Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

Name: ___ANGELYN E. TI-AD___________________________ Grade: _________

Year & Section: ______BSN 1A___________________________ Date: __________
Group No: ______________1__________________________

PROCEDURE CHECKLIST
POSITIONING AND DRAPING
Instruction: Below is the grading scale which will be used in rating your performance.

5 EXCELLENT 95 - 100
4 VERY SATISFACTORY 88 - 94
3 SATISFACTORY 82 – 87
2 FAIR 76 – 81
1 NEEDS PRACTICE 70 – 75

 POSITIONING - to place or arrange the client to assume a certain position for

physical examination or treatment

 DRAPING - a piece of cloth placed over a patient’s body during an examination or

operation

GENERAL CONSIDERATIONS:
1. The method of draping varies with the position of the patient, examination to be
done and temperature of the examination room.
2. Draping should be arranged so as to avoid all unnecessary exposure, but at the
same time not to interfere with a thorough examination.
3. Draping should be loose enough to allow a quick change of position but
anchored securely so as not to be displaced by patient’s movement.
4. Methods of draping should be designed with consideration for those who are
embarrassed by exposure of the body.
5. Draping should be warm whenever the circumstances require it.

ERECT OR STANDING POSITION

5 4 3 2 1 REMARKS
PURPOSE:
1. For vaginal examination - to determine
the presence of prolapse uterus
2. For orthopedic condition

PREPARATION 5 4 3 2 1 REMARKS
1. Assist the client to stand either with
slippers or in bare feet on a piece of
paper.
2. Untie the gown and leave the uppermost
taped.
3. Fold back the gown over both shoulders
towards the front when the physician is
ready for examination.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

HORIZONTAL/SUPINE OR RECUMBENT POSITION

5 4 3 2 1 REMARKS
PURPOSE:
1. General physical examination
2. Various operative procedures
3. For comfort by providing a change in
position
PREPARATION 5 4 3 2 1 REMARKS
1. Replace top sheet with a draping sheet.
2. Cover the patient from the shoulders to
the foot part with the sheet hanging
loose at the sides.
3. Assist the patient to lie flat on his/her
back with the legs together, extended or
slightly flexed.
4. Place one pillow under the head and
another smaller one maybe placed under
the knees for support.
5. Place the arms along the sides of the
body or comfortably flexed on the sides.

DORSAL RECUMBENT POSITION

5 4 3 2 1 REMARKS
PURPOSE:
1. Vaginal examination
2. Digital rectal examination (DRE)
3. Pelvic examination
4. For catheterization

PREPARATION 5 4 3 2 1 REMARKS
1. Replace the top sheet with the draping
sheet.
2. Assist the patient to lie flat on his/her
back.
3. Separate the legs, flex the knees so that
the soles of the feet are flat on the bed.
4. Place the arms either above the head or
flex with the hands on the chest.
5. Bring buttocks of the patient to the edge
of the bed.
6. Place one pillow under the head.
7. Place the draping sheet diagonally on
the patient so that the opposite corners
cover the legs. (Optional: Drape with two
sheets placed over the body)
8. Fold back the top corner over the chest.
9. Wrap the corner in the right side around
the right foot.
10. Wrap the corner in the right side around
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

the right foot.

11. Fold the lower corner of the sheet pack
on the abdomen to expose the part to be
examined when the doctor is ready to do
so.

DORSAL LITHOTOMY POSITION

5 4 3 2 1 REMARKS
PURPOSE:
1. For cystoscopic examination
2. For vaginal delivery
3. For operations and examinations on
the perineum, vagina, cervix, bladder
and rectum

PROCEDURE 5 4 3 2 1 REMARKS
1. Assist the patient to lie on his/her back.
2. Insert leggings or stockinettes PRN.
3. Adjust the stirrups according to the size
of the patient.
4. Separate the legs and flex the thighs
deeply toward the abdomen.
5. Elevates the legs and adjust it with the
stirrups.
6. Draw down the buttocks to the folding
edge of the table
7. Raise the arms above the head or flex
them with the hands on the chest
8. Place the draping sheet diagonally on
the patient so that the opposite corners
cover the legs.
9. Fold back the top corner over the chest.
10. Wrap the corner in the right side around
the right foot.
11. Do the same with the left side.
12. Fold the lower corner of the sheet pack
on the abdomen to expose the part to be
examined when the doctor is ready to do
so.

SIM’S/LATERAL POSITION
5 4 3 2 1 REMARKS
PURPOSE:
1. For resting sleeping
2. For unconscious clients
3. Used for paralyzed patient

PROCEDURE 5 4 3 2 1 REMARKS
1. Assist the patient to lie on either side,
preferably the left with the body inclined
forward.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

2. Extend the left arm behind the back and

flex the elbow of the right arm forward.
3. Flex the right thigh towards the abdomen
with the knees drawn up higher than the
left knee, which is only slightly flexed.
4. Lay out the draping sheet as in
horizontal recumbent position.
5. Fold back or gather a side of the sheet to
expose the area to be examined.

PRONE POSITION
5 4 3 2 1 REMARKS
PURPOSE:
1. Promotes drainage from the mouth
2. Useful for unconscious clients or those
recovering from surgery of the mouth
or throat

PROCEDURE 5 4 3 2 1 REMARKS
1. Help the patient assume the horizontal
recumbent position.
2. Assist him or her to turn over onto the
abdomen.
3. Turns the head to one side.
4. Place the arms at the sides or extends
upwards.
5. Allow the feet to hang over the edge of
the mattress or support on a pillow high
enough to keep the toes from touching
the bed.
6. Place a small pillow beneath the wrist
and a large one under the legs if patient
has to stay in the position for a long
time.
7. Drape the patient horizontally. (Draping
is similar to that of the dorsal position.)

FOWLER’S/SEMI-SITTING POSITION
5 4 3 2 1 REMARKS
PURPOSE:
1. Promoting cardiac and respiratory
function
2. To relieve dyspnea
3. To facilitate drainage after surgery

PROCEDURE 5 4 3 2 1 REMARKS
1. Place the patient in horizontal recumbent
position.
2. Elevate the head of the bed
appropriately.
 Low Fowlers – 15 degrees
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

 Semi Fowlers – 45 degrees

 High Fowlers – 90 degrees
3. Flex the knees slightly and support them
with knee rolls.
4. Drape patient appropriately as in
horizontal recumbent position.

TRENDELENBURG POSITION
5 4 3 2 1 REMARKS
PURPOSE:
1. Used for surgery on the lower
abdomen and pelvis
2. For treatment of shock or decreased
blood pressure

PROCEDURE 5 4 3 2 1 REMARKS
1. Assist the patient to a horizontal
recumbent position.
2. Elevate the foot of the bed so that the
lower trunk is higher than the bed and
shoulder. (At about 45 degrees angle)
3. Support the shoulder and knees.
4. Draping depends upon the kind of
operation to be performed and or similar
to that of the horizontal recumbent
position.

JACKNIFE POSITION
5 4 3 2 1 REMARKS
PURPOSE:
1. For rectal surgery
2. For cystoscopic examination

PROCEDURE 5 4 3 2 1 REMARKS
1. Let the patient lie on his or her back with
shoulders slightly elevated.
2. Bring thighs up to form a right angle with
the anterior part of the trunk and knees
flexed so that the lower legs rest against
the thighs.
3. Draping depends on the operation to be
performed since this position is more for
surgery rather that for examination.

KNEE-CHEST/GENUPECTORAL POSITION
5 4 3 2 1 REMARKS
PURPOSE:
1. For rectal examination and surgery

PROCEDURE 5 4 3 2 1 REMARKS
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

1. Place the patient on a prone position.

2. Assist him/her to kneel with the knees
slightly separated.
3. Bend forward so that the chest is resting
on the bed and the thighs are
perpendicular to the legs.
4. Turns the head to one side.
5. Place the arms either above head or flex
at the elbows and rest along the side of
the head.
6. Drape the patient properly so that only
the area to be examined is exposed.

ORTHOPNEIC POSITION
5 4 3 2 1 REMARKS
PURPOSE:
1. Facilitates respiration
2. For clients who have problems
exhaling

PROCEDURE 5 4 3 2 1 REMARKS
1. Have patient sit up on bed.
2. Place overbed table across the lap.
3. Pad table with pillows and elevate to
comfortable height.
4. Let patient lean forward with head and
arms resting on table.
5. Cover with top sheet from waist
downward.
6. Drape the patient properly so that only
the area to be examined is exposed.

Date/Time: ___________________

Facilitator: _Norina De Lima______