1. KENT STATE UNIVERSITY
COLLEGE OF NURSING
TECHNICAL SKILLS RECORD/ CHECKLIST
Student Name: Betsy Brittain
The following list represents basic technical skills exposure expected by program completion. Please insert the
date next to the skills you perform at the end of each lab and/or clinical day. The form is to be kept in your
portfolio until the end of the program. One copy will be submitted to the College of Nursing office.
Have seen Skill Performance with direct Skill performance without
demonstrated, supervision in lab or clinical direct supervision in lab or Additional Comments
but have not setting clinical setting
performed Adult Child Adult Child
DIRECT PATIENT CARE
Complete Bath Spring 09 Spring 10 Spring 09 Spring 10
Oral Care Spring 09 Spring 10 Spring 09 Spring 10
Skin Care Spring 09 Spring 10 Spring 09 Spring 10
Hair Care Spring 09 Spring 10 Spring 09 Spring 10
Foot & Nail Care Spring 09 Spring 09
Back Massage Spring 11 Spring 11
Braden Scale Skin Assessment Spring 09 Spring 10 Spring 09
Positioning & Repositioning Spring 09 Spring 10 Spring 09
Range of Motion Spring 09 Spring 10 Spring 09
Assist with Ambulation Spring 09 Spring 10 Spring 09 Spring 10
Falls Precautions Spring 09 Spring 10 Spring 09
Transfer Techniques Fall 09 Spring 10 Spring 09
Feeding Spring 09 Spring 10 Fall 10 Spring 10
Recording I & O’s Fall 09 Spring 10 Spring 09 Spring 10
Ted Hose/SCDs Spring 09 Spring 09
APPLYING RESTRAINTS
Posey
Wrist & Ankle
BED MAKING
Occupied Fall 09 Spring 10 Spring 09 Spring 10
Unoccupied Fall 09 Spring 10 Spring 09 Spring 10
VITAL SIGNS
Temperature Fall 08 Spring 10 Spring 09 Spring 10
Respiration Fall 08 Spring 10 Spring 09 Spring 10
Pulse Fall 08 Spring 10 Spring 09 Spring 10
Blood Pressure Fall 08 Spring 10 Spring 09 Spring 10
Orthostatic Blood Pressure Fall 08 Spring 09
Pain Assessment Fall 08 Spring 10 Spring 09 Spring 10
NEUROLOGICAL ASSESSMENT
Glasgow Coma Scale Spring 09 Spring 10 Spring 09

2. Have seen Skill Performance with direct Skill performance without
demonstrated, supervision in lab or clinical direct supervision in lab or Additional Comments
but have not setting clinical setting
performed Adult Child Adult Child
CARDIAC MONITORING
EKG/Telemetry Spring 11 Spring 11 Spring 11
12 lead EKG administration Spring 11 Spring 11 Spring 11
ELIMINATION
Enemas Fall 09
Colostomy: Irrigation Fall 09
Dressing Fall 09
Placing Appliance Fall 09
Ileostomy Fall 09
Catheterization Spring 09
Indwelling: Male Spring 09
Female Spring 09 Spring 11
Straight: Male Fall 09 Spring 11
Female Fall 09
Urosheath: Male
Indwelling Catheter Care Fall 09
Catheter Irrigation Fall 09
Perineal Care Fall 09
Urosheath Care
IRRIGATIONS
Eye Fall 09 Spring 11
Ear Fall 09
Bladder
Vaginal
Wound Fall 09 Spring 11
SPECIMEN COLLECTION
24 hour Urine Fall 09 Spring 11
Specific Gravity Fall 09 Spring 11
Sterile from indwelling cath Fall 09 Spring 11
Stool:
Guaiac/Hemoccult Fall 09 Spring 11
Ova & Parasite Fall 09 Spring 11
C&S Fall 09 Spring 11
Sputum Fall 09 Spring 11
Blood Glucose Monitoring Spring 09 Spring 09
PRE & POST OPERATIVE CARE
Pre-op Checklist/Informed Consent Fall 09 Spring 10 Spring 11
Dry sterile dressing Spring 09 Spring 11
Peripheral IV site dressing Spring 11 Spring 11
change
Central line dressing change Spring 11 Spring 11
Wet → Dry sterile dressing Fall 09
Packed wound dressing Fall 09

3. Have seen Skill Performance with direct Skill performance without
demonstrated, supervision in lab or clinical direct supervision in lab or Additional Comments
but have not setting clinical setting
performed Adult Child Adult Child
Coughing & deep breathing Spring 09 Spring 10 Spring 11
Incentive spirometry Spring 09 Spring 10 Spring 11
Assist to dangle & ambulate Spring 09 Spring 09
Assist with cast
Assist with traction
Intermittent wall suction Fall 09
Naso-gastric irrigation Fall 09
Hemovac drain care Fall 09 Spring 11
JP drain care Fall 09 Spring 11
Nasogastric continuous feeding Fall 09 Spring 11
Gastrostomy intermittent feeding Fall 09
RESPIRATORY CARE
Oxygen Therapy:
Nasal cannula Spring 11
Mask Fall 09 Spring 11
Pulse Oximetry Spring 09 Spring 09
Suctioning: Fall 09
Oropharygeal Fall 09
Endotracheal Fall 09
Tracheostomy care Fall 09
Chest tube care Fall 09 Spring 11
Postural drainage Fall 09
Percussion, drainage, & clapping Fall 09
ISOLATION TECHNIQUES
VRE/MRSA Spring 11
TB Fall 09 Spring 11
Neutrapenic (Reverse) Spring 11
MEDICATION ADMINISTRATION
Oral Spring 09 Spring 10 Spring 11
Patches/topical Spring 09 Spring 10 Spring 11
Subcutaneous Spring 09 Spring 10 Spring 11
Intramuscular Spring 09 Spring 10 Spring 11
Z-Track
IV INFUSION
Peripheral Fall 09 Spring 11
PICC line Fall 09 Spring 11
Central/Triple Lumen Fall 09
Monitoring of Drip Rate Fall 09 Spring 11
IV site assessment Spring 09 Spring 10 Spring 11
Changing IV fluid bags Spring 11 Spring 11
Changing IV fluid tubings Spring 11 Spring 11
Arterial line maintenance Spring 11

4. Have seen Skill Performance with direct Skill performance without
demonstrated, supervision in lab or clinical direct supervision in lab or Additional Comments
but have not setting clinical setting
performed Adult Child Adult Child
COMPUTER DOCUMENTATION Spring 09 Spring 10 Spring 09 Spring 10
EXPERIENCE TEACHING: 3-16-10
Patients Spring 09 Spring 10 Spring 11
Families Spring 09 Spring 10 Spring 11 Spring 10
DISCHARGE PLANNING Spring 10 Spring 11
BASIC LIFE SUPPORT July 2010
(record dates of completion)
**Modified with permission from University Hospital of Cleveland Nurse Extern Skills Experience
Record/Checklist
**Revised 8/08