PN

ADN

BSN

Obtain and document baseline vital signs according to agency policies and procedures.

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Obtain blood transfusion history.

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Initiate administration of blood products. according to agency policies and procedures.

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Monitor clients receiving blood products and document response.

Evaluate and document client response to administration of blood products.

#######

PN

ADN

BSN

Admit client to a health care facility following facility’s policies and procedures.

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Transfer a client within a health care facility following facility’s policies and procedures.

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Assist a client to exit a health care facility following facility’s policies and guidelines.

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Participate in discharge planning.

Assess client to determine readiness for discharge.

Manages the discharge planning process.

Facilitate the continuity of care within and across healthcare settings

#######

PN

ADN

BSN

Measure and record an oral, rectal and axillary temperature.

Monitor and assess oral, rectal and axillary temperature.

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Measure and record temperature using an electronic or tympanic thermometer.

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#######

Measure and record peripheral pulses.

Monitor and assess peripheral pulses.

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Measure and record an apical pulse.

Monitor and assess apical pulse.

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Measure and record an apical-radial pulse.

Monitor and assess apical-radial pulse.

#######

Measure and record blood pressure.

Monitor and assess blood pressure.

#######

Perform a 12-lead EKG tracing.

#######

#######

Apply a telemetry monitor.

#######

#######

Use an electronic vital sign machine.

#######

#######

Apply and troubleshoot a pulse oxymeter.

#######

#######

Measure and record rate and character of respiration.

Monitor and assess respiratory rate and character.

#######

PN

ADN

BSN

Document characteristics of feces.

#######

#######

Perform test for occult blood.

#######

Administer enemas for cleansing or retention.

#######

#######

Remove a fecal impaction.

#######

#######

Perform colostomy and ileostomy care

Provide and teach colostomy and ileostomy care.

#######

Administer a rectal suppository

#######

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Administer a rectal tube.

#######

#######

Implement client’s bowel retraining protocol.

Develop client’s bowel retraining protocol.

#######

PN

ADN

BSN

During dying process, provide measures to decrease client’s physical and emotional discomfort.

#######

#######

Document that vital functions have ceased.

Evaluate final progress note on client’s chart to determine completeness of information.

#######

Notify appropriate people and departments according to agency’s policies and procedures.

#######

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Provide privacy for client and family during and after client’s death.

Evaluate family’s response to client’s death and make referrals as appropriate.

Develop services which provide support to dying clients and their families.

Provide care for the body after client’s death according to agency’s policies and procedures.

#######

#######

PN

ADN

BSN

Monitor fetal heart rate pattern

Evaluate fetal heart rate pattern.

#######

Apply anti-embolism stockings

#######

#######

Obtain cardiopulmonary resuscitation certification.

#######

#######

PN

ADN

BSN

Collect and document data concerning client’s and/or family member’s knowledge of specific procedure or health problem.

Assess and document client’s and/or family member’s knowledge of specific procedure or health problem.

Assesses client’s readiness to learn.

Assess client and significant support person(s) for learning strengths, capabilities, barriers and educational needs.

#######

Using prepared materials, provide client and/or family member information concerning procedure or health problem.

Develop an individualized teaching plan based on assessed needs.

Develop materials to provide client  and/or family member information concerning  procedure or health problem.

Modify the teaching plan based on evaluation of progress toward meeting identified learning outcomes.

#######

Instruct clients regarding health maintenance based on client needs and nurse’s knowledge level.

Provide the client and significant support person(s) with the information to make choices regarding health.

#######

Teach the client and significant support person(s) the information and skills needed to achieve desired learning outcomes.

Provides impromptu teaching based on client’s need for teaching.

Evaluate the progress of the client and significant support person(s) toward achievement of identified learning outcomes.

#######

Using multiple teaching strategies teach heterogeneous groups of clients taking into account individual differences

Implements teaching plan using individualized teaching and learning strategies with clients and/or groups in structured settings.

Implements teaching plan using individualized teaching and learning strategies with clients and/or groups in unstructured settings.

PN

ADN

BSN

Effectively use communication skills during assessment, intervention, evaluation and teaching.

#######

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Express oneself effectively using a variety of media in a variety of contexts.

#######

#######

Adapt communication methods to clients with special needs, e.g., sensory or psychological disabilities.

#######

#######

Produce clear, accurate and relevant writing.

#######

#######

Use therapeutic communication within the nurse-client relationship.

#######

#######

Maintain confidentiality of nurse-client interactions.

#######

#######

Appropriately, accurately and effectively communicate with diverse groups and disciplines using a variety of strategies.

Evaluate effectiveness of communication patterns.

Elicit and clarify client preferences and values.

#######

Document data concerning family interactions

Evaluate dynamics of family interactions.

#######

Collect data concerning coping mechanisms of client/family/support system.

Evaluate data concerning coping mechanisms of client/family/support system.

#######

Listen to client’s concerns.

#######

#######

Provide emotional support to client/family/support system.

#######

#######

Document strengths of client and family/significant other.

Evaluate strengths of client and family/significant other.

#######

Use alternative methods to communicate with client (e.g., translator, touch pad, sign boards)

Evaluate need for alternative methods of communicating with client.

#######

Use assertive communication skills in interactions with clients and other health care providers.

#######

Teach assertive communication skills to clients, unlicensed assistive nursing personnel and other licensed nurses.

Communicate data concerning client to appropriate members of the health care team. 

#######

#######

Communicate the need for consultation/referral to interdisciplinary care team.

#######

Identifies and plans for services to assure continuity in meeting health care needs during transition from one setting to another.

Collaborates with other health team members to provide nursing care.

#######

Collaborates with community members in planning of care for the community.

PN

ADN

BSN

Within acquired knowledge base, use a purposeful, goal-directed thinking process to identify problems, examine alternative solutions and recognize consequences of conclusions.

Within acquired knowledge base, create alternative courses of action, develop reasonable hypotheses and develop new solutions to problems.

#######

Develop an awareness of personal values and feelings and examine basis for them.

#######

#######

Examine credibility of sources used to justify beliefs.

Evaluate credibility of sources used to justify beliefs.

Develop criteria for evaluating credibility of sources used to justify beliefs.

Examine assumptions that underlie thoughts and behaviors.

#######

#######

Seek out evidence and give rationale when questioned.

#######

Uses critical thinking to further develop working hypotheses, based on patterns and inconsistencies in data.

PN

ADN

BSN

Assumes accountability for nursing care delegated to unlicensed health care providers.

Provide assistive personnel with relevant instruction to support achievement of client outcomes.

Specify aspects of nursing care that can appropriately be delegated to unlicensed health care providers and assistive personnel.

Coordinate the implementation of an individualized plan of care for clients and significant support person(s).

Coordinates and/or implements plan of care for clients with multiple nursing diagnoses, especially both physiological and psychosocial diagnoses.

Delegate aspects of client care to qualified assistive personnel.

Delegate the performance of nursing interventions.

Delegate the nursing care given by others while retaining the accountability for the quality of care given to the client.

Supervise and evaluate the activities of assistive personnel.

Supervise the performance of nursing interventions.

Supervise the nursing care given by others while retaining the accountability for the quality of care given to the client.

Manages community-based care for a group of clients.

Directs care for clients whose conditions are changing.

Directs care for clients in situations where there is a potential for variation in client condition.

Supervises implementation of a comprehensive teaching plan of client.

PN

ADN

BSN