Nurse Care, Emergency room
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Apprentice Nurse Skills List
An Apprentice Nurse is an employee of an agency who is currently enrolled in a pre-licensure RN or PN nursing program. The Apprentice Nurse works at a health care facility providing nursing care following a Board-approved skills list (below). As Apprentice Nurses progress through their nursing programs, their ability to perform more of the approved skills increases. The Apprentice Nurse Program offers students the opportunity to practice their clinical skills and to acclimate to the role of the licensed nurse.
It is the responsibility of the hiring facility Director of Nursing to:
*Ensure the student (in-state or out-of-state) is currently enrolled in a program of nursing that is approved by that state’s board of nursing or appropriate state agency authorized to approve nursing programs.
*Ensure the nursing program (out-of-state) is also nationally accredited through either the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
*Ensure the student (in-state or out-of-state) is currently enrolled in a program of professional nursing and maintains enrollment during participation as an Apprentice Nurse.
*Verify the apprentice nurse’s competence to perform the skills and that the skills are on the Board-approved skills list.
Accountability for compliance with all program requirements remains with the Director of Nursing, as this individual has responsibility for all nursing activities within the facility. A student’s eligibility to participate in the Apprentice Nurse Program ends upon graduation or failure to progress in the program for any reason. Upon hire and at the beginning of each new semester it is the responsibility of the student to provide to the hiring facility verification of enrollment as well as a current clinical skills checklist. Upon graduation, the student becomes a graduate nurse and must possess an Interim Permit to practice nursing. It is the responsibility of the Director of Nursing to ensure that after graduation, the student no longer practices nursing as an Apprentice Nurse. It is also the responsibility of the Director of Nursing to ensure that all graduate nurses have active Interim Permits authorizing the practice of nursing. Skill Apprentice RN Apprentice PN
Advanced Directives Documentation and teaching Documentation AM Care/Activities of Daily
living
Includes shaving Includes shaving
Ambulation of Patients Performs Performs
Admission and ongoing
assessment
Contributes to data collection,
reports information and
records objective and
subjective data
Assists in data collection
Back Rubs Performs Performs
Bathing patients Bed, assist, sponge, tub,
shower, whirlpool
Bed, assist, sponge, tub,
shower, whirlpool
Bathroom Assist with commode,
bedpans, urinals
Assist with commode,
bedpans, urinals
Bed making Performs Performs
Bili-lights Assist RN with care of infants
under light
Assist RN with care of infants
under light
Breast feeding Reinforcement education Reinforcement education Bowel and bladder Assist with retraining
Uses bladder scanner
Assist with retraining
Uses bladder scanner
Call lights Answer Answer
Cast care Routine cast care with RN
assist
Routine cast care with RN
assist
Care Planning Contributes to the plan of
care established for a patient
by recording and reporting to
the appropriate person his or
her observations by
conducting a focused
assessment.
Carries out the established
plan of care.
Catheters, Foley Insertion, site care, care of
patient with, emptying
drainage bag,
discontinuation, retention
Insertion under supervision of
licensed nurse, site care,
care of patient with, emptying
drainage bag,
discontinuation, retention
Catheters, intermittent Insertion, site care, care of patient
Site care, care of patient
Catheters, suprapubic Site care, care of patient,
empty drainage bag
Site care, care of patient,
empty drainage bag
Charting, flow sheets Graphic/vital signs record,
profile, admission database,
I&O, outpatient, pre-op
Graphic/vital signs record,
profile, I&O, outpatient
Circulation, movement,
sensation assessment
Performs Observes and reports
changes
Code As appropriate with basic
BLS and AED
As appropriate with basic
BLS and AED
Croup tent Care of patient in Care of patient in
Discharge of patients Performs Assists with
Dressing and undressing Performs Performs
Dressing changes (sterile
and nonsterile)
Surgical, simple
(uncomplicated), moist,
nonsterile, wet to dry
Surgical, simple
(uncomplicated), moist,
nonsterile, wet to dry
Education, patient Reinforcement of established
written teaching plan
Reinforcement of established
written teaching plan
EKG, 12-lead Task only, no interpretation Task only; no interpretation Enema Fleets, Harris Flush, oil
retention, soap suds
Fleets, Harris Flush, oil
retention, soap suds
Errands as directed Supplies and equipment Supplies and equipment Elastic stockings Measuring and application Measuring and application HS and PM care Performs Performs
Hair care Shampoo, brush, and comb Shampoo, brush, and comb I&O Adult/pediatric Adult/pediatric
Impaired mobility
management
Positioning and transferring
Use of transfer equipment
Positioning and transferring
Use of transfer equipment
Intravenous Therapy Start and remove peripheral
line or peripheral access
device, administer IV fluids
w/o additives or medications,
With IV Certification per LCB
File No. R091-15, effective
October 12, 2012. Start
peripheral intravenous
therapy that does not include
peripheral and central venous
IV site care, flush lock
midline or midclavicular
catheters; flush lock;
administer by adding a
solution certain products;
maintain patency of a
peripheral intermittent
vascular access device,
including a peripherally
inserted central catheter
using a nontherapeutic dose
of flush solution.
Isolation Technique following
guidelines (Standard
Precautions, Body Substance
Isolation)
Technique following
guidelines (Standard
Precautions, Body Substance
Isolation)
Jejunostomy Gavage of existing tube Gavage of existing tube K-pad Administration and monitoring Administration and monitoring Linen Emptying Emptying
Medications NOT allowed IV medications (PCA, push, piggyback, additives)epidural
or chemotherapy meds (po or
IV)
IV medications (PCA, push,
piggyback, additives) epidural
or chemotherapy meds (po or
IV)
Medications
With Immediate Preceptor
supervision may: Administer
oral, intra-muscular,
subcutaneous, otic,
ophthalmic, nasal, tube, or
vaginal medications
Immediate Supervision
With immediate Preceptor
supervision may Administer
oral, intra-muscular,
subcutaneous, otic,
ophthalmic, nasal, tube or
vaginal medications
Immediate Supervision
Nutrition Appropriate for age and
diagnosis, feed patient,
Appropriate for age and
diagnosis, feed patient,
verifying diet, feed with
regular or thumb-controlled
syringe, assist with menus,
pass trays
verifying diet, assist with
menus, pass trays
Nutrition, GT/PEG feeding Care of patient, administer tube feeding
Care of patient, administer
tube feeding
Nutrition, nasogastric tube Care of patient, insertion, gavage with existing tube,
gastric suctioning,
Care of patient, insertion,
gastric suctioning, may not
feed with weighted tip tube
Observe condition or
change in condition
Performs Performs
Oral hygiene (conscious
and unconscious patient)
Brush, floss, denture care Brush, floss, denture care Orthopedic devices Care of patient with knee
immobilizer, cervical collar,
sling, crutches, CPM
Care of patient with knee
immobilizer, cervical collar,
sling, crutches, CPM
Ostomy Change bag and skin care Change bag and skin care Orientation of patients to
room/unit
Performs Performs
Oxygen therapy Care of patient and
application of mask, nasal
cannula, hood, blow-by
Care of patient and
application of mask, nasal
cannula, hood, blow-by
Perineal care Performs Performs
Positioning patient in bed Performs Performs
Post-mortem care Assist with care, consent
forms,
Assist with care, consent
forms,
Pre-procedure shave/skin
prep
Performs Performs
Pulse oximetry Performs Performs
Range of Motion
exercises
Simple Simple
Rectal digital stimulation
(not on new paraplegics or
quadriplegics)
Performs Performs under RN direction
only
Restraints/safety devices Apply, release, care of patient Apply, release, care of patient Safety Fall prevention, care of
patient, patient education and
documentation, reporting
Fall prevention, care of
patient, patient education
and documentation reporting
Seizure care Precautions and
management
Precautions and
management
Sequential compression
stocking
Application and care of
patient
Application and care of
patient
Skin care Pressure ulcer prevention,
turning, collecting skin-care
related data
Pressure ulcer prevention,
turning, collecting skin-care
related data
Specialty beds Care of patient Care of patient
Specimen collection and
handling (non-
manipulated)
Respiratory secretions and
sputum, throat, rectal, stool,
urine, diaper
Respiratory secretions and
sputum, throat, rectal, stool,
urine, diaper
Specimen collection and
handling (manipulated)
Wound drainage, indwelling
catheter
Wound drainage, indwelling
catheter
Staples/suture Removal only Removal with assist of licensed nurse
Steri-strips Application and removal Application and removal Suctioning and care of
patient
Tracheal, oral, and nasal Tracheal, oral, and nasal Suctioning, bulb (infants) Only with OB/RN instruction No Surgical drains Care of Jackson Pratt, J-Vac,
JT-tube
Care of Jackson Pratt, J-Vac,
JT-tube X
Tracheotomy Care and suctioning Care and suctioning Traction equipment Set up (trapeze only), assist
RN/LPN/PT with initial
application and care of
patient, may reapply traction
Set up (trapeze only), assist
RN/LPN/PT with initial
application and care of
patient, may reapply traction
Transportation of patients
and equipment
Performs Performs
Transcription of orders May NOT accept telephone
and/or verbal orders.
May process/transcribe
provider orders. RN to
reconcile and note all orders
May NOT accept telephone
and/or verbal orders
May process/transcribe
provider orders. RN to
reconcile and note all orders
Vaporizer–cool mist Performs Performs
Valuables Appropriate care and
documentation
Appropriate care and
documentation
Vital signs Perform Perform
Weights/heights May measure and weigh
patient (standing/chair/bed,
scale/sling)
May measure and weigh
patient (standing/chair/bed,
scale/sling)
Revised: 4/11/17
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