JOSE RIZAL UNIVERSITY

College of Nursing and Health Sciences

Performance Checklist
Care and dressing of
Wounds

Name of Student: Sacristan, Kyle James L. Date: November 14, 2022

Year/Section/Group No.: BSN 202N Batch 2 Gr. A Grade:

Rate the student’s performance by checking the appropriate box using the following

criteria: 5- Excellent (Carries out procedure efficiently and systematically)

4- Very Satisfactory (Carries out procedure efficiently or systematically, requires minimal

guidance and supervision)

3- Satisfactory (Carries out procedure efficiently or systematically, requires moderate

guidance and supervision)

2- Fair (Carries out procedure with close guidance and supervision)

1- Poor (Unable to perform the

procedure)
RATIONALE
A. KNOWLEDGE – 30%
1. States objectives of this activity. Stating the purpose of the
activity will recognize the
student what he/she will
perform and its general
purpose.
2. Uses appropriate terms. Using appropriate terms will let
the nurse easily explain things
with clarity and understanding.
3. States steps of the procedure in correct For the nurse to recognize the
order. proper step-by-step of each
procedure.
4. Explains the rationale of every step. To know the purpose of each
procedures.
B. SKILLS – 60%
5. Assemble all equipments and bring to For the nurse to have an easy
bedside. or quick access to all the
equipment for the wound care.
6. Explain the procedure to the client. To inform the client about the
procedure and to build rapport
with the client.
7. Do the medical hand washing. To keep the client safe from
any transmitted infectious
diseases that might further
harm the client.
8. Position the client according to site of the To promote comfort to the
wound. client throughout the wound
cleaning. Also, for the nurse to
easily access the wound.
9. Expose the wound and drape the area. Exposing the wound will let the
nurse evaluate the condition of
the client’s wound. Also,
draping the wound will isolate
the wound and keep it safe
from any infections.
1 Undo materials (binder or adhesive) and To start the wound cleaning
0. secure the dressings. Lift dressing off by
touching the outside portion only. If it is
soiled, use forceps.
1 Clean the wound with antiseptic Using Antiseptic solutions will
1. solution prescribed as necessary. clean and prevent the wound
a. Aseptic wound – start from incision from any pathogenic
(consider the cleanest part) then organisms.
away from it.
1 Apply the ointment thinly as prescribed, ifOintments prescribed by the
2. any on the wound and on the skin if doctor will help the wound heal
drainage is present. faster and prevent the wound
from getting infected.
1 Cover the wound with sterile dressings and To keep the wound safe from
3. secure in place with adhesive applied at any infections.
edges.
1 Arrange client’s clothing and keep him/her To promote comfort to the
4. comfortable. client.
1 Clean and return all equipments used. To sanitize and maintain the
5. cleanliness of the other
equipment inside the bag and
let the nurse to easily access
the materials for the next home
visit.
1 Documentation: Record and chart time, Documentation will serve as an
6. dressing appearance of wound with evidence that nursing care
amount and character of drainage (if any), (wound care) has been done.
observation, treatment such as removal or Also to let the Physician know if
insertion of drains, packing, etc. the client needs Interventions.
C ATTITUDE- 10%
.
1 Shows responsibility by having a
7. complete set of equipment needed in
the activity and shows interest in doing
the procedure.
1 Displays courtesy and consideration in
8. acknowledging criticisms and suggestions
by the Clinical Instructor.
1 Demonstrates integrity by doing the skill
9. honestly, competently and completely.
TOTAL
A. Knowledge - Total score / Total no of items x 60 + 40 = x .3=

B. Skills - Total score / Total no of items x 60 + 40 = x .6=

C. Attitude - Total score / Total no of items x 60 + 40 = _ x .1=

TOTAL =

Clinical Instructor’s Comments / Suggestions:

Students’ Comments / Suggestions:

Sacristan, Kyle James L.

Student’s name & signature C.I.’s name & signature