INSTRUCTOR SKILLS INVENTORY CHECKLIST – RNSG 1229

This sheet must be available in clinical at all times.

NAME______________________________ YEAR_________ SS#_______________________ (See information on reverse.)

	PEER AND INSTRUCTOR - SKILLS LAB						CLINICAL OBSERVED		CLINICAL INDEPEND.
MODULE-SKILL	PEER 1	PEER 2	ROLE	INST.	DATE	RE-DO	INST.	DATE	INST.	DATE	INSTRUCTOR COMMENTS
I-1 Sterile Gloves			N/A
I-2 Sterile Field			N/A
III A-1 Enema
III B-1 Insertion NG Tube
III B-2 Tube Feeding
III B- Removing NG Tube
III B-4 Irrigating NG Tube
IV-7 Wound Irrigation
IV-8 Sterile Dressing
V-1 Catheterization
VI-3 Apical Pulse			N/A
VI-3 Locating Pulse Sites			N/A
VII A 1,2,3 Medications			N/A
VII B-1 Injection Sites			N/A
VII B-2, 7 Subq. Med.
VII B-3, 6 IM Med.
VII B-4, 6 ID Med.
VIII B-1 IV Start
VIII B-3 Convert to Lock
VIII B 2,4,5 Add Med /IV
VIII C-2 IVPB
VIII D-1,2 IV Push									Instructor Only
VIII E-1 Blood Transfusion									Instructor Only
VIII F-1 CVC Dressing