TEST BANK FOR PROCEDURE CHECKLISTS FOR FUNDAMENTALS OF NURSING THIRD EDITION JUDITH M. WILKINSON LESLIE S. TREAS KAREN L. BARNETT MABLE H. SMITH

TEST BANK FOR PROCEDURE CHECKLISTS FOR FUNDAMENTALS OF NURSING THIRD EDITION JUDITH M. WILKINSON LESLIE S. TREAS KAREN L. BARNETT MABLE H. SMITH
PRINCIPLES-BASED CHECKLIST TO USE WITH ALL PROCEDURES
Procedure # _______ Procedure Title _________________________________________
Check (9) S (Satisfactory) or NI (Needs Improvement)
PROCEDURE STEPS S NI COMMENTS
Before Approaching Patient:
• Checks records (e.g., medication record) or obtains a
prescription, if necessary.
• Refers to agency protocols, if not familiar with them.
• Obtains signed informed consent, if needed.
• Performs hand hygiene; dons procedure gloves, if needed.
• Gathers supplies and equipment before approaching
patient.
• Obtains assistance, if needed (e.g., to move a patient).

Preparing Patient:
• Introduces self and instructor to patient.
• Identifies patient: reads wrist band, and asks patient to
state his name. Follows agency protocol.
• Makes relevant assessments (e.g., takes vital signs) to
ensure that patient still requires the procedure, is able to
tolerate it, and that there are no contraindications.
• Explains the procedure to patient, including what he will
feel and need to do (e.g., “You will need to lie very still”).
• Provides privacy (e.g., asks visitors to step out, drapes
patient). Uses good body mechanics: positions bed or
treatment table to a working level; lowers the near
siderail.
• Uses good body mechanics: positions bed or treatment
table to a working level; lowers the near siderail.

During the Procedure:
• Performs hand hygiene before touching patient, before
gloving, after removing gloves, and again before leaving
the room.
• Observes universal precautions (e.g., dons and changes
procedure gloves when needed).
• Maintains sterility when needed.
• Maintains correct body mechanics.
• Provides patient safety (e.g., keeps siderail up on far side
of the bed).
• Continues to observe patient while performing the
procedure steps and pauses or stops the procedure if
patient is not tolerating it.
• Performs the procedure within an acceptable time period.

2 Copyright © 2016, F. A. Davis Company, Wilkinson & Treas/Procedure Checklists for Fundamentals of Nursing, 3e
PRINCIPLES-BASED CHECKLIST TO USE WITH ALL PROCEDURES (continued)
PROCEDURE STEPS S NI COMMENTS
• Demonstrates coordination in handling equipment.
• Follows correct procedure steps.

After the Procedure:
• Evaluates patient’s response to the procedure.
• Leaves patient in a comfortable, safe position with the
call light within reach.
• If patient is in bed, returns the bed to the low position and
raises the siderail (if patient requires this precaution).
• Disposes of supplies and materials according to agency
policy.
• Washes hands again before leaving the room.
• Documents that the procedure was done; documents
patient’s responses.

Note: All procedures are “rules of thumb.” Everything you learn can be altered by medical
prescriptions, new information, agency policies, and individual patient needs. Every
procedure requires nursing judgment.
Recommendation: Pass ______ Needs more practice ______
Student: Date:
Instructor: Date:
Copyright © 2016, F. A. Davis Company, Wilkinson & Treas/Procedure Checklists for Fundamentals of Nursing, 3e 3
PROCEDURE CHECKLIST
Chapter 9: Assessing for Abuse
Check (9) Yes or No
PROCEDURE STEPS Yes No COMMENTS
Before, during, and after the procedure, follows PrinciplesBased Checklist to Use With All Procedures, including:
Identifies the patient according to agency policy; attends
appropriately to standard precautions, hand hygiene,
safety, privacy, and body mechanics.

1. Assesses for abuse any time a child or dependent person
has an injury.

2. Uses a nonjudgmental approach.
3. Does not make assumptions.
4. Determines whether the injury was intentional or
accidental.

5. Obtains a focused health history, including assessing for
physical, sexual, and psychological abuse or neglect.

a. Questions patient and caregivers separately.
b. Compares behavior to developmental level.
c. Asks about past injuries or incidents.
d. Asks detailed questions about how and when the
injury occurred.

e. Asks about inappropriate touching.
f. Asks about genitourinary symptoms and vaginal
discharge.

g. Obtains data about aggressive or self-destructive
behaviors (e.g., substance abuse).

h. As appropriate, asks if victim is pregnant.
i. Assesses for psychological abuse.
j. Obtains information about who manages the family
finances.

6. Determines whether the caregiver has a history of a
mental health disorder or substance abuse.

7. Performs a focused physical assessment.
a. Assesses present injury; looks for evidence of
previous injuries.

b. Notes cues such as bruises in the outline of a hand or
cord loop, burns to feet and lower legs, circular burns,
bite marks, injuries in the “triangle of safety” and the
“swimsuit zone.” 

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