1 pts
2 pts
3 pts
4 pts
Knocks on door, greet patient, introduces self, wash hands, check ID bracelet, provide privacy, lock wheels on bed, inform patient what your procedure will be conducted. Set up for procedure. Use proper body mechanics while performing assessment.
Asks the appropriate questions related to the assessment. Using the appropriate techniques of: a. Inspection b. Palpation c. Percussion d. Auscultation
Report should have have following components: SUBJECTIVE: 1. Chief complaint or reason for visit. 2. History using initials and no identifying number OBJECTIVE 1. Results of focused physicial examination. 3. Any follow-up action necessary.
Effective professional communication orally & in writing.
Inform patient that assessment is completed. Bed locked, bed in low position, all light within reach. Provide comfort measures and reposition patient in good body alignment. Wash hands before leaving room.