Republic of the Philippines
Pamantasan ng Cabupao
(University of Cabuyao)
COLLEGE OF HEALTH AND ALLIED SCIENCES
Katapatan Mutual Homes, Bry. Sanay Sandy, Cy of Cabuyeo, Laguna A025
BACHELOR OF SCIENCE IN NURSING
Fundamentals of Nursing Practice Checklist Evaluation
TOPIC Ill: ACTIVITY, MOBILITY AND EXERCISE
POSITIONING AND DRAPING
Name: YrJSection/Grp: Rate:
Objective:
‘© Demonstrate the ability to use correct technique of placing the patient on bed or
‘examination table safely, comfortably, conveniently and effectively in preparation in
any procedure.
© Demonstrate the proper manner of draping the patient.
Rating Scal
5 ~The student demonstrates the procedure with thorough in independent manner
4~ Demonstrate the procedure with minimal guidance and supervision
3~ Demonstrate the procedure with frequent guidance and supervision
2- Demonstrate the procedure with errors even with frequent guidance and
supervision
‘1— Does not demonstrate the procedure even under close supervi
guidance
A. Erect (Standing or Up-right)
Preparation STatsTaya Remarks
1. | Assemble the equipment and supplies:
‘* Clean gown or disposable gown |
Draping sheet
Procedure
1. | introduce yourself and verify your client's
identity. sea]
2. | Explain to the client what you are going
to do, why it is necessary and how she
can cooperate
3. | Wash hands and observe other | |
appropriate infection
control procedure | |
4._| Provide for client's privacy
&. | Adjust the examination table or bed of the
patient. |
6. | Assist the patient to stand with their ]
| slippers on or | |
|_with bare feet on piece of paper.Place the chair one side where hand of
patient can rest for support.
For vaginal examination, elevate one
foot on a low stool and separate them a
far as itis comfortable for
patient.
Untie the gown and leave the uppermost
tie. Fold the back gown over the
shoulders toward the front.
To compute for the Total Score: Add
each item's rating.
To compute for the Average: Divide the
total SCORE by total number of items,
‘multiply by 100
Total Score
Ave.
B. Sitting Position
Procedure
Introduce yourself and verify your
client's identity.
Explain to the client what you are going
to do, why itis necessary and how she
can cooperate
Wash hands and observe other
appropriate infection control procedure
Provide for
"The buttocks are firmly on the edge of
the bed or at the foot of examination
table
The thighs are well supported
The knees should be bent and the feet
should be positioned flat against the floor
or a foot rest
‘A gown may use to cover the upper
body.
10.
‘A drape or draw sheet covers the waist
and legs
| To compute for the Total Score: Add
each item's rating.
‘To compute for the Average: Divide the
total SCORE by total number of items,
‘multiply by 100
Total Score
Ave.
seeeeeeed 50C. Horizontal Recumbent Position (Supine Position)
Preparation
ol
‘Assemble the equipment and supplies:
‘+ Clean gown or disposable gown
Draping sheet
Procedure
1:
Introduce yourself and verify your
Client's identity.
Explain to the client what you are going
to do, why it
is necessary and how she can
cooperate
Wash hands and observe other
| appropriate infection control
procedure
Provide for client's privacy
‘Adjust the examination table or bed of
the patient.
Assist the patient lie on his back with
legs extended
or slightly flexed to relax the abdominal
muscle.
| Place pillow under the head and smaller
| one may be placed under the knees for
support.
Arms will be crossed on the chest and
comfortably
flexed on the side above the head or
lie loosely at the sides of the body
Put the sheet over the patient covering
the body completely from the neck to
the shoulders downward with tucking it
under the mattress.
Note: If the patient is lying on his bed,
replace the top sheet with a draping
sheet (or top sheet may be used in the
absence of the draping sheet)
‘To compute for the Total Score: Add
each item's rating.
To compute for the Average: Divide the
total SCORE by total number of items,
‘multiply by 100D. Dorsal Recumbent Position
Performed
Preparation Fess Remarks
‘Assemble the equipment and supplies:
0 Clean gown or disposable gown | |
Draping sheet |
| Procedure
[ Introduce yourself and verify your
|_ client's identity. |
2. | Explain to the client what you are a.
| going to do, why it is necessary and
| how she can cooperate
3. | Wash hands and observe other - |
appropriate infection control procedure
4.__| "Provide for client's privacy 3 |
%. | Adjust the examination table or bed of
|_ the patient.
6. Assist the client to lie flat on his back 7 I
7 ‘Separate the legs flex the knees so that | Ties
the soles of the feet are flat on bed. | |
8. | Place he arms either above the head ]
or flex with the hands on the chest |
9. _|_Place one pillow under the head | . ia
10. | Bring the buttocks of the patient to the 1 lee
edge of the bed
11. | Place the draping sheet diagonally on ti
the patient so that the opposite |
corners cover the legs. Fold back the |
| top corner over the chest. 4
|42.| Wrap comer on the right side around
| the right foot. Do the same with the left
side. I
13. | Fold the lower comer of the sheet back | i :
on the sheet back on the abdomen to
expose the part to be examined when
the doctor is ready to do so. aa
To compute for the Total § To! | Total Score
item's rating.
Ave.
‘To compute for the Average: Divide the total |
SCORE by total number of items, multiply by 100 |
E. Dorsal Lithotomy Position z
| : ack Performed
Preparation elas ras Remarks
a5 ‘Assemble the equipment and supplies: ae oz
5 Clean gown or disposable gown
4. Draping sheet
| Procedure |Introduce yourself and verify your
client's identity.
2. | Explain to the client what you are |
going to do, why it is necessary and
how she can cooperate
3. | Wash hands and observe other
appropriate infection control procedure |
4._|_ Provide for client’s privacy |
5. Adjust the examination DR table -
6. | Assist the patient to lie on her back
. Insert the legging stockinette’s (PRN)
8. Adjust the stirrups according to the
|_ size of the patient
9. ‘Separate the legs and flex the thighs
deeply toward the abdomen |
10. Draw down the buttocks to the i
following edge of the table i
11._| Raise the arms above the head or
flex them with he hands on the
chest.
12. Drape as in dorsal recumbent.
Preferably, use the lithotomy drape.
total SCORE by total number of items, |
multiply by 100 |
To compute for the Total Score: Add | Total Score
each item's rating.
| | Ave,
‘To compute for the Average: Divide the
85F. Sim’s Position (Sims Lateral Position) _ ]
Preparation Bra este Remarks
1. | Assemble the equipment and suppli
| Clean gown or disposable gown |
| © Draping sheet | |
Procedure
1. | Introduce yourself and verify your eal
client's identity. |
Explain to the client what you are going | |
todo, why itis necessary andhowshe | |
can cooperate | |
| 3. | Wash hands and observe other
appropriate infection control procedure
4, | Provide for client's privacy _ & |
§. | Adjust the examination table or bed of | |
the patient.
6. | Assist the patient to lie on the left side |
with the body inclined forward |
Extend the left arm behind the back and | |
flex the elbow of the right arm forward
Flex the thigh towards the abdomen |
with the knee drawn up higher than |
the left knee which is only slightly |
flexed
9. | Lay out the draping sheet as in
| horizontal recumbent position. Fold |
back and or gather a side of the sheet | |
to expose the area to be examined |
To compute for the Total Score: Add | Total Score
each item's rating. | |
To compute for the Average: Divide the i
total SCORE by total number of items, |
mutiply by 100
"G. Prone Position
Preparation ees ea Remarks
4. | Assemble the equipment and supplies: | |
Clean gown or disposable gown |
Draping sheet | | | |
|
Procedur
e
4. | Introduce yourself and verify your |
client's identity.
2 | Explain to the client what you are going |
to do, why it is necessary and how she
can cooperate
3. | Wash hands and observe other _ | ]|_ Provide for client's privacy
5. | Adjust the examination table or bed of
the patient.
6. | Help the patient to assume the horizontal |
recumbent position.
7. | Assist him to turn over onto the
abdomen
8. | Turn the head to one side
9. | Place the arms at the sides or flex r
|_ extend upward
10 | Allow the feet to hang over the edge of
the mattress or support on a pillow high
enough to keep the toes from touching
the bed.
[41] Drape as in horizontal recumbent
-_|_ position.
| To compute for the Total Score: Add Total Score
| each item's rating.
Ave.
To compute for the Average: Divide the
total SCORE by total number of items,
muttiply by 100
H. Fowler's Position
Preparation