Sonoma State University
BSN Pre-licensure track nursing skills

Note: Students have learned and practiced these skills. Students may not have had an opportunity to practice all of these skills in patient care settings. Students are responsible for reviewing the skills needed for these skills and to inform the resource nurses of their comfort and confidence with performing these skills.

Nursing Process: Assessing, diagnosing, planning, implementing and evaluating individualized care

Communication skills:
· Oral and written communication with other health care providers
· Patient history: complete and concise
· Therapeutic communication
· Patient and family teaching
· Charting techniques
· Patient confidentiality
· Patient referrals to other health services

Psychomotor Skills:

· Universal precautions: handwashing, infection control and sterile technique
· Physical Assessment: vital signs, pain, intake and output, inspection, palpation, auscultation and percussion techniques
· Hygiene care: oral, eye, hair, hand, foot, shaving a client, ostomy, perineal, and genital
· Comfort measures: Assessment of pain and effectiveness of treatment and back rub
· Restraints: applying, assessment and care
· Moving and ambulating patients: within the bed, bed to bed, bed to chair, sitting/lying to walking, passive and active ROM assist with turn, cough and deep breathing and correct body mechanics
· Medication administration: Understanding of the usage, dosage, route, side effects, drug/drug interactions, adverse reactions and contraindications. Oral administration including sublingual, buccal, eye, ear, skin/topical, rectal, SC, IM (including sites for adults and newborns), IV piggyback (Senior preceptorship: IV push) and nebulized.
· Venipuncture
· IVs: Starting, assessing, maintaining and discontinuing, preparing the IV bag and tubing, setting the IV flow rate, changing the IV solution, changing to a saline lock
· Infusing Total Parenteral Nutrition through a central venous catheter
· Care of PICC lines
· Specimen collection: clean- catch and midstream urine nose, throat, and sputum specimens, measuring blood glucose, occult blood testing with a hemoccult slide and obtaining a wound culture
· Nasogastric tubes: Insertion, maintenance and removal, and assessing placement of large-bore feeding tube, feeding and medication
· Gastrostomy tube: feeding and medication
· Urinary catheters: applying a condom catheter, straight catheters, inserting an indwelling catheter, irrigating a urinary catheter and routine catheter care
· Enema Administration
· Changing a bowel diversion ostomy appliance
· Oxygen therapy and pulse oximetry
· Incentive Spirometer: assisting patients
· Chest Drainage System: preparation and maintenance
· Suctioning: oral and endotracheal and tracheal tubes
· Wound care: central dressing change, transparent dressing, irrigation and packing. Removing skin sutures and staples. Preventing and managing the pressure ulcer. Jackson-Pratt drain site and emptying the drain bulb

Maternity Care: Junior year
· Postpartum vaginal delivery assessments
· Postpartum c-section assessments
· Breast feeding evaluation
· Parental bonding and attachment
· Postpartum home assessments for normal families
· Organizing care for multiple patients

Newborn care: Junior Year
· Initial newborn assessment
· Routine newborn assessment
· Newborn attachment