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Skills Assessment Report
Date:
Skill Assessment - Vital Signs
Student Name:
Credentials:
Date:
Location:
Laboratory Simulation
Clinical Environment
Step
Pass
Unsatisfactory
Preparation
Clinical standards for procedures and interventions
.
Assessment
Ensure patient status and non-emergent presentation.
Monitor pulse
.
Monitor respiration
.
Measure oxygen saturation (pulse oximetry)
.
Perform
auscultation of breath sounds
Measure blood pressure
, if applicable.
Measure body temperature, if applicable.
Note current oxygen settings.
Identify trends in
vital signs
that may indicate deterioration.
Compare findings to standard reference values.
Post-Intervention
Post-Intervention Management Steps
References
Summary Performance Evaluation
PASS: Satisfactory performance
Student has demonstrated skill proficiency and may perform under supervision of clinical instructor or preceptor.
Student has demonstrated skill proficiency and may perform in clinical environment.
FAIL: Unsatisfactory performance
Remediation Required
Evaluator
Student Signature
Evaluator Signature
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