Breadcrumb Home Nurse Checklists PCT Form Information Info Name * Last 4 digits of SSN * Contact Phone * Email * Proficiency Scale 1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently Patient Rights 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 * 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 * 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 * ROM Exercises * Transferring to Bed, WC, Commode, etc. * Turning 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 * Reinforcing RN Teaching with Patient * Selecting and Using Forms Appropriately * Using Alternate Communication Tools / Devices * Changes in Patient Condition * Patient Needs, Complaints, and Concerns * Unusual Incidents * Vital Signs * Bathing / Hygiene * Turning and Repositioning * Ambulation and Activity * Diet Intake, Calorie Count * Bowel Movements * Shift Volumes and Totals * Marking and/or Measuring Urine, Gastric Fluid, NG Drainage, Emesis, Diarrhea * Unit Activity Identifying Unusual Incidents on the Unit that Require Reporting * Locating and Using Appropriate Reference Materials: Hospital, Patient Care * Charging for Patient Care Items * Completing Risk Management Reports as Needed * Obtaining Needed Supplies and Equipment * Reporting and Following up on Faulty Equipment and Supplies * Using Telephone System * Age Specific Competencies Infant (Birth - 1 year) * Preschooler (ages 2-5 years) * Childhood (ages 6-12 years) * Adolescents (ages 13-21 years) * Young Adults (ages 22-39 years) * Adults (ages 40-64 years) * Older Adults (ages 65-79 years) * Elderly (ages 80+ years) *