NURS 4027Preceptorship

A thorough explanation of skills accomplished to date

Include skills wanting to complete/achieve

Helps preceptor and faculty advisor guide experiences

Preceptor can structure learning experiences around skills listed

Not a test of ‘how great you are’

System Category Skill 1 2 3 4 Comments

Cardiovascular Assessment Auscultation (rate & rhythm) X

Blood pressure X

Doppler X

Heart sounds/murmurs X

Pulses/circulation checks X

Equipment & Procedures

Telemetry:- Basic 12 lead interpretation- Basic arrhythmia interpretation- Lead placement

X XX

Pacemaker X

Care of Patient With

Abdominal aortic bypass X

Aneurysm X

Angina X

Cardiac arrest X

Cardiomyopathy X

Carotid endarterectomy X

Congestive heart failure X

Femoral-popliteal bypass X

Myocarditis X

Post acute MI (24-48 hrs) X

Post angioplasty X

Post cardiac cath X

Post cardiac surgery X

Thrombophlebitis X

Pulmonary Assessment Breath sounds X

Rate and work of breathing X

Interpretation of Lab Results

Blood chemistry X

Blood gases X

Equipment & Procedures

Airway Management Devices:- Endotracheal tube/suctioning- Nasal airway/suctioning- Oropharyngeal/suctioning- Sputum specimen collection- Tracheostomy/suctioning

XXXX

X

Nursing Skills Checklist

Levels of Experience Theory OnlySome

ExperienceConfident

I. Special Therapeutic Nursing Care

Administration of Rectal Suppositories

Application of Transparent Wound Dressings

Arteriovenous Fistula & Shunt Dressing Change

Assessment & Management of Open Wounds

Blood Glucose Testing Devices

Catheter Care

Catheterization

Cleansing Enema

Colostomy Irrigation

Condom Cath. Application

Continuous Bladder Irrigation

Dry Sterile Dressing

Enteral Feedings

Fleets Enema

Insertion of Rectal Tube

Intermittent Bladder Irrigation or Instillation

Manual Removal of Fecal Impaction

Nasogastric Tube Placement

Oral and Nasopharyngeal Suction

Ostomy Care

Patency Assessment of Arteriovenous Fistula

Suprapubic Catheter Care

Suctioning of the Tracheotomy Tube

Suture Removal

Tracheotomy Care

Vaginal Irrigation

Wet Sterile Dressing

Hemovac

Jackson Pratt

Traction

Wound Irrigation

Skill 1 2 3 4 CommentsADMINISTRATION OF MEDICATIONS

Oral administration √

Injections, SC, , IV √ No direct IV injections

Topical application of drugs √Administration of medication in other forms, eg eye, ear, nose drops, inhalations √

Administration of medication through nasogastric tube √

Administration of suppositories and enemas √Management of PCA pumps √

Level of Experience1.I am familiar with this procedure and can perform independently.2.I am familiar with this procedure but would need supervision.3.I understand theory behind procedure but have never performed task.4.I have had no contact with equipment or this patient situation.

Nursing Skill Level 1 Level 2 Level 3Physical Assessment √Taking Vital Signs: T, P, R, BP √Weighing a Client, Mobile and Immobile √Measuring Intake and Output √Collecting a Urine Specimen √Collecting a Stool Specimen √Measuring Blood Glucose Levels √Handwashing √Proper Body Mechanics and Safe Lifting √Assisting with Ambulation and Safe Falling √Donning and Removing Clean/Sterile and ContaminatedGowns, Gloves, Caps and Masks

√

Surgical Scrub √Applying Restraints √Administering Cardiopulmonary Resuscitation (CPR)

√

Performing the Heimlich Maneuver √The Effective Communication Process √Guided Imagery, Progressive Muscle Relaxation √Therapeutic Massage √Applying Moist Heat √Warm Soaks and Sitz Baths √

Nursing Skills ListLevel of Experience:1: I am confident with the procedure and can perform it independently.2: I am familiar with the procedure and would like supervision3: I understand the theory behind the procedure, but have never performed the task outside of laboratory simulation

Skill1 2 3 4 Comments

Medication Administration Oral medicationsSC InjectionsIM Injections ID Injections Via nasogastric tube/GI tubeManagement of PCA pumpsKnowledge of Narcotic Protocol/DocumentationEye, ear, nose drops

SKILLS LIST1.No experience/application of skill.2.Little experience and need further practice and supervision.3.Familiar with skill but may need some further practice.4.Confident in performing skill individually.

Preceptee’s Prior ExperiencePrevious Clinical Placements

Year 4Eight weeks on a surgical floor (2 days/week, 7 hours/day, with an additional 2 days

on the pediatric unit).Year 3

Four weeks at the Public Health Unit in the Healthy Babies, Healthy Children unit (2 days/week, 8 hours/day)

Eight weeks in family nursing, including 4 visits/1hour each with two families (included assessment and teaching learning implementation)

Twelve weeks in community health nursing at the Early Years Centre Program (2 days/week, 7 hours/day)

Year 2Six weeks at the North Bay Psychiatric Hospital, (2 days/week, 6 hours/day)

Six weeks on the labour and delivery unit (2 days/week, 6 hours/day, including 2 days in the NICU)

Six weeks on a surgical floor (2 days/week, 6 hours/day)Six weeks on a medical floor (2 days/week, 6 hours/day)

Ten weeks at the Toronto Grace Hospital on a medical floor (2 days/week, 7 hours/day)

Year 1Six weeks in a nursing home setting (2 days/week, 5 hours/day)

Three weeks in the community, nursing older adults, including 5 home visits with a client (included assessment and teaching learning implementation)Three weeks on a geriatric medical floor (2 days/week, 5 hours/day)

Prior Nursing Experience•Four credit semester of High School Co-Op At Alexandra Marine and General Hospital in Goderich, ON: Maternity, ER, Medicine, Lab, X-Ray, Dietician, Physiotherapy, Surgery and Pharmacy•Twelve-week shadowing experience with VON, once a week for four – eight hours a day•Six-week rotation, two days per week, five hours per day on inpatient rehabilitation unit•Six-week rotation, two days per week, five hours per day at a Long Term Care Facility•Six-week rotation, two days per week, six hours per day on palliative care ward•Six-week rotation, two days per week, six hours per day on surgical ward, one day spent in OR witnessing surgeries•Six-week rotation, two days per week, six hours per day on maternal child nursing floor. One day spent in NICU, and one day spent in Delivery Room.•Six-week rotation, two days per week, six hours per day in Psychiatry Hospital, one day spent with ACTT team visiting clients in the community•Eight-week rotation, two or three days a week with fourteen combined hours a week in the community working at the Salvation Army, providing stress management sessions, blood pressure readings, counseling sessions, and organizing activities•Four-week placement, two days a week, eight hours per day in Sexual Health Clinic and North Bay Perry Sound District Health Unit•Twelve-week rotation, once a week, five hours a week visiting two families, performing assessments, and teaching family health promotion techniques•Four day rotation, eight hours a day with Paramed•Twelve-week rotation, two days per week, seven hours per day on surgical ward, one hour spent with outpatient at orthopedic clinic for follow-up appointment•Two day rotation, eight hours per day shadowing medicine nurse clinician•Worked at three different Long Term Care Facilities over the course of the summer months

Preceptee’s Prior ExperiencePrevious Clinical Placements

Year 4•Eight weeks on a medical floor Year 3•Four weeks at the North East Mental Health Center (Occupational Health) (2days a week 7 hours/day)•Eight weeks in family nursing, including 4 visits/1hour each with two families (included assessment and teaching learning implementation) •Twelve weeks in community health nursing at the Early Years Centre Program (2 days/week, 7 hours/day)

Year 2•Six weeks at the North Bay Psychiatric Hospital, (2 days/week, 6 hours/day)•Six weeks on the labour and delivery unit (2 days/week, 6 hours/day, including 2 days in the NICU and 2 days in the pediatric unit)•Six weeks on a surgical floor (2 days/week, 6 hours/day)•Six weeks on a medical floor (2 days/week, 6 hours/day)

Year 1•Six weeks in a nursing home setting (2 days/week, 5 hours/day) •Three weeks in the community, nursing older adults, including 5 home visits with a client (included assessment and teaching learning implementation)•Three weeks on a geriatric medical floor (2 days/week, 5 hours/day)