Nurse EducationNurse Education
Advanced Nursing Skills

The Advanced Nursing Skills Checklists Manuals are packed full of excellent material that not only educates but evaluates!

These skill competency learning packages provide an excellent guide to study as well as an educator/learner progress and evaluation monitor.

Learner expectations upon completion:

Ventilator
  • Understand and explain the purpose of the mechanical ventilator
  • Knowledge of the nursing and RRT roles in the care of a mechanically ventilated patient
  • Knowledge of when to call the RRT while caring for a mechanically ventilated patient
  • Knowledge of oxygen toxicity, importance of weaning oxygen and method of weaning
  • Explain the patient's ABG criteria for requiring mechanical ventilation
  • Identify and explain the modes of mechanical ventilation
    • Assist Control Pressure Control
    • Assist Control Volume Control
    • Synchronized Intermittent Mandatory Ventilation with Pressure Control and Volume Control (SIMV)
    • and C-Pap
  • Identify and explain the function of the ventilator's controls (VT, FiO2, Rate, Pressure Support (PS) , and PEEP)
  • Identify and explain the function of the controls and the effects on the patient
  • Knowledge of how to set the VT using the formula
  • Apply the mechanical ventilator controls to the effect on the patient (increasing/decreasing the VT, RR, FiO2, PS, PEEP)
  • Knowledge of the settings required for caring for a patient with increased intracranial pressure
  • Relate various alarms to problem solving
    • airway resistance (patient & circuit)
    • and lung compliance)
  • Orientation to the mechanical ventilators with which the participant will be expected to work
  • Demonstrate how to prepare and assist the RRT with transportation of mechanically ventilated patient
  • Application of personal protection equipment required for suctioning a patient who is mechanically ventilated
  • Demonstrates how to perform closed system suction on a patient who is mechanically ventilated
  • Demonstrate written and practical competency as outlined by the standards listed in the policy and procedure for suctioning and mechanical ventilation
  • Demonstrate necessary documentation required for suctioning and ventilation
  • Competent Instillation of NS for viscous secretions only when absolutely necessary
Blood & Fluid Resuscitation Under Pressure:
  • Define the various blood products and their use
  • Identify the Classes of Hemorrhagic Shock
  • Describe the situations under which rapid infusion of blood under pressure would be necessary
  • Define the characteristics of:
    a) A quality pressure bag
    b) A quality fluid warmer
  • Identify the appropriate combination of equipment required for Hemorrhagic Shock
  • State the recommended sites for rapid fluid delivery
  • Identify the complications and precautionary measures when rapidly administering fluids
  • Demonstrate how to set-up and use the equipment for the skill of rapid infusion of resuscitating fluids under pressure
IV Cannulation & Venipuncture
  • Identify the superficial veins of the arm
  • Selection the appropriate cannula size according to the patient's condition
  • Demonstrate cannulation of a patient as outlined in the nursing policy and procedure
    • changing IV cannula, tubing & dressing dates
    • the different intravenous solutions and their uses
    • labelling the IV bag and site
    • flow rate volume of all IV tubing
    • IV site inspection
    • discontinuation of the IV
    • charting
    • procedure for obtaining Blood Cultures
  • Demonstrate injection of Intradermal Lidocaine
  • Demonstrate Saline Lock management
Visual Acuity & Eye Irrigation
  • Label the diagram of the eye
  • Explain the errors of refraction
  • State and recognize the 5 symptoms that demonstrate that the eye is being threatened
  • State the nursing approach to eye assessment
  • Describe how to assess the injured eye of the Multiple Trauma Patient
  • Demonstrate how to perform and document Visual Acuity Testing
  • Demonstrate how to perform eye irrigation
  • Explain how to health teach conjunctivitis, a patient with an eye patch and a chemical splash
Male Catheterization
  • Define the following terms: bladder, bladder sphincter, urethra prostate gland, glans penis, external urinary meatus, testes, ejaculatory duct, intermittent catheterization, manual expression, residual urine
  • Identify the anatomy of the male urogenital system and urinary tract
  • Describe the characteristics of normal and abnormal urine
  • Able to identify volume depletion (dehydration) and apply knowledge of altered urine amounts and colour towards hydration assessment
  • Able to perform bladder assessment and distinguish between dehydration and urinary retention
  • Demonstrate how to don sterile gloves
  • Demonstrate how to prepare a sterile tray for catheterization
  • State the Body Substance Precautions (BSP) required for catheterization
  • State how to select a catheter
  • Demonstrate the procedure for intermittent catheterization
  • Demonstrate the procedure for catheterization
  • Demonstrate the procedure for donning a condom catheter
  • Name the catheters and state how to select a catheter
  • State the information required for documentation

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