Apprentice Nurse Skills List

Apprentice Nurse Skills List

An Apprentice Nurse is an employee of an agency who is currently enrolled in a pre-licensure RN or PN nursing program. The Apprentice Nurse works at a health care facility providing nursing care following a Board-approved skills list (below). As Apprentice Nurses progress through their nursing programs, their ability to perform more of the approved skills increases. The Apprentice Nurse Program offers students the opportunity to practice their clinical skills and to acclimate to the role of the licensed nurse.

It is the responsibility of the hiring facility Director of Nursing to:

  • *Ensure the student (in-state or out-of-state) is currently enrolled in a program of nursing that is approved by that state’s board of nursing or appropriate state agency authorized to approve nursing programs.
  • *Ensure the nursing program (out-of-state) is also nationally accredited through either the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
  • *Ensure the student (in-state or out-of-state) is currently enrolled in a program of professional nursing and maintains enrollment during participation as an Apprentice Nurse.
  • *Verify the apprentice nurse’s competence to perform the skills and that the skills are on the Board-approved skills list.

Accountability for compliance with all program requirements remains with the Director of Nursing, as this individual has responsibility for all nursing activities within the facility.

A student’s eligibility to participate in the Apprentice Nurse Program ends upon graduation or failure to progress in the program for any reason.  Upon hire and at the beginning of each new semester it is the responsibility of the student to provide to the hiring facility verification of enrollment as well as a current clinical skills checklist. Upon graduation, the student becomes a graduate nurse and must possess an Interim Permit to practice nursing. It is the responsibility of the Director of Nursing to ensure that after graduation, the student no longer practices nursing as an Apprentice Nurse. It is also the responsibility of the Director of Nursing to ensure that all graduate nurses have active Interim Permits authorizing the practice of nursing.

SkillApprentice RNApprentice PN
Advanced DirectivesDocumentation and teachingDocumentation
AM Care/Activities of Daily livingIncludes shavingIncludes shaving
Ambulation of PatientsPerformsPerforms
Admission and ongoing assessmentContributes to data collection, reports information and records objective and subjective dataAssists in data collection
Back RubsPerformsPerforms
Bathing patientsBed, assist, sponge, tub, shower, whirlpoolBed, assist, sponge, tub, shower, whirlpool
BathroomAssist with commode, bedpans, urinalsAssist with commode, bedpans, urinals
Bed makingPerformsPerforms
Bili-lightsAssist RN with care of infants under lightAssist RN with care of infants under light
Breast feedingReinforcement educationReinforcement education
Bowel and bladderAssist with retrainingAssist with retraining
Call lightsAnswerAnswer
Cast careRoutine cast care with RN assistRoutine cast care with RN assist
Care PlanningContributes to the plan of care established for a patient by recording and reporting to the appropriate person his or her observations by conducting a focused assessment.Carries out the established plan of care
Catheters, FoleyInsertion, site care, care of patient with, emptying drainage bag, discontinuation, retentionInsertion under supervision of licensed nurse, site care, care of patient with, emptying drainage bag, discontinuation, retention
Catheters, intermittentInsertion, site care, care of patientSite care, care of patient
Catheters, suprapubicSite care, care of patient, empty drainage bagSite care, care of patient, empty drainage bag
Charting, flow sheetsGraphic/vital signs record, profile, admission database, I&O, outpatient, pre-opGraphic/vital signs record, profile, I&O, outpatient
Circulation, movement, sensation assessmentPerformsObserves and reports changes
CodeAs appropriate with basic BLS and AEDAs appropriate with basic BLS and AED
Croup tentCare of patient inCare of patient in
Discharge of patientsPerformsAssists with
DoucheAdministrationNo
Dressing and undressingPerformsPerforms
Dressing changes (sterile and nonsterile)Surgical, simple (uncomplicated), moist, nonsterile, wet to drySurgical, simple (uncomplicated), moist, nonsterile, wet to dry
Education, patientReinforcement of established written teaching planReinforcement of established written teaching plan
EKG, 12-leadTask only, no interpretationTask only, no interpretation
EnemaFleets, Harris Flush, oil retention, soap sudsFleets, Harris Flush, oil retention, soap suds
Errands as directedSupplies and equipmentSupplies and equipment
Elastic stockingsMeasuring and applicationMeasuring and application
HS and PM carePerformsPerforms
Hair careShampoo, brush, and combShampoo, brush, and comb
I&OAdult/pediatricAdult/pediatric
Impaired mobility managementPositioning and transferring. Use of transfer equipmentPositioning and transferring. Use of transfer equipment
Intravenous TherapyStart and remove peripheral line or peripheral access device, administer IV fluids w/o additives or medications, peripheral and central venous IV site care, flush lock

With IV Certification per LCB File No. R091-15, effective October 12, 2012. Start peripheral intravenous therapy that does not include midline or midclavicular catheters; flush lock; administer by adding a solution certain products; maintain patency of a peripheral intermittent vascular access device, including a peripherally inserted central catheter using a nontherapeutic dose of flush solution;

LPN Regulations

IsolationTechnique following guidelines (Standard Precautions, Body Substance Isolation)Technique following guidelines (Standard Precautions, Body Substance Isolation)
JejunostomyGavage of existing tubeGavage of existing tube
K-padAdministration and monitoringAdministration and monitoring
LinenEmptyingEmptying
Medications

With Immediate Preceptor supervision may:  Administer  oral, intra-muscular, subcutaneous, otic, ophthalmic, nasal, tube, or vaginal medications

Immediate Supervision

With Immediate Preceptor supervision may: Administer oral, intra-muscular, subcutaneous, otic, ophthalmic, nasal, tube, or vaginal medications

Immediate Supervision

Medications not allowedIV medications (PCA, push, piggyback, additives) epidural or chemotherapy meds (po or IV)IV medications (PCA, push, piggyback, additives) epidural or chemotherapy meds (po or IV)
NutritionAppropriate for age and diagnosis, feed patient, verifying diet, feed with regular or thumb-controlled syringe, assist with menus, pass traysAppropriate for age and diagnosis, feed patient, verifying diet, assist with menus, pass trays
Nutrition, GT/PEG feedingCare of patient, administer tube feedingCare of patient, administer tube feeding
Nutrition, nasogastric tubeCare of patient, insertion, gavage with existing tube, gastric suctioning,Care of patient, insertion, gastric suctioning, may not feed with weighted tip tube
Observe condition or change in conditionPerformsPerforms
Oral hygiene (conscious and unconscious patient)Brush, floss, denture careBrush, floss, denture care
Orthopedic devicesCare of patient with knee immobilizer, cervical collar, sling, crutches, CPMCare of patient with knee immobilizer, cervical collar, sling, crutches, CPM
OstomyChange bag and skin careChange bag and skin care
Orientation of patients to room/unitPerformsPerforms
Oxygen therapyCare of patient and application of mask, nasal cannula, hood, blow-byCare of patient and application of mask, nasal cannula, hood, blow-by
Perineal carePerformsPerforms
Positioning patient in bedPerformsPerforms
Post-mortem careAssist with care, consent forms, required requestAssist with care, consent forms
Pre-procedure shave/skin prepPerformsPerforms
Pulse oximetryPerformsPerforms
Range of Motion exercisesSimpleSimple
Rectal digital stimulation (not on new paraplegics or quadriplegics)PerformsPerforms under RN direction only
Restraints/safety devicesApply, release, care of patientApply, release, care of patient
SafetyFall prevention, care of patient, patient education and documentation, reportingFall prevention, care of patient, patient education and documentation, reporting
Seizure carePrecautions and managementPrecautions and management
Sequential compression stockingApplication and care of patientApplication and care of patient
Skin carePressure ulcer prevention, turning, collecting skin-care related dataPressure ulcer prevention, turning, collecting skin-care related data
Specialty bedsCare of patientCare of patient
Specimen collection and handling (nonmanipulated)Respiratory secretions and sputum, throat, rectal, stool, urine, diaperRespiratory secretions and sputum, throat, rectal, stool, urine, diaper
Specimen collection and handling (manipulated)Wound drainage, indwelling catheterWound drainage, indwelling catheter
Staples/sutureRemoval onlyRemoval with assist of licensed nurse
Steri-stripsApplication and removalApplication and removal
Suctioning and care of patientTracheal, oral, and nasalTracheal, oral, and nasal
Suctioning, bulb (infants)Only with OB/RN instructionNo
Surgical drainsCare of Jackson Pratt, J-Vac, JT-tubeCare of Jackson Pratt, J-Vac, JT-tube X
TracheotomyCare and suctioningCare and suctioning
Traction equipmentSet up (trapeze only), assist RN/LPN/PT with initial application and care of patient, may reapply tractionSet up (trapeze only), assist RN/LPN/PT with initial application and care of patient, may reapply traction
Transportation of patients and equipmentPerformsPerforms
Transcription of ordersMay NOT accept telephone and/or verbal orders. May process/transcribe provider orders. RN to reconcile and note all ordersMay NOT accept telephone and/or verbal orders. May process/transcribe provider orders. RN to reconcile and note all orders
Vaporizer–cool mistPerformsPerforms
ValuablesAppropriate care and documentationAppropriate care and documentation
Vital signsPerformPerform
Weights/heightsMay measure and weigh patient (standing/chair/bed, scale/sling)May measure and weigh patient (standing/chair/bed, scale/sling)