Nursing Skills | Madison College Outline of Instruction

31543102 Nursing Skills

Course Information

Description

This course focuses on development of clinical skills and physical assessment across the lifespan. Content includes mathematic calculations and conversions related to clinical skills, blood pressure assessment, aseptic technique, wound care, oxygen administration, tracheostomy care, suctioning, management of enteral tubes, basic medication administration, glucose testing, enemas, ostomy care, and catheterization. In addition the course includes techniques related to obtaining a health history and basic physical assessment skills using a body systems approach.

Total Credits

Prior Learning Assessment

Experiential-Skill Demonstration

Course Competencies (Course Outcomes)

Use aseptic technique

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you wash your hands at appropriate times

you use standard precautions

you use category specific precautions

you maintain a sterile field and equipment

you apply sterile gloves

you dispose of contaminated wastes appropriately
Perform mathematic calculation related to clinical practice

Assessment Strategies

by calculating mathematical problems

Criteria

calculations include the use of decimals, fractions, percentages, ratios and/or proportions

solutions convert between the metric, household and apothecary systems

calculation is accurate

solutions include appropriate units

solutions satisfy all essential conditions of the problem

calculations are completed efficiently

solutions show evidence of reflection and checking work
Provide wound care

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you use aseptic technique

you verify medical order

you assemble necessary supplies

you explain procedure to client

you obtain culture specimen according to designated procedure/checklist

you cleanse or irrigate wound according to designated procedure/checklist

you assess tissue condition and drainage

you apply a variety of dressings according to designated procedure/checklist

you adapt procedure to reflect variations across the lifespan

you recognize and report significant deviations in wounds

you document actions and observations
Measure blood pressure

Assessment Strategies

in the laboratory with a volunteer or a simulator

Criteria

you gather equipment

you select appropriately sized cuff

you prepare client for procedure

you determine blood pressure reading using American Heart Association standards

you obtain a reading accurate within 4 pts +/- of the evaluator

you adapt procedure to reflect variations across the lifespan

you document BP

you recognize and report significant deviations from BP norms
Manage oxygen therapy

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you select appropriate equipment

you verify medical orders

you explain procedure to client

you apply oxygen equipment according to designated procedure/checklist

you set flow rate using fixed and portable equipment

you survey the environment for potential safety hazards

you assess client status using pulse oximeter

you assess client's response to oxygen therapy

you institute actions to improve oxygenation (IS, cough/deep breath, peak flow meters, positioning, percussion)

you adapt procedures to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Perform tracheostomy care and suctioning procedures (oral, nasal, pharyngeal, and tracheostomy)

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain adequate oxygenation

you verify that there is a backup tracheostomy kit available

you maintain aseptic technique

you explain procedure to client

you follow designated procedure/checklist

you adapt procedure to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Demonstrate specimen collection procedures

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain standard precautions

you select appropriate equipment

you explain procedure to client

you follow specific directions for equipment according to designated procedure/checklist

you modify procedure to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Maintain enteral tubes (feeding, irrigation, suction)

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain aseptic technique

you select appropriate equipment

you explain procedure to client

you determine appropriate placement

you implement measure to prevent displacement of tube

you follow medical orders and designated procedures/checklists: feedings/irrigation/suction

you modify procedures to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Administer medications via the enteral route (oral/tube/rectal)

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you follow aseptic technique

you verify medical orders

you identify the client

you check for client allergies

you verify the correct drug including expiration date

you verify the correct route

you verify the correct time

you verify the correct dose

you verify all information three times

you explain to client

you follow designated procedures/checklists: oral/tube/rectal

you modify procedure to reflect variations across the lifespan

you document actions and observations

you calculate correct amount to administer
Administer medications via the parenteral routes (Intradermal/Subcuteanous/Intramuscular)

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain aseptic technique

you verify medical orders

you follow the five rights

you select appropriate equipment

you calculate correct amount to administer

you select site using correct anatomical landmarks

you administer medication using designated procedures/checklists: intradermal/subcutaneous/intramuscular

you modify procedure to reflect variations across the lifespan

you document actions and observations
Administer medications via topical, transdermal, eye, ear, inhalation, and vaginal routes

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain aseptic technique

you verify medical orders

you follow the five rights

you select appropriate equipment

you calculate correct amount to administer

you select appropriate site

you administer medication according to designated procedure/checklist

you modify procedure to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Manage intravenous therapy

Assessment Strategies

in the laboratory through a simulation

Criteria

you follow aseptic technique

you verify medical orders

you perform the five rights

you perform the three checks

you establish designated flow rate

you spike IV bag and prime tubing

you change tubing

you prepare and hang secondary IVPB

you change IV site dressing

you inspect IV site for deviations from normal

you discontinue short term peripheral IV

you document actions and observations

you modify the procedure to reflect variations across the lifespan
Facilitate alternative methods of elimination (urinary and bowel)

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain aseptic technique

you verify physician's orders

you select appropriate equipment for enema, ostomy care, specimen collection, and catherization

you explain procedure to client

you perform intervention according to designated procedure/checklist

you modify assessments techniques to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Obtain a health history

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you establish nurse-client relationship

you use effective verbal and non-verbal communication techniques

you provide privacy

you collect data using a designated format

you modify assessment technique to reflect variations across the lifespan

you modify assessment techniques to reflect ethic and cultural variations

you document actions and observations

you recognize and report significant deviations from norms
Perform a general survey assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain asepsis

you maintain privacy

you measure height and weight

you assess vital signs

you assess general mobility

you assess appropriateness of behavior/responses

you assess ability to communicate

you assess basic nutritional status

you assess basic fluid status

you modify assessment techniques to reflect variations across the lifespan

you modify assessment techniques to reflect ethnic and cultural variations

you document actions and observations

you recognize and report significant deviations from norms
Perform an integumentary assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain aseptic technique

you provide privacy

you assess the skin, hair and nails using a designated format

you modify assessment techniques to reflect variations across the lifespan

you modify assessment techniques to reflect ethnic and cultural variations

you document actions and observations

you recognize and report significant deviations from norms
Perform a musculoskeletal assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain privacy

you assess body alignment according to a designated format

you assess contour, size and strength of muscles according to a designated format

you assess range of motion according to a designated format

you palpate joints for change in temperature, pain and swelling

you modify assessment techniques to reflect variations across the lifespan

you recognize and report significant deviations from norms

you document actions and observations
Perform a head/neck assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you assess the skull, face and neck using designated format

you assess nose and oral cavity using a designated format

you palpate lymph nodes of head and neck

you modify assessment techniques to reflect variations across the lifespan

you recognize and report significant deviations from norms

you document actions and observations
Perform a basic eye/ear assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you inspect the eyes using a designated format

you measure visual acuity using a Snellen chart

you evaluate extraocular motion

you inspect the external ear and canal using a designated format

you evaluate hearing acuity

you modify assessment techniques to reflect variations across the lifespan

you document actions and observation

you recognize and report significant deviations from norms
Perform a basic neurological assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you provide privacy

you assess cranial nerves using a designated format

you assess cognition using a designated format

you assess level of consciousness using a designated format

you assess reflexes using a designated format

you assess symmetry of sensory and motor function using a designated format

you modify assessment techniques to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Perform a basic respiratory assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you provide privacy

you assess chest and respiratory status using designated format

you differentiate between normal and abnormal lung sounds

you modify assessment techniques to reflect variations across the lifespan

you document actions and observations

you recognize and report deviations from norms
Perform a basic cardiovascular assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you maintain privacy

you assess apical and peripheral pulses for rate, rhythm, and amplitude

you assess skin perfusion (color, temperature, and sensation)

you assess capillary refill time

you auscultate heart sounds

you identify S1 and S2 heart sounds

you differentiate between normal and abnormal heart sounds

you modify assessment techniques to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Perform an abdominal assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you provide privacy

you assess the abdomen using designated format

you differentiate normal and abnormal bowel sounds

you modify assessment techniques to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms
Perform a breast/testicular assessment

Assessment Strategies

in the laboratory through a simulation or role-play

Criteria

you provide privacy

you assess breasts using designated format

you demonstrate teaching self breast exam

you assess testicles using designated format

you demonstrate teaching self testicular exam

you modify assessment to reflect variations across the lifespan

you document actions and observations

you recognize and report significant deviations from norms