Intermediate Nursing Skills
IV Access and Infusion Therapy Skills
Peripheral IV Insertion
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Site Selection and Vein Assessment
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Peripheral IV Insertion Technique
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Securement and Dressing Application
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Peripheral IV Troubleshooting and Removal
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Central Venous Access Care
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PICC Line Care and Dressing Change
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Central Line Dressing Change and Access
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Implanted Port Access and Huber Needle Use
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CLABSI Prevention Bundle
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Infusion Therapy Management
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Infusion Pump Programming and Safety
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Continuous vs. Intermittent Infusions
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Total Parenteral Nutrition (TPN) Administration
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Lipid Emulsion and Admixture Safety
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Wound Care and Dressings
Advanced Wound Assessment
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Wound Measurement and Photography
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Wound Bed Preparation (TIME Framework)
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Wound Exudate: Types and Clinical Significance
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Dressing Types and Wound Care Techniques
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Dry and Moist Dressing Application
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Advanced Dressings: Foam, Hydrocolloid, Alginate, Silver
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Negative Pressure Wound Therapy (NPWT/VAC)
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Irrigation and Debridement Techniques
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Surgical Wound and Drain Management
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Suture and Staple Removal
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Closed-Suction Drain Care (Jackson-Pratt, Hemovac)
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Penrose and T-Tube Drain Management
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Gastrointestinal Skills
Nasogastric and Orogastric Tubes
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NG/OG Tube Insertion and Placement Verification
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Gastric Decompression and Drainage
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NG Tube Irrigation and Medication Administration
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Enteral Nutrition
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Feeding Tube Types: NG, NJ, PEG, PEJ
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Initiation and Advancement of Tube Feedings
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Residual Volume Checking and Aspiration Prevention
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PEG Site Care and Tube Replacement
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Ostomy Care
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Types of Ostomies: Colostomy, Ileostomy, Urostomy
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Stoma Assessment and Peristomal Skin Care
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Ostomy Pouching System Application
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Ostomy Patient Education and Self-Care
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Respiratory Skills
Oxygen Delivery Systems
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Low-Flow vs. High-Flow Oxygen Devices
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Non-Rebreather Mask and Venturi Mask
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High-Flow Nasal Cannula (HFNC)
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Non-Invasive Positive Pressure Ventilation (CPAP/BiPAP)
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Suctioning
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Oropharyngeal and Nasopharyngeal Suctioning
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Endotracheal and Tracheostomy Suctioning
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Closed-System Suction Catheter Use
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Tracheostomy Care
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Tracheostomy Tube Types and Components
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Tracheostomy Dressing and Inner Cannula Care
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Tracheostomy Tube Change and Emergency Management
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Tracheostomy Speaking Valves (Passy Muir)
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Chest Tube Management
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Closed Water-Seal Drainage System Setup
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Chest Tube Assessment: Tidaling, Drainage, Air Leak
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Chest Tube Complications and Emergency Response
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Chest Tube Removal Procedure and Post-Removal Care
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Urinary Skills
Urinary Catheterization
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Indications and Alternatives to Indwelling Catheters
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Intermittent vs. Indwelling Catheter Insertion
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Catheter-Associated UTI (CAUTI) Prevention Bundle
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Three-Way Catheter and Continuous Bladder Irrigation (CBI)
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Suprapubic Catheter and Urinary Diversions
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Suprapubic Catheter Care and Site Assessment
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Urostomy and Ileal Conduit Care
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Urinary Pouch Application
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Blood Glucose Monitoring and Insulin Administration
Point-of-Care Blood Glucose Testing
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Glucometer Technique and Quality Control
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Continuous Glucose Monitoring (CGM)
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Interpreting Results and Sliding Scale Protocols
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Insulin Administration
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Insulin Types: Rapid, Short, Intermediate, Long-Acting
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Subcutaneous Injection Technique and Site Rotation
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Insulin Pen and Pump Delivery Systems
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Hypoglycemia Recognition and Treatment Protocol
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Insulin Infusion (Drip) Management
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Complex Medication Administration Routes
Intradermal, Subcutaneous, and Intramuscular Injections
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ID Injection: Allergy Testing and TB Skin Test
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SQ Injection: Heparin and Enoxaparin Administration
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IM Injection Sites: Deltoid, Ventrogluteal, Vastus Lateralis
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Z-Track Technique
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Epidural and Intrathecal Medication
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Epidural Catheter Assessment and Nursing Monitoring
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Epidural Adverse Effects: Pruritus, Hypotension, Respiratory Depression
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Inhalation and Topical Routes
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MDI, DPI, and Nebulizer Administration Technique
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Transdermal Patch Application and Rotation
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Ophthalmic and Otic Instillation
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Specimen Collection
Blood Specimen Collection
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Venipuncture Technique and Tube Order of Draw
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Blood Cultures: Sterile Technique and Timing
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Arterial Blood Gas Collection
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Urine, Stool, and Wound Specimens
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Midstream Clean-Catch and Catheter Urine Specimens
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24-Hour Urine Collection
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Stool Specimens: Culture, Occult Blood, C. diff
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Wound Culture: Swab and Tissue Biopsy
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Respiratory Specimens
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Sputum Collection: Expectoration, Induced, and Tracheal
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Nasopharyngeal Swabs for Respiratory Pathogens
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