CALAMBA DOCTORS’ COLLEGE

Virborough Subdivision, Parian, Calamba City, Laguna

Performance Evaluation Checklist

Name: ________________________ Date: _______________

Year and Section: _______________

Instruction: Rate the nursing skill performance of the student based as follows: 5 = Perfect (91-100), 4 = Very
Satisfactory (85-90), 3 = Satisfactory (80-84), 2 = Poor (79-75), 1 = Need Improvement (74 and below)

Chap. 22: Assessing Abdomen 5 4 3 2 1 comment

Procedures
1. Gather equipment (pillow/towel, centimeter ruler,
stethoscope, and marking pen).
2. Perform hand hygiene and put on PPE, if indicated.
3. Identify the patient.
4. Close curtains around bed and close the door to the
room, if possible. Explain the purpose of the abdominal
examination and what you are going to do. Answer any
questions.
5. Help the patient undress, if needed, and provide a patient
gown. Assist the patient to a supine position and expose
the abdomen. Use the bath blanket to cover any exposed
area other than the one being assessed.
6. Inspect the abdomen for skin color, contour, pulsations,
the umbilicus, and other surface characteristics (rashes,
lesions, masses, scars).
7. Auscultate all four quadrants of the abdomen for bowel
sounds by using the diaphragm of the stethoscope. Use a
systematic method.
8. Auscultate the abdomen for vascular sounds by using the
bell of the stethoscope.
9. Percuss the abdomen for tones.
10. Palpate the abdomen lightly in all four quadrants and then
palpate using deep palpation technique. If the patient
complains of pain or discomfort in a particular area of
the abdomen, palpate that area last.
11. Assess for rebound tenderness last if the patient reports
pain by pressing deeply and gently into the abdomen with
the hand and fingers downward and then withdrawing
the hand rapidly.
12. Assist the patient in replacing the gown. Remove PPE, if
used. Perform hand hygiene. Continue with assessments of
specific body systems as appropriate or indicated. Initiate
appropriate referral to other healthcare practitioners for
further evaluation, as indicated
Ave. Score =

Grade: ______/60____
Evaluated by:

__________________________
Clinical Instructor

Rating Scale
Range Descriptive Rating
4.51 - 5.00 Perfect
3.51 - 4.50 Very Satisfactory
2.51 - 3.50 Satisfactory
1.51 - 2.50 Poor
1.00 - 1.50 Need Improvement