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EVALUATION OF COMPETENCY
Procedure 4-6: Measuring Pulse and Respiration
Name:
Date:
Evaluated by:
Score: 0
Performance Objective
Outcome:
Measure radial pulse and respiration.
Conditions:
Using a watch with a second hand.
Standards:
Time: 5 minutes.
Student completed procedure in
minutes.
Accuracy: Satisfactory score on the Performance Evaluation Checklist.
Performance Evaluation Checklist
Trial 1
Trial 2
Point
Value
Performance Standards
•
•
•
•
Sanitized hands.
䉯
Stated two factors that would increase the pulse rate.
•
•
Positioned the patient in a comfortable position.
䉯
Explained why the pulse should not be taken with the thumb.
•
Applied moderate, gentle pressure until the pulse was felt.
䉯
Stated what will occur if too much pressure is applied over the radial artery.
•
•
Counted the pulse for 30 seconds and made a mental note of the number.
䉯
Stated when the pulse should be measured for a full minute.
•
Continued to hold the fingers on the patient’s wrist.
䉯
Explained why respirations should be taken without the patient’s awareness.
•
•
Observed the rise and fall of patient’s chest.
䉯
Stated what makes up one respiration.
•
•
Determined the rhythm and depth of the respirations.
Greeted the patient and introduced yourself.
Identified the patient and explained the procedure.
Observed patient for any signs that might affect the pulse rate or respiratory rate.
Placed three middle fingertips over the radial pulse site.
Determined the rhythm and volume of the pulse.
Counted the number of respirations for 30 seconds and made a mental note of
the number.
Observed the patient’s color.
169
Copyright © 2012, 2008, 2004, 2000, 1995, 1990 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Chapter 4 Vital Signs
Trial 1
Point
Value
Trial 2
Performance Standards
•
•
•
Sanitized hands.
The pulse rate was within ± 2 beats of the evaluator’s reading.
The respiratory rate was within 1 respiration of the evaluator’s measurement.
䉯
Stated the normal adult range for the pulse rate (60 to 100 beats/min).
䉯
Stated the normal adult range for the respiratory rate (12 to 20 respirations/minute).
Completed the procedure within 5 minutes.
Multiplied the pulse and respiration values by 2.
Charted the results correctly.
Totals
Chart
Date
Submit
Evaluation of Student Performance
EVALUATION CRITERIA
Symbol
Category
COMMENTS
Point Value
Critical Step
16 points
•
Essential Step
6 points
䉯
Theory Question
2 points
Score calculation: 100 points
– 166
points missed
0
____
Score
Satisfactory score: 85 or above
CAAHEP Competencies Achieved
Psychomotor (Skills)
I. 1. Obtain vital signs.
Affective (Behavior)
I. 1. Apply critical thinking skills in performing patient assessment and care.
ABHES Competencies Achieved
9. c. Take vital signs.
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Chapter 4 Vital Signs
Copyright © 2012, 2008, 2004, 2000, 1995, 1990 by Saunders, an imprint of Elsevier Inc. All rights reserved.