| Identified skill |
LEVEL1:CONFIDENT |
LEVEL 2:NEEDS ASSISTANCE |
LEVEL 3: NO EXPERIENCE |
Comments(# of times) |
| BASIC SKILLS: |
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| BLOOD PRESSURE |
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| Apical PULSE Rate, RADIAL PULSE RATE |
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| Respirations |
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| Temperature (ORAL, AXILLARY,RECTAL) |
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| HANDWASHING |
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| USE OF NON-STERILE GLOVES |
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| Pain as the 5th vital sign |
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| Skin Care |
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| Mouth Care |
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| Bathing Complete |
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| Bathing Partial |
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| MOUTH CARE |
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| ASSIST WITH FEEDING |
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| Bedmaking Occupied |
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| Bedmaking Unoccupied |
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| STANDING SCALE WEIGHT |
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| BEDSCALE WEIGHT |
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| IDENTIFIED SKILL |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| TRANFER WHEELCHAIR |
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| TRANSFER CHAIR |
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| TRANSFER STRETCHER |
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| AMBULATION OF CLIENT WITH TUBES/EQUIPMENT |
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| GLUCOMETER |
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| ISOLATION PROCEDURES |
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| POSTMORTEM CARE |
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| REPOSITIONING USING LIFT (DRAW) SHEET |
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| REPOSITIONING FRAIL CLIENT: SUPINE |
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| REPOSITIONING FRAIL CLIENT: SIDELYING |
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| ASSISTING MOVEMENT UP IN BED |
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| NEUROLOGICAL: |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| GLASCOMA SCALE |
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| CRANIAL NERVE ASSESSMENT |
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| MOTOR/SENSORY FUNCTION ASSESSMENT |
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| CARDIOPULMONARY: |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| NORMAL HEART SOUNDS (S1,S2) |
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| PERIPHERAL PULSES |
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| EDEMA ASSESSMENT |
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| APPLICATION OF ANTIEMBOLISM HOSE |
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| MANAGEMENT OF SEQUENTIAL COMPRESSION BOOTS |
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| RESPIRATORY ASSESSMENT |
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| NORMAL BREATH SOUNDS |
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| ADVENTITIOUS BREATH SOUNDS: WHEEZING |
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| IDENTIFIED SKILL |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| ADVNETITIOUS BREATH SOUNDS:CRACKLES (RALES) |
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| ADVNETITIOUS BREATH SOUNDS:RHONCH |
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| PULSE OXIMETRY |
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| NASAL CANNULA |
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| VENTI (VENTURI) MASKS |
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| PARTIAL REBREATHER MASK |
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| NONBREATHER MASKS |
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| ORAL SUCTIONING (YANKAUER) |
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| NASOPHARYNGEAL SUCTIOING |
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| TRACHEAL (ENDOTRACHEAL)SUCTIONING |
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| CLOSED (INLINE) SUCTIOING SYSTEM |
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| TRACHEOSTOMY CARE |
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| Chest Tube Care |
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| SPUTUM COLLECTION |
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| INCENTIVE SPIROMETER |
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| 12 LEAD EKG |
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| GASTROINTESTINAL: |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| AUSCULTATION OF BOWEL SOUNDS |
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| ABDOMINAL PALPATION |
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| MEASUREMENT OF PO/ENTERAL INTAKE |
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| CALORIE COUNTS |
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| ENTERAL FEEDING: NGT |
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| ENTERAL FEEDING; PEG |
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| ENTERAL FEEDING: J TUBES |
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| ENTERAL TUBE SITE CARE |
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| INSERTION AND PLACEMENT OF NGT |
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| MANAGEMENT OF NG SUCTION |
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| IDENTIFIED SKILL |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| TAP WATER/SSE ENEMA |
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| FLEET ENEMA |
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| OSTOMY CARE |
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| FECAL BAG |
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| STOOL SPECIMENT COLLECTION |
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| ASSIST WITH BEDPAN |
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| GENITOURINARY: |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| ASSIST WITH URINAL |
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| URINE ASSESSMENT: APPEARANCE |
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| BLADDER ASSESSMENT |
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| MEASUREMENT OF URINE OUTPUT |
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| URINARY CATHETER INSERTION |
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| URINARY CATHETER REMOVAL |
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| BLADDER IRRIGATION |
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| CONDOMN CATHETER (TEXAS CATHETER) |
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| CATHETER LEG BAG |
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| SUPRPUBIC CATHETER CARE |
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| NEPHROSTOMY TUBE MANAGEMENT |
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| NEPHROSTOMY CARE |
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| PERITONEAL DIALYSIS |
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| HEMODIALYSIS ACCESS (PERMACATH, FISTULA, GRAFT) |
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| INCONTINENCE CARE |
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| MUSCULOSKELETAL: |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| INSPECTION AND PALPATION OF MUSCLES AND JOINTS |
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| ASSESSMENT OF ROM: ACTIVE AND PASSIVE |
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| NEUROVASCULAR ASSESSMENT OF EXTREMITY |
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| IDENTIFIED SKILL |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| SKIN TRACTION (BUCKS) |
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| SKELETAL TRACTION /EXTERNAL FIXATION DEVICE MANAGEMENT |
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| SKIN: |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| GENRAL: COLOR TEMPERTURE, TEXTURE, TURGOR |
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| PRESSURE ULCER RISK ASSESSMENT |
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| PRESSURE ULCER CARE |
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| DRY STERILE DRESSING |
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| WOUND IRRIGATION |
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| WOUND PACKING |
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| HYDROCOLLOID DRESSINGS |
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| HYDROGEL DRESSINGS |
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| DRAIN SITE CARE (JP, PENROSE,HEMOVAC) |
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| POSTOP WOUND ASSESSMENT AND CARE |
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| WARM AND COOL COMPRESSES |
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| K-PAD |
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| ICE PACKS |
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| SPLINTING |
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| PSYCHOSOCIAL: |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| THERAPEUTIC COMMUNICATION |
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| DEVELOPMENTAL ASSESSMENT ACROSS THE LIFESPAN |
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| CULTURAL/SPIRITUAL ASSESSMENT |
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| TEACHING AND LEARNING ASSESSMENT |
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| DEVELOP TEACHING PLAN |
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| IMPLEMENT TEACHING PLAN |
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| IDENTIFIED SKILL |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| MEDICATION |
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| INTERPETATION OF MEDICATION ORDER |
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| PO MEDS |
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| MEDS VIA FEEDING TUBE |
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| EYE DROPS |
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| EYE OINTMENTS |
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| NOSE DROPS/SPRAYS |
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| METERED DOSE INHALERS |
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| TOPICALS |
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| RECTAL/VAGINAL SUPPOSITORIES |
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| INTRADERMAL (PPD) |
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| SUBCUTANEOUS INJECTIONS AND SITES |
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| INTRAMUSCULAR INJECTIONS AND SITES |
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| RECONSTITUTING MED |
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| MIXING TWO MEDS IN A SYRINGE |
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| MEDICATION SAFETY – HIGH RISK |
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| PCA |
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| RATIONALE FOR MED ORDER |
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| NURSING IMPLICATIONS FOR MEDICATIONS |
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| INTRAVENOUS |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| ASSESSMENT OF PERIPHERAL SITE |
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| SETTING UP NEW IV, PRIMING TUBING, ATTACHING TO PATIENT, VIA GRAVITY AND PUMP |
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| SECONDARY IVPB VIA LOCK AND PUMP |
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| CONVERSION OF IV TO LOCK |
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| IDENTIFIED SKILL |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| FLUSHING INTERMITTENTINFUSION LOCK |
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| INFUSION PUMP (ML/HR) |
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| GRAVITY FLOW (GTTS/MIN) |
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| D/C IV PERIPHERAL LINE |
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| CENTRAL LINE SITE ASSESSMENT |
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| CENTRAL LINE DRESSING CHANGE(MUST PERFORM WITH PRECEPTOR) |
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| STERILE GLOVES |
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| STERILE FIELD AND DRESSING |
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| PICC LINE ASSESSMENT AND MANAGEMENT |
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| HYPERALIMENTATION |
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| PROFESSIONAL ROLE: |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| COMMUNICATION WITH NURSING STAFF |
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| COMMUNICATION WITH PHYSICIANS |
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| COMMUNICATION WITH OTHER DISCIPLINES |
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| DELEGATION SKILLS |
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| CLINICAL DECISION MAKING |
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| ADMITTING A CLIENT |
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| DISCHARGE PLANNING |
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| TRANSFERRING A CLIENT |
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| DISCHARGING A CLIENT |
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| DOCUMENTATION |
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| GIVING AND GETTING REPORT |
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| CRITICAL THINKING |
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| IDENTIFIED SKILL |
LEVEL 1 |
LEVEL 2 |
LEVEL 3 |
# OF TIMES |
| SELF ASSESSMENT |
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| I COMMUNICATE ASSERTIVELY |
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| I HAVE CONFIDENCE IN MY NURSING SKILLS |
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| I ASSUME PRIMARY RESPONSIBILITY FOR IDENTIFYING MY LEARNING NEEDS CONSIDERING BOTH MY STRENGTHS AND WEAKNESSES |
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