Appendix C. RN Nursing Skills for Possible Delegation (continued)
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Nursing Student—4 Year BSN program
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Nursing Student—2 year Program
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Respiratory Therapy Student
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Respiratory Therapist
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Orthopedics
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Record/describe
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- Circulation checks
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x Year 3
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x Semester 2
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- Gait
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x Year 3
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x Semester 2
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- Range of motion
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x Year 3
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x Semester 2
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- Skin
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x Year 3
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x Semester 2
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Care of a patient with:
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- Cast
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x Year 3
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x Semester 2
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- Prosthesis/Amputation
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x Year 3
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x Semester 2
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- Pinned fractures
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x Year 3
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x Semester 2
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- Splints
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x Year 3
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x Semester 2
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- Pressure relief
devices
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x Year 3
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x Semester 2
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- Total hip replacement
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x Year 3
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x Semester 2
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- Total knee
replacement
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x Year 3
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x Semester 2
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Hoyer lift
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x Year 3
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x Semester 2
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Gastrointestinal
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Record/describe:
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- Bowel sounds
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x Year 3
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x Semester 2
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- Fluid balance
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x Year 3
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x Semester 2
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- Nutritional status
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x Year 3
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x Semester 2
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Care of a patient with:
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- Bowel obstruction
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x Year 3
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x Semester 2
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- GI bleed
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x Year 3
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x Semester 4
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- Hepatitis
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x Year 3
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x Semester 2
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- NG tube care and
feedings
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x Year 3
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x Semester 2
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- Colostomy
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x Year 3
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x Semester 2
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- Gastronomy tube and
feedings
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x Year 3
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x Semester 4
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Medications:
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- Antiemetics
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x Year 3
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- Antispasmodic
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x Year 3
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Genitourinary
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Insertion of Foley catheter:
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x Semester 2
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- Male
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x Year 3
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- Female
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x Year 3
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Care of a patient with:
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- Acute renal failure
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x Year 3
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x Semester 2
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- Peritoneal lavage
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No
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x Semester 2, if have
experience
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- Urinary tract
infection
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x Year 3
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x Semester 2
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- Ileostomy
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x Year 3
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x Semester 2
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- Nephrostomy tube
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x Year 3
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x Semester 2
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- GU irrigation
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x Year 3
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x Semester 2
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- Suprapubic tube
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x Year 3
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x Semester 4
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Endocrine
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Record/describe
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- S/S hyperglycermia
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x Year 3
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x Semester 2
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- S/S hypoglycemia
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x Year 3
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x Semester 2
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Blood glucose monitoring
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- Electronic monitoring
device
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x Year 3
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x Semester 2
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- Finger stick
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x Year 3
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x Semester 2
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Care of a patient with:
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- Diabetic ketoacidosis
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x Year 4
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x Semester 4
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Medications
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- Insulin
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x Year 3 –SC only
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x Semester 2, with instructor
supervision
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- Oral hypoglycemics
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x Year 3
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x Semester 2, with instructor
supervision
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Infectious Disease
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Care of a patient with:
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- Fever
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x Year 3
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x Semester 2
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- Isolation
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x Year 3
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x Semester 2
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- AIDS
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x Year 3
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x Semester 4, but depends on
clinical experience
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Medications/IV Therapy
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Medication calculation
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x Year 3
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x Semester 2, simple ones
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Reconstitution
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x Year 3, with direct
supervision
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x Semester 2
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Oral administration
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x Year 3
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x Semester 2
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Eye administration
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x Year 3
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x Semester 2
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IM administration
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x Year 3
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x Semester 2
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SQ administration
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x Year 3
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x Semester 2
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Rectal administration
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x Year 3
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x Semester 2
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Starting IVs
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No
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IV medication administration
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With restrictions
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After school
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Drawing venous blood
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x Year 4 from central line
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After school
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Care of a patient with:
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- Broviac/Hichman line
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x Year 3
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x Semester 4
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- Groshong
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x Year 3
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x Semester 4
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- PICC
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x Year 3
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x Semester 4
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- Portacath
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x Year 3
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x Semester 4
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Pumps
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x Year 3
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x Semester 2
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Total Parenteral Nutrition
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x Year 3
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x Semester 4
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*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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