Schools of Health and Allied Health Sciences

College of Nursing

LEVEL 1
NUR 098
2nd Semester
SY: 2023 – 2024

Name:________________________________ Group: ________ Date: ____________ Rating:_________

PERFORMANCE CHECKLIST IN ASSESSING THE INTEGUMENTARY SYSTEM

CRITERIA PROFICIENT APPROACHING DEVELOPING BEGINNING

PROFICIENCY
(4) (3) (2) (1)
INITIAL STEPS Independently Performs skills with Perform skills Perform skills
Performs all skills assistance of faculty with assistance of with assistance of
frequently and without 1-2 times during faculty 3-4 times faculty greater
difficulty simulation during simulation than 4 times
during simulation.
1. Identify the patient.

2. Explain the purpose of the respiratory

system examination and answer any
questions to the patient.
3. Perform hand hygiene

ASSESSING THE SKIN

1. Inspect the overall skin coloration
2. Inspect skin for vascularity, bleeding or
bruising.
3. Inspect the skin for lesions. Note
bruises, scratches,
cuts, insect bites, and wounds. If
present note size, shape, color,
exudates and distribution/pattern
4. Palpate the skin using the back of your
hands to assess the temperature.
Wear gloves when palpating any
potentially open area of the skin.
5. Palpate for texture and moisture
6. Assess for skin turgor by gently pinching
the skin under the clavicle
7. Palpate for edema (which is
characterized by
swelling, with taut and shiny skin over
the edematous area.)
8. If lesion is present, put-on gloves and
palpate the lesion
9. Inspect the nail angle noting if any
clubbing is present, as well as the
shape and color of the nails.
10. Palpate the nail for texture and
capillary refill
11. Inspect the hair and scalp, Wear gloves
for palpation if lesion or infestation is
suspected or if hygiene is poor.

AFTER THE PROCEDURE

1. Perform hand hygiene
2. Document the findings of the
assessment
RATING RATING RATING RATING

TOTAL POINTS: 64
Instructor’s Comments:
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____________________________________
Signature over Printed name of the Student

____________________________________

Signature over Printed name of the Clinical

Instructor

Prepared:

Cherry Joy H. Datan, RN, MAN, Ed.D

Level I – Coordinator

Noted:

Jill Marie C. Hermogenes, RN, MAN, Ed.D

Assistant Dean

Approved:

Michelle B. Yu, RN, MAN, DM

Dean