Skills Exam

Perineal Care for Female

Perform from front to back to prevent contamination from the rectal area to the urethra.

Perineal Care for Male

Clean the urinary meatus in a circular motion and clean down the shaft of the penis and scrotum.

Complete Bath

A bath for dependent patients who are completely bedridden, performed by a nurse to reduce the risk of infection.

Partial Bed Bath

A bath that includes cleaning the hands, face, axillae, back, and perineal area for patients who can do some of their own bathing.

Catheterization

A procedure to introduce a catheter into the bladder; must ensure orders and patient identifiers before proceeding.

Straight Catheter

A type of catheter that is inserted to drain urine but is not left in place.

Indwelling Catheter

A catheter that is inserted and remains in place for a longer duration, typically secured with a balloon.

Urinary Incontinence

The inability to control urination, which may require catheterization.

Enema Administration Position

The left lateral Sims position, with the right knee flexed to expose the anus.

Nasogastric Tube Measurement

Measure from the tip of the nose to the earlobe and down to the xiphoid process.

Hyperoxygenate before suctioning

Essential step to ensure the patient has adequate oxygenation before suctioning.

IM Injection Sites

Common sites include ventral gluteal, deltoid, and vastus lateralis.

Subcutaneous Injection Sites

Back of upper arms, thighs, and lower abdomen.

Intradermal Injection

Typically administered at a 10-15 degree angle in the lower inner aspect of the forearm.

Hand Hygiene Procedure

Wash hands with warm water and soap for at least 15 seconds, ensuring to rinse well.

Sterile Dressing Change Procedure

Remove the old dressing with non-sterile gloves, assess the wound, and clean with sterile technique.

Ear Medication Administration

Administer in a side-lying position with the ear canal straightened, instilling drops gently.

Eye Medication Administration

Instill drops into the conjunctival sac and avoid contact with the cornea.

IV Insertion Procedure

Palpate and disinfect the vein, use gloves, and insert the catheter at a 10-30 degree angle.

Calculating IV Fluids

Use formulas based on flow rate to determine the proper fluid administration.

Patient Identifier Importance

Ensure the patient's identity is confirmed before administering medications or treatments.

Oropharyngeal and Nasopharyngeal Suctioning

Involve inserting a catheter into the oropharynx or nasopharynx to clear secretions.

Tracheostomy Care

Hold the tube in place while changing ties and inserting a sterile cannula.

Medication Administration Rights

Verify patient, medication, dosage, route, time, and document each administration.

Pediatric Medication Calculation

Convert weight to kg and calculate dosage based on the desired and available amount.

Suctioning Duration

Limit tracheal suctioning to 10-15 seconds to prevent oxygen deprivation.

Droplet Precautions

Utilize gloves, goggles, gown, and masks when caring for patients with droplet-transmissible diseases.