Apprentices progress at their own pace – they demonstrate
competency in skills and knowledge through assessment tests,
but are not required to complete a specific number of hours.
competency in skills and knowledge through assessment tests,
but are not required to complete a specific number of hours.
Nurse Apprentice
Anonymous
National (OA)
Work Process Content
On the Job Training
Anonymous
99
Skills
Job Function 7: Maintains work environment and manages resources
4
Job Function 7: Maintains work environment and manages resources
4
- Monitors use of supplies (i.e., medical, linen, and disinfecting)
- Verifies operational status of equipment
- Reports defective equipment or products
- Monitors cleanliness of the nursing unit and patient care equipment
Job Function 8: Reinforces nurse and patient safety
8
Job Function 8: Reinforces nurse and patient safety
8
- Practices infection control using handwashing hygiene and other transmission-based precautions, isolation techniques, and disinfecting agents
- Applies personal protective equipment as needed, including masks, gowns, gloves, and goggles
- Follows safety precautions for fall prevention and seizures
- Maintains training in cardiopulmonary resuscitation (CPR)
- Appropriately handles needles and sharps
- Practices safe body posture and body mechanics in any patient setting
- Enhances patient safety through effective communication with other health care providers
- Encourages patients and caregivers to speak up when they have safety concerns
Job Function 9: Maintains professional accountability and development
11
Job Function 9: Maintains professional accountability and development
11
- Maintains active enrollment and good standing in an accredited nursing program (during apprenticeship)
- Completes nursing fundamentals and related clinical skills
- Participates in training and professional development
- Maintains licensure and safety certifications
- Applies knowledge of state and federal laws, professional values, standards of practice, and standards of ethical conduct to experiences in the clinical setting
- Prepares for and responds appropriately to facility and environmental emergencies
- Participates in hospital communities of practice
- Collaborates with other health care providers
- Engages in self-evaluation and peer reviews
- Joins professional organizations
- Supports community education or other activities benefiting the public
Job Function 1: Assesses physical and psychosocial needs of the patient, subject to prior competency validation as well as under supervision when required by state regulation
10
Job Function 1: Assesses physical and psychosocial needs of the patient, subject to prior competency validation as well as under supervision when required by state regulation
10
- Gathers and assesses vital signs, including blood pressure, pulse, respirations, height, weight, and oxygen saturation
- Assesses multidimensional needs of a patient and caretakers, including social and home environment, learning needs, psychological status and coping mechanisms, social habits, and cultural and spiritual needs
- Performs or observes physical assessment of a patient by appropriate use of available equipment and according to standards of the specific workplace (*)
- Performs or observes electrocardiograms (*)
- Collects or observes collection of non-intravenous and non-arterial specimens (*)
- Collects or observes the collection of the medical history of a patient according to the policies and procedures of the specific workplace, including procedures for electronic medical records (*)
- Performs or observes assessments on pediatric patients, pregnant patients, postpartum patients, and newborns (*) (**)
- Assesses and reports any abuse reported by the patient or observed by the nurse according to the policies and procedures of the specific work setting, including procedures for electronic medical records
- Documents or observes documentation of a patient’s advance directive according to the policies and procedures of the specific work setting, including procedures for electronic medical records (*)
- Assesses or observes assessment of quality, intensity, duration, and location of patient- reported pain
Job Function 2: Coordinates patient care, subject to prior competency validation and under supervision when required by state regulation
7
Job Function 2: Coordinates patient care, subject to prior competency validation and under supervision when required by state regulation
7
- Conducts or participates in patient rounds as part of the multidisciplinary team (*)
- Communicates professionally and clearly with multiple disciplines
- Engages in bedside reporting using appropriate procedures, typically by direct communication between incoming and outgoing nurses at the patient’s bedside (*)
- Documents and updates physicians with a change of patient status according to the specific work setting’s procedures for electronic medical records and within the settings standards for communicating to ensure safe and quality care, or is exposed to same (*)
- Collects or is exposed to the collection of medical utilization data according to the specific work setting’s procedures for electronic medical records and within the setting’s standards for communicating (*)
- Gives or observes bedside reports to incoming care providers, communicating to ensure safe and quality care (*)
- Assigns or observes the delegation of appropriate tasks to other assistive health care personnel, including nursing assistants and care technicians (*)
Job Function 3: Administers patient care treatments, subject to prior competency validation, and under supervision when required by state regulation
13
Job Function 3: Administers patient care treatments, subject to prior competency validation, and under supervision when required by state regulation
13
- Assists physicians and nursing staff with procedures while communicating to ensure safe and quality care
- Participates in emergencies, including code blue resuscitation, according to appropriate policies and procedures
- Performs or observes wound care and assesses the status of a patient’s existing wounds within appropriate standards for patient-centered care and recognition of professional boundaries (*)
- Prepares (or observes) the preparation of a patient for surgical and other medical procedures within appropriate standards for patient-centered care and recognition of professional boundaries (*)
- Manages (or observes) management of tubes, drains, and appliances (*)
- Prepares (or observes) primary intravenous bag and tubing and converts primary intravenous line into a saline lock within constraints of facility policy*
- Administers (or observes administration) of medications by oral, intravenous, intra-muscular, intradermal, subcutaneous, optic, ophthalmic, nasal, nebulizer, or tube routes, subject to restrictions by facility policy (as for narcotics or racemic epinephrine) (*)
- Performs, assists (or observes) renal or peritoneal dialysis based on appropriate training and professional boundaries (*)
- Administers and adjusts oxygen levels to maintain prescribed blood oxygen levels under the supervision of a registered nurse or gains exposure to this procedure (*)
- Administers oxygen therapy and performs airway management and administers incentive spirometer therapy or gains exposure to this procedure (*)
- Provides (or observes) oral, nasal, and tracheal suctioning (*)
- Initiates and maintains isolation within appropriate standards for patient-centered care according to facility policy
- Applies, monitors, and documents the use of restraints only according to facility policy and under the supervision of a precepting nurse
Job Function 4: Supervises or provides bedside care, subject to prior competency validation and under supervision when required by state regulation
22
Job Function 4: Supervises or provides bedside care, subject to prior competency validation and under supervision when required by state regulation
22
- Responds to a patient’s call
- Performs dressing changes for intravenous access, including vascular access devices, subject to health care facility policy
- Performs restorative care activities
- Provides care for casts, traction, pins, and air splints
- Performs blood glucose monitoring
- Demonstrates routine care of chest tubes
- Repositions and transfers patients with appropriate devices
- Assists patients with ambulation, including knowledge and use of equipment
- Provides and assists in a patient’s personal hygiene needs, including bed baths, catheter care, ostomy care, and wound care
- Performs skin care and pressure ulcer prevention
- Supervises and/or assists patients with activities of living such as feeding, care of teeth and hair, bathing, dressing, and toileting
- Applies anti-embolic hose and/or sequential compression devices
- Collects specimens (e.g., blood, urine, stool)
- Provides and changes linens
- Applies and monitors the use of cooling and warming blankets
- Initiates and maintains seizure precautions
- Cares for or observes care for patients in labor and delivery, including but not limited to applying and monitoring external fetal heart tone (FHT) and uterine contraction monitors (TOCO), monitoring internal FHT and uterine contraction monitors, conducting nonstress tests, checking for cervical dilation and effacement, obtaining vaginal cultures, assisting with epidurals, and assisting with deliveries (*) (**)
- Administers or observes the care of the newborn, including but not limited to assessing the cord and obtaining cord blood; determining Apgar scores; taking measurements; administering vitamin K, Hepatitis vaccine, and erythromycin ointment; performing heel sticks for Phenylketonuria (PKU) and glucose monitoring; monitoring phototherapy; and assisting with circumcisions (*) (**)
- Manages or observes postpartum care including but not limited to episiotomy care, assessment for postpartum hemorrhage, Cesarean section care, and assisting with breastfeeding (*) (**)
- Provides end-of-life care
- Provides postmortem care
- Administers enemas (*)
Job Function 5: Instruct and communicate with patients and significant others
13
Job Function 5: Instruct and communicate with patients and significant others
13
- Engages patients and personal caregivers as central participants in the health care team
- Determines whether a translator is needed and obtains one if necessary.
- Teaches or observes teaching of self-care and in- home procedures to patients and caregivers (*)
- Explains or observes explanation of disease process, management, and outcomes (*)
- Explains or observes explanation of critical clinical pathways (*)
- Teaches or observes teaching of physical and psychological coping skills (*)
- Identifies and communicates the behavioral modification needs of patients and caregivers or gains exposure to this process (*)
- Teaches about medication purposes, side effects, and interactions, or witnesses this instruction (*)
- Provides or observes the provision of pre-and post-operation education (*)
- Evaluates and documents a patient’s level of comprehension or observes evaluation and documentation (*)
- Summarizes and reinforces discharge teaching plan or observes same (*)
- Provides culturally competent learning materials and audiovisual aids for the patient and their caregivers or witnesses this instruction (*)
- Exercises cultural sensitivity in verbal and nonverbal communication with patients and their families and coworkers, including the understanding of cultural, gender, aging, and family dynamics
Job Function 6: Document patient care according to policies and electronic medical records procedures for the specific health care setting, subject to prior competency validation as well as under supervision when required by state regulation
11
Job Function 6: Document patient care according to policies and electronic medical records procedures for the specific health care setting, subject to prior competency validation as well as under supervision when required by state regulation
11
- Participates in the documentation of admissions assessment, intake/output, discharge, and transfers, as directed by the supervisor
- Documents or observes documentation of shift assessments (*)
- Initiates, updates, and documents plan of care or observes same (*)
- Records or observes vital signs and other biometrics
- Documents or observes medicine administration (*)
- Logs nursing interventions and patient’s response or observes such documentation (*)
- Documents patient’s response to procedures or observes such documentation (*)
- Documents restraints or observes such documentation (*)
- Completes sedation documentation or observes such documentation (*)
- Records and reports signs and symptoms of abuse
- Documents patient change in condition, nursing interventions, and outcome
Related Instruction Content
Training Provider(s):
820
RI hours
Human Anatomy and Physiology
180
Human Anatomy and Physiology
180
Microbiology
60
Microbiology
60
Nosocomial Disease and the Protection of Patients and Workers in the Hospital Setting
40
Nosocomial Disease and the Protection of Patients and Workers in the Hospital Setting
40
Emergency Care and Triage
60
Emergency Care and Triage
60
Principles and Practice in Medical-Surgical Nursing
120
Principles and Practice in Medical-Surgical Nursing
120
Pediatric Nursing
60
Pediatric Nursing
60
Critical Care Nursing
60
Critical Care Nursing
60
Obstetrics and Gynecology
60
Obstetrics and Gynecology
60
Oncology Nursing
60
Oncology Nursing
60
Geriatric Care
60
Geriatric Care
60
Psychiatric Nursing
60
Psychiatric Nursing
60