Name of the Student MAICS ZACHARY .
Section BSN1-A16 Date__________________ Score _______ Name of Clinical Instructor
_____________________________________
ASSESSING THE INTEGUMENTARY SYSTEM
CRITERIA PROFICIENT APPROACHING DEVELOPING BEGINNING
(4) PROFICIENCY (3) (2) (1)
BEFORE PROCEDURE Independently performs all Performs skills with assistance Perform skills with assistance Perform skills with assistance
skills frequently and without of faculty 1-2 times during of faculty 3-4 times during of faculty greater than 4 times
difficulty simulation simulation during simulation.
1. Identify the patient.
2. Explain the purpose of the respiratory system
examination and answer any questions to the
patient.
3. Perform hand hygiene
ASSESSING THE SKIN
1. Inspect the overall skin coloration
2. Inspect skin for vascularity, bleeding or bruising.
3. Inspect the skin for lesion. Note bruises, scratches,
cuts, inspect bites, and wounds. If present note size,
shape, color, exudates and distribution/pattern
4. Palpate the skin using the back of your hands to
assess the temperature. Wear gloves when
palpating any potentially open area of the skin.
5. Palpate for texture and moisture
6. Assess for skin turgor by gently pinching the skin
under the clavicle
7. Palpate for edema(which is characterized by swelling,
with taut and shiny skin over the edematous area.)
8. If lesion are present, put on gloves and palpate the
lesion
9. Inspect the nail angle noting if any clubbing is present,
as well as the shape and color of the nails.
10. Palpate the nail for texture and capillary refill
11. Inspect the hair and scalp, Wear gloves for palpation
if lesion or infestation is suspected or if hygiene is
poor.
AFTER THE PROCEDURE
1. Perform hand hygiene
2. Document the findings of the assessment
RATING RATING RATING RATING
Prepared
Christie N. Cellacay, RN.MAN
Clinical Instructor
Noted
Jill Marie C. Hermogenes RN, MAN, Ed.D
Assistant Dean
Approved
Michelle B. Yu RN, MAN, DM
Dean