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Physical and Mental Requirements to Provide Safe Patient Care for Students, Faculty and Preceptors

The education of a nurse requires assimilation of knowledge, acquisition of skills and development of judgment to prepare for collaborative practice with physicians, nurses, allied health care professionals, and patients. The curriculum requires students to engage in diverse, complex, and specific experiences necessary to the practice of nursing.

Unique combinations of cognitive, affective, psychomotor, physical, and social abilities are required.These abilities are required for successful completion of the program and to ensure the health and safety of patients, peers, faculty, and other health care providers.

The essential abilities necessary to the nursing program include, but are not limited to the following abilities:

Functional
Ability

Activity/Attribute

Gross
Motor
Skills

  • Move within confined spaces
  • Sit and maintain balance
  • Stand and maintain balance
  • Reach above shoulders - e.g., IV poles
  • Reach below waist - e.g., plug electrical appliance into wall outlets

Fine
Motor
Skills

  • Pick up objects with hands
  • Grasp small object with hands - e.g., IV tubing, pencil
  • Write with pen or pencil
  • Key/type - e.g. use a computer
  • Pinch/pick or otherwise work with fingers - e.g., manipulate a syringe
  • Twist - e.g, turn objects/knobs using hands
  • Squeeze with finger - e.g., eye dropper
Physical
Endurance
  • Stand - e.g., at client's side during surgical or therapeutic procedure
  • Sustain repetitive movements - e.g.. CPR
  • Maintain physical tolerance - e.g., work entire shift
Physical
Strength
  • Push and pull 25 lbs. - e.g., position clients
  • Support 25 lb. of weight - e.g., ambulate client
  • Lift 25 lbs. - e.g., pick up a child, transfer client
  • Move light objects weighing up to 10 lb. - e.g.,IV poles
  • Move heavy objects weighing from 11-50 lbs.
  • Defend self against combative client
  • Carry equipment/supplies
  • Use upper body strength - e.g., perform CPR, physically restrain a client
  • Squeeze with hands - e.g., operate fire extinguisher
Mobility
  • Twist
  • Bend
  • Stoop/squat
  • Move quickly - e.g., respond to an emergency
  • Climb - e.g., ladders/stools/stairs
  • Walk
Hearing
  • Hear normal speaking level sounds - e.g., person-to-person report
  • Hear faint voices
  • Hear faint body sounds - e.g., blood pressure sounds, assess placement of tubes
  • Hear in situations when not able to see lips - e.g., when masks are used
  • Hear auditory alarms - e.g., monitors, fire alarms, call bells
Visual
  • See objects up to 20 inches away - e.g., information on a computer screen, skin conditions
  • See objects up to 20 feet away - e.g., client in a room
  • See objects more than 20 feet away - e.g., client at end of hall
  • Use depth perception
  • Use peripheral vision
  • Distinguish color - e.g., color codes on supplies, charts, bed
  • Distinguish color intensity - e.g., flushed skin, skin paleness
Tactile
  • Feel vibrations - e.g., palpate pulses
  • Detect temperature - e.g., skin, solutions
  • Feel differences in surface characteristics - e.g., skin turgor, rashes
  • Feel differences in sizes, shapes - e.g., palpate vein, identify body landmarks
  • Detect environmental temperature - e.g.,  check for drafts
Smell
  • Detect odors from client - e.g., foul-smelling drainage, alcohol breath, etc.
  • Detect smoke
  • Detect gases or noxious smells
Reading
  • Read and understand written documents - e.g., policies, protocols
Arithmetic
Competence
  • Read and understand columns or writing - e.g., flow sheet, charts
  • Read digital displays
  • Read graphic printouts - e.g., EKG
  • Calibrate equipment
  • Convert numbers to and/or from the Metric System
  • Read graphs - e.g., vital sign sheets
  • Tell time
  • Measure time - e.g., count duration of contractions, etc.
  • Count rates - e.g., drips/minute and pulse
  • Use measuring tools - e.g., thermometer
  • Read measurement marks - e.g., measurement tapes, scales, etc.
  • Add, subtract, multiply, and/or divide whole numbers
  • Compute fractions - e.g., medication dosages
  • Use a calculator
  • Write numbers in records
Emotional
Stability
  • Establish therapeutic boundaries
  • Provide client with emotional support
  • Adapt to changing environment/stress
  • Deal with the unexpected - e.g., client going bad, crisis
  • Focus attention on task
  • Monitor own emotions
  • Perform multiple responsibilities concurrently
  • Handle strong emotions - e.g., grief
Analytical
Thinking
  • Transfer knowledge from one situation to another
  • Process information
  • Evaluate outcomes
  • Problem solve
  • Prioritize tasks
  • Use long-term memory
  • Use short-term memory
Critical
Thinking
  • Identify cause-effect relationships
  • Plan/control activities for others
  • Synthesize knowledge and skills
  • Sequence information
Interpersonal
Skills
  • Negotiate interpersonal conflict
  • Respect differences in clients
  • Establish rapport with clients
  • Establish rapport with co-workers
Communication
Skills
  • Teach - e.g., client/family about health care
  • Explain procedures
  • Give oral reports - e.g., report on client's condition to others
  • Interact with others - e.g., health care workers
  • Speak on the telephone
  • Influence people
  • Direct activities of others
  • Convey information through writing - e.g., progress notes

Source: National Council of State Board of Nursing, Inc.








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