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Nursing Skills Template

For nurses and healthcare professionals, the nursing skills template can be used as a measure for career growth. The checklist can also help them keep track of the skills they have attained and the ones that need improvement. They can also use it as a reference when applying for jobs or other professional positions.


For seasoned healthcare professionals, a nursing skill assessment template can serve as an assessment tool. For example, if you're looking to move up in your hospital's hierarchy or if you want to get into a nursing specialization, this checklist will help you identify what skills need improvement before you apply for those positions.


A nursing skill assessment template will also help you figure out which ones are more important for your advancement than others based on their level of difficulty (and therefore the amount of time spent studying).


The template is also useful for those who want to become nurses but aren't currently working toward that goal yet because they don't know what they need to learn first. This nursing skill assessment checklist will help guide them on their path toward becoming a nurse by showing them which areas they need to cover fist.


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Nursing Skills Template

Part 1: Hand Hygiene (Hand Washing)

Addresses client by name and introduces self to client by name
Turns on water at sink
Wets hands and wrists thoroughly
Applies soap to hands
Lathers all surfaces of wrists, hands, and fingers producing friction, for at least 20 (twenty) seconds, keeping hands lower than the elbows and the fingertips down
Cleans fingernails by rubbing fingertips against palms of the opposite hand
Rinse all surfaces of wrists, hands, and fingers, keeping hands lower than the elbows and the fingertips down
Uses clean, dry paper towel/towels to dry all surfaces of fingers, hands, and wrists starting at fingertips then disposes of paper towel/towels into waste container
Uses clean, dry paper towel/towels to turn off faucet then disposes of paper towel/towels into waste container or uses knee/foot control to turn off faucet
Does not touch inside of sink at any time
Demonstrated Competency?
Comments:

Part 2: Applies One Knee-High Elastic Stocking

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Client is in supine position (lying down in bed) while stocking is applied
Turns stocking inside-out, at least to the heel
Places foot of stocking over toes, foot, and heel
Pulls top of stocking over foot, heel, and leg
Moves foot and leg gently and naturally, avoiding force and over-extension of limb and joints
Finishes procedure with no twists or wrinkles and heel of stocking, if present, is over heel and opening in toe area (if present) is either over or under toe area; if using a mannequin, candidate may state stocking needs to be wrinkle-free
After completing skill, wash hands
Demonstrated Competency?
Comments:

Part 3: Assists to Ambulate Using Transfer Belt

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Before assisting to stand, client is wearing non-skid shoes/footwear
Before assisting to stand, bed is at a safe level
Before assisting to stand, checks and/or locks bed wheels
Before assisting to stand, client is assisted to sitting position with feet flat on the floor
Before assisting to stand, applies transfer belt securely at the waist over clothing/gown
Before assisting to stand, provides instructions to enable client to assist in standing including prearranged signal to alert client to begin standing
Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing
On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidate’s hands are in upward position), and maintaining stability of client’s legs by standing knee-to-knee or toe-to-toe with client
Walks slightly behind and to one side of client for a distance of ten (10) feet, while holding onto the belt
Assists client to bed and removes transfer belt
Signaling device is within reach and bed is in low position
After completing skill, wash hands
Demonstrated Competency?
Comments:

Part 4: Assists with Use of Bedpan

Explains procedure speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Before placing bedpan, lowers head of bed
Puts on clean gloves before placing bedpan under client
Places bedpan correctly under client’s buttocks
Removes and disposes of gloves (without contaminating self) into waste container and washes hands
After positioning client on bedpan and removing gloves, raises head of bed
Toilet tissue is within reach
Hand wipe is within reach and client is instructed to clean hands with hand wipe when finished
Signaling device within reach and client is asked to signal when finished
Puts on clean gloves before removing bedpan
Head of bed is lowered before bedpan is removed
Ensures client is covered except when placing and removing bedpan
Empties and rinses bedpan and pours rinse into toilet
Places bedpan in designated dirty supply area
Removes and disposes of gloves (without contaminating self) into waste container and washes hands
Signaling device is within reach and bed is in low position
Demonstrated Competency?
Comments:

Part 5: Cleans Upper or Lower Denture

Puts on clean gloves before handling denture
Bottom of sink is lined and/or sink is partially filled with water before denture is held over sink
Rinses denture in moderate temperature running water before brushing them
Applies denture toothpaste to toothbrush
Brushes all surfaces of denture
Rinses all surfaces of denture under moderate temperature running water
Rinses denture cup and lid
Places denture in denture cup with moderate temperature water/solution and places lid on cup
Rinses toothbrush and places in designated toothbrush basin/container
Maintains clean technique with placement of toothbrush and denture
Sink liner is removed and disposed of appropriately and/or sink is drained
Removes and disposes of gloves (without contaminating self) into waste container and washes hands
Demonstrated Competency?

Part 6: Counts and Records Radial Pulse

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Places fingertips on thumb side of client’s wrist to locate radial pulse
Count beats for one full minute
Signaling device is within reach
Before recording, washes hands
Records pulse rate within plus or minus 4 beats of evaluator’s reading
Demonstrated Competency?

Part 7: Counts and Records Respirations

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Count respirations for one full minute
Signaling device is within reach
Before recording, washes hands
Records respiration rate within plus or minus 2 breaths of evaluator’s reading
Demonstrated Competency?
Comments:

Part 8: Donning and Removing PPE (Gown and Gloves)

Picks up gown and unfolds
Facing the back opening of the gown places arms through each sleeve
Fastens the neck opening
Secures gown at waist making sure that back of clothing is covered by gown (as much as possible)
Puts on gloves
Cuffs of gloves overlap cuffs of gown
Before removing gown, with one gloved hand, grasps the other glove at the palm, remove glove
Slips fingers from ungloved hand underneath cuff of remaining glove at wrist, and removes glove turning it inside out as it is removed
Disposes of gloves into designated waste container without contaminating self
After removing gloves, unfastens gown at waist and neck
After removing gloves, removes gown without touching outside of gown
While removing gown, holds gown away from body without touching the floor, turns gown inward and keeps it inside out
Disposes of gown in designated container without contaminating self
After completing skill, washes hands
Demonstrated Competency?
Comments:

Part 9: Dresses Client with Affected (Weak) Right Arm

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Asks which shirt he/she would like to wear and dresses him/her in shirt of choice
Avoids overexposure of client by ensuring client’s chest is covered
Removes gown from the left (unaffected) side first, then removes gown from the right (affected/weak) side
Before dressing client, disposes of gown into soiled linen container
Assists to put the right (affected/weak) arm through the right sleeve of the shirt before placing garment on left (unaffected) arm
While putting on shirt, moves body gently and naturally, avoiding force and over-extension of limbs and joints
Finishes with clothing in place
Signaling device is within reach and bed is in low position
After completing skill, washes hands
Demonstrated Competency?
Comments:

Part 10: Feeds Client Who Cannot Feed Self

Explains procedure to client, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Before feeding, looks at name card on tray and asks client to state name
Before feeding client, client is in an upright sitting position (75-90 degrees)
Places tray where the food can be easily seen by client
Candidate cleans client’s hands before beginning feeding
Candidate sits in a chair facing client during feeding
Tells client what foods and beverage are on tray
Asks client what he/she would like to eat first
Using spoon, offers client one bite of each type of food on tray, telling client the content of each spoonful
Offers beverage at least once during meal
Candidate asks client if they are ready for next bite of food or sip of beverage
At end of meal, candidate cleans client’s mouth and hands
Removes food tray
Leaves client in upright sitting position (75-90 degrees) with signaling device within client’s reach
After completing skill, washes hands
Demonstrated Competency?
Comments:

Part 11: Gives Modified Bed Bath (Face and one arm, hand, and underarm)

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Removes gown and places directly in soiled linen container while ensuring client’s chest and lower body is covered
Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water
Puts on clean gloves before washing client
Beginning with eyes, washes eyes with wet washcloth (no soap), using a different area of the washcloth for each stroke, washing inner aspect to outer aspect then proceeds to wash face
Dries face with dry cloth towel/washcloth
Exposes one arm and places cloth towel underneath arm
Applies soap to wet washcloth
Washes fingers (including fingernails), hand, arm, and underarm keeping rest of body covered
Rinses and dries fingers, hand, arm, and underarm
Moves body gently and naturally, avoiding force and over-extension of limbs and joints
Puts clean gown on client
Empties, rinses, and dries basin
Places basin in designated dirty supply area
Disposes of linen into soiled linen container
Avoids contact between candidate clothing and used linens
Removes and disposes of gloves (without contaminating self) into waste container and washes hands
Signaling device is within reach and bed is in low position
Demonstrated Competency?
Comments:

Part 12: Measures and Records Urinary Output

Puts on clean gloves before handling bedpan
Pours the contents of the bedpan into measuring container without spilling or splashing urine outside of container
Rinses bedpan and pours rinse into toilet
Measures the amount of urine at eye level with container on flat surface (if between measurement lines, round up to nearest 25 ml/cc)
After measuring urine, empties contents of measuring container into toilet
Rinses measuring container and pours rinse into toilet
Before recording output, removes and disposes of gloves (without contaminating self) into waste container and washes hands
Records contents of container within plus or minus 25 ml/cc of evaluator’s reading
Comments:

Part 14: Measures and Records Weight of Ambulatory Client

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Client has non-skid shoes/footwear on before walking to scale
Before client steps on scale, candidate sets scale to zero
Asks client to step on center of scale and obtains client’s weight
Asks client to step off scale
Records weight based on indicator on scale; Weight is within plus or minus 2 lbs of evaluator’s reading (If weight recorded in kg weight is within plus or minus 0.9 kg of evaluator’s reading)
Demonstrated Competency?
Comments:

Part 15: Performs Modified Passive Range of Motion (PROM) for One Knee and One Ankle

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Ensures that client is supine in bed and instructs client to inform candidate if pain is experienced during exercise
While supporting the leg at knee and ankle, bends the knee and then returns leg to client’s normal position (flexion/extension) (AT LEAST 3 TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
Signaling device is within reach and bed is in low position
After completing skill, washes hands
Demonstrated Competency?
Comments:

Part 16: Performs Modified Passive Range of Motion (PROM) for One Shoulder

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Instructs client to inform candidate if pain experienced during exercise
While supporting arm at the elbow and at the wrist, raises client’s straightened arm from side position upward toward head to ear level and returns arm down to side of body (flexion/extension) (AT LEAST 3 TIMES unless pain is verbalized). Moves joint gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.
While supporting arm at the elbow and at the wrist, moves client’s straightened arm away from the side of body to shoulder level and returns to side of body (abduction/adduction) (AT LEAST 3 TIMES unless pain is verbalized). Moves joint gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain
Signaling device is within reach and bed is in low position
After completing skill, washes hands
Demonstrated Competency?
Comments:

Part 17: Positions on Side

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Before turning, lowers head of bed
Raises side rail on side to which body will be turned
Candidate assists client to slowly roll onto side toward raised side rail
Places or adjusts pillow under head for support
Candidate repositions arm and shoulder so that client is not lying on arm
Supports top arm with supportive device
Places supportive device behind client’s back
Places supportive device between legs with top knee flexed; knee and ankle supported
Signaling device is within reach and bed is in low position
After completing skill, washes hands
Demonstrated Competency?
Comments:

Part 18: Provides Catheter Care for Female

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water
Puts on clean gloves before washing
Places linen protector under perineal area including buttocks before washing
Exposes area surrounding catheter (only exposing client between hip and knee)
Applies soap to wet washcloth
While holding catheter at meatus without tugging, cleans at least four inches of catheter from meatus, moving in only one direction, away from meatus, using a clean area of the washcloth for each stroke
While holding catheter at meatus without tugging using a clean washcloth, rinses at least four inches of catheter from meatus, moving only in one direction, away from meatus, using a clean area of the washcloth for each stroke
While holding catheter at meatus without tugging, dries at least four inches of catheter moving away from meatus using a dry cloth towel/washcloth
Empties, rinses, and dries basin
Places basin in designated dirty supply area
Disposes of used linen into soiled linen container and disposes of linen protector appropriately
Avoids contact between candidate clothing and used linen
Removes and disposes of gloves (without contaminating self) into waste container and washes hands
Signaling device is within reach and bed is in low position
Demonstrated Competency?
Comments:

Part 19: Provides Foot Care on One Foot

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water
Basin is in a comfortable position for client and on protective barrier
Puts on clean gloves before washing foot
Client’s bare foot is placed into the water
Applies soap to wet washcloth
Lifts foot from water and washes foot (including between the toes)
Foot is rinsed (including between the toes)
Dries foot (including between the toes) with dry cloth towel/washcloth
Applies lotion to top and bottom of foot (excluding between the toes) removing excess with a towel/washcloth
Supports foot and ankle during procedure
Empties, rinses, and dries basin
Places basin in designated dirty supply area
Disposes of used linen into soiled linen container
Removes and disposes of gloves (without contaminating self) into waste container and washes hands
Signaling device is within reach
Demonstrated Competency?
Comments:

Part 20: Provides Mouth Care

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Before providing mouth care, client is in upright sitting position (75-90 degrees)
Puts on clean gloves before cleaning mouth
Places cloth towel across chest before providing mouth care
Secures cup of water and moistens toothbrush
Before cleaning mouth, applies toothpaste to moistened toothbrush
Cleans mouth (including tongue and all surfaces of teeth), using gentle motions
Maintains clean technique with placement of toothbrush
Candidate holds emesis basin to chin while client rinses mouth
Candidate wipes mouth and removes clothing protector
Disposes of used linen into soiled linen container
Rinses toothbrush and empties, rinses, and dries basin
Removes and disposes of gloves (without contaminating self) into waste container and washes hands
Signaling device is within reach and bed is in low position
Demonstrated Competency?
Comments:

Part 21: Provides Perineal Care (Peri-Care) for Female

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water
Puts on clean gloves before washing perineal area
Places pad/ linen protector under perineal area including buttocks before washing
Exposes perineal area (only exposing between hips and knees)
Applies soap to wet washcloth
Washes genital area, moving from front to back, while using a clean area of the washcloth for each stroke
Using clean washcloth, rinses soap from genital area, moving from front to back, while using a clean area of the washcloth for each stroke
Dries genital area moving from front to back with dry cloth towel/washcloth
After washing genital area, turns to side, then washes rectal area moving from front to back using a clean area of washcloth for each stroke
Using clean washcloth, rinses soap from rectal area, moving from front to back, while using a clean area of the washcloth for each stroke
Dries rectal area moving from front to back with dry cloth towel/washcloth
Repositions client
Empties, rinses, and dries basin
Places basin in designated dirty supply area
Disposes of used linen into soiled linen container and disposes of linen protector appropriately
Avoids contact between candidate clothing and used linen
Removes and disposes of gloves (without contaminating self) into waste container and washes hands
Demonstrated Competency?
Comments:

Part 22: Transfers from Bed to Wheelchair Using Transfer Belt

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Privacy is provided with a curtain, screen, or door
Before assisting to stand, wheelchair is positioned alongside of bed, at head of bed facing foot or foot of bed facing head
Before assisting to stand, footrests are folded up or removed
Before assisting to stand, locks wheels on wheelchair
Before assisting to stand, bed is at a safe level
Before assisting to stand, checks and/or locks bed wheels
Before assisting to stand, client is assisted to a sitting position with feet flat on the floor
Before assisting to stand, client is wearing shoes
Before assisting to stand, applies transfer belt securely at the waist over clothing/gown
Before assisting to stand, provides instructions to enable client to assist in transfer including prearranged signal to alert when to begin standing
Stands facing client positioning self to ensure safety of candidate and client during transfer. Counts to three (or says other prearranged signal) to alert client to begin standing
On signal, gradually assists client to stand by grasping transfer belt on both sides with an upward grasp (candidates hands are in upward position) and maintaining stability of client’s legs by standing knee to knee, or toe to toe with the client
Assists client to turn to stand in front of wheelchair with back of client’s legs against wheelchair
Lowers client into wheelchair
Positions client with hips touching back of wheelchair and transfer belt is removed
Positions feet on footrests
Signaling device is within reach
After completing skill, washes hands
Demonstrated Competency?
Comments:

Part 23: Measures and Records Manual Blood Pressure

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible
Before using stethoscope, wipes bell/diaphragm and earpieces of stethoscope with alcohol
Client’s arm is positioned with palm up and upper arm is exposed
Feels for brachial artery on inner aspect of arm, at bend of elbow
Places blood pressure cuff snugly on client’s upper arm, with sensor/arrow over brachial artery site
Earpieces of stethoscope are in ears and bell/diaphragm is over brachial artery site
Candidate inflates cuff between 160mm Hg to 180 mm Hg. If beat heard immediately upon cuff deflation, completely deflate cuff. Re-inflate cuff to no more than 200 mm Hg
Deflates cuff slowly and notes the first sound (systolic reading), and last sound (diastolic reading) (If rounding needed, measurements are rounded UP to the nearest 2 mm of mercury)
Removes cuff
Signaling device is within reach
Before recording, washes hands
Demonstrated Competency?
Comments:
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