University of Mississippi School of Nursing Accelerated BSN Program Skills Performance Guidelines
A. PROGRAM CONCEPTS
Overarching Concepts: Care, Communication, Diversity, Environment, Family Dynamics, Health Promotion, Health Care Quality, and Safety, Technology and Informatics
Semester One Concepts: Development and Genetics (Culture); Cognition and Functional Ability; Mobility (Fatigue); Tissue Integrity (Sensory Perception and Pain); Fluid-Electrolyte Balance (Spirituality); Nutrition and Elimination; Stress and Coping (Addiction and Sleep); Mood and Affect (Anxiety) and Psychosis; Gas Exchange and Perfusion; Professional Identity; Ethics; Patient Education; Adherence; Evidence; Health Care Economics; Health Policy; Health Disparities; Health Care Organizations; Technology and Informatics; Health Literacy; Clinical Judgement; Care Coordination; Patient Education; IPEC Competencies (Roles and Responsibilities and Interprofessional Communication); Interprofessionalism
Semester Two Concepts: Immunity; Inflammation; Cellular Regulation (Palliative Care and Caregiving); Metabolism; Acid-Base Balance; Gas Exchange; Perfusion; Infection; Clotting; Clinical Judgement; Care Coordination; Patient Education; Leadership; Health Care Organizations; Health Care Economics; Health Policy; Health Care Law; Evidence; Ethics; IPEC Competencies (Teams and Teamwork and Interprofessional Communication); Interprofessionalism
Semester Three Concepts: Intracranial Regulation; Reproduction; Sexuality (Interpersonal Violence); Thermoregulation; Clinical Judgement; Care Coordination; Patient Education; Mood Affect and Psychosis; Acid-Base Balance; Professionalism; IPEC Competencies (Values and Ethics); Interprofessionalism; Professional Identity; Ethics; Adherence; Literacy
B. Baccalaureate Program Outcomes: Upon completion of the program, the student will: 1. Integrate knowledge and skills from the liberal arts, sciences, nursing and other disciplines into professional nursing practice. 2. Apply knowledge and skills of organizational and systems leadership, quality improvement and patient safety to improve patient-care outcomes in diverse populations and health-care settings. 3. Integrate current evidence from nursing research and other credible sources into professional nursing practice. 4. Integrate information management and patient-care technologies into the delivery and evaluation of high- quality, safe, patient-centered care in a variety of health-care settings. 5. Apply knowledge of health-care policy, finance and regulatory environments to professional nursing practice. 6. Demonstrate effective inter- and intra-professional communication and collaboration skills in the delivery of evidence-based, patient-centered care across health-care environments. 7. Implement strategies to facilitate health promotion, disease prevention and health restoration of individuals, families and populations across the lifespan. 8. Assume accountability for professional values and behaviors. 9. Deliver comprehensive patient and population-centered care that reflects baccalaureate generalist nursing practice across the health-illness continuum and health care environments.
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University of Mississippi School of Nursing Accelerated BSN Program Skills Performance Guidelines
C. Guidelines related to Skills Performance by Pre-licensed Students. The student may perform only those skills for which: • the student has a knowledge base, and • can demonstrate competence, and • the supervising RN is willing to take responsibility for the outcome.
Any invasive skill/procedure the student has not previously performed, or any skill/procedure the student is hesitant to perform alone, must be directly supervised by the preceptor, designated RN, or faculty. Students must work within 1) agency policy regarding the performance of any skill/procedure policy and 2) the guidelines listed below. 1. Faculty supervision or RN supervision is required throughout the clinical rotation for the following procedures (the student is never allowed to do these unsupervised): • Venipuncture • Urethral catheterization • IV push meds • Blood draws from central line, A-line or PICC • Invasive monitoring; e.g. arterial lines, pulmonary artery pressure monitoring • Patient transfers; e.g. from ICU to floor • Transcribing orders • Remove controlled substances from locked storage • Administer and document controlled substances (narcotic sign out must be co-singed by the preceptor or other designated nurse • Discontinue A-lines, central lines • Discontinue endotracheal tubes • Titrate IV medications • Access chemoports or access ports • Endotracheal, Nasotracheal or tracheal suctioning 2. Undergraduate students may NOT do the following: • Take or accept verbal or telephone orders • Perform arterial sticks • Perform defibrillation or cardioversion • Perform vaginal exams • Document on Medicare forms such as 485 or 486 • Give epidural boluses or monitor epidural medication administration • Count controlled substances for shift change • Pick up controlled substances from the pharmacy • Administer anesthesia conscious sedation • Administer blood or blood products • Administer lipids, hyperalimentation, rejection medications and/or experimental medications • Administer intramuscular or intravenous chemotherapy medications • Discontinue hemodynamic catheters • Discontinue chest tubes • Witness consent forms • Manage epidural pain medication • Manage ventilator, autoinfusion devices, or dialysis devices (hemo or peritoneal)
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University of Mississippi School of Nursing Accelerated BSN Program Skills Performance Guidelines
D. Program Skills completed prior to entering clinical:
Basic Health Assessment Performing hand hygiene Assessing respiration: rate, rhythm, and effort Taking a temperature Obtaining manual blood pressure Assessing radial pulse Measuring oxygen saturation with pulse oximetry Assessing apical pulse Assessing pain Assessing apical-radial pulse Measuring height and weight Comprehensive Physical Exam and Documentation Interview and Health History with Documentation Hygiene, Activity and Mobility Performing a complete or partial bed bath Cleaning dentures Performing perineal care for a female patient Assisting with a gown change Performing perineal care for a male patient Environmental assessment Making an unoccupied bed Using restraint alternatives Making an occupied bed Applying restraints Performing oral hygiene for an unconscious patient Assisting with moving a patient in bed Assisting with positioning a patient in bed Transferring from a bed to a wheelchair using a transfer belt Transferring from a bed to a stretcher Performing passive range-of-motion exercises Applying elastic stockings Using a sequential compression device Assisting with ambulation using a gait belt Assisting with meals Taking aspiration precautions Measuring Intake and Output Basic Infection Control and Enteral Nutrition PPE and isolation precautions Electrocardiogram (ECG or EKG) Establishing and maintaining a sterile field Preparing a patient for surgery Adding items to a sterile field Preoperative assessment Pouring a sterile solution Promoting family support and participation Using a prepackaged sterile kit Teaching postoperative exercises Performing sterile gloving Inserting a nasogastric tube Wound and pressure ulcer care Providing enteral feedings Assessing wounds Removing a feeding tube Collecting a specimen for wound culture Postoperative Nursing Care Irrigating wounds Providing postoperative care Changing a dressing Managing pain Using wound drainage systems Managing a nasogastric tube Caring for pressure ulcers Medication Administration: Nonparenteral Ensuring the six rights of medication administration Administering oral medications Documenting medication administration Handling medication variations Preventing medication errors Using automated medication dispensing systems Applying topical medications Applying an estrogen patch and nitroglycerin ointment Administering eye medications Administering ear medications Using a metered-dose inhaler Using a dry powder inhaler Inserting a rectal suppository Preparing injections from an ampule Performing blood glucose testing Preparing injections from a vial Preparing and administering insulin Drawing up more than one type of insulin Administering intradermal injections Administering subcutaneous injections Administering intramuscular injections
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University of Mississippi School of Nursing Accelerated BSN Program Skills Performance Guidelines
Elimination Assisting with a urinal Assisting with a bedpan Applying a condom catheter Administering a cleansing enema Providing catheter care Collecting a midstream urine specimen Screening urine for chemical properties Obtaining a specimen from an indwelling urinary catheter Pouching a colostomy Pouching a urostomy Performing stoma care Inserting an indwelling urinary catheter, female patient Inserting an indwelling urinary catheter, male patient Irrigating an urinary catheter Performing intermittent straight catheterization Caring for a suprapubic catheter Removing an Indwelling urinary catheter Fecal occult blood testing Performing gastric occult blood testing Respiratory Care Ensuring oxygen safety Setting oxygen flow rates Applying a nasal cannula or face mask Providing tracheostomy care Performing oropharyngeal suctioning Performing nasotracheal and nasopharyngeal suctioning Collecting a sputum specimen Medication Administration: Parenteral and Intravenous Care Preparing an infusion site Performing venipuncture Dressing the infusion site Troubleshooting intravenous infusions Discontinuing intravenous therapy Managing Intravenous Fluid Therapy Regulating an intravenous infusion Using an infusion pump Changing intravenous tubing and fluids Changing intravenous dressings Intravenous medication administration Administering IV medication by piggyback Administering IV medication by infusion pump Administering medications by intravenous bolus (IVP) Vascular access Performing dressing care for a central venous access device (CVAD) Drawing blood and administering fluid Troubleshooting vascular access devices Blood and Blood Products Preparing for a transfusion Initiating a transfusion Monitoring for adverse reactions to a transfusion Parenteral Nutrition Administering PPN with lipid infusion Administering PPN through a central line
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