Clinical Skills Inventory

University of Liverpool – Department of Nursing Clinical Nursing Skills Inventory

This inventory forms an important part of your Portfolio of Education, and is to guide and record your acquisition of clinical skills throughout your studies. This inventory will help you maintain a record of the skills you have acquired during clinical placements, together with the procedures in which you have participated. It can be used to help focus discussion with your academic tutor, your clinical mentor and the University Teachers of Clinical Skills and so help identify future learning needs. Guidelines The inventory identifies nursing skills and the level of development expected in the Common Foundation programme and the Adult Branch programme. Some

skills may require further development before you achieve full competence and you should expect to consolidate these post-registration. The inventory forms part of the evidence of achievement that you will use to demonstrate to your mentor how you are meeting the competency standards during

your placement. You will find it helpful to review this inventory prior to, and following clinical placements and identify, with the help of your clinical mentor, the opportunities

available for clinical skills development during the placement, and those skills to be focused on during your next experience. The student can use the inventory to identify skills/procedures that s/he has not observed or practiced, enabling the student to negotiate suitable experiences in

order to become competent in these skills and procedures. It is expected that you will review the inventory on completion of each clinical module with your academic tutor, and using the key given below, record the

appropriate level of skills acquisition. You should date and initial each completed entry. If you feel you require further support to reach the expected level of skills acquisition then you should contact the University Teachers of Clinical Skills, and/ or your

academic tutor.

Please use the reflection section of your portfolio to record any particular aspect of the clinical skill experience which was important to you and which may help you to identify future learning needs.

Key - Clinical Skills Acquisition Level

NOVICE (Observed)

BEGINNER (Directly Supervised)

COMPETENT (Indirect Supervision)

PROFICIENT (Regularly Practiced)

Have observed the skill/activity

Have practiced the skill under the supervision of a competent practitioner

Can undertake the activity/skill independently and in a safe and effective manner

Can undertake skill/activity in a safe and effective manner. Can also demonstrate, supervise, teach and support a learner in the activity and development of this particular skill/nursing activity

Colour Key

Common

Foundation

Adult Branch Post Registration

Clinical Skill Domain: Section A

Novice (Observed)

Beginner (Directly Supervised)

Competent (Indirect Supervision)

Proficient (Regularly Practiced)

A) Communication: Successful completion of the following activities will promote competence in effective and sensitive communication with patients and significant others

A.1 Effective use of verbal communication to form relationships with patients, relatives and nursing team

Student: Registered Nurse: Date:




A.2 Liases effectively with members of Professional team i.e referrals, information management





A.3 Effectively communicates during difficult situations ie breaking bad news, anxious patient, confused patient





A.4 effectively uses a range of communication skills to deal with challenging behaviour i.e de ecalation strategies





A.5 Gains consent from patient prior to carrying out nursing care interventions





A.6 Communicate appropriate and relevant information to patients /relatives, Ie telephone queries, information leaflets, refer to other practitioners





A.7 Effective use of eye contact





A.8 Effective and appropriate touch in aiding communication.





A.9 Effective use of space in aiding communication.





A.10 Uses appropriate forms of address for patients and their relatives

Student:

Student:

Student:

Student:

Registered Nurse: Date:




A.11 Ensures effective written communication i.e. patients nursing care plan





Clinical Skill Domain: Section A

Novice (Observed)




A) Communication: Successful completion of the following activities will promote competence in effective and sensitive communication with patients and significant others

A.12 Ensures effective oral communication to promote continuity of patient care, i.e., handover,





A.13 identifies and responds to differing cultural needs, i.e., language, translator





Clinical Skill Domain: Section B

Novice (Observed)

Beginner (Directly Supervised))



B) Health & Safety: Successful completion of the following activities will promote competence in providing a safe care environment

B.1 Assessment and organisation of a safe

environment





B.2 Complete risk assessments to reflect patient conditions, i.e., moving and handling,





B.3 Individual patient safety to balance safe observation and privacy





B.4 Safe custody of patients property Student: Registered Nurse: Date:




B.5 Be familiar with a range of manual handling equipment: - Hoists - Sliding sheets





- PAT slides - Repositioning beds - Other

Clinical Skill Domain: Section C (cont/d)

Novice (Observed)




C) Health Promotion: Successful completion of the following activities will promote the role of the student as a promoter of health

C.1 Provide appropriate and relevant health promotion opportunities for patients/ clients, giving advice on maintaining health





C.2 Provide opportunities for patients/ clients to have control over their own health care





Clinical Skills Domain: Section D Novice

(Observed) Beginner

(Directly Supervised) Competent

(Indirect Supervision) Proficient

(Regularly Practiced)

D) Mobility: Successful completion of the following activities will promote competence in meeting and maximizing a patient’s mobility needs

D.1 Assessment of patient mobility to reflect current patient conditions





D.2 Promote patient mobility using various aids Eg crutches, walking frames, walking sticks Wheelchairs





D.3 Be familiar with care of patient with a: - Temporary splint - Plaster cast - Traction





D.4 Demonstrates preventions strategies for complications associated with immobility e.g. active/passive limb / chest exercises,





D.5 Assessment of pressure area risk





D.6 Demonstrates preventative measures in the care of patents at risk: -Selection of appropriate pressure relieving / redistributing equipment

-Regular observation of skin





-Repositioning regime -Other

Clinical Domain: Section E Novice

(Observed) Beginner




E) Personal Hygiene: Successful completion of the following activities will promote competence in meeting the personal hygiene needs of patients

E.1 Assesses patient’s self-care abilities





E.2 Assists bathing/ showering patients





E.3 Undertaking a bed bath for a patient





E.4 Undertaking Mouth/Denture Care





E.5 Assisting patients with their prosthetic devices i.e. glasses, hearing aids, false limbs





E.6 Hair care





E.7 Foot care i.e. toenail trimming





E.8 Skin care





E.9 Eye Care





E.10 Responding to cultural needs/differences in hygiene

Student:

Student:

Student:

Student:

Clinical Skills Domain: Section F Novice

(Observed) Beginner




F) Elimination: Successful completion of the following activities will promote competence in promoting and meeting the elimination needs of patients

F.1 Ensures patients privacy and dignity during toileting





F.2 Enables patients to use bed pan/urinals safely





F.3 Enables patients to use commodes safely





F.4 Administration of enemas and suppositories, as prescribed





F.5 Meets the needs of patients with a stoma i.e. ileostomy, colostomy, urostomy





F.6 Care of patient with urinary catheter Student: Registered Nurse: Date:




F.7 Insertion of catheter: - male (as per local trust policy) - female





F.8 Drainage of urinary catheter bag:





F.9 Removal of urine catheter





Clinical Skills Domain: Section G Novice

(Observed) Beginner




G) Nutrition and Hydration: Successful completion of the following activities will promote competence in meeting and ensuring a patient’s nutritional needs

G.1 Assesses appropriate nutritional needs Student: Registered Nurse: Date:




G.2 Assists in feeding patients Student: Registered Nurse: Date:




G.3 Assesses requirements for special dietary needs





G.4 Advises patients on the selection of a suitable diet





G.5 Use of food /diet record sheet





G.6 Insertion of a naso-gastric tube Student: Registered Nurse: Date:




G.7 Administers nutrition via a naso-gastric tube Student: Registered Nurse: Date:




G.8 Aspiration of naso-gastric tube





G.9 Cares for gastrostomy site





Clinical Skills Domain: Section G (cont/d)

Novice (Observed)




G) Nutrition and Hydration: Successful completion of the following activities will promote competence in meeting and ensuring a patient’s nutritional needs

G.10 Administers nutrition via gastrostomy





G.11 Uses electronic devices to deliver and monitor continuous gastric feeds





G.12 Cares for the patient requiring modified or Total Parental Nutrition (TPN)





Clinical Skills Domain: Section H Novice

(Observed) Beginner




H) Clinical Observations: Successful completion of the following activities will promote competence in using clinical observations to monitor and respond to changes in a patient’s condition

H.1 Accurately recording blood pressure : - - Manually





H.2 Accurately recording blood pressure by: - - Electronic device





H.3 Blood glucose monitoring by electronic device Student: Registered Nurse: Date:




H.4 Central venous pressure monitoring and recording





H.5 Electro Cardio Graph Cardiac monitoring





H.6 Fluid balance measurements Student: Student: Student: Student:

- Inputs - Outputs





Clinical Skills Domain: Section H (cont/d)

Novice (Observed)




H) Clinical Observations: Successful completion of the following activities will promote competence in using clinical observations to monitor and respond to changes in a patient’s condition

H.7 Neurological observations





H.8 Pulse – palpation of a pulse at a variety of anatomical sites





H.9 Pulse Oximetry





H.10 Respiration - Rate - Volume - Peak flow





H.11 Temperature monitoring at various anatomical sites,

- Oral - Axilla - Tympanic





H.12 Routine urinalysis





H.13 Collection of - Mid-stream specimen of Urine - Catheter specimen of urine - Faeces specimen





H.14 Venepuncture


Student: ** Registered Nurse: Date:



H.15 Weight and height measurements





** 3rd year only

Clinical Skill Domain: Section I

Novice (Observed)




I) Clinical Interventions/ Emergencies: Successful completion of the following activities will promote competence in responding to emergency situations

I.1 Basic life support sequence ( if opportunity arises )





I.2 Effective checking, maintaining and assembling resuscitation equipment





I.3 Summoning assistance in the event of an emergency situation





I.4 Oropharyngeal suction technique Student: Registered Nurse: Date:




I.5 Tracheostomy suction technique Student: Registered Nurse: Date:




Clinical Skill Domain: Section J

Novice (Observed)




J) Administration of Medicines: Successful completion of the following activities will promote competence in safe and effective administration of medicines

J.1 Safe storage and dispensing of medication Student: Registered Nurse: Date:




J.2 Safe storage and dispensing of controlled drugs





J.3 Correct calculation of drug dosages Student: Registered Nurse: Date:




J.4 Ensures medications are given correctly in accordance with trust guidelines, national policy and the law





Clinical Skill Domain: Section J (cont/d)

Novice (Observed)




J) Administration of Medicines: Successful completion of the following activities will promote competence in safe and effective administration of medicines

J.5 Administers oral medicines Student: Registered Nurse: Date:




J.6 Administers intra muscular injections Student: Registered Nurse: Date:




J.7 Administers subcutaneous injection Student: Registered Nurse: Date:




J.8 Administers topical medications Student: Registered Nurse: Date:




J.9 Administers medication via a nebuliser Student: Registered Nurse: Date:




J.10 Administers medication via an inhaler Student: Registered Nurse: Date:




J.11 Administers medications via rectal route. Student: Registered Nurse: Date:




J.12 Administers oxygen therapy safely via - Mask, - Nasal cannula, - Humidification





J.13 Administration of intravenous fluids via an infusion





J.14 administration of intravenous fluids via bolus





Clinical Skill Domain: Section K Novice

(Observed) Beginner




K) Control of infection: Successful completion of the following activities will promote effective control of infection

K.1 Hand washing and drying techniques





K.2 Safe handling and disposal of infected material e.g. use of gloves and aprons





K.3 safe disposal of waste in clinical area i.e. black bags, yellow bags





K.4 Safe collection and transportation of clinical specimens - blood - sputum - urine - faeces - human tissue





K.5 Safe handling and disposal of body fluids





K.6 Isolation nursing: - barrier nursing - reverse barrier nursing





K.7 Safe handling and disposal of sharps Student: Registered Nurse: Date:




K.8 Demonstration of aseptic technique to policy Student: Registered Nurse: Date:




Clinical Skill Domain: Section L

Novice (Observed)




L) Intravenous Care: Successful completion of the following activities will promote competence in ensuring safe care of a patient with an intravenous device

L.1 Caring for a patient with a intravenous cannula - connecting - disconnecting - redressing - documentation





L.2 Preparing an intravenous infusion





L.3 Setting flow / drop rate according to prescription





L.4 Monitoring and recording of intravenous infusion





L.5 Using an mechanical intravenous pump device





L.6 Changing an infusion bag





L.7 Removal and disposal of an intravenous cannula





L.8 Preparation for a blood transfusion





L.9 Monitoring patients receiving a blood transfusion





L.10 Disposal of blood transfusion pack and infusion set.





Clinical Skill Domain: Section L (cont/d)

Novice (Observed)




L) Intravenous Care: Successful completion of the following activities will promote competence in ensuring safe care of a patient with an indwelling intravenous device requiring intravenous medications/fluid

L.11 Care of central venous line insertion site





L.12 Removal of central venous line





Clinical Skill Domain: Section M

Novice (Observed)




M) Patients undergoing investigations/ surgery: Successful completion of the following activities will promote competence in meeting the needs of patients undergoing surgery/investigations

M.1 Promotes the patients rights and ability to make informed consent





M.2 Provides the patient with relevant information relating to their condition





M.3.Complete pre operative /procedure checks as per list





Clinical Skill Domain: Section N

Novice (Observed)




N) Wound Care: Successful completion of the following activities will promote competence in ensuring safe and effective wound care

N.1 Completes and documents a wound assessment





N.2 Changing a wound drainage bottle





N.3 Removal of sutures/clips





N.5 Removal of wound drain. Student: Registered Nurse: Date:




N.6 Removal and application of appropriate wound dressing using aseptic principles





N.7 Take a wound swab





Essential Clinical Skills Updates (insert date of update)

Year 1 Year 2 Year 3

Basic Life Support

(Adults and Children)

Adult only Adult only

Manual Handling

Fire and Safety

Clinical Skills Inventory

Documents

Transcript of Clinical Skills Inventory