Checklists for Clinical Nursing Skills

31

skill 2-8 Undertaking a neurological examination (continued)

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Satisfactory

Needs practice

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17. With the patient’s eyes still closed, place a familiar object, such as a key, in their hand and ask them to identify the object. Repeat using another object for the other hand. 18. Perform the Romberg test: ask the patient to stand straight with their feet together, both eyes closed and their arms at their sides. Wait 20 seconds and observe for swaying and ability to maintain balance. Be alert to prevent a fall or an injury if the patient loses their balance during this assessment. 19. Assist the patient into a position of comfort. 20. Remove used PPE/equipment and dispose of them in the appropriate receptacle. 21. Perform hand hygiene. 22. Document your assessment findings on the patient’s chart and make any necessary referrals. Report any abnormal results to a senior nurse, medical officer or endorsed nurse practitioner immediately.

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Copyright © 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Checklists for Clinical Nursing Skills by Louise Sparkes, Jennifer Bassett and Elisabeth Jacob.