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Skills Assessment Report

Date:

Skill Assessment - Monitor Respiration

Step Pass Unsatisfactory
Preparation
Clinical standards for procedures and interventions.
Assessment
Ensures the patient is at rest and in a comfortable position to obtain an accurate respiratory rate.
Observes the patient's chest or abdomen to count breaths.
Counts the number of respirations for a full 60 seconds to account for any irregularities.
Assesses the depth of breathing (shallow, normal, deep), rhythm pattern of breathing, and I:E ratio.
Assesses the degree of labored breathing and requests subjective breathing sensations from the patient if possible.
Determines the regularity of breathing patterns.
Observes for signs of labored breathing, use of accessory muscles, nasal flaring, or retractions.
Compares pulse oximetry readings with respiratory assessment findings.
Post-Intervention
Records the respiratory rate, depth, rhythm, and any notable observations in the patient's medical record.
Performs post-intervention management steps.

Summary Performance Evaluation

Evaluator

Student Signature

Evaluator Signature