Mrs. Yeager's Homepage

Nursing 205 Homepage

Nursing 202 Homepage

Nursing 204 Homepage

---

Student's Name: ____________________

Grade (circle one):

P = achieved 3 or above in all categories

F = achieved 2 or below in one or more categories

The following scale is utilized:

ACTION	S	G	SA	U	F
Gather the supplies	5	4	3	2	1
Explain the procedure to the patient	5	4	3	2	1
Wash and dry hands carefully	5	4	3	2	1
Draw the curtain around the bed for privacy	5	4	3	2	1
Go to and stand as close as possible at one side of the bed, in line with the patient's waistline	5	4	3	2	1
Lock the wheels of the bed	5	4	3	2	1
Raise the bed to waist level	5	4	3	2	1
Lower the siderail closest to you	5	4	3	2	1
Fold the top linens down past the patient's feet	5	4	3	2	1
Position the patient in a prone position	5	4	3	2	1
Turn the patient's head to one side	5	4	3	2	1
Place a pillow under the patient's head and neck, being sure his/her ear is not folded back	5	4	3	2	1
Position the patient's arms in a position of comfort with the elbow flexed at 90 degrees and the shoulders both abducted and rotated 90 degrees	5	4	3	2	1
Place a pillow under the patient below the level of his/her diaphragm	5	4	3	2	1
Place a pillow under the patient's shins just high enough to keep his/her toes from touching the bed or move the patient down in bed so his/her feet fall naturally over the edge of the mattress	5	4	3	2	1
Unfold the top linens over the patient	5	4	3	2	1
Lower the bed to the lowest level	5	4	3	2	1
Raise the siderail nearest you	5	4	3	2	1
Assure that the patient's call light is readily available	5	4	3	2	1
Wash and dry hands carefully	5	4	3	2	1
Comments:

Return to Top