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Core competencies

Nursing Assessment:

Head-to-toe systematic assessment methodology
Focused assessments based on chief complaint and medical diagnosis
Neurological assessment: Glasgow Coma Scale (GCS), pupil assessment (PERRLA), level of consciousness, orientation, cranial nerve screening, motor/sensory assessment
Cardiovascular assessment: heart sounds (S1, S2, murmurs, gallops), peripheral pulses (0-4+ scale), capillary refill, JVD, edema grading (1+ to 4+), telemetry rhythm interpretation
Respiratory assessment: lung sounds (clear, crackles, wheezes, rhonchi, diminished, absent — by lobe), work of breathing, accessory muscle use, SpO2, oxygen delivery devices and flow rates
GI assessment: bowel sounds (all 4 quadrants), abdominal palpation, nutritional screening, tube feeding management
GU assessment: urine output monitoring (normal >0.5 mL/kg/hr), fluid balance, catheter management
Integumentary assessment: wound assessment (location, size, depth, stage, drainage, wound bed description), Braden Scale for pressure injury risk, skin turgor
Pain assessment: numeric rating scale, Wong-Baker FACES, FLACC (non-verbal), CPOT (critical care), behavioral pain indicators

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