Page 24 - CLINICAL PRACTICE II

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PROCEDURE CHECKLIST 13
HEALTH ASSESSMENT AND NURSING PRACTICE
Health assessment and physical examination

NO. PROCEDURE REMARKS

1. Greet client
2. Self-introduction and establish rapport

3. Provide privacy
4. Explain the procedure

5. Use therapeutic communication techniques
6. Get consent from patient

7. Observe general appearance: -
- Physical appearance,
- nutrition status,
- hygiene
- personality

8. Observe facial expression
- pain,
- fear
- happy

9. Taking vital sign
- blood pressure
- pulse
- respiratory

10. Take patient
- weight
- height
11. Performed physical examination

11.1 Skin, hair and nail
11.2 Head, neck and cervical lymph nodes
11.3 Mouth, throat, nose and sinuses

11.4 Eyes and ears

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