OUR LADY OF FATIMA UNIVERSITY

College of Nursing-Valenzuela City

STUDENT
NAME
PROGRAM Bachelor of Science in Nursing
YEAR &
SECTION
NCMB 316
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 (4) (3) (2) (1)
APPLYING BALANCE SKELETAL TRACTION
1. Greeted and identified Performed at least Performed one (1) Failed to greet and
Identifying the patient by asking his/her two (2) ways of way of identifying identify patient
Patient name and checking identifying patient. patient.
his/her ID band and bed
tag.
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 orderly. balance skeletal for setting –up balance skeletal
traction. balance skeletal traction.
traction.
3. 3.1. Explained and Explained Explained Failed to explain
Explaining the discussed the procedure procedure but procedure but in an procedure
procedure to the client and relative lacks details. unclear 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 to Performed at least Performed at least Failed to perform
Attaching the the Thomas splint and two (2) out 3 of the one (2) out of 3 of anysteps of the
slings Pearson attachmentfrom procedure the procedure. procedures
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 extremity traction (3)out 4 steps of steps of the procedures
6.2 Informed patient to the procedure procedure.
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 end two (2) out 3 of the one (1) out of 3 of traction rope and
Traction Rope and of the traction rope to procedure the procedure. bag
Bag 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 end Performed at least Performed at least 1 Failed to apply the
Applying the of the thigh rope to the 3 - 4out 5 steps of – 2 out of 5 steps of suspension rope
Suspension Rope lateral junction of the procedure the procedure. and bag
and Bag 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 traction procedure.
and removed the rest
splint
9.3. Checked the
efficiency of traction
with the patient
coordination.
10. Finished procedure Finished Finished procedure Finished procedure
Timing exactly at a given time. proceduremore more than 3 more than 4
than 2 minutes at a minutes at a given minutes at a given
given. time. time.

11. Documented the Some of the details Most of the details Documentation
Documenting the information about the of procedure were of procedure were was not done
procedure procedure properly and not documented. not documented.
completely
OVERALL SCORE: ______________

Target Raw Score: 33 out of 44. If raw score is less than 33, repeat the return demonstration.

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FACULTY SIGNATURE OVER PRINTED NAME