✔ Communicates and obtains information while respecting the rights and privacy and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) *
★★★★★
✔ Involves the patient and family and respects their role in determining the nature of care to be provided, including Advance Directives. *
★★★★★
✔ Complies with nursing staff responsibility included in the hospital policy related to Organ Donation. *
★★★★★
✔ Meets patient and families needs regarding communication, including interpreter services *
★★★★★
✔ Provides accurate information to patient and families in a timely manner. *
★★★★★
Vital Signs and Weights
✔ BP, including Orthostatic *
★★★★★
✔ Pulse, Radial *
★★★★★
✔ Temperature, Oral *
★★★★★
✔ Temperature, Rectal *
★★★★★
✔ Temperature, Axillary *
★★★★★
✔ Temperature, Tympanic *
★★★★★
✔ Respirations *
★★★★★
✔ Weight, Pounds and Kilograms *
★★★★★
✔ Recognizing Cardiac Arrest *
★★★★★
✔ Activating Code Team *
★★★★★
✔ Bringing Emergency Equipment to Room *
★★★★★
✔ Providing Appropriate Code Support *
★★★★★
✔ Automatic BP machine (Dynamap) *
★★★★★
✔ Electronic Thermometer *
★★★★★
✔ Applying Oximeter *
★★★★★
✔ Standing *
★★★★★
✔ Chair *
★★★★★
✔ Bed *
★★★★★
✔ Report Abnormal Findings *
★★★★★
✔ Bowel Function *
★★★★★
✔ Bladder Function *
★★★★★
✔ Tap Water *
★★★★★
✔ Fleets *
★★★★★
✔ Return Flow *
★★★★★
Vital Signs and Weights
✔ Placing and Removing Bed Pan *
★★★★★
✔ Clamping Catheter *
★★★★★
✔ Emptying Foley Bag *
★★★★★
✔ Placing Condom Catheter *
★★★★★
✔ Emptying and Replacing Ostomy Bag (Established Ostomy) *
★★★★★
Nutrition
✔ Estimating Intake *
★★★★★
✔ Setting up for Meals *
★★★★★
✔ Feeding Patients *
★★★★★
✔ Aspiration Precautions *
★★★★★
✔ Nourishments *
★★★★★
✔ Counting Calories *
★★★★★
✔ Fluid Restriction *
★★★★★
✔ NPO *
★★★★★
✔ Estimating Intake *
★★★★★
Specimens
✔ Collecting Stool *
★★★★★
✔ Collecting Sputum *
★★★★★
✔ Labeling Specimens and Preparing for Transport *
★★★★★
✔ Clean Catch *
★★★★★
✔ 24 Hour *
★★★★★
Hygiene / Skin
✔ Risk Factors for Skin Breakdown *
★★★★★
✔ Observing Pressure Points for Redness or Breakdown *
★★★★★
✔ Bathing (Shower / Tub / Arjo) *
★★★★★
✔ Oral Care, Including Patients who are NPO, Comatose, Patients with *
★★★★★
✔ Pen Care *
★★★★★
✔ Foot Care for Patients with Impaired Circulation or Sensation *
★★★★★
✔ Incontinence Care *
★★★★★
✔ Shaving and Precautions *
★★★★★
✔ Special Beds / Mattresses *
★★★★★
✔ Heels and Elbow Protection *
★★★★★
✔ Foot Cradles *
★★★★★
✔ Use of Shower Chair *
★★★★★
✔ Use of Bath / Shower Boat *
★★★★★
Infection Control
✔ Reverse Isolation *
★★★★★
✔ Body Substance Isolation *
★★★★★
✔ TB Precautions *
★★★★★
✔ MRSA Precautions *
★★★★★
✔ Hand Washing *
★★★★★
✔ Infectious / Hazardous Waste Disposal *
★★★★★
✔ Supply / Equipment Disposal *
★★★★★
✔ Use of Disposable Thermometer *
★★★★★
✔ Use of CPR Mask / Bag *
★★★★★
✔ Gloves *
★★★★★
✔ Gown *
★★★★★
✔ Mask / Goggles *
★★★★★
✔ Reverse Isolation *
★★★★★
Safety and Activity
✔ Determining Patient ID *
★★★★★
✔ Identifying Safety Hazards *
★★★★★
✔ Determining Need for Additional Help *
★★★★★
✔ Assessing Safety and ADL Needs *
★★★★★
✔ Recognizing Abuse: Substance, Physical, Emotional, etc. *
★★★★★
✔ Maintaining Clean, Orderly Work Area *
★★★★★
✔ Disposing of Sharps *
★★★★★
✔ Handling Hazardous Materials *
★★★★★
✔ Proper Body Mechanics *
★★★★★
✔ OM Exercises *
★★★★★
✔ Transferring to Bed, WC, Commode, etc. *
★★★★★
✔ urning and Positioning *
★★★★★
✔ Patient Safety Module *
★★★★★
✔ Reporting Broken Equipment *
★★★★★
✔ Responding to Safety Hazards *
★★★★★
✔ Use of Hoyer Lift (Dextra / Maxi) *
★★★★★
✔ Bed Operation *
★★★★★
✔ Use of Wheel Locks *
★★★★★
✔ Use of Alarms: Bed, Patient, Unit *
★★★★★
✔ Use of Call Light *
★★★★★
✔ Documenting Use of Restraints *
★★★★★
✔ Use of Transfer Belt *
★★★★★
✔ Use of Gait Belt for Ambulation *
★★★★★
✔ Use of Seizure Pads *
★★★★★
✔ Belt Including Seat Belt *
★★★★★
✔ Wrist / Ankle Restraints *
★★★★★
✔ Vest Restraints *
★★★★★
Care Routines
✔ Inventory and Disposition of Belongings, Use of Checklist *
★★★★★
✔ Room Orientation, Call Bell *
★★★★★
✔ Transferring into Bed *
★★★★★
✔ Assist with Turns *
★★★★★
✔ ROM Exercises *
★★★★★
✔ Replacing Mask or Nasal Cannula if Needed *
★★★★★
✔ Notifying Nurse of Problems *
★★★★★
✔ Basic Comfort Measures *
★★★★★
✔ Early Bath *
★★★★★
✔ Preparing Belongings *
★★★★★
✔ Preparing for and Explaining Routines to Patient *
★★★★★
✔ Post Mortem Care *
★★★★★
✔ Use of Incentive Spirometer *
★★★★★
✔ Antiembolic Stockings *
★★★★★
✔ Sequential Stockings *
★★★★★
Communication
✔ Using Appropriate Abbreviations *
★★★★★
✔ Identifying Unusual Patient Incidents that Require Reporting *