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2025-02-28 14:14:25 -05:00

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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> &gt; <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> &gt; <a href="." class="crumb_link">Reopening Shuttered Hospitals to Expand Surge Capacity</a> &gt; Appendix C (continued)</span></p>
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<td height="30px"><span class="title"><a name="h1" id="h1"></a> Reopening Shuttered Hospitals to Expand Surge Capacity</span></td>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
<p>This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.</p>
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<h3>Appendix C. RN Nursing Skills for Possible Delegation (continued)</h3>
<table border="1" cellspacing="0" cellpadding="1" width="100%">
<thead>
<tr valign="top">
<th scope="col" width="26%">&nbsp; </th>
<th scope="col" width="18%">Nursing Student&#8212;4 Year BSN program </th>
<th scope="col" width="18%">Nursing Student&#8212;2 year Program</th>
<th scope="col" width="18%">Respiratory Therapy Student </th>
<th scope="col" width="18%">Respiratory Therapist </th>
</tr>
</thead>
<tr>
<td colspan="5"><p><strong>Orthopedics</strong></p> </td>
</tr>
<tr valign="top"><td scope="row" width="26%"> <p>Record/describe</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Circulation checks</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Gait</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Range of motion</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Skin</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p>Care of a patient with:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Cast</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Prosthesis/Amputation</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Pinned fractures</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Splints</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Pressure relief devices</p>
</td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Total hip replacement</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Total knee replacement</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p>Hoyer lift</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr>
<td colspan="5"> <p><strong>Gastrointestinal</strong></p> </td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Record/describe:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Bowel sounds</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Fluid balance</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Nutritional status</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p>Care of a patient with:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Bowel obstruction</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- GI bleed</p> </td>
<td width="18%">x Year 3</td>
<td width="18%"> <p>x Semester 4</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Hepatitis</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- NG tube care and feedings</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Colostomy</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Gastronomy tube and feedings</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p>Medications:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Antiemetics</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Antispasmodic</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr>
<td colspan="5"><p><strong>Genitourinary</strong></p> </td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p>Insertion of Foley catheter:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Male</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Female</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p>Care of a patient with:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Acute renal failure</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Peritoneal lavage</p> </td>
<td width="18%"> <p>No</p> </td>
<td width="18%">x Semester 2, if have experience</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Urinary tract infection</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Ileostomy</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Nephrostomy tube</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- GU irrigation</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Suprapubic tube</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td></tr>
<tr>
<td colspan="5"><p><strong>Endocrine</strong></p></td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Record/describe</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- S/S hyperglycermia</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- S/S hypoglycemia</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Blood glucose monitoring</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Electronic monitoring device</p>
</td> <td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Finger stick</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Care of a patient with:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Diabetic ketoacidosis</p> </td>
<td width="18%">x Year 4</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Medications</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Insulin</p> </td>
<td width="18%"> <p>x Year 3 -SC only</p> </td>
<td width="18%"> <p>x Semester 2, with instructor supervision</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Oral hypoglycemics</p> </td>
<td width="18%">x Year 3</td>
<td width="18%"> <p>x Semester 2, with instructor supervision</p>
</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr>
<td colspan="5"> <p><strong>Infectious Disease</strong></p> </td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Care of a patient with:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Fever</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Isolation</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- AIDS</p> </td>
<td width="18%">x Year 3</td>
<td width="18%"> <p>x Semester 4, but depends on clinical experience</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr>
<td colspan="5"> <p><strong>Medications/IV Therapy</strong></p> </td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Medication calculation</p> </td>
<td width="18%">x Year 3</td>
<td width="18%"> <p>x Semester 2, simple ones</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Reconstitution</p> </td>
<td width="18%"> <p>x Year 3, with direct supervision</p> </td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Oral administration</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Eye administration</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>IM administration</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>SQ administration</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Rectal administration</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Starting IVs</p> </td>
<td width="18%"> <p>No</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p>IV medication administration</p> </td>
<td width="18%"> <p>With restrictions</p> </td>
<td width="18%"> <p>After school</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Drawing venous blood</p> </td>
<td width="18%"> <p>x Year 4 from central line</p> </td>
<td width="18%"> <p>After school</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Care of a patient with:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Broviac/Hichman line</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Groshong</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- PICC</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Portacath</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Pumps </p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p>Total Parenteral Nutrition</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
</table>
<p class="size2">*The nurse practice act in each State would have to be reviewed for any legal
limitations imposed on LPNs.<br />
<strong>Sources:</strong> Check list items identified/selected from several sample medical surgical and long-term care skills checklists found at:</p>
<ul class="size2">
<li>http://www.professionalnurse.com/download/skills_medsurg.pdf</li>
<li>http://www.dblhealthcare.com/forms/medical-surgical-nursing-skills-checklist.htm </li>
<li> http://www.musc.edu/nursing/student_life/SkillsCheckList1.pdf </li>
</ul>
<p class="size2"><a href="shuthosp.htm#Contents">Return to Contents</a><br />
<a href="shuthospapd.htm">Proceed to Next Section</a></p>
<p>&nbsp;</p>
<div class="footnote">
<p> The information on this page is archived and provided for reference purposes only.</p></div>
<p>&nbsp;</p>
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