NACTVET REGISTRAION NUMBER………………………………………EXAM.

NUMBER…………………………………………

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH

NMT 05103 CARE OF A SICK CHILD

SECTION B: ASSESSMENT OF LEARNER COMPETENCES

Instructions

 This checklist is used to assess learners’ competences on every Module during end of semester I practical examination
 This examination should not be conducted in skills laboratory
 Time allocated is 1 hour (50 minutes for procedure and 10 minutes for evaluation)
 The assessor is required to assign maximum score when sub-criteria is done/observed, if not done or done incorrectly assign zero (0) and
write comment in the comments ‘column
 Write the total score at the end of the assessment

Formula:
Total sub criterion achieved in section (A + B) x 100%
Total sub-criterion in section (A+B)
 Write the final average score obtained by internal and external examiner at the top right corner after getting the average scoresubl and
external examiner
 Write general comments below the checklist, if any, after the examination
 The setting of practical examination is in health care facility (OPD, Pediatric ward, ICU UNITY Emergency ward )
NACTVET REGISTRAION NUMBER………………………………………EXAM.NUMBER…………………………………………

CHECK LIST 3: VITAL SIGNS

(To be used to assess performance)

S/N Description of Sub-criterion Comments

criterion

Maximum

Obtained
Score

Score
1.0 Building rapport 1.1 Greets guardian and introduces self 01
and Prior 1.2 Tells the guardian (s) what is going to be done 01
preparation 1.3 Obtains guardian consent 01
1.4 Prepares hand washing/hygiene requirements 01
1.5 Performs hand washing/hygiene 01
1.6 Prepares conducive environment for procedure (privacy) 01
1.7 Encourages guardian (s) to express any concern/physical needs 01
2.0 Preparation of 2.1 Prepares baby’s file 01
equipment and 2.2 Prepares tray 01
supplies 2.3 Prepares observation chart 01
2.4 Prepares pen 01
2.5 Prepares clinical thermometer 01
2.6 Prepares gall port with swab 01
2.7 Prepares watch 01
2.8 Prepares stethoscope 01
2.9 Prepares spirit 01
2.10 Prepares receiver 01
3.0 Taking body 3.1 Screens the baby 01
temperature 3.2 Places the baby in a comfortable position 01
3.3 Wipes the thermometer from the stem to bulb using swabs 01
3.4 Reads thermometer at the eyes level before inserting to the baby 02
axilla or groin
3.5 Shakes thermometer until the mercury reads below 35 0 C 01
NACTVET REGISTRAION NUMBER………………………………………EXAM.NUMBER…………………………………………

S/N Description of Sub-criterion Comments

criterion

Maximum

Obtained
Score

Score
3.6 Swabs the skin in the axilla or groin 01
3.7 Places thermometer in axilla or groin 01
3.8 Removes thermometer from the child’s axilla or groin after 5 01
minutes
3.9 Reads the thermometer at the eye level after removing 02
thermometer
3.10 Wipes the thermometer from the stem to bulb using swabs 01
4.0 Taking pulse rate 4.1 Places stethoscope on the baby’s chest to check heart beat 01
4.2 Auscultates (Counts) the heartbeat for one minute 02
5.0 Taking 5.1 Looks for chest movement 01
respiratory rate 5.2 Counts the number of respirations for one minute 02
6.0 Documentation 6.1 Thanks, the guardian and leaves them in a comfortable position 01
and feedback 6.2 Documents the findings 01
6.3 Reports findings to senior staff 02
7.0 Caring equipment 7.1 Removes equipment and clears tray 01
after procedure 7.2 Washes hands after the procedure 01
Total score 0

General Comments:
……………………………………………………………………………………………………………………………………………………………………………...
……………………………………………………………………………………………………………………………………………………………………………..

Name of the Internal Examiner: …………………………………………Signature…………………Date………………………………………………………

Name of the External Examiner: …………………………………………Signature…………………Date…………………………………………………….

NACTVET REGISTRAION NUMBER………………………………………EXAM.NUMBER…………………………………………