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Performance Evaluation for Patient Positioning

The document is a performance evaluation tool used to assess nursing students' skills in positioning patients and proper body mechanics. It provides a scoring rubric to rate students on various patient positioning techniques, including supine, lateral, SIMS, prone, knee-chest, dorsal recumbent, lithotomy, Fowler's, assisting patients to sit on the bed, and assisting patients from bed to chair. The evaluation tool is used to ensure students have mastered important positioning skills.
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0% found this document useful (0 votes)
83 views2 pages

Performance Evaluation for Patient Positioning

The document is a performance evaluation tool used to assess nursing students' skills in positioning patients and proper body mechanics. It provides a scoring rubric to rate students on various patient positioning techniques, including supine, lateral, SIMS, prone, knee-chest, dorsal recumbent, lithotomy, Fowler's, assisting patients to sit on the bed, and assisting patients from bed to chair. The evaluation tool is used to ensure students have mastered important positioning skills.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

University of Perpetual Help System

Isabela Campus
Minante I, Cauayan City

PERFORMANCE EVALUATION TOOL FOR POSITIONING

Name: _______________________________________________ Rating: ______________________


Year/ Section: ________________ Group: ________________ Date: ______________________

Direction: Please rate the learner based on the competencies listed below
0 - NOT OBSERVED ( task was not demonstrated by the student)
1 - UNACCEPTABLE (performance was ineffective and inefficient)
2 - NEEDS IMPROVEMENT ( task was performed with some deficiency)
3 - ACCEPTABLE (student performed the task well enough)
4 - COMPETENT (student performed the task quickly, thoroughly & precisely)

PROCEDURE SCORE Remark


4 3 2 1 0
BODY MECHANICS and NPI
 Observe proper body mechanics

 Assemble equipment and supplies

 Check doctor’s order, verify client’s identity, greet the client,


explain the procedure and instruct the patient properly.

POSITIONING
1. SUPINE

 Flat on bed

 Pillow under the head (no pillow for post-operative


clients)

 Place a trochanter roll along the hips

 Support the feet to prevent foot drop

2. LATERAL

 Turn patient to either side as one unit (logrolling)

 Pillow under the head and at the back for support

 Arm on the lying side is flexed so that it is resting in front


of face and the hand facing up

 The other can be extended or slightly flexed and rest it on


patient's hip or bring it forward and place it on a pillow.

 The top leg will be flexed forward with pillow support

3. SIMS

 Patient on either side with pillows under the head

 The arm on the lying side is extended and positioned


behind the patient.

 Flex the other arm and bring it forward. Support with a


pillow.

 The leg is flexed forward and supported with a pillow


 Chest and abdomen is partially lying on bed

 Ensure privacy

4. PRONE

 Patient is flat and lying on abdomen

 Turn patient to face on either side

 Place a small pillow under the head

 Place a small pillow on the abdomen to reduce pressure


on breasts (OPTIONAL)

 Position arms in the way most comfortable for the patient

 Place small pillow under the lower legs to prevent


pressure on the toes

5. KNEE-CHEST

 From prone position raise the patient's buttocks so that


the body is flexed upward

 The patient rests on the knees and upper part of the chest

 Ensure privacy

6. DORSAL RECUMBENT

 Patient is on his back with knees flexed and soles of feet


flat on the bed.

 Fold sheet once across the chest.

 Fold a second sheet crosswise over the thighs and legs so


that genital area is easily exposed.

 Ensure privacy

7. LITHOTOMY

 Patient is laid on the back with knees bent, positioned


above the hips, and spread apart through the use of
stirrups

 Ensure privacy

8. FOWLER'S

 High fowlers – elevate head of bed to 90 degrees

 Semi fowlers – elevate head of bed 30-45 degrees

9. Assisting patient to sit on bed (dangling position)

10. Assisting the patient from bed to a bed side chair

Evaluated by: _______________________________


Checklist prepared by:
H. Cortez, RN, MAN -UPHS
Clinical Instructor

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