Apprentice Nurse Skills List

Apprentice Nurse Skills List

An Apprentice Nurse is an employee of an agency who is currently enrolled in a prelicensure 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 National League for Nursing Accrediting Commission (NLNAC) 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 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.

Skill Apprentice RN Apprentice PN
Advanced Directives Documentation and teaching Documentation
AM Care/Activities of Daily living Includes shaving Includes shaving
Ambulation of Patients Performs Performs
Admission and ongoing assessment Assists in data collection Contributes to data collection, reports information, and records objective and subjective data
Back Rubs Performs Performs
Bathing patients Bed, assist, sponge, tub, shower, whirlpool Bed, assist, sponge, tub, shower, whirlpool
Bathroom Assist with commode, bedpans, urinals Assist with commode, bedpans, urinals
Bed making Performs Performs
Bili-lights Assist RN with care of infants under light No
Breast feeding Reinforcement education No
Bowel and bladder Assist with retraining Assist with retraining
Call lights Answer Answer
Cast care Routine cast care with RN assist Routine cast care with RN assist
Catheters, Foley Insertion, site care, care of patient with, emptying drainage bag, discontinuation, retention Insertion under supervision of licensed nurse, site care, care of patient with, emptying drainage bag, discontinuation, retention
Catheters, intermittent Insertion, site care, care of patient Site care, care of patient
Catheters, suprapubic Site care, care of patient, empty drainage bag Site care, care of patient, empty drainage bag
Charting, flow sheets Graphic/vital signs record, profile, admission database, I&O, outpatient, pre-op Graphic/vital signs record, profile, I&O, outpatient
Circulation, movement, sensation assessment Performs No
Code As appropriate with basic CPR As appropriate with basic CPR
Croup tent Care of patient in No
Discharge of patients Performs Assists with
Douche Administration No
Dressing and undressing Performs Performs
Dressing changes (sterile and nonsterile) Surgical, simple (uncomplicated), moist, nonsterile, wet to dry Surgical, simple (uncomplicated), moist, nonsterile, wet to dry
Education, patient Reinforcement of established written teaching plan Reinforcement of established written teaching plan
EKG, 12-lead Task only, no interpretation No
Enema Fleets, Harris Flush, oil retention, soap suds Fleets, Harris Flush, oil retention, soap suds
Errands as directed Supplies and equipment Supplies and equipment
Elastic stockings Measuring and application Measuring and application
HS and PM care Performs Performs
Hair care Shampoo, brush, and comb Shampoo, brush, and comb
I&O Adult/pediatric Adult/pediatric
Impaired mobility management Positioning and transferring Positioning and transferring
Intravenous Therapy Start 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 Start and remove peripheral access device with needles that are no longer than 3", administer IV fluids w/o additives or medications, peripheral and central venous IV site care, flush lock
Isolation Technique following guidelines (Standard Precautions, Body Substance Isolation) Technique following guidelines (Standard Precautions, Body Substance Isolation)
Jejunostomy Gavage of existing tube Gavage of existing tube
K-pad Administration and monitoring Administration and monitoring
Linen Emptying Emptying
Medications Administration of oral, intra-muscular, subcutaneous, otic, ophthalmic, nasal, or tube Administration of oral, intra-muscular, subcutaneous, otic, ophthalmic, nasal, or tube
Medications not allowed IV medications (PCA, push, piggyback, additives) or epidural IV medications (PCA, push, piggyback, additives) or epidural
Nutrition Appropriate for age and diagnosis, feed patient, verifying diet, feed with regular or thumb-controlled syringe, assist with menus, pass trays Appropriate for age and diagnosis, feed patient, verifying diet, assist with menus, pass trays
Nutrition, GT/PEG feeding Care of patient, administer tube feeding Care of patient, administer tube feeding
Nutrition, nasogastric tube Care 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 condition Performs Performs
Oral hygiene (conscious and unconscious patient) Brush, floss, denture care Brush, floss, denture care
Orthopedic devices Care of patient with knee immobilizer, cervical collar, sling, crutches, CPM Care of patient with knee immobilizer, cervical collar, sling, crutches, CPM
Ostomy Change bag and skin care Change bag and skin care
Orientation of patients to room/unit Performs Performs
Oxygen therapy Care of patient and application of mask, nasal cannula, hood, blow-by Care of patient and application of mask, nasal cannula, hood, blow-by
Perineal care Performs Performs
Positioning patient in bed Performs Performs
Post-mortem care Assist with care, consent forms, required request Assist with care only
Pre-procedure shave/skin prep Performs Performs
Pulse oximetry Performs Performs
Range of Motion exercises Simple Simple
Rectal digital stimulation (not on new paraplegics or quadriplegics) Performs Performs under RN direction only
Restraints/safety devices Apply, release, care of patient Apply, release, care of patient
Safety Fall prevention, care of patient, patient education and documentation, reporting Fall prevention, care of patient, reporting
Seizure care Precautions and management Precautions and management
Sequential compression stocking Application and care of patient No
Skin care Pressure ulcer prevention, turning, collecting skin-care related data Pressure ulcer prevention, turning, collecting skin-care related data
Specialty beds Care of patient Care of patient
Specimen collection and handling (nonmanipulated) Respiratory secretions and sputum, throat, rectal, stool, urine, diaper Respiratory secretions and sputum, throat, rectal, stool, urine, diaper
Specimen collection and handling (manipulated) Wound drainage, indwelling catheter Wound drainage, indwelling catheter
Staples/suture Removal only Removal with assist of licensed nurse
Steri-strips Application and removal Application and removal
Suctioning and care of patient Tracheal, oral, and nasal Tracheal, oral, and nasal
Suctioning, bulb (infants) Only with OB/RN instruction No
Surgical drains Care of Jackson Pratt, J-Vac, JT-tube Care of Jackson Pratt, J-Vac, JT-tube X
Tracheotomy Care and suctioning Care and suctioning
Traction equipment Set up (trapeze only), assist RN/LPN/PT with initial application and care of patient, may reapply traction Set up (trapeze only), assist RN/LPN/PT with initial application and care of patient, may reapply traction
Transportation of patients and equipment Performs Performs
Transcription of orders Limited to provider order processing–eg, transfer of order to MAR; may not accept telephone and/or verbal orders No
Vaporizer–cool mist Performs No
Valuables Appropriate care and documentation Appropriate care and documentation
Vital signs Perform Perform
Weights/heights May measure and weigh patient (standing/chair/bed, scale/sling) May measure and weigh patient (standing/chair/bed, scale/sling)