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Skills Assessment Report

Date:

Skill Assessment - Vital Signs

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

Summary Performance Evaluation

Evaluator

Student Signature

Evaluator Signature