OUR LADY OF FATIMA UNIVERSITY

College of Nursing-Valenzuela City

STUDENT
NAME
PROGRAM Bachelor of Science in Nursing
YEAR &
SECTION
NCMB 312
INSTRUCTOR
Care of Clients with Alteration in
COURSE
Perception and Coordination
DATE
(SKILLS LABORATORY)

PROCEDURE : APPLYING BALANCE SKELETAL TRACTION

EXPECTED OUTCOME : The student should be able to apply abalance skeletal traction properly.
ASSESSMENT TASK : Return Demonstration
Assessment Exceptional Good Average Poor SCORE
Dimension (3) (2) (1) (0)
APPLYING BALANCE SKELETAL TRACTION
1. Greeted and identified Performed at Performed one (1) Failed to greet
Identifying the patient by asking least two (2) way of identifying and identify
Patient his/her name and ways of patient. patient
checking his/her ID identifying
band and bed tag. patient.
2. Prepared all the Missed one Prepared Failed to prepare
Gathering and materials needed for material needed incomplete materials needed
Preparing setting–up balance for setting –up materials needed for setting-up
Materials skeletal traction balance skeletal for setting –up balance skeletal
orderly. traction. balance skeletal traction.
traction.
3. 3.1. Explained and Explained Explained Failed to explain
Explaining the discussed the procedure but procedure but in procedure
procedure procedure to the lacks details. an unclear
client and relative manner.
clearly and completely
4. 4. Followed the Performed at least Performed at least Failed to perform
Applying the principles in the two (2) out 3 of the one (2) out of 3 of anysteps of the
Skeletal Traction application of the procedure the procedure. procedures
balance skeletal
traction
4.1 Attached Pearson
attachment in Thomas
splint observing
proper alignment
(screw of Pearson
attachment should be
in line with the knee
of the patient).
4.2 Tied one end of
the thigh rope at the
medial to junction of
the Thomas Splint;
4.3 Mounted rest
splint to the Thomas
splint and Pearson
attachment
5. 5.1Attached the slings Performed at least Performed at least Failed to perform
Attaching the to the Thomas splint two (2) out 3 of the one (2) out of 3 of anysteps of the
slings and Pearson procedure the procedure. procedures
attachmentfrom
medial to lateral; with
 smooth surfaces of
the slings in contact
with the skin of the
patient.
5.2Applied the Slings
snugly, not too tight
nor too loose.
5.3Placed the slings
1 - 1 1/2 inch in
between.
6. Nurse A: Performed at least Performed at least Failed to perform
Transferring 6.1.Applied manual two (2) to three one (1) out of 4 any steps of the
affected traction (3)out 4 steps of steps of the procedures
extremity 6.2 Informed patient the procedure procedure.
to hold on the
overhead trapeze
then flex the
unaffected leg.
Nurse B:
6.3. Lifted the affected
leg
Nurse C:
6.4. Served the
assembled traction.
7. 7.1 Applied traction Performed at least Performed at least Failed to apply the
Applying the weight by tying one two (2) out 3 of the one (1) out of 3 of traction rope and
Traction Rope end of the traction procedure the procedure. bag
and Bag rope to the
Steinman’s pin
7.2. Placed one end of
the traction rope to
the third pulley
7.3. Tied the traction
bag in the traction
rope making a square
knot.
8. 8.1. Tied the other Performed at least Performed at least 1 Failed to apply the
Applying the end of the thigh rope 3 - 4out 5 steps of – 2 out of 5 steps of suspension rope
Suspension to the lateral junction the procedure the procedure. and bag
Rope and Bag of Thomas Splint.
8.2. Attached the
suspension rope at
the middle of the
thigh rope and passed
the other end to the
first pulley.
8.3. Passed the
suspension rope to
the suspension bag
and hang suspension
bag temporarily in the
clamp.
8.4. Passed the
suspension rope to
the second pulley
8.5. Lifted the traction
mechanism) to the
rest splint then tie at
the Thomas Splint and
Pearson
attachmentmaking a
clove-hitch knot.
 9. 9.1. Hanged the Performed at least Performed at least Failed to apply the
Applying the suspension bag. two (2) out 3 steps one (1) out of 3 traction
Traction 9.2. Checked the of the procedure steps of the mechanism
Mechanism alignment of the procedure.
traction and removed
the rest splint
9.3. Checked the
efficiency of traction
with the patient
coordination.
10. Finished procedure Finished Finished Finished
Timing exactly at a given proceduremore procedure more procedure more
time. than 2 minutes at than 3 minutes at than 4 minutes at
a given. a given time. a given time.

11. Documented the Some of the Most of the Documentation

Documenting information about the details of details of was not done
the procedure procedure properly procedure were procedure were
and completely not documented. not documented.

OVERALL SCORE: ______________

Target Raw Score: 25out of 33. If raw score is less than 25, repeat the return demonstration.

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FACULTY SIGNATURE OVER PRINTED NAME