Ateneo de Zamboanga University

COLLEGE OF NURSING
PERFORMANCE EVALUATION CHECKLIST

NAME: _____________________________________ DATE PERFORMED: _________________

YEAR & SECTION: ______________

ASSESSING THE SKULL AND FACE

PROCEDURE 1 2 3 4 5
1. Introduce yourself and verify the client’s identity.
Explain to the client what you are going to do, why
it is necessary, and how the client can cooperate.
2. Perform hand hygiene and observe other
appropriate infection control procedures.
3. Provide for client privacy.
4. Inquire if the client has any history of the following:
 Lumps or bumps, itching, scaling, or dandruff
 Loss of consciousness, dizziness, seizures,
headache, facial pain, or injury
If so, ascertain the following:
 When and how any lumps occurred
 Length of time any other problem existed
 Any known cause of any problem
 Associated symptoms, treatment, and
recurrences
Assessment
5. Inspect the skull for size, shape, and symmetry.
6. Palpate the skull for nodules or masses and
depressions.
Use a gentle rotating motion with the fingertips.
Begin at the front and palpate down the midline,
then palpate each side of the head.

7. Inspect the facial features.

8. Inspect the eyes for edema and hollowness.
9. Note symmetry of facial movements.
Ask the client to elevate the eyebrows, frown, or
lower the eyebrows, close the eyes tightly, puff the
cheeks, and smile and show teeth.
10. Document findings in the client record.

TOTAL

________________________
Clinical Instructor
(sign over printed name)