Nursing Skills Check Off

Principles-Based Checklist

gather supplies, wash hands, introduce self and others, identify patient with two identifiers, explain procedure, provide patient privacy, provide patient safety, use good body mechanics, DOCUMENT

termperature normal range F/C

95.9-99.5/35.5-37.5

pulse normal range

60-100 bpm

respirations normal range

12-20 per minute

blood pressure normal range (diastolic)

60-80

blood pressure range (systolic)

90-120

apical pulse location

midclavicular line, fifth intercostal space

radial pulse location

thumb side of wrist

brachial pulse location

inner side of elbow

carotid pulse location

side of neck

can you palpate both carotid pulses at the same time?

No; could impede blood flow to brain

dorsalis pedis pulse location

top of foot

what is the dorsalis pedis pulse often used for?

to check for circulation

femoral pulse location

inner leg at groin

popliteal pulse location

behind knee, inner side

posterior tibial pulse location

below inner ankle

what is the posterior tibial pulse often used for?

to check for circulation

blood pressure best practices (6)

empty bladder, fleet fat, back supported, arm supported, uncrossed legs, and no talking

purpose of ROM exercises

promote circulation, prevent blood clots

purpose of compression stocking (TED hose)

improve venous return and reduce blood pooling

how often should you remove compression stockings to check skin integrity?

at least once per shift

Purpose of sequential compression devices