Janice Whitmer

Clinical and Lab

Skills Lab Schedule:

 The first five Tuesdays and Wednesdays are scheduled for the Skills lab to prepare you to apply basic fundamental nursing skills in the clinical agencies. Download theSkills Lab schedule   and prepare in advance of each session by reading the relevant text pages and viewing your Fundamental Skills CDs.

Be sure to follow the Skills Lab guidelines whenever you are in the lab.

You will be spending the first five weeks in the lab learning fundamental nursing skills before you begin applying those skills at your assigned clinical agency. The key to success in this area is Practice - Practice - Practice. This means scheduling outside time for practice in the lab. You can check out the schedule for open lab days for practice. Open lab time is posted on the skills lab door. Remember that many of the skills can be practiced at home. The Elkin, Potter & Perry Nursing Interventions and Skills text, the Ball and Bindler Clinical Skills Manual for Pediatric Nursing, and the Mosby's Nursing Video Skills DVDs are excellent resources. The following three skills are skills the faculty will observe you practicing and will check you off in person on your proficiency:
Making an Occupied Bed
Patient Positions
TED/ACE wrap

You will be evaluated for skill performance and will be required to video record a randomly selected skill from each level of the "Leveled" Skills. This process will be explained in the lab setting during class time.

Skill Evaluation Criteria:
These are the evaluation criteria for the required video skills for Level I, Level II, and Level III. Use them for practice and be sure to follow each step. All skills include the standard protocol. Although the text and DVDs may differ slightly - be sure to follow the steps on the evaluation criteria handouts:

 Level I Skills  Level II Skills  Level III Skills
 Bathing/back rub  Hoyer Lift   Foley Catheter insertion
 Restraints  Peripheral Lock  Nasogastric tube insertion
 Medical asepsis  10 minute Head-Toe assessment  Sterile field, gloving, dressing
 Oximetry, oxygen Tube feeding  Wound irrigation, wet-moist dressing
 Transfer techniques    

 Care Plans:

Note you can download this Care PlanTemplate. (When selecting this link you will see a dialogue box to log in - just click cancel each time and then the care plan template will open). This template is for your prep package/nursing care plan format. Just save the file as "Care Plan Template". You can then enter your information in the areas with shading and by clicking the appropriate shaded boxes. After you have worked on entering data, remember to "Save as" with a different name. You may want to save each plan according to your clinical dates so that you can easily find the right one. Note that when you print your copy the shading will not show on the printed copy. If you need additional Medication sheets for your care plan you can download an extra medication form.

 Focused Assessments:

You will be expected to submit one focused assessment with each of your care plans in NURS 141. Select a focused assessment that is appropriate for your patient in relation to the medical diagnosis or medical history. For example - your patient has anemia, or CHF, or hypertension - select the Focused Cardiovascular System Assessment; your patient had a knee replacement, or arthritis - select the Focused Musculoskeletal System Assessment.

 Integumentary  NeuroSensory  Gastrointestinal
 Cardiovascular  Renal/Urinary  Musculoskeletal
 Respiratory  Pain  Sleep
 Psychosocial