DE LA SALLE LIPA
COLLEGE OF NURSING
Nursing Care Management 101
Health Assessment
Procedural Checklist in Assessing the Breast and Lymphatic System
Name: _______________________ Date: ________ Year/Sec: ___________Rating: _______
General Objectives: Given simulated situations, the students will be able to systematically assess, observe and
perform assessment of the breast and lymph nodes.
Specific Objectives:
1. Identify and perform the steps of assessing the breast and lymphatic system.
2. Identify the techniques of physical assessment to be applied in assessing the breast and lymph nodes.
3. Determine the normal findings from the deviations in performing the procedure.
4. Perform accurate documentation.
Item Weight Descriptors Verbal Interpretation
1 Excellent Performed the procedure with great ease and confidence, observing work
ethics (prudent, accepts criticisms and suggestions), able to rationalize
scientifically and always shows diligence in documenting observations.
.75 Very Performed the procedure with less confidence, observing work ethics
Satisfactory (prudent, accepts criticisms and suggestions), able to rationalize
scientifically and shows minimal diligence in documenting observations.
.50 Satisfactory Performed the procedure but requires close supervision and shows
potential for improvement.
.25 Needs Failed to perform the procedure, unable to function well and needs
Improvement repeated specific/ detailed guidance or direction.
CRITERIA:
I. Skills 1.0 .75 .50 .25 Remarks
1. Prepare all the materials/supplies to be used.
-----Towel, Drape, Gloves, Centimeter Ruler, teaching
aid for BSE (Breast Self-Exam) Introduce self and verify the client's identity.
Explain procedure to client. Perform hand hygiene and observe appropriate
infection control procedure. Provide for privacy, expose only the body part
to be examined.
2. Inquire if the client has a history of breast masses, pain or tenderness in the
breast, medication history and risk factors that may be associated with
development of breast cancer.
3. Inspect the breast for size, symmetry, and contour or shape while the client
is in sitting position.
COLLEGE OF NURSING
Nursing Care Management 101
Health Assessment
Procedural Checklist in Assessing the Breast and Lymphatic System
Name: _______________________ Date: ________ Year/Sec: ___________Rating: _______
General Objectives: Given simulated situations, the students will be able to systematically assess, observe and
perform assessment of the breast and lymph nodes.
Specific Objectives:
1. Identify and perform the steps of assessing the breast and lymphatic system.
2. Identify the techniques of physical assessment to be applied in assessing the breast and lymph nodes.
3. Determine the normal findings from the deviations in performing the procedure.
4. Perform accurate documentation.
Item Weight Descriptors Verbal Interpretation
1 Excellent Performed the procedure with great ease and confidence, observing work
ethics (prudent, accepts criticisms and suggestions), able to rationalize
scientifically and always shows diligence in documenting observations.
.75 Very Performed the procedure with less confidence, observing work ethics
Satisfactory (prudent, accepts criticisms and suggestions), able to rationalize
scientifically and shows minimal diligence in documenting observations.
.50 Satisfactory Performed the procedure but requires close supervision and shows
potential for improvement.
.25 Needs Failed to perform the procedure, unable to function well and needs
Improvement repeated specific/ detailed guidance or direction.
CRITERIA:
I. Skills 1.0 .75 .50 .25 Remarks
1. Prepare all the materials/supplies to be used.
-----Towel, Drape, Gloves, Centimeter Ruler, teaching
aid for BSE (Breast Self-Exam) Introduce self and verify the client's identity.
Explain procedure to client. Perform hand hygiene and observe appropriate
infection control procedure. Provide for privacy, expose only the body part
to be examined.
2. Inquire if the client has a history of breast masses, pain or tenderness in the
breast, medication history and risk factors that may be associated with
development of breast cancer.
3. Inspect the breast for size, symmetry, and contour or shape while the client
is in sitting position.
