OUR LADY OF FATIMA UNIVERSITY
College of Nursing-Valenzuela City
STUDENT NAME
PROGRAM Bachelor of Science in Nursing
YEAR & SECTION
NCM 104
INSTRUCTOR
Care of Clients with Alteration in Perception and
COURSE
Coordination
DATE
(SKILLS LABORATORY)
PROCEDURE: TEACHING PATIENT HOW TO WALK WITH CRUTCHES
EXPECTED OUTCOME : The student should have properly and skillfully teach the patient how to walk with
crutch safely.
ASSESSMENT TASK : Return Demonstration
Assessment Exceptional Good Average Poor
SCORE
Dimension (3) (2) (1) (0)
Greeted and Performed at least Performed at Failed to greet
identified patient by two (2) ways of least one (1) way and identify
1.
asking his/her name identifying patient. of identifying patient
Identifying the
and checking his/her patient.
Patient
ID band and bed tag.
Procedure was Details of the Clear explanation Failed to explain
2.
explained clearly and procedure was of the procedure the procedure.
Explaining the
completely. explained but in an was observed but
procedure
unclear manner. lacks details.
Thorough assessment Assessment was Very limited Failed to assess
of client’s strength, partly done. assessment was the patient
3. mobility, range of done. thoroughly.
Assessing the motion, visual acuity,
Client perception
difficulties, and
balance was done.
Properly adjusted Crutches pad fit 1.5- After adjusting Failed to adjust
crutches: 2 inches below the both parts of the crutches.
4.1. Crutches pad axilla but hand grip crutches, it was
4. should fit 1.5-2 was not properly still not properly
Adjusting the inches below the adjusted. fitted.
Crutches axilla
4.2. Hand grip should
keep the elbows bent
at 30O flexion
Safety was observed Safety was partially The bed was Failed to
by: observed by just lowered but observe safety
5.
5.1. Lowering the lowering the bed. vertigo was not of the patient
Providing
height of the bed clearly assessed. during the
Safety
5.2. Dangle the client procedure.
5.3. Assess for vertigo
Properly Demonstrated Demonstrated Failed to
demonstrated correct correct positioning. correct demonstrate
positioning. Instructions were positioning. correct
Instructed client to unclear. Assisted Instructions were positioning.
6.
position crutches the client to a unclear. Did not
Starting
lateral to and forward standing position assist the client to
position
of feet. Assisted the with crutches. a standing
client to a standing position with
position with crutches.
crutches.
7. Demonstrated Demonstrated Demonstrated Failed to
7.1 Four-Point competently all the 6 correctly 4- 5 out of correctly 1 – 3 out demonstrate
Gait; gait patterns. 6 gait patterns. of 6 gait patterns. any of the
7.2. Three- procedures.
Point Gait;
7.3. Two-Point
Gait;
7.4. Tripod
Gait;
7.5. Swing-To
7.6. Swing-
Through
8. Demonstrated Demonstrated both Demonstrated Failed to
Walking Up competently both gait with minimal correctly 1 out of demonstrate
Stairs; Walking gait patterns. corrections. 2 gait patterns. any of the 2 gait
Down Stairs patterns.
Observed principles Hand washing was Hand washing Failed to
9.
of medical hand done with minimal was done with perform hand
Hand washing
washing. errors. maximal errors. washing
Information about Some of the details Most of the Failed to
10.
the procedure was of procedure were details of document the
Documenting
properly not documented. procedure were procedure
the procedure
documented. not documented.
OVERALL SCORE: ______________
Target Raw Score: 23 out of 30. If raw score is less than 23, repeat the return demonstration.
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FACULTY SIGNATURE OVER PRINTED NAME
