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Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListThese include nursing therapeutics and activities that are considered to be relatively “low‐complexity”. Many of these skills areintroduced in the first semester of the nursing program and have been practiced in a laboratory setting.Students may INDEPENDENTLY perform “Foundational Skills” once competence has been achieved and if directed by a supervisor orpreceptor (e.g., assist with activities of daily living). Competence refers to the integrated knowledge, skills, attitudes, abilities andjudgment required to practice the nursing skill safely and ethically. Students must have been taught the theory relating to the skilland been judged to safely perform the skill by a clinical instructor or supervisor.Students are ALWAYS expected to recognize their own limitations, act responsibly at all times, and seek supervision appropriately.Dates & Details ‐ Students to provide relevant information including: person demographicsStudentsDates & DetailsClinical InstructorSignatureApplies Compresses Assists with Oral Feeding Assists with Patient Hygiene Complete Bed Bath Tub Bath or Shower Back Care St Francis Xavier University, Ranking School of Nursing 2017 1
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListDates & DetailsSignatureOral Hygiene Eye Care Hair Care Nail Care Sitz Bath Assists with Patient Mobility Assists with Ambulation(Cane; Crutches; Walker) Assists with Range of Motion Assists with Patient TransfersTransfer to StretcherSt Francis Xavier University, Ranking School of Nursing 2017 2
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListDates & DetailsTransfer to WheelchairSignature Assists with Patient Positioning Makes Beds Occupied Unoccupied Post‐Op Handles Hazardous & InfectiousMaterial Maintains Medical Asepsis Maintains Sterile Technique Dons Gloves Dons Gown St Francis Xavier University, Ranking School of Nursing 2017 3
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListDates & DetailsSignatureDons Mask Isolation Technique Monitors, Measures & RecordsIntake & Output Performs Hand Hygiene Takes Vitals Blood Pressure Pulse Pulse Oximetry Temperature Uses Proper Body MechanicsSt Francis Xavier University, Ranking School of Nursing 2017 4
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListConditional Nursing SkillsList of Psychomotor Skills List that Must Be Supervised Until Advanced Competence AchievedMany psychomotor skills taught in the Rankin School of Nursing Programs fall into this category (e.g., dressing changes). These skillsrequire more advanced knowledge and dexterity, as well as understanding of the patient situation and context, in order to performsafely. Students perform conditional nursing skills with increased autonomy and responsibility as competence is gained from a basicto an advanced standing level.Students may INDEPENDENTLY perform “Conditional Skills,” once an advanced level of competence has been achieved and underthe direction of a supervisor or preceptor. Students who achieve an advanced level of a skill consistently: Demonstrate knowledge about the skill Demonstrate dexterity required to perform the skill safely Demonstrate ability to recognize relevant aspects of a situation and anticipate potential complicationStudents are ALWAYS expected to recognize their own limitations, act responsibly at all times, and seek supervision appropriately.Date & Details Advanced Competence (Deemed Competent to Provide Skill Independently Under the Direction of a Supervisor orPreceptor)Please check the check box once signed off by your Clinical InstructorBasic CompetenceDate & DetailsAdministersMedicationSignedIntermediary CompetenceDate & DetailsSignedAdvanced CompetenceDate & DetailsSigned Intramuscular (IM) Inhalation Oral (PO) St Francis Xavier University, Ranking School of Nursing 2017 5
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListBasic CompetenceDate & DetailsSignedIntermediary CompetenceDate & DetailsSignedAdvanced CompetenceDate & DetailsSignedSubcutaneous(including butterfly) Sublingual (S/L) Topical Rectally (PC) Face Mask Nasal Prongs Portable Oxygen Inserts Catheter Catheter Performs RemovesBladder Irrigation (CBI) Administers OxygenAssists with BladderEliminationSt Francis Xavier University, Ranking School of Nursing 2017 6
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListBasic CompetenceDate & DetailsSignedIntermediary CompetenceDate & DetailsSignedAdvanced CompetenceDate & DetailsSignedPerforms Catheter Care Assists with BowelElimination Colostomy Care Enema Suppository Assists with DiagnosticTesting Monitors Blood GlucoseChildren & Adults Peak FlowMeasurement Prepares Patient forTests(e.g., specify – e.g.,Scopes, X‐rays, etc.) St Francis Xavier University, Ranking School of Nursing 2017 7
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListBasic CompetenceDate & DetailsSignedIntermediary CompetenceDate & DetailsSignedAdvanced CompetenceDate & DetailsSignedCare of PeripheralIntravenous Lines(MUST have completedimmunization modules& student certification) Care of Saline LockFlush Insert PeripheralIntravenous Line Monitors & MaintainsPeripheral IntravenousLine Monitors InfusionPump Remove PeripheralIntravenous Line Collects Specimens(Specify – e.g., Urine,Stool, Throat, Wound,etc.)St Francis Xavier University, Ranking School of Nursing 2017 8
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListBasic CompetenceDate & DetailsSignedIntermediary CompetenceDate & DetailsSignedAdvanced CompetenceDate & DetailsSignedCompletes CareTransitions(Specify – e.g.,Admissions; Transfers;Discharges) Interprets Laboratoryand Diagnostic Tests(Specify – e.g., BloodWork; Culture andSensitivity Results) Monitors & MaintainsDrainage Equipment &Devices(Specify – e.g., ChestTubes; Wound Drains) Performs HealthAssessment(Specify – e.g., BodySystem & PersonDemographic(e.g., Adolescent,Adult, etc.) Performs Suctioning(Specify – e.g., Nasal;Oral)Note: TracheostomyCare is Else Where St Francis Xavier University, Ranking School of Nursing 2017 9
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListBasic CompetenceDate & DetailsProvides NasogastricCareSignedIntermediary CompetenceDate & DetailsSignedAdvanced CompetenceDate & DetailsSigned Tube Care Tube Feeding Tube Insertion Tube Removal Provides Post‐Mortem Provides Surgical‐Related Care (Specify –e.g., PreoperativeAssessment;Postoperative care) ProvidesTracheostomy Care Cleaning Suctioning St Francis Xavier University, Ranking School of Nursing 2017 10
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListBasic CompetenceDate & DetailsSignedIntermediary CompetenceDate & DetailsSignedAdvanced CompetenceDate & DetailsSignedProvides Wound Care(Specify) Clean Wound Dressing Removal Sutures/Clips Sterile Wound Dressing Wound Irrigation Uses Patient HandlingDevices (MechanicalLifts and Slings) St Francis Xavier University, Ranking School of Nursing 2017 11
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List“Limited” Skills List that Always Requires Direct SupervisionStudents ALWAYS require the direct supervision of a supervisor or preceptor (or designate) to perform “Limited Skills.” Limited skillsbear a high risk of causing patient harm if an error occurs (e.g., change CVAD dressing).Limited SkillsDate & DetailsAdministration of MedicationsAdministration of ANYMedication by ANY Route to aNewbornAdministration of ANY High AlertMedication (lists from ISMP fromacute care;community/ambulatory care; &long‐term care)(Note: some medications canNEVER be given by students;check list for absoluterestrictions)(ISMP for Current list)Monitor Wastage of ANYNarcotics/Controlled SubstancesSt Francis Xavier University, Ranking School of Nursing 2017 12
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListLimited SkillsDate & DetailsCare of Central Venous AccessDevices (CVADs)Accessing an Implanted CVADAdministration of TPNDrawing Blood SamplesDressing ChangesFlushing or Aspirating for PatencyRemovalImmunizations & TuberculosisTesting Over Five Years(MUST have completedimmunization modules & studentcertification)Monitoring of Neonatal BloodGlucoseSt Francis Xavier University, Ranking School of Nursing 2017 13
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills ListLimited SkillsDate & DetailsPerforms Diagnostic TestingElectrocardiogram (ECG)Fetal Heart Rate MonitoringPerforms PhlebotomyTransfusion of Blood ProductsSt Francis Xavier University, Ranking School of Nursing 2017 14
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesThese include nursing therapeutics and activities that are considered to be relatively “low‐complexity”. Many of these skills areintroduced in the first semester of the nursing program and have been practiced in a laboratory setting.Students may INDEPENDENTLY perform “Foundational Skills” once competence has been achieved and if directed by a supervisor orpreceptor (e.g., assist with activities of daily living). Competence refers to the integrated knowledge, skills, attitudes, abilities andjudgment required to practice the nursing skill safely and ethically. Students must have been taught the theory relating to the skilland been judged to safely perform the skill by a clinical instructor or supervisor.Students are ALWAYS expected to recognize their own limitations, act responsibly at all times, and seek supervision appropriately.SignatureDateApplies CompressesAssists with Oral FeedingAssists with Patient HygieneComplete Bed BathTub Bath or ShowerBack CareSt Francis Xavier University, Ranking School of Nursing 2017 1
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesSignatureDateOral HygieneEye CareHair CareNail CareSitz BathAssists with Patient MobilityAssists with Ambulation (Cane;Crutches; Walker)Assists with Range of MotionAssists with Patient TransfersTransfer to StretcherSt Francis Xavier University, Ranking School of Nursing 2017 2
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesSignatureDateTransfer to WheelchairAssists with Patient PositioningMakes BedsOccupiedUnoccupiedPost‐OpHandles Hazardous & InfectiousMaterialMaintains Medical AsepsisMaintains Sterile TechniqueDons GlovesDons GownSt Francis Xavier University, Ranking School of Nursing 2017 3
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesSignatureDateDons MaskIsolation TechniqueMonitors, Measures & RecordsIntake & OutputPerforms Hand HygieneTakes VitalsBlood PressurePulsePulse OximetryTemperatureUses Proper Body MechanicsSt Francis Xavier University, Ranking School of Nursing 2017 4
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesConditional Nursing SkillsList of Psychomotor Skills List that Must Be Supervised Until Advanced Competence AchievedMany psychomotor skills taught in the Rankin School of Nursing Programs fall into this category (e.g., dressing changes). These skillsrequire more advanced knowledge and dexterity, as well as understanding of the patient situation and context, in order to performsafety. Students perform conditional nursing skills with increased autonomy and responsibility as competence is gained from a basicto an advanced standing level.Students may INDEPENDENTLY perform “Conditional Skills,” once an advanced level of competence has been achieved and underthe direction of a supervisor or preceptor. Students who achieve an advanced level of a skill consistently: Demonstrate knowledge about the skill Demonstrate dexterity required to perform the skill safely Demonstrate ability to recognize relevant aspects of a situation and anticipate potential complicationStudents are ALWAYS expected to recognize their own limitations, act responsibly at all times, and seek supervision appropriately.Date & Details Advanced Competence (Deemed Competent to Provide Skill Independently Under the Direction of a Supervisor orPreceptor)Basic tureDateAdvanced uscular (IM)InhalationOral (PO)St Francis Xavier University, Ranking School of Nursing 2017 5
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesBasic tureDateAdvanced CompetenceSignatureDateSubcutaneous(including butterfly)Sublingual (S/L)TopicalRectally (PC)Administers OxygenFace MaskNasal ProngsPortable OxygenAssists with BladderEliminationInserts CatheterCatheterPerforms RemovesBladder Irrigation (CBI)St Francis Xavier University, Ranking School of Nursing 2017 6
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesBasic tureDateAdvanced CompetenceSignatureDatePerforms Catheter CareAssists with BowelEliminationColostomy CareEnemaSuppositoryAssists with DiagnosticTestingMonitors Blood GlucoseChildren & AdultsPeak FlowMeasurementPrepares Patient forTests(e.g., specify – e.g.,Scopes, X‐rays, etc.)St Francis Xavier University, Ranking School of Nursing 2017 7
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesBasic tureDateAdvanced CompetenceSignatureDateCare of PeripheralIntravenous Lines(MUST have completedimmunization modules& student certification)Care of Saline LockFlushInsert PeripheralIntravenous LineMonitors & MaintainsPeripheral IntravenousLineMonitors InfusionPumpRemove PeripheralIntravenous LineCollects Specimens(Specify – e.g., Urine,Stool, Throat, Wound,etc.)St Francis Xavier University, Ranking School of Nursing 2017 8
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesBasic CompetenceSignatureDateIntermediary CompetenceSignatureDateAdvanced CompetenceSignatureDateCompletes CareTransitions(Specify – e.g.,Admissions; Transfers;Discharges)Interprets Laboratoryand Diagnostic Tests(Specify – e.g., BloodWork; Culture andSensitivity Results)Monitors & MaintainsDrainage Equipment &Devices(Specify – e.g., ChestTubes; Wound Drains)Performs HealthAssessment(Specify – e.g., BodySystem & PersonDemographic(e.g., Adolescent,Adult, etc.)St Francis Xavier University, Ranking School of Nursing 2017 9
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesBasic CompetenceSignatureDateIntermediary CompetenceSignatureDateAdvanced CompetenceSignatureDatePerforms Suctioning(Specify – e.g., Nasal;Oral)Note: TracheostomyCare is Else WhereProvides NasogastricCareTube CareTube FeedingTube InsertionTube RemovalProvides Post‐MortemProvides Surgical‐Related Care (Specify –e.g., PreoperativeAssessment;Postoperative care)ProvidesTracheostomy CareSt Francis Xavier University, Ranking School of Nursing 2017 10
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesBasic CompetenceSignatureDateIntermediary CompetenceSignatureDateAdvanced CompetenceSignatureDateCleaningSuctioningProvides Wound Care(Specify)Clean Wound DressingRemoval Sutures/ClipsSterile Wound DressingWound IrrigationUses Patient HandlingDevices (MechanicalLifts and Slings)St Francis Xavier University, Ranking School of Nursing 2017 11
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature Pages“Limited” Skills List that Always Requires Direct SupervisionStudents ALWAYS require the supervision of a supervisor or preceptor (or designate) to perform “Limited Skills.” Limited skills beara high risk of causing patient harm if an error occurs (e.g., change CVAD dressing).Limited SkillsDate & SignatureAdministration of MedicationsAdministration of ANYMedication by ANY Route to aNewbornAdministration of ANY High AlertMedication (lists from ISMP fromacute care;community/ambulatory care; &long‐term care)(Note: some medications canNEVER be given by students;check list for absoluterestrictions)(ISMP for Current list)Monitor Wastage of ANYNarcotics/Controlled SubstancesSt Francis Xavier University, Ranking School of Nursing 2017 12
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesLimited SkillsDate & SignatureCare of Central Venous AccessDevices (CVADs)Accessing and Implanted CVADAdministration of TPNDrawing Blood SamplesDressing ChangesFlushing or Aspirating for PatencyRemovalImmunizations & TuberculosisTesting Over Five Years(MUST have completedimmunization modules & studentcertification)Monitoring of Neonatal BloodGlucoseSt Francis Xavier University, Ranking School of Nursing 2017 13
Rankin School of Nursing, St Francis Xavier UniversityFoundational Psychomotor Skills List: Signature PagesLimited SkillsDate & SignaturePerforms Diagnostic TestingElectrocardiogram (ECG)Fetal Heart Rate MonitoringPerforms PhlebotomyTransfusion of Blood ProductsSt Francis Xavier University, Ranking School of Nursing 2017 14
Rankin School of Nursing, St Francis Xavier University Foundational Psychomotor Skills List St Francis Xavier University, Ranking School of Nursing 2017 1 These include nursing therapeutics and activities that are considered to be relatively "low‐complexity".
