End-of-Course Outcomes: Apply concepts and principles necessary for the performance of basic nursing skills for the adult patient; and demonstrate competence/clinical reasoning in the performance of basic nursing procedures and practices. Learning outcomes are linked to SCANS requirements. Specific SCANS requirements are linked to the class schedule.

Upon successful completion of this course, students will:

Demonstrate knowledge of standard protocols for nursing interventions, CDC guidelines, and universal precautions by
1. recognizing standard protocols for nursing intervention(s) (1a, 1b, 1c, 2b);
2. identifying CDC guidelines and universal precautions (1a, 1b, 1c, 2b);
3. identifying principles of medical and surgical asepsis (1a, 1b, 1c, 2b);
4. demonstrating medical aseptic hand washing (1a, 1b, 1c, 2a, 2b);
5. demonstrating proper donning and removal of personal protective equipment (1a, 1b, 1c, 2b);
6. demonstrating proper donning and removal of sterile gloves (1a, 1b, 1c, 2b).
Identify the principles of oral medication administration, including the six rights of medication administration by
1. applying standard protocols for nursing intervention(s) (1a, 1b, 1c, 2b);
2. identifying routes of oral and non-parenteral medication administration (1a, 1b, 1c, 2b);
3. recognizing appropriate equipment and supplies for oral and nonparenteral medication administration (1a, 1b, 1c, 2b);
4. calculating medication dosage (1a);
5. identifying patient safety needs, according to the six rights of medication administration (TCC uses the acronym TRAMPD) (1a, 1b, 1c, 2a, 2b);
6. applying principles of medical and surgical asepsis during the preparation and administration of oral medication (1a, 1b, 1c, 2a, 2b);
7. applying CDC guidelines and universal precautions during the preparation and administration of oral medication (1a, 1b, 1c, 2a, 2b);
8. identifying the nursing role in patient/family education (1a, 1b, 1c, 2a, 2b);
9. evaluating the patient’s response to the administered medications (1a, 1b, 1c, 2b);
10. documenting the nursing intervention(s) (1a, 1b, 1c, 2b);
11. defining desired effects, side effects, adverse reactions, anaphylactic reactions, toxic effects, aero chamber, metered-dose inhaler, sublingual, buccal, enteric coating, suppository, instillation, and unit-dose (1a, 1b, 1c, 2b).
Perform parenteral medication administration by
1. applying standard protocols for nursing intervention(s) (1a, 1b, 1c, 2b);
2. identifying routes of parenteral medication administration (intradermal, subcutaneous, intramuscular, intravenous) (1a, 1b, 1c, 2b);
3. identifying IM and SUB-Q injection sites and physical landmarks (1a, 1b, 1c, 2b);
4. selecting appropriate equipment and supplies for parenteral medication administration (1a, 1b, 1c, 2b);
5. calculating medication dosage (1a);
6. demonstrating knowledge of patient safety needs according to the six rights (TRAMPD) (1a, 1b, 1c, 2a, 2b);
7. educating the patient about the therapeutic levels, effects, side effects, and approximate onset of drug, during IM/Sub-Q performance evaluation (1a, 1b, 1c, 2b);
8. applying principles of medical and surgical asepsis during the preparation and administration of parenteral medication (1a, 1b, 1c, 2b);
9. applying CDC guidelines and universal precautions during the preparation and administration of parenteral medication (1a, 1b, 1c, 2b);
10. applying clinical reasoning and nursing science as a basis for decision making (1a, 1b, 1c, 2b);
11. identifying the nursing role in patient/family education (1a, 1b, 1c, 2b);
12. identifying the patient’s response to the medications administered (1a, 1b, 1c, 2b);
13. documenting the nursing intervention(s) (1a, 1b, 1c, 2b);
14. individualizing and implementing teaching plans while delivering simulated nursing care (1a, 1b, 1c, 2b);
15. documenting teaching interventions while delivering simulated nursing care (1a, 1b, 1c, 2b);
16. demonstrating written and verbal communication skills that are legible, accurate, and complete (1a, 1b, 1c, 2b);
17. defining injection, parenteral, ampule, vial, aspirate, Z-track, filter needle/straw, blunt cannula, intramuscular injection, subcutaneous injection, and intradermal injection (1a, 1b, 1c, 2b).
Perform nasogastric tube management by
1. applying standard protocols for nursing intervention(s) (1a, 1b, 1c, 2b);
2. discussing the rationale/indications for nasogastric intubation (1a, 1b, 1c, 2b);
3. identifying the various types of gastric/intestinal tubes (Levine, Salem Sump, Dobb Hoff, PEG) (1a, 1b, 1c, 2b);
4. identifying methods of enteral feeding (bolus and continuous) (1a, 1b, 1c, 2b);
5. selecting appropriate equipment and supplies for nasogastric tube insertion and discontinuation (1a, 1b, 1c, 2b);
6. demonstrating patient assessment prior to nasogastric tube insertion and discontinuation (1a, 1b, 1c, 2b);
7. demonstrating nasogastric tube insertion (1a, 1b, 1c, 2a, 2b);
8. applying principles of medical and surgical asepsis during nasogastric intubation (1a, 1b, 1c, 2a, 2b);
9. applying CDC guidelines and universal precautions during nasogastric intubation (1a, 1b, 1c, 2a, 2b);
10. demonstrating self-directed behaviors needed for patient safety (1a, 1b, 1c, 2b);
11. evaluating patient’s response to nasogastric intubation (1a, 1b, 1c, 2b);
12. identifying the nursing role in patient/family education (1a, 1b, 1c, 2a, 2b);
13. documenting the nursing intervention(s) (1a, 1b, 1c, 2b);
14. defining aspirate, decompression, paralytic ileus, enteral feeding, nasogastric, nasointestinal, and PEG (1a, 1b, 1c, 2b).
Apply the principles of sterile technique while performing urinary catheterization by
1. applying standard protocols for nursing intervention(s) (1a, 1b, 1c, 2b);
2. identifying the different types of urinary catheters (1a, 1b, 1c, 2b);
3. selecting appropriate equipment and supplies for urinary catheterization (1a, 1b, 1c, 2b);
4. discussing the indications for urinary catheterization (1a, 1b, 1c, 2b);
5. demonstrating urinary catheter insertion (1a, 1b, 1c, 2b);
6. applying the principles of medical and surgical asepsis during urinary catheter insertion (1a, 1b, 1c, 2a, 2b);
7. applying CDC guidelines and universal precautions during urinary catheter insertion (1a, 1b, 1c, 2a, 2b);
8. identifying the nursing role in patient/family education (1a, 1b, 1c, 2a, 2b);
9. demonstrating self-directed behaviors needed for patient safety (1a, 1b, 1c, 2b);
10. evaluating the patient response to urinary catheter insertion (1a, 1b, 1c, 2b);
11. documenting the nursing intervention(s) (1a, 1b, 1c, 2b);
12. defining catheterization, indwelling catheter, straight catheter, suprapubic catheter, securement device, sterile technique, and sterile field (1a, 1b, 1c, 2b).

Apply the principles of sterile technique while performing sterile dressing change by
1. applying standard protocols for nursing intervention(s) (1a, 1b, 1c, 2b);
2. following the steps for suture/staple removal (1a, 1b, 1c, 2a, 2b);
3. identifying gravity and closed wound drainage systems (Hemovac, Jackson Pratt) (1a, 1b, 1c, 2b);
4. identifying factors affecting wound healing (1a, 1b, 1c, 2b);
5. identifying types of dressings (dry, moist, and transparent) (1a, 1b, 1c, 2b);
6. stating the functions of a wound dressing (1a, 1b, 1c, 2b);
7. performing sterile dressing change (1a, 1b, 1c, 2b);
8. demonstrating patient and wound assessment prior to sterile dressing change (1a, 1b, 1c, 2a, 2b);
9. applying principles of medical and surgical asepsis during sterile dressing change (1a, 1b, 1c, 2a, 2b);
10. applying CDC guidelines and universal precautions during sterile dressing change (1a, 1b, 1c, 2a, 2b);
11. identifying the nursing role in patient/family education (1a, 1b, 1c, 2a, 2b);
12. demonstrating self-directed behaviors needed for patient safety (1a, 1b, 1c, 2b);
13. evaluating the patient response to sterile dressing change (1a, 1b, 1c, 2b);
14. documenting the nursing intervention(s) (1a, 1b, 1c, 2b);
15. defining debridement, erythema, granulation, maceration, sanguineous, sero-sanguineous, serous, purulent, hemorrhage, infection, dehiscence, evisceration, fistula, Penrose drain, and delayed wound closure (1a, 1b, 1c, 2b).
Identify proper administration and management of oxygenation therapy by
1. applying standard protocols for nursing intervention(s) (1a, 1b, 1c, 2a, 2b);
2. discussing the rationale for promoting oxygenation (1a, 1b, 1c, 2b);
3. discussing airway maintenance methods (oral airway, nasal airway, endotracheal tube, and tracheostomy) (1a, 1b, 1c, 2b);
4. identifying types of oxygen delivery systems (nasal cannula, simple mask, venture mask, partial rebreather, and non-rebreather) (1a, 1b, 1c, 2b);
5. identifying appropriate equipment and supplies needed for suctioning and tracheostomy care (1a, 1b, 1c, 2b);
6. identifying types of suctioning procedures (nasopharyngeal, oropharyngeal, endotracheal, and tracheostomy) (1a, 1b, 1c, 2b);
7. describing principles of medical and surgical asepsis during suctioning procedures (1a, 1b, 1c, 2b);
8. describing CDC guidelines and universal precautions during suctioning procedures (1a, 1b, 1c, 2b);
9. identifying the nursing role in patient/family education (1a, 1b, 1c, 2b);
10. discussing tracheostomy care (1a, 1b, 1c, 2b);
11. describing self-directed behaviors needed for patient safety (1a, 1b, 1c, 2b);
12. summarizing the documentation of the nursing intervention(s) (1a, 1b, 1c, 2b);
13. defining artificial airway, aspirate, atelectasis, bronchospasm, closed-system catheter, endotracheal tube, hypoxemia, hypoxia, hyperventilation, hypoventilation, intubation, nasal airway, oral airway, sputum, suction, suction catheter, chest tube, pneumothorax, hemothorax, and tracheostomy (1a, 1b, 1c, 2b).
Perform peripheral intravenous venipuncture by
1. applying standard protocols for nursing intervention(s) (1a, 1b, 1c, 2a, 2b);
2. discussing the indications for peripheral intravenous venipuncture (1a, 1b, 1c, 2b);
3. identifying various venous access devices (angiocath, protective cath, CVC, implanted infusion port, and PICC) (1a, 1b, 1c, 2b);
4. identifying complications of peripheral intravenous venipuncture (1a, 1b, 1c, 2b);
5. selecting appropriate equipment and supplies for peripheral intravenous venipuncture (1a, 1b, 1c, 2b);
6. identifying venipuncture site dressings (opaque and transparent) (1a, 1b, 1c, 2b);
7. performing patient assessment and preparation for peripheral intravenous venipuncture (1a, 1b, 1c, 2a, 2b);
8. performing peripheral intravenous venipuncture (1a, 1b, 1c, 2a, 2b);
9. applying principles of medical and surgical asepsis during insertion and discontinuation of peripheral intravenous venipuncture (1a, 1b, 1c, 2a, 2b);
10. applying CDC guidelines and universal precautions during insertion and discontinuation of peripheral intravenous venipuncture (1a, 1b, 1c, 2a, 2b);
11. identifying the nursing role in patient/family education (1a, 1b, 1c, 2a, 2b);
12. demonstrating self-directed behaviors needed for patient safety (1a, 1b, 1c, 2b);
13. evaluating the patient response to peripheral intravenous venipuncture (1a, 1b, 1c, 2b);
14. documenting the nursing intervention(s) (1a, 1b, 1c, 2b);
15. defining intravenous, infiltration, phlebitis, central venous catheter, infusion port, injection cap, aspirate, patency, thrombosis, venipuncture, chevron, stabilization device, heparin lock, and saline well (1a, 1b, 1c, 2b).
Describe the principles of intravenous medication administration by
1. applying standard protocols for nursing intervention(s) (1a, 1b, 1c, 2a, 2b);
2. identifying rationale/indications for intravenous medication administration (1a, 1b, 1c, 2b);
3. identifying intravenous medication administration methods (continuous, IV push, IV bolus, IV piggyback) (1a, 1b, 1c, 2b);
4. identifying nursing responsibilities in management of heparin lock/saline lock (saline, saline-heparin, SAS, and SASH) (1a, 1b, 1c, 2b);
5. selecting appropriate equipment and supplies for intravenous medication administration (1a, 1b, 1c, 2b);
6. identifying IV pumps/controllers rationales and safety measures (1a, 1b, 1c, 2b);
7. identifying IV solutions and solution administration sets (packaging and expiration dates) (1a, 1b, 1c, 2b);
8. computing and regulating intravenous flow rate (1a);
9. computing and regulating medication flow rate (1a);
10. identifying patient safety needs, according to the six rights of medication administration (TRAMPD), and IV competencies (1a, 1b, 1c, 2a, 2b);
11. applying principles of medical and surgical asepsis during the preparation and administration of intravenous medication (1a, 1b, 1c, 2a, 2b);
12. applying CDC guidelines and universal precautions during the preparation and administration of intravenous medication (1a, 1b, 1c, 2a, 2b);
13. identifying the nursing role in patient/family education (1a, 1b, 1c, 2a, 2b);
14. evaluating the patient’s response to the administered medication(s) (1a, 1b, 1c, 2b);
15. documenting the nursing intervention(s) (1a, 1b, 1c, 2b);
16. defining intravenous injection, IV bolus, IV push, keep vein open (KVO), macro drops, micro drops, isotonic, hypotonic, hypertonic, controlled volume sets, compatibility, diluent, solution set, IVPB, primary set, and secondary medication set (1a, 1b, 1c, 2b).

RNSG 1105

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RNSG 1105 - Nursing Skills I