Skills Inspection Checklist Template (Page 2 of 12) in pdf

HANDLING A BIOHAZARDOUS PLASTIC TRASH BAG – page 75

___ 1 Wash your hands

CONSCIOUS CHOKING ADULT – page 101

___ 1 Wash your hands

USING AN ELECTONIC THERMOMETER – page 116

___ 1 Wash your hands

COUNT & RECORDS RADIAL PULSE* NOTE: Per WI standards the manual is in the wrong order. This is correct! – page 116

___ 1 Knock on the door, greet the client, explain procedure, speak clearly, slowly & directly, maintaining face-to-face contact, wash hands

___ 2 Make sure the person is in a comfortable, relaxed position with arm in resting position

___ 3 Locate the radial artery by gently pressing your first, second and third fingers on the inside of the wrist on the same side as the thumb.

___ 4 Using the second hand on your watch count beats for one full minute

___ 5 Note the rhythm and force of the pulse.

___ 6 When finished ensure that the client is in a comfortable position with the signaling device within reach

___ 7 Wash your hands & Record pulse rate within 4 beats of evaluator’s reading

COUNT & RECORDS Apical PULSE* – page 118

___ 1 Wash your hands

COUNTS & RECORDS RESPIRATIONS* NOTE: Per WI standards the manual is in the wrong order. This is correct! – page 120

___ 1 Knock - Explain procedure (for testing purposes), speak clear and direct to client, maintaining face-to-face contact whenever possible

NOTE: In real situations always count respirations without the client being aware that you are counting them.

___ 2 Hold client’s wrist as if taking a radial pulse. Count respirations for one full minute

___ 3 Note the rhythm and depth of the respirations and whether the client is having difficulty breathing.

___ 4 When finished ensure that the client is in a comfortable position with the signaling device within reach. Wash your hands

___ 5 Record respiration rate within plus or minus 2 breaths of evaluator’s reading

* Count for one full minute. For testing purposes you may explain to the client that you will be counting the respirations.

MEASURE & RECORD WEIGHT & HEIGHT OF AMBULATORY CLIENT – page 123 (NOTE: No paper towel used)

___ 1 Knock on the door, greet the client, explain procedure, speak clearly, slowly & directly, maintaining face-to-face contact, wash hands

___ 2 Ensure client has nonskid footwear on, then walk with client to the scale

___ 3 Set scale to zero and assist client onto the scale if needed

___ 4 Stand next to client, if needed assist client to center of scale until balanced, then obtain client’s weight

___ 5 Help client step off scale and return to a comfortable position

___ 6 Wash your hands & Record weight based on indicator on scale. Ensure weight is within plus or minus 2 lbs of evaluator’s

MAKING AN UNOCCUPIED BED – page 135

___ 1 Wash your hands, gather linens, properly transport them to client’s room, knock on the door and greet the client if present

___ 2 Place linens in clean area, if client is present explain procedure, speak clearly, slowly & directly maintaining face-to-face contact

___ 3 Raise the bed between mid-thigh and waist level and adjust the bed so it is in a flat position

___ 4 Put on clean gloves, remove personal client items including clean blankets and bedspread. Place them in a safe area

___ 5 Remove pillowcases, put dirty pillowcases in hamper and place pillows in a clean area

___ 6 Without contaminating your uniform, move around the bed to loosen and remove soiled linen by rolling it to towards the center of bed.

___ 7 Place removed linen in appropriate place (do not put dirty linen on the over-bed table or clean or dirty linen on the floor).

___ 8 Apply mattress pad (if used) and bottom fitted sheet, keeping them straight and centered.

___ 9 Make bottom sheet smooth and/or tight, free of wrinkles.

___ 10 Place draw sheet (if used) and clean top linen, blanket and/or bed spread on the bed.

___ 11 Together, tuck top sheet, blanket and/or bedspread at the foot of the bed.

___ 12 Make mitered corners at the foot of the bed to hold linens in place.

___ 13 Properly apply clean pillowcases with zippers and/or tags to inside of pillowcase. For presentation purposes, place open end of the

pillowcase facing AWAY from the door so client and guests only see the clean seam when they enter the room.

___ 14 Return bed to lowest position, leave the bed completely and neatly made and wash your hands

Skills Inspection Checklist Template Page 2

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