DE LA SALLE LIPA
COLLEGE OF NURSING
Nursing Care Management 103
Procedural Checklist in
ASSESSING VITAL SIGNS
Name: _____ Date: ____Year/Sec: ___ Rating:
General Objective:
To measure and document patients’ temperature, pulse, respiration, blood pressure, and pain
score accurately and safely, recognizing deviations from the normal values.
Specific Objectives:
1. Assess patient readiness for the temperature, pulse, respiration, blood pressure, and pain
score checking procedure.
2. Determine appropriate patient outcomes of the TPR and BP process and the potential for
adverse outcomes.
3. Choose the appropriate equipment.
4. Position the patient appropriately for the procedure, maintaining principles of body
mechanics.
5. Measure the TPR, BP, and NPS accurately.
6. Document the results in the patient record as required.
Item
Descriptors Verbal Interpretation
Weight
1 Excellent Performed the procedure with great ease and confidence,
observing work ethics (prudent, accepts criticisms and
suggestions), able to rationalize scientifically and shows
diligence in documenting observations at all times .
0.75 Very Performed the procedure with less confidence, observing work
Satisfactory ethics (prudent, accepts criticisms and suggestions), able to
rationalize scientifically and shows minimal diligence in
documenting observations.
COLLEGE OF NURSING
Nursing Care Management 103
Procedural Checklist in
ASSESSING VITAL SIGNS
Name: _____ Date: ____Year/Sec: ___ Rating:
General Objective:
To measure and document patients’ temperature, pulse, respiration, blood pressure, and pain
score accurately and safely, recognizing deviations from the normal values.
Specific Objectives:
1. Assess patient readiness for the temperature, pulse, respiration, blood pressure, and pain
score checking procedure.
2. Determine appropriate patient outcomes of the TPR and BP process and the potential for
adverse outcomes.
3. Choose the appropriate equipment.
4. Position the patient appropriately for the procedure, maintaining principles of body
mechanics.
5. Measure the TPR, BP, and NPS accurately.
6. Document the results in the patient record as required.
Item
Descriptors Verbal Interpretation
Weight
1 Excellent Performed the procedure with great ease and confidence,
observing work ethics (prudent, accepts criticisms and
suggestions), able to rationalize scientifically and shows
diligence in documenting observations at all times .
0.75 Very Performed the procedure with less confidence, observing work
Satisfactory ethics (prudent, accepts criticisms and suggestions), able to
rationalize scientifically and shows minimal diligence in
documenting observations.
