Lurleen B. Wallace Community College

On-the-job Training

• Basic Competencies
  • Perform hand hygiene
  • Apply personal protective equipment
  • Assist patients with ambulation, including but not exclusive to use of mobile assistive devices such as walkers, canes, crutches, gait belts, and wheelchairs
  • Position and transfer patients
  • Perform restorative care to include active and passive range-of-motion exercises and contracture care
  • Perform hygiene care including bed baths, urinary catheter care, and ostomy care
  • Assist patients with activities of daily living such as feeding, clothing, care of teeth and hair, toileting
  • Perform skin care and pressure ulcer prevention, turning
  • Apply sequential compression stockings and/or devices
  • Communicate with patients and families using therapeutic communication methods
  • Perform comprehensive physical assessment to include identification of normal and abnormal findings
  • Document assessments, vital signs, medications, etc.
  • Assist with admission and discharge of patients (May perform the initial intake assessment and discharge instructions)
  • Obtain vital signs, including blood pressure, pulse, respirations, height/weight, and oxygen saturation
  • Perform 12-lead EKG
  • Administer enemas
  • Perform ostomy care
  • Collect non-intravenous and non-arterial specimens
  • Perform wet to dry and clean dressings
  • Apply steri-strips, removes bandages and staples/suture
  • Apply cold and heat therapies
  • Provide care for casts, traction, pins, and air splints
  • Insert, provide suction, and remove nasogastric tubes
  • Administer enteral and nasogastric tube feedings
  • Administer oxygen therapy and perform airway management
  • Administer Incentive Spirometer therapy
  • Provide oral, nasal, and tracheal suctioning
  • Apply restraints only as facility policy allows and under the supervision of the Journey Worker (preceptor) nurse
  • Administer medications by oral, intra-muscular, subcutaneous, otic, ophthalmic, nasal, nebulizer, or tube routes excluding racemic epinephrine by nebulizer. Administer narcotics only as allowed by facility policy and under the supervision of the Journey Worker (preceptor) nurse.
  • Follow safety precautions for fall prevention, seizures, etc.
  • Perform end-of-life care
  • Perform postmortem care
• Advanced
  • Apply sterile gloves/surgical gowning and gloving (may be performed in first time period)
  • Empty and care for surgical drains such as Jackson-Pratts, Hemovacs, and etc.
  • Insert and remove urinary catheters
  • Straight catheter insertion and removal
  • Insert intravenous (IV) catheters and provide IV therapy (May not start IVs on neonates)
  • Administer IV piggy back medications IV push medications only administered if healthcare facility policy allows.
  • Preparing primary IV container and tubing
  • Converting a primary IV line into a saline lock
  • Peripheral lab draw using a butterfly needle and syringe
  • Discontinue IV therapy
  • Perform endotracheal tube suctioning, care, and dressing changes
  • Perform central line dressing changes as healthcare facility policy allows
  • Perform sterile dressing procedures pending facility policy
  • Perform routine care of chest tubes
  • Delegate tasks to other healthcare personnel (other RNs, nursing assistants/care techs)
  • Perform assessments on adult patients, pediatric patients, pregnant patients, post-partum patients, and newborns
  • Care for patients in labor and delivery to include but not limited to applying and monitoring external fetal heart tone (FHT) and uterine contraction monitors (TOCO), monitoring internal FHT and uterine contraction monitors, conducting nonstress tests, checking for cervical dilation and effacement, obtaining vaginal cultures, assisting with epidurals, and assisting with deliveries.
  • Administer care of the newborn, including but not limited to assessing the cord and obtaining cord blood, determining Apgar scores, taking measurements, administering vitamin K, Hepatitis vaccine, and erythromycin ointment; and performing heel sticks for PKU and glucose monitoring, monitoring phototherapy, and assisting with circumcisions.
  • Manage post-partum care including but not limited to episiotomy care, assessing for postpartum hemorrhage, and assisting with breastfeeding.