The student’s first time performing ANY skill in clinical must be observed by the PLU Clinical Faculty member.*
| Students can Independently | Students can with RN Direct Supervision* | |
| ● Therapeutic communication
● Motivational interviewing ● Initial shift assessment & charting ● Focused assessment & charting ● Risk Assessments (Fall, skin, etc.) ● 8hr I&O: oral/IV/Urine/BM/Drains ● Patient teaching & Teach-back ● Bedside Report & Handoff to RN Partner ● Vital Signs ● Monitor blood administration ● Pain assessment ● Maintain ongoing O2 admin ● Pulse oximetry ● Incentive Spirometry ● Personal Care: Bathing, hygiene, toileting & charting daily care ● Positioning ● Mobility, Transfers, & Ambulation ● Assist with meals/feeding/oral care ● Simple wound care ● Blood glucose/glucometer ● Standard Precautions & Hand Hygiene ● Infectious Disease Precautions & PPE
Co-Sign is required for all charting: Assessments, Medications on MAR, and documentation in patient’s chart. |
● Plan of care & develop patient goal(s)
● Coordinate care for team of patients ● Assist RN with other patients ● Discharge planning & teaching ● Medication administration of all routes ● Medication Reconciliation ● Place telemetry leads & interpret telemetry strips ● Initial IV assessment & D/C ● IV Pump setting & regulation ● Manage IV fluids ● Normal Saline or Heparin Flushing ● Sterile field procedures ● Initiate O2 administration ● Chest drainage system management ● Wound assessment & complex care ● JP & Hemovac drain management ● NG tube placement ● Enteral Feeding ● Oral or Tracheal Suctioning ● Tracheostomy Care ● Urinary catheter placement & D/C ● Bladder scan (Can be done with CNA trained to perform bladder scans.) ● Ostomy appliances ● Specimen collection ● Post Mortem Care ● May insert IV if permitted according to institutional policy
|
|
| Students can only observe:
● Administering experimental drugs ● Adminstering epidural or spinal meds ● Administering chemotherapy ● Setting up & managing PCA pumps ● Drawing blood ● Administering blood products ● Taking verbal/telephone orders ● Acknowledging orders in EPIC ● Accessing/De-accessing ports ● Assisting in OR/Cath Lab/IR, etc.
|
||