Clinical skills and procedures, ENFE 6636

University of Puerto Rico Medical Science Campus School of Nursing Graduate Department

NRSG- 6636 Intervencin de Enfermera con Personas en Estado Crtico de Salud~ Fase II CLINICAL SKILLS AND CLINICAL PROCEDURES FOR CLINICAL PRACTICE

Name: ___________________________ Facult Skills/Procedure Heart sounds Pulmonic area Aortic area Erbs point Tricuspid area Apical area Date Score y Sign Observations

Peripheral Pulses

Cardiac rhythm 12-Lead EKG Procedure Analysis Procedure

Transcutaneous Pacemaker Cardioversion Defibrillation Hemodynamic

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Clinical skills and procedures, ENFE 6636

Facult Skills/Procedure Wave form analysis Normal and damped Central Venous Pressure (CVP) Pulmonary Artery (PA) Pulmonary Capillary Wedge Pressure (PCWP) Cardiac Output (CO) Mean arterial pressure (MAP) Care of the line and insertion site Dressing changes Assist with insertion: Arterial lines Pacemaker Central line Clinical Management: Acute kidney Injury ARDS Gastrointestinal Hemorrhage Diabetic Ketoacidosis Hyperglycemic hyperosmolar state Shock Syndrome Hypovolemic Septic Neurogenic Date Score y Sign Observations

Trauma
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Clinical skills and procedures, ENFE 6636

Facult Skills/Procedure Brain injury Thoracic injury Abdominal injury Pelvic fracture Genitourinary injury Burn Date Score y Sign Observations

Airway management Breath sounds Normal Abnormal Crackles (rales) Rhonchi Wheezes Diminished breath sounds Pulse oximetry Chest tube ABGs analysis: Respiratory/metabolic alkalosis Respiratory/metabolic acidosis Compensated Partially compensated Non-compensated Peripheral nerve stimulator Ventilator settings Tidal volume (VT) Respiratory Rate (f)
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Clinical skills and procedures, ENFE 6636

Facult Skills/Procedure Oxygen concentration (FIO2) Positive end-expiratory pressure (PEEP) Pressure support (PS) I:E ratio Sensitivity High pressure limit Ventilator Modes Continuous mandatory ventilation (CMV) Synchronous Intermittent mandatory ventilation (SIMV) Pressure-controlled inverse ratio ventilation Pressure support ventilation (PSV) Constant positive airway pressure (CPAP) Level of consciousness Intraventricular catheter management Intracraneal pressure (ICP) measure Cerebral perfusion pressure (CPP) Delirium assessment Pain assessment
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Date

Score

y Sign

Observations

Clinical skills and procedures, ENFE 6636

Facult Skills/Procedure Sedation/Agitation assessment Insulin management Labs interpretation Date Score y Sign Observations

Rubric: 2 - Excellent performance; 1 Satisfactory performance; 0 - Need improvement; NR, need to repeat the skill or procedure
I certify that I have completed and have been assessed on all of the above clinical skills and clinical procedures as indicated in each column above.

__________________________ _______________ Signature of Student Date

I certify that the above student has fulfilled and passed the required clinical skills and clinical procedures during their clinical practice.
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Clinical skills and procedures, ENFE 6636

_________________________ Signature of Faculty

_______________ Date

Comments: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Rev. M.I.F. January/2013