Ateneo de Zamboanga University

COLLEGE OF NURSING
PERFORMANCE EVALUATION CHECKLIST
NAME: _____________________________________ DATE PERFORMED: _________________
YEAR & SECTION: ______________
ASSESSING THE SKIN

PREPARATION 1 2 3 4 5
1. Assemble equipment:
• Millimeter ruler
• Examination gloves
• Magnifying glass
PROCEDURE
1. Introduce yourself and verify the client’s identity.
Explain to the client what you are going to do, why it is
necessary, and how the client can cooperate.
2. Perform hand hygiene and observe other appropriate
infection control procedures.
3. Provide for client privacy.
4. Inquire if client has any history of the following:
• Pain or itching
• Presence and spread of any lesions, bruises,
abrasions, or pigmented spots
• Skin problems
• Associated clinical signs
• Problems in other family members
• Related systemic conditions
• Use of medications, lotions, or home remedies
• Excessively dry or moist feel to the skin
• Tendency to bruise easily
• Any association of the problem to a season of the
year
Assessment
5. Inspect skin color.
6. Inspect uniformity of skin color.
7. Assess edema, if present.
8. Inspect, palpate, and describe skin lesions. Apply
gloves if lesions are open or draining.
Describe lesions according to location, distribution,
color, configuration, size, shape, type, or structure.
9. Observe and palpate skin moisture.
10. Palpate skin temperature.
Compare the two feet and the two hands, using the
backs of your fingers.
11. Note skin turgor by lifting and pinching the skin on an
extremity.
12. Document findings in the client record. Draw the
location of skin lesions on body surface diagrams.
TOTAL

________________________
Clinical Instructor
(sign over printed name)