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Essential Physical and Psychological Requirements for Nursing Practice

Listed below are essential skills that a student should possess in order to progress satisfactorily through the nursing curriculum. Should a prospective student have a pre-existing condition which prohibits his or her ability to perform one or more of these skills, it is highly advised that the student pursue professional assistance for an evaluation of career suitability. Campus resources are available to assist with this process. For information, contact the Career Planning and Placement Center in the Counseling Services office at 919-536-7207. Students who have a disability which may impact upon their ability to provide nursing care should contact the Students with Disabilities Program coordinator in the Counseling Services office at 919-536-7208.

Critical Thinking

The nursing student must possess critical thinking skills sufficient for clinical judgment. For example, the student must be able to use the nursing process as a basis for solving nursing problems. This involves identifying cause and effect relationships in clinical situations and developing nursing care plans.

Interpersonal Skills

The nursing student should possess interpersonal skills sufficient to interact with individuals, families and groups from a variety of social, emotional, cultural and intellectual backgrounds. For example, the student must be able to establish helping relationships with patients, families and significant others.

Communication
The nursing student should possess communication skills sufficient for interaction with others in verbal and written form. For example, the student must be able to develop and implement teaching plans, such as the explanation of treatment procedures. In addition, the student must be able to convey nursing actions and patient responses to health care team members, both verbally and in writing.

Mobility
The nursing student should possess physical skills sufficient to move from room to room and maneuver in small spaces. For example, the student must be able to move around in patient rooms, workspaces and treatment areas and to administer cardiopulmonary resuscitation.

Motor Skills
The nursing student should possess gross and fine motor skills sufficient to provide safe and effective nursing care. For example, the student must be able to calibrate and use equipment, administer injections, insert catheters, manipulate intravenous equipment and position and transport patients.

Hearing
The nursing student should possess auditory skills sufficient to monitor and assess health needs. For example, the student must be able to hear monitor alarms, emergency signals, auscultatory sounds (breath and heart sounds) and cries for help.

Visual
The nursing student should possess visual skills sufficient for observation and assessment necessary in nursing care. For example, the student must be able to observe patient/client responses, see a change in skin color and read the scale on a syringe.

Tactile
The nursing student should possess tactile skills sufficient for physical assessment. For example, the student must be able to perform palpation, functions of physical examination and/or those related to therapeutic intervention (insertion of catheters, palpate a pulse).

Weight-Bearing
The nursing student should possess the ability to maneuver and move 40 to 50 lbs. on a weekly or daily basis. For example, the student must be able to position and transfer patients.

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