Clinical skills
One step at a time, until it feels natural.
Walk through 23 clinical skills step by step. Critical steps are flagged with a butter flag so you know which ones to say out loud and never skip.
Start here
On the NNAAP, hand washing is always one of your five skills (source: Credentia).
All skills
Perineal Care
Personal Care
Front-to-back, every single time. No exceptions.
Mouth Care
Personal Care
Clean teeth, gums, and tongue — for a resident who can't do it themselves.
Feeding
Personal Care
Position, pace, and patience — the three rules of every feeding.
Positioning
Safety & Mobility
30° lateral, pillows supporting, pressure points off — that's the pass.
Ambulation
Safety & Mobility
Belt on, weak side first, watch the feet — never the elevator.
Transfer
Safety & Mobility
Pivot, don't lift. Lock the wheels, foot on the floor, count to three.
Catheter Care
Basic Nursing Skills
Clean down, never up. Drainage bag below the bladder — always.
Elastic Stocking
Personal Care
Anti-embolism stockings — applied wrinkle-free, never balled up.
PPE
Infection Control
Gown and gloves — on in order, off in reverse. Every time.
Bed Bath
Personal Care
Wash only what needs washing. Keep the rest covered.
Range of Motion
Basic Nursing Skills
One hand under the knee, one under the heel. Move slowly. Stop at pain.
Radial Pulse
Vital Signs
Index and middle fingers on the thumb side of the wrist. Count for a full minute.
Respirations
Vital Signs
Keep your hand on the wrist. Watch the chest. Don't tell the resident.
Dressing Affected Arm
Activities of Daily Living
Dress the weak side FIRST. Undress the strong side FIRST.
Denture Care
Personal Care
Line the sink. Brush all surfaces. Cool rinse.
Foot Care
Personal Care
Check water temp. Wash. Dry between the toes. Lotion everywhere EXCEPT between the toes.
Urinary Output
Vital Signs
Bag stays below the bladder. Read at eye level. Empty, rinse, record.
Weight
Vital Signs
Non-skid shoes on. Same scale, same time, same clothes for comparison.
Bedpan
Personal Care
Gloves on, client covered, bed down then up then down again.
Electronic BP
Vital Signs
Set up carefully, then copy both numbers exactly.
Manual BP
Vital Signs
Clean the stethoscope, deflate slowly, land within 8.
ROM: Shoulder
Basic Nursing Skills
Up to the ear, out to shoulder level, three times each.
Practice every skill
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