Form 08-4215f - 12 Aac 14.560 - Permitted Practices Page 2

12 AAC 14.560 - Permitted Practices

Document your competence in the following permitted practices

by providing the resources of your training and skills. Each

permitted practice must then be signed off by your preceptor.

Capillary blood sampling Resources

I certify that applicant has acquired the training and skills necessary to safely perform capillary blood sampling.

Preceptor Signature:

Suturing

Resources

I certify that applicant has acquired the training and skills necessary to safely perform suturing.

Preceptor Signature:

Intramuscular Injection

Resources

I certify that applicant has acquired the training and skills necessary to safely perform intramuscular injections.

Preceptor Signature:

Episiotomy

Resources

I certify that applicant has acquired the training and skills necessary to safely perform an episiotomy.

Preceptor Signature:

08-4215f (Rev. 11/99)

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Parent category: Legal