to reflect variations across the lifespan
verify provider orders
verify client allergies
verify the medication expiration date
perform three checks using the medication administration rights
explain medication information to client
calculate correct medication dose prior to administration
perform assessments related to medication administration
document actions and observations
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Manage intravenous therapy
Assessment Strategies
oral, written or performance assessment
Criteria
modify procedures to reflect variations across the lifespan
verify provider orders
verify client allergies
verify the medication expiration date
perform three checks using the medication administration rights
explain medication information to client
calculate correct medication dose prior to administration
perform assessments related to medication administration
document actions and observations
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Facilitate alternative methods of elimination (urinary and bowel)
Assessment Strategies
oral, written or performance assessment
Criteria
verify provider orders
modify assessments techniques to reflect variations across the lifespan
maintain aseptic technique
select appropriate equipment for enema, ostomy care, specimen collection, and catheterization
explain procedure to client
perform intervention according to designated procedure/checklist
document actions and observations
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Obtain a health history
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment technique to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
identify client by two means
establish a therapeutic nurse-client relationship
collect data using a designated format
document actions and observations
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Perform a general survey assessment
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment techniques to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
maintain privacy
assess vital signs
measure height and weight
assess general mobility and gait
assess behavior and responses
assess communication and speech
assess nutritional and fluid status
document actions and observations
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Perform an integumentary assessment
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment techniques to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
follow standard precautions
provide privacy
assess the skin, hair, and nails
document actions and observations
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Perform a musculoskeletal assessment
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment techniques to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
follow standard precautions
provide privacy
assess body alignment
assess strength, symmetry, and general form of muscles
assess range of motion
assess joints for change in temperature, pain, and swelling
document actions and observations
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Perform a head/neck assessment
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment techniques to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
follow standard precautions
provide privacy
assess the skull, face, and neck
assess nose and oral cavity
palpate lymph nodes of head and neck
assess eyes
assess ears
document actions and observations
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Perform a basic neurological assessment
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment techniques to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
follow standard precautions
provide privacy
assess cranial nerves
assess mental status
assess level of consciousness
assess reflexes
assess symmetry of sensory and motor function
document actions and observations
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Perform a basic respiratory assessment
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment techniques to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
follow standard precautions
provide privacy
assess chest and respiratory status
identify adventitious and normal breath sounds
simulate sputum specimen collection procedures
document actions and observations
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Perform a basic cardiovascular assessment
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment techniques to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
follow standard precautions
maintain privacy
assess peripheral pulses for rate, regularity, strength, and symmetry
assess apical pulse
assess skin perfusion (color, temperature, and sensation)
assess capillary refill time
auscultate heart sounds
identify S1 and S2 heart sounds
describe abnormal heart sounds
document actions and observations
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Perform an abdominal assessment
Assessment Strategies
oral, written or performance assessment
Criteria
modify assessment techniques to reflect variations across the lifespan
modify assessment techniques to reflect ethnic and cultural variations
follow standard precautions
provide privacy
assess the abdomen
assess bowel sounds
document actions and observations