vital signs

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

COMPETENCY 33

• Temperature, Pulse & Respiration (TPR) - Measurement

DEMONSTRATES

• The ability to effectively measure TPR.

PERFORMANCE CRITERIA

• 1. Identifies Indication (2.5,9.5)

  Yes

  No

  N/A

• 2. Performs hand hygiene (7.1,9.5)

  Yes

  No

  N/A

• 3. Gathers equipment (7.1,7.3)<br>- thermometer (oral), tissues, alcowipes<br>- thermometer ( electronic or tympanic membrane)<br>- sheath or probe covers<br>- watch with a second hand<br>- disposable gloves

  Yes

  No

  N/A

• 4. Prepares the thermometer (7.1,9.5)

  Yes

  No

  N/A

• 5. Demonstates therapeutic interaction with the patient, e.g. gives patient<br>a clear explanation of procedure (2.1,2.3,9.1,9.2)<br>assesses patient (5.1,5.2)

  Yes

  No

  N/A

• 6. Takes the temperature ( 7.1,9.5)

  Yes

  No

  N/A

• 7. Measures pulse rate, rhythm and quality ( 7.1)

  Yes

  No

  N/A

• 8. Measures respiratory rate, depth, rhythm and quality (7.1)

  Yes

  No

  N/A

• 15. Cleans, replaces and disposes of equipment appropriately (9.5,10.1)

  Yes

  No

  N/A

• 16. Documents relevant information (1.1,1.2,1.3,2.6,9.2,10.2)

  Yes

  No

  N/A

• 17. Demonstrates ability to link theory to practice (3.2,4.1,4..2)

  Yes

  No

  N/A

STUDENT

EDUCATOR

DATE