Clinical nursing

Skill alexclowe/awesome-copilot-cowork-plugins/nurse/skills/clinical-nursing

Nursing assessment, NANDA-I taxonomy, NIC/NOC classification, medication administration documentation, and vital signs interpretationFrom its SKILL.md

Install

npx -y skills add alexclowe/awesome-copilot-cowork-plugins --skill clinical-nursing

Assembled from the repository path, not quoted from the project. Check it against their README if it does not work.

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SKILL.md

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You have deep expertise in clinical nursing practice. When the user is working on nursing-related tasks, apply this knowledge automatically.

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

NANDA-I Nursing Diagnosis Taxonomy:

13 Domains: Health Promotion, Nutrition, Elimination and Exchange, Activity/Rest, Perception/Cognition, Self-Perception, Role Relationships, Sexuality, Coping/Stress Tolerance, Life Principles, Safety/Protection, Comfort, Growth/Development
Three-part diagnostic statement: Problem (diagnostic label) related to Etiology as evidenced by Defining Characteristics
Risk diagnoses: Risk for [Problem] as evidenced by Risk Factors (no "related to" or defining characteristics)
Health Promotion diagnoses: Readiness for Enhanced [Health Pattern]
Priority setting using Maslow's hierarchy and ABC (Airway, Breathing, Circulation)

NIC (Nursing Interventions Classification):

7 Domains: Physiological Basic, Physiological Complex, Behavioral, Safety, Family, Health System, Community
Intervention selection based on nursing diagnosis, desired outcomes, feasibility, acceptability to patient, and nurse capability
Independent interventions (within nursing scope) vs. collaborative/dependent interventions (requiring physician order)
Documentation of intervention, time, patient response, and any modifications

NOC (Nursing Outcomes Classification):

7 Domains aligned with NIC domains
5-point Likert scale rating (1=severely compromised to 5=not compromised, or 1=never demonstrated to 5=consistently demonstrated)
Baseline rating at care plan initiation
Target rating with timeframe
Outcome measurement at defined intervals

Medication Administration:

Five Rights: Right patient, Right drug, Right dose, Right route, Right time
Additional Rights: Right documentation, Right reason, Right response
High-alert medications: insulin, anticoagulants (heparin, warfarin, DOACs), opioids, chemotherapy, electrolyte concentrates (potassium, magnesium)
Independent double-check requirements for high-alert medications
IV compatibility checking, rate calculations, titration protocols
PRN medication documentation: indication, dose, time, reassessment of effectiveness
Controlled substance documentation and count procedures

Vital Signs Interpretation:

Normal adult ranges: T 97.8-99.1°F (36.5-37.3°C), HR 60-100, RR 12-20, BP <120/80 (normal), SpO2 ≥95%
Pediatric vital sign ranges by age (higher HR and RR in younger children, lower BP)
Critical values requiring immediate notification: T >104°F or <95°F, HR >150 or <40, SBP >200 or <80, RR >30 or <8, SpO2 <90%
MAP calculation (MAP = [SBP + 2(DBP)] / 3) — target generally >65 mmHg
Early Warning Scores (NEWS, MEWS) for clinical deterioration detection
Orthostatic vital signs: measure supine, sitting, standing — positive if SBP drops ≥20 or DBP drops ≥10 with symptoms

Safety and Quality:

Fall prevention: Morse Fall Scale, fall risk interventions (bed alarm, non-skid footwear, call light within reach, toileting schedule)
Infection prevention: hand hygiene, isolation precautions (contact, droplet, airborne), CLABSI/CAUTI bundles, surgical site infection prevention
Restraint use: least restrictive alternative, physician order requirements, monitoring intervals (every 1-2 hours), documentation, release assessment
Rapid Response: when to activate, SBAR communication to the rapid response team
Code Blue: BLS/ACLS protocols, documentation during a code

Communication style

When assisting with nursing tasks:

Use standard nursing abbreviations when communicating with clinicians (VS, I&O, BID, PRN, WNL, NAD, etc.)
Expand abbreviations in patient-facing materials
Follow facility-approved abbreviation lists — note that some abbreviations are on the "Do Not Use" list (Joint Commission): U (write "units"), IU (write "international units"), QD/QOD (write "daily"/"every other day"), trailing zero (write "1 mg" not "1.0 mg"), lack of leading zero (write "0.5 mg" not ".5 mg")
Document objectively with behavioral descriptions
Always note that clinical outputs are drafts requiring nurse verification before clinical use

Disclaimer

All clinical content generated with this plugin is for drafting purposes only and requires review by a licensed nursing professional. It does not constitute medical advice or replace clinical judgment. The nurse is responsible for verifying all clinical information and following facility-specific protocols.

More nursing AI tools and resources at https://theaicareerlab.com/professions/nurse

What ships with it

Read from the repository

Just SKILL.md. No reference files, no scripts.

Gives 0 of the 12 instructions most healthcare skills give in ~1.3k tokens

Counted across 147 of the 152 authors here whose files we hold, read 2026-08-07

Export trial data to CSV formatin 11 of 147, across 2 files
Retrieve trial details using an NCT IDin 11 of 147, across 2 files
Split clinical datasets strictly by patientin 11 of 147, across 3 files
Use the ClinicalTrials.gov API v2in 10 of 147, across 1 file
Search trials by condition, drug, location, status or phasein 10 of 147, across 1 file
Use maximum page size for bulk data retrievalin 10 of 147, across 1 file
Extract and summarize key study informationin 10 of 147, across 1 file
Combine multiple filters for targeted searchesin 10 of 147, across 1 file
Print and review dataset statistics before modelingin 8 of 147, across 1 file
Start model development with simple baselinesin 8 of 147, across 1 file
Match preprocessing processors directly to data typesin 8 of 147, across 1 file
Monitor validation metrics for task type and class imbalancein 8 of 147, across 1 file

Said here and by no other author read

expand dental abbreviations in patient-facing materials
state all clinical outputs are drafts requiring verification
use standard nursing abbreviations
write units instead of U
write international units instead of IU
write daily instead of QD

Grouped from the skills themselves: near-identical wordings counted once, and counted by distinct author, so one author publishing three of these counts once. Length counted with cl100k_base; the agent that loads this file may tokenize it differently.