OUR LADY OF FATIMA UNIVERSITY

COLLEGE OF NURSING - CABANATUAN

PROGRAM Bachelor of Science in Nursing Student Name

Year and Section
COURSE HEALTH ASSESSMENT Instructor
Date
PROCEDURE : Positioning
EXPECTED OUTCOME : The student should be able to perform transferring and positioning the client in bed.
ASESSMENT TASK : Return demonstration
Exceptional Good Average Poor
Assessment Dimension SCORE
(3) (2) (1) (0)
Hand washing was Hand washing was
Observed principles of Hand washing was
1. Wash Hands. done with minimal done with maximal
medical hand washing not done
error error
2. Greet and identify client Greeted and identified Performed the two (2) Performed the one Failed to identify
and tell the client you are client by asking his/her ways of identifying the (1) ways of the client
going to help him move up in name and checking his client identifying the client
bed. or her ID band politely
Explained procedure Explained the Explained the Failed to explain
3. Lock the wheels of the and its purpose to the procedure but lack procedure but in an procedure and its
bed, f they are present, if client clearly and some details. unclear manner. purpose.
possible. completely with client’s
consent
Provided privacy but Provided privacy but
4. Raise the whole bed to the Provided privacy during Failed to provide
not in the entire was observed only at
height best for you. the entire procedure privacy
procedure times
Properly and skillfully Placed the client Placed client Failed to positioned
positioned the client comfortably and in comfortably and in client properly and
5. Place a small pillow under
comfortably any preferable any preferable comfortably
the client’s head as
position with less position with
necessary.
supervision maximum
supervision
Performed the Performed the Performed the Failed to perform
6. Put the side rail in the up
procedures with ease procedures with procedures with the procedure
position on the far side of
minimal supervision maximum
the bed.
supervision
7. Put one hand under the Performed the Performed the Performed the Failed to perform
client’s shoulder. Put your procedures with ease procedures with procedures with the procedure
hand under the client’s minimal supervision maximum
buttocks. supervision
Performed the Performed the Performed the Failed to perform
8. Tell the client to bend his procedures with ease procedures with procedures with the procedure
knees and brace his feet minimal supervision maximum
firmly on the mattress. supervision
Performed the Performed the Performed the Failed to perform
9. Tell the client to put his procedures with ease procedures with procedures with the procedure
hands on the mattress to minimal supervision maximum
help push. supervision
Performed the Performed the Performed the Failed to perform
procedures with ease procedures with procedures with the procedure
10. Bend on the knees and minimal supervision maximum
keep the back straight. supervision
11. Position the patient in Performed the Performed the Performed the Failed to perform
either supine, fowler’s, procedures with ease procedures with procedures with the procedure
prone, genu pectoral, minimal supervision maximum
lithotomy, dorsal recumbent, supervision
Trendelenburg position.
Performed the Performed the Performed the Failed to perform
12. Make the patient procedures with ease procedures with procedures with the procedure
comfortable and reposition minimal supervision maximum
as needed. supervision
Performed the Performed the Performed the Failed to perform
procedures with ease procedures with procedures with the procedure
minimal supervision maximum
13. Wash hands. supervision
Performed the Performed the Performed the Failed to perform
procedures with ease procedures with procedures with the procedure
14. Chart the observations minimal supervision maximum
after the procedure. supervision

OVERALL SCORE: ________________

Target raw score is 32 out of 42. If raw score is less than 32, repeat the return demonstration.

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FACULTY SIGNATURE OVER PRINTED NAME