Public Health Emergency Preparedness
This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.
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Appendix C. RN Nursing Skills for Possible Delegation (continued)
| |
Nursing Student—4 Year BSN program |
Nursing Student—2 year Program |
Respiratory Therapy Student |
Respiratory Therapist |
Orthopedics |
| Record/describe |
|
|
|
|
- Circulation checks |
x Year 3 |
x Semester 2 |
|
|
| - Gait |
x Year 3 |
x Semester 2 |
|
|
| - Range of motion |
x Year 3 |
x Semester 2 |
|
|
| - Skin |
x Year 3 |
x Semester 2 |
|
|
| Care of a patient with: |
|
|
|
|
| - Cast |
x Year 3 |
x Semester 2 |
|
|
- Prosthesis/Amputation |
x Year 3 |
x Semester 2 |
|
|
| - Pinned fractures |
x Year 3 |
x Semester 2 |
|
|
| - Splints |
x Year 3 |
x Semester 2 |
|
|
| - Pressure relief devices
|
x Year 3 |
x Semester 2 |
|
|
| - Total hip replacement |
x Year 3 |
x Semester 2 |
|
|
| - Total knee replacement |
x Year 3 |
x Semester 2 |
|
|
| Hoyer lift |
x Year 3 |
x Semester 2 |
|
|
| Gastrointestinal |
| Record/describe: |
|
|
|
|
| - Bowel sounds |
x Year 3 |
x Semester 2 |
|
|
| - Fluid balance |
x Year 3 |
x Semester 2 |
|
|
| - Nutritional status |
x Year 3 |
x Semester 2 |
|
|
| Care of a patient with: |
|
|
|
|
| - Bowel obstruction |
x Year 3 |
x Semester 2 |
|
|
| - GI bleed |
x Year 3 |
x Semester 4 |
|
|
| - Hepatitis |
x Year 3 |
x Semester 2 |
|
|
| - NG tube care and feedings |
x Year 3 |
x Semester 2 |
|
|
| - Colostomy |
x Year 3 |
x Semester 2 |
|
|
| - Gastronomy tube and feedings |
x Year 3 |
x Semester 4 |
|
|
| Medications: |
|
|
|
|
| - Antiemetics |
x Year 3 |
|
|
|
| - Antispasmodic |
x Year 3 |
|
|
|
Genitourinary |
| Insertion of Foley catheter: |
|
x Semester 2 |
|
|
| - Male |
x Year 3 |
|
|
|
| - Female |
x Year 3 |
|
|
|
| Care of a patient with: |
|
|
|
|
| - Acute renal failure |
x Year 3 |
x Semester 2 |
|
|
| - Peritoneal lavage |
No |
x Semester 2, if have experience |
|
|
- Urinary tract infection |
x Year 3 |
x Semester 2 |
|
|
- Ileostomy |
x Year 3 |
x Semester 2 |
|
|
- Nephrostomy tube |
x Year 3 |
x Semester 2 |
|
|
- GU irrigation |
x Year 3 |
x Semester 2 |
|
|
- Suprapubic tube |
x Year 3 |
x Semester 4 |
|
|
Endocrine |
| Record/describe |
|
|
|
|
| - S/S hyperglycermia |
x Year 3 |
x Semester 2 |
|
|
- S/S hypoglycemia |
x Year 3 |
x Semester 2 |
|
|
Blood glucose monitoring |
|
|
|
|
| - Electronic monitoring device
| x Year 3 |
x Semester 2 |
|
|
| - Finger stick |
x Year 3 |
x Semester 2 |
|
|
| Care of a patient with: |
|
|
|
|
| - Diabetic ketoacidosis |
x Year 4 |
x Semester 4 |
|
|
| Medications |
|
|
|
|
| - Insulin |
x Year 3 -SC only |
x Semester 2, with instructor supervision |
|
|
| - Oral hypoglycemics |
x Year 3 |
x Semester 2, with instructor supervision
|
|
|
| Infectious Disease |
| Care of a patient with: |
|
|
|
|
| - Fever |
x Year 3 |
x Semester 2 |
|
|
| - Isolation |
x Year 3 |
x Semester 2 |
|
|
| - AIDS |
x Year 3 |
x Semester 4, but depends on clinical experience |
|
|
| Medications/IV Therapy |
| Medication calculation |
x Year 3 |
x Semester 2, simple ones |
|
|
| Reconstitution |
x Year 3, with direct supervision |
x Semester 2 |
|
|
| Oral administration |
x Year 3 |
x Semester 2 |
|
|
| Eye administration |
x Year 3 |
x Semester 2 |
|
|
| IM administration |
x Year 3 |
x Semester 2 |
|
|
| SQ administration |
x Year 3 |
x Semester 2 |
|
|
| Rectal administration |
x Year 3 |
x Semester 2 |
|
|
| Starting IVs |
No |
|
|
|
| IV medication administration |
With restrictions |
After school |
|
|
| Drawing venous blood |
x Year 4 from central line |
After school |
|
|
| Care of a patient with: |
|
|
|
|
| - Broviac/Hichman line |
x Year 3 |
x Semester 4 |
|
|
| - Groshong |
x Year 3 |
x Semester 4 |
|
|
| - PICC |
x Year 3 |
x Semester 4 |
|
|
| - Portacath |
x Year 3 |
x Semester 4 |
|
|
| Pumps |
x Year 3 |
x Semester 2 |
|
|
| Total Parenteral Nutrition |
x Year 3 |
x Semester 4 |
|
|
*The nurse practice act in each State would have to be reviewed for any legal
limitations imposed on LPNs.
Sources: Check list items identified/selected from several sample medical surgical and long-term care skills checklists found at:
- http://www.professionalnurse.com/download/skills_medsurg.pdf
- http://www.dblhealthcare.com/forms/medical-surgical-nursing-skills-checklist.htm
- http://www.musc.edu/nursing/student_life/SkillsCheckList1.pdf
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