In health care education, students must have the knowledge, skills, attitudes, and experience to be able to anticipate, identify, and manage situations that place patients at risk. To become competent in clinical skills, students practise in the classroom and laboratory, and then apply what they have learned to practise with supervision and support in the clinical setting. However, students today are often faced with less than optimal clinical exposure and assessment to develop the expertise and experience they need to be fully competent by graduation.

Furthermore, interprofessional teamwork creates shared patient care environments, where many disciplines will care for patients and their conditions, and patient information and care management moves frequently among health care providers. Successful patient treatment is reliant on many different health care providers and their skill sets, and each discipline teaches clinical skills differently. The lack of consistency in training and in the use of the latest evidence-based research in health care education makes it challenging to ensure safe care.

This open educational resource (OER) was developed to ensure best practice and quality care based on the latest evidence, and to address inconsistencies in how clinical health care skills are taught and practised in the clinical setting. The checklist approach aims to provide standardized processes for clinical skills and to help nursing schools and clinical practice partners keep procedural practice current.

Course Curriculum

About The Course – Clinical Procedures 00:20:00
Introduction – Clinical Procedures 00:00:00
Acknowledgments – Clinical Procedures 00:15:00
Disclaimer – Clinical Procedures 00:20:00
1. Infection Control
Infection Prevention and Control Practices 00:45:00
Hand Hygiene and Non-Sterile Gloves 01:30:00
Additional Precautions and Personal Protective Equipment 01:00:00
Surgical Asepsis and the Principles of Sterile Technique 01:00:00
The Operating Room Environment 00:00:00
Sterile Procedures and Sterile Attire 01:00:00
Summary – Infection Prevention 00:30:00
2. Patient Assessment
In Brief – Patient Assessment 00:20:00
Pain Assessment 00:00:00
Vital Signs 00:00:00
Health History 00:30:00
Head-to-Toe Assessment 00:30:00
Initial and Emergency Assessment 00:30:00
Focused Assessments 00:30:00
Summary – Patient Assessment 00:30:00
3. Safe Patient Handling, Positioning, and Transfers
Introduction – Safe Patient Handling 00:20:00
Body Mechanics 00:30:00
Patient Risk Assessment 00:45:00
Immobility and Assisting Patients 00:45:00
Positioning Patients in Bed 00:45:00
Assisting a Patient to a Sitting Position and Ambulation 00:45:00
Patient Transfers 00:00:00
Fall Prevention 00:40:00
Summary – Safe Patient Handling 01:00:00
4. Wound Care
Introduction – Wound Care 00:40:00
Wound Healing and Assessment 01:00:00
Simple Dressing Change 00:40:00
Suture Removal 00:00:00
Staple Removal 00:40:00
Moist to Dry Dressing, and Wound Irrigation and Packing 00:45:00
Drain Management and Removal 00:45:00
Summary – Wound Care 00:45:00
5. Oxygen Therapy
Introduction – Oxygen Therapy 00:45:00
Principles – Oxygen Therapy 00:25:00
Pulse Oximetry 01:30:00
Signs and Symptoms of Hypoxia 01:00:00
Oxygen Therapy Systems 00:45:00
Management of Hypoxia 00:45:00
Cautions with Oxygen Therapy 00:45:00
Oral Suctioning 00:45:00
Summary – Oxygen Therapy 00:30:00
6. Non-Parenteral Medication Administration
Introduction – Non-Parenteral Medication Administration 00:30:00
Safe Medication Administration 00:40:00
Administering Medications by Mouth and Gastric Tube 00:45:00
Administering Medications Rectally and Vaginally 00:45:00
Instilling Eye, Ear, and Nose Medications 00:45:00
Administering Inhaled Medications 00:45:00
Administering Topical Medications 00:45:00
Summary – Non-Parenteral Medication Administration 00:45:00
7. Parenteral Medication Administration
Introduction – Parenteral Medication Administration 00:45:00
Parenteral Medications and Preparing Medications from Ampules and Vials 00:45:00
Intradermal and Subcutaneous Injections 00:45:00
Intramuscular Injections 00:45:00
Intravenous Medications by Direct IV Route 00:45:00
Administering Intermittent Intravenous Medication (Secondary Medication) and Continuous IV Infusions 01:30:00
Complications Related to Parenteral Medications and Management of Complications 01:00:00
Summary – Parenteral Medication Administration 00:45:00
8. Intravenous Therapy
Introduction – Intravenous Therapy 00:45:00
Intravenous Fluid Therapy 00:45:00
IV Fluids, IV Tubing, and Assessment of an IV System 01:00:00
Priming IV Tubing and Changing IV Fluids and Tubing 01:00:00
Flushing a Saline Lock and Converting a Saline Lock to a Continuous IV Infusion 01:00:00
Converting an IV Infusion to a Saline Lock and Removal of a Peripheral IV 00:00:00
Transfusion of Blood and Blood Products 01:00:00
Total Parenteral Nutrition (TPN) 01:00:00
Summary – Intravenous Therapy 00:30:00
9. Blood Glucose Monitoring
Introduction – Blood Glucose Monitoring 00:30:00
Glucometer Use 00:45:00
Hypoglycemia and Hyperglycemia 00:45:00
Summary – Blood Glucose Monitoring 00:30:00
10. Tubes and Attachments
Introduction – Tubes and Attachments 00:30:00
Caring for Patients with Tubes and Attachments 00:45:00
Nasogastric Tubes 00:45:00
Urinary Catheters 00:45:00
Tracheostomies 00:45:00
Chest Tube Drainage Systems 00:45:00
Ostomy Care 00:45:00
Summary – Tubes and Attachments 00:45:00

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