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NORTHERN CARIBBEAN UNIVERSITY

COLLEGE OF NATURAL AND APPLIED SCIENCES, ALLIED HEALTH & NURSING
DEPARTMENT OF NURSING

DOCUMENT: EVALUATION TOOL

TITLE: MEETING THE HYGIENE NEEDS OF PATIENTS-
RELATED COURSE: FOUNDATIONS OF NURSING
COURSE CODE: NRSG210

This tool is designed to evaluate the student’s competence in the application of the nursing
process, principles of medical asepsis while providing safe, individualized care for adult
clients in the clinical setting.

This tool was developed spring 2012, reviewed, September 2024.

This tool supersedes all other examination tools for the above clinical course.

The Department of Nursing reserves the right to make changes to this document at any
time.
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NORTHERN CARIBBEAN UNIVERSITY

DEPARTMENT OF NURSING
CONCEPTS APPLIED TO NURSING PRACTICUM
PROCEDURE CHECKLIST
FALL 2024

NEED – Comfort
LEVEL – Year 2
SKILL – Hygiene Care
PERFORMANCE OBJECTIVES RATING NA/ COMMENTS
0
HYGENIC CARE
Reviews client’s docket re-special 3 2 1
precautions/prescriptions when caring for client
Introduces self, verifies client’s identity and 3 2 1
obtains patient consent for procedure.
ASSESSMENT
Observes patient’s facial expression 3 2 1
(cheerfulness, sadness, grimace)
Assesses patient’s hair & scalp (dryness, 3 2 1
parasites, alopecia)
Assesses buccal cavity (odour, coating of tongue, 3 2 1
dental cavities, lesions, swelling, bleeding)
Assesses overall condition –presence of 3 2 1
discharge from eyes, nose, ear
Assesses skin (dryness, temperature, skin turgor, 3 2 1
lesions, abrasions)
Assesses nails (cleanliness, length, colour) 3 2 1
Assesses client’s knowledge of skin hygiene 3 2 1
(importance, preventative measures to take)

Assesses client’s activity level (ambulant, non- 3 2 1

ambulant)

Observes precautions for moving or positioning 3 2 1

client(Dr’s order)
Assess if patient has condom catheter which may 3 2 1
need to be replaced and collect new one.
TOTAL 36

PLANNING
Gathers appropriate equipment for mouth care 3 2 1
and bath
Collects needed linen, clean clothing for client, 3 2 1
receptacle for soiled linen
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PERFORMANCE OBJECTIVES RATING NA/ COMMENTS

0
Stacks linen in order they will be used 3 2 1
TOTAL 9

IMPLEMENTATION
Explains procedure to patient 3 2 1
Closes windows, provides privacy, protects 3 2 1
patient from falling.
*Performs hand hygiene 3 2 1
*Follow Standard Precautions in cases of Blood 3 2 1
borne Pathogens or possible infection e.g. use of
gloves
TOTAL 12

ORAL HYGIENE-Conscious Patient

*Positions patient in safe and comfortable 3 2 1
position
Places towel under patient’s chin 3 2 1
If the patient has dentures, have patient remove 3 2 1
them and place them in a receptacle
Moistens toothbrush and applies cleansing agent 3 2 1
(or assist client)
Gently brushes teeth using vibrating circular 3 2 1
motion with the bristles or allows patient to
perform task
Uses a back-and-forth brushing motion over the 3 2 1
biting surfaces of the teeth (or allows patient)
Brushes the tongue (or allows) patient 3 2 1
Gives patient water to rinse his / her mouth. 3 2 1
Dries patient’s mouth 3 2 1
Clean and replace denture 3 2 1
TOTAL 30
ORAL HYGIENE- Unconscious Patient
*Positions patient in safe and comfortable 3 2 1
position-turn head to one side if allowed, elevate
head
Places towel under client’s chin 3 2 1
Uses a padded tongue blade to gently swab all 3 2 1
surfaces of the mouth
Moistens swabs and applies cleansing agent 3 2 1
Cleans teeth with circular motion 3 2 1
*Ensures swabs are not too wet 3 2 1
*Cleans the tongue; avoid stimulating the gag 3 2 1
reflex
Rinses mouth by swabbing with damp swabs; 3 2 1
wipes patient’s mouth
TOTAL 24
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PERFORMANCE OBJECTIVES RATING NA/ COMMENTS

0
GIVING BEDBATH
Ensures privacy and safety of patient 3 2 1
Offers patient bedpan, commode or urinal 3 2 1
*Adjusts bed to comfortable and safe height for 3 2 1
nurse to work
Uses correct body mechanics throughout
procedure 3 2 1
If patient’s condition allows, lower head of bed, 3 2 1
remove excess pillows
Lowers side rail 3 2 1
Loosens all linens 3 2 1
Removes all client’s clothing 3 2 1
Avoids undue exposure and draughts of client’s 3 2 1
body parts by covering patient with top sheet/
bath blanket/ towel
Tests temperature comfort of water with elbow, 3 2 1
and ask patient to confirm comfort
Folds wash cloth to avoid dripping 3 2 1
Asks client if he/she uses soap on his/her face, 3 2 1
then wipe face avoiding soap to eyes
*Washes and dries adequately body parts 3 2 1
appropriate to client’s needs, not exposing patient
while supporting joints.
*Observe skin for sign(s) of decubitus/ abrasions 3 2 1
*Washes and dries in order-arms, hands and 3 2 1
chest
Washes in order-abdomen, legs and feet (support 3 2 1
joints)
Pat skin dry and cover areas 3 2 1
*Changes water 3 2 1
*Washes back and buttocks 3 2 1
*Changes water 3 2 1
*Washes genital and anal area or ask client to 3 2 1
perform this activity; if patient has condom
catheter, remove, wash and dry penis
*Rinses thoroughly removing all soap 3 2 1
*Dries areas thoroughly 3 2 1
Dresses patient 3 2 1
Makes toe pleat over patient’s feet 3 2 1
COMMENTS
TOTAL 75
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PERFORMANCE OBJECTIVES RATING NA/ COMMENTS

0
Arranges pillows, open end away from door 3 2 1
Combs patient’s hair 3 2 1

*Ensures patient is left comfortable and safe 3 2 1

Tidies unit 3 2 1
*Takes used basins, dirty linen to sluice room, 3 2 1
disposes of garbage in appropriate receptacle;
washes basins, cups and returns them to place of
storage
*Dispose of used linen/clothing in appropriate 3 2 1
receptacles
*Performs hand hygiene 3 2 1
Open screens & windows 3 2 1

TOTAL 24
PROFESSIONAL CONDUCT
*Communicates appropriately with client 3 2 1
*Displays professional attitude throughout 3 2 1
Procedure
Demonstrates caring disposition 3 2 1
EVALUATION
Assesses client’s response to procedure (s) 3 2 1
*Documents all relevant information and reports 3 2 1
abnormalities to Charge nurse
*Completes procedure within given timeframe 3 2 1
TOTAL 18

*Student must perform this technique in each procedure

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RATING SCALE

The points for the rating scales for this clinical examination:

3 - Above Average
2 - Average
1 - Below average
0 - Step not done

Above Average – 3 Points

* The student’s performance exceeds the required objective.

* The student requests teacher guidance when necessary.
* The student consistently demonstrates appropriate initiative in assigned situations.
* The student demonstrates application of knowledge at a high level, in assigned situations.

Average – 2 Points

* The student meets the objective in assigned situations.

* The student requires only appropriate teacher guidance.
* The student frequently demonstrates appropriate initiative in assigned situations.
* The student demonstrates application of knowledge in assigned situations.

Below Average – 1 Point

* The student is inconsistent in meeting the objective.

* The student requires intensive teacher guidance in assigned situations.
* The student has difficulty demonstrating initiative in meeting the
objective.
* The student demonstrates inconsistent application of knowledge in assigned situations.

Preceptor’s Comments __________________________________________________

_________________________________________________________________________

Preceptor’s Signature________________________ Date ____________________

Student’s Comments ____________________________________________________

____________________________________________________

Student’s Signature____________________________ Date _________________