Evidence Plan

Qualification
Health Care Services NC II

Unit of competency
Assist in Patient Mobility

Third party report

Ways in which evidence will be collected [tick (/) the

Demonstration

simulation and
column]

questioning
through
Written
The evidence must show that the trainee…

 *Observed strict infection control guidelines / / /

 *Practiced patient confidentiality and privacy

/ /
requirements

 Selected equipment according to prescribed

/ / /
plan of care.

 Performed proper medical aseptic technique / /

 Demonstrated correct sterile technique in

/ /
donning and removing gloves

 Identified necessary equipment as appropriate for

/ /
the eventual procedure.
 TABLE OF SPECIFICATIONS

Test item distribution

Total number of items

Factual Knowledge

Percentage
Comprehension
Content/ Objectives

Application
Patient confidentiality and privacy
6 7 7 20 20 %
requirements

Infection Control Guidelines

10 15 5 30 30 %

Equipment Use and

6 6 8 20 20 %
Specifications

Body Mechanics 6 12 12 30 30 %

Total: 28 40 32 100 100 %

 WRITTEN TEST

This part of the learning material will test how much you have learned about the entire
learning outcome “Prepare to assist with client/patient mobility” under the unit of
competency “Assist in Client/ Patient Mobility”. A variation of exam types has been
designed for this test, starting from easy to hard. Follow the succeeding instructions for
each exam type.

I. TRUE OR FALSE
The following test is designed to measure a part of your comprehension regarding the
concepts of Patient Rights and Confidentiality, Infection Control, Client Safety
Equipment Use and Body Mechanics. Identify whether statements are true or false.
Draw a CIRCLE ( ) on Column B if the statement is correct and CROSS ( ) if it is
incorrect.

Patient Rights and Confidentiality

A B

1. Without looking at the aspect of monthly income, a patient has the

right to be treated with considerate and respectful care.

2. If information is deemed to be harmful to the patient or is medically

inappropriate, it cannot be disclosed to an appropriate person.

3. The patient DOES NOT have the right to refuse any treatment,
procedure, or any life-giving measure as long as the patient is able
to decide for himself/ herself.

4. Case discussions, consultations, treatments, and examination are

confidential and should be strictly conducted discreetly.

5. All communications (written, spoken, non-verbal) should always be

treated as confidential except when a media person is asking for
information regarding the patient’s condition.

Infection Control Guideline

6. A sterile object or field cannot become unsterile by prolonged

exposure to airborne microorganisms.
7. Do not remove used needles from disposable syringes by hand; and
do not bend, break, or otherwise manipulate used needles by
hand.

8. Microorganisms move slowly on wet surfaces but very quickly

through dry surface.

9. Microorganisms move through space on air currents.

10. Never recap used needles using both hands

11. Practice passing dirty items over clean items or areas, that way,
sterility will be preserved.

12. Put on clean gloves just before touching mucous membranes and
non-intact skin.

13. The skin can be sterilized via autoclaving for an optimal duration of
15 minutes.

14. Wash immediately after gloves are removed and

between patient contacts.

15. When a clean item touch becomes a less clean item, its
“dirty,” because microorganisms are
transferred to it
Client Safety Equipment Use

16. Pillows are used for support and / or elevation of a body part

17. Mattresses provide additional support to pillows and improve

vertebral alignment.
18. The fowler’s position is indicated to facilitate healing following
certain surgeries or anesthetics.

19. The orthopneic position facilitates respiration by

allowing maximum chest expansion.

20. Side rails allow weak clients to roll from side to side or to sit up in
bed.

Body Mechanics

21. Balance is maintained when the line gravity falls close to the base
of support.

22. Appropriate preparation prevents potential falls and injury and

safeguards the client and equipment.

23. Balance cannot be maintained when the line of gravity falls outside
the base of support.

24. Balance is not maintained, and muscle strain is promoted as long as

the line of gravity passes through the base of support.

25. Morefrictionbetween the object moved and the surface

on which it is moved requires less energy.

26. Less friction between the object moved and the surface on which it
is moved requires less energy.

27. Moving an object along a level surface requires less energy than
moving an object up an inclined surface

28. Objects that are far from the center of gravity are moved with the
least effort.

29. The heavier an object, the greater the force needed to move the
object.

30. When pushing an object, enlarge the base of support by moving the
front foot forward.

31. The unsynchronized use of as many large muscle groups as possible

during an activity increases overall strength and prevents muscle
fatigue and injury.
32. Imbalance is maintained with minimal effort when the base of
support is enlarged in the direction in which the movement will
occur.

33. The farther the line of gravity to the center of the base of support,
the greater the stability.

34. Body weight decreases force to counteract the weight of the

object and reduces the amount of strain on the arms and back.

35. Continuous muscle strain exertion can result in muscle

and injury.
II. Multiple-Choice
The following test is a set of items derived from the different contents of the first
learning outcome- Prepare to Assist in Client Mobility. Identify what is being asked for
by each item.
This part will measure how you are going to perform in actual situations and your
knowledge about the concepts previously learned.
Choose your answers from the selection given after each statement. Encircle letter
of the correct answer.

1. Mr. Raul is due for surgery of his appendicitis. The surgeon has
explained how the surgery will be done, the risks during and after
surgery and the alternative treatment available. What is the best
statement to describe the situation?
A. His surgeon is honoring the patient’s rights by explaining the surgery
to be done and including the risks and alternatives.
B. It does not have any weight on the client’s condition and is, thus, insignificant.
C. The surgeon has done too much for the patient that the patient already
has a tendency to get confused.
D. None of the above.
2. A nursing attendant observes that Mrs. Lampitoc’s obstetrician hasn’t been
changing her gloves for the whole labor period of the mother and finds out
that this was because of Mrs. Lampitoc’s poverty. What principle is subjected
in this situation?
A. The patient has the right to know from his physician what his/ her present
diagnosis is.
B. The patient has the right to refuse any treatment
C. The privacy of the patient is very important.
D. Without looking at the aspect of monthly income, a patient has the right
to be treated with considerate and respectful care.
3. Before Mr. Raul goes to the surgery room for his operation, what
should be secured first?
A. A signed informed consent signifying that the patient knows the surgery to
be done, and the risks attached to it.
B. An anesthetic to numb him of the pain during surgery.
C. A transfer referral to another health care institution
D. Hallucinogens to divert his attention and keep him from being anxious.
4. You are the nurse taking care of an attempted suicide patient and your
colleague who is not involved in your patient’s care asks you about the past
medical history of the patient. What is the best thing for you to say?
A. “Ok, I will let you take a peek at her chart”
B. “No, I cannot tell you any information about her since these are private
matters.”
C. “You’ll have to ask my chief nurse.”
D. “You’ll have to write a consent”
5. A patient is complaining that she does not want any student nurses “practicing”
with her and asks that only staff nurses care for her. What is the best thing to
consider?
A. The student nurses are competent and thus should not be withdrawn
from caring for the patient.
B. Honor the request of the patient and let staff nurses care exclusively
for her.
C. Ask for additional fee for her request.
D. Tell the patient to leave and find a better hospital.
6. The patient is in Abatan Hospital and is under severe cardiogenic shock. He
needs to be transferred to another institution since Abatan Hospital lacks the
needed facilities to support the care for the patient. Which statement is best?
A. A transfer can only be completed if the receiving institution accepts the
patient.
B. The patient cannot be transferred unless he settles his fees.
C. The patient will be transferred but the health care providers of the referring
institution will go with him to continue care.
D. There is no correct statement.
7. They are tiny living beings that make their presence known only by their effect.
A. Dwarves
B. Microorganisms
C. Organisms
D. Pathogens
8. These are microbes that are useful to human beings
A. Eubacteria
B. Microorganisms
C. Non-pathogens
D. Pathogens
9. They are microbes that causes diseases to human.
A. Eubacteria
B. Microorganisms
C. Non-pathogens
D. Pathogens
10. Which of the following is not a classification of microorganisms?
A. Bacteria
B. Cholera
C. Protozoa
D. Virus
11. Which statement is true about the Human Normal Flora?
A. Normal body flora are cells that attack foreign bodies
B. Normal body flora are flowers that normally grow inside the human body
C. Normal body flora are naturally residing microorganisms in the human
body.
D. Normal body flora are the same in each part of the body
12. Among the chain of infection, this is the part that causes the disease
A. Causative agent
B. Mode of transmission
C. Portal of exit
D. Reservoir
13. This is a person who will become ill from the entry of pathogens into the body.
A. Causative agent
B. Portal of entry
C. Reservoir
D. Susceptible host
14. It is where the pathogens can survive.
A. Causative agent
B. Portal of entry
C. Reservoir
D. Susceptible host
15. Which is not a way of transmitting a disease
A. Airborne transmission
B. Contact transmission
C. Droplet transmission
D. Mucosal transmission
16. These are people who have pathogens in their bodies but does not show signs of
the disease are called:
A. Carriers
B. Immune
C. Parasites
D. Pathogens
17. This type of waste is suspected to contain pathogens
A. General
B. Infectious
C. Radioactive
D. Chemical
18. Which is not a kind of infectious waste
A. Laboratory cultures
B. Wastes from autopsies
C. Patient’s feces
D. Wet food residuals
19. These are types of wastes that are parts of human body
A. Pathological waste
B. Chemical waste
C. Pharmaceutical waste
D. General waste
20. Which is not considered as a sharp
A. Needle
B. Syringe
C. Pressurized container
D. Blade
21. Which of the following is not a characteristic of haxardous wastes?
A. Toxic
B. Corrosive
C. Potable
D. Reactive
22. Where do you place non-infectious dry wastes?
A. Black container
B. Green container
C. Yellow container
D. Red container
23. Where should infectious wastes go?
A. Black container
B. Green container
C. Yellow container
D. Red container
24. Where should pathological wastes go?
A. Black container
B. Green container
C. Yellow container
D. Red container
25. What kinds of receptacle should radioactive materials be placed?
A. Orange
B. Red
C. Black
D. Green
26. Where should sharps be disposed in
A. Orange
B. Red
C. Black
D. Green
27. Where does non-infectious, wet waste go?
A. Orange
B. Red
C. Black
D. Green
 28. It is the efficient, coordinated and safe use of the body to move objects and
carry out the activities of daily living
A. Aerobics
B. Body mechanics
C. Ergonomics
D. Exercise
29. Provides additional support to the mattress and improves vertebral
alignment.
A. Bed board
B. Footboard
C. Hand roll
D. Mattress
30. Used for support or elevation of a body part.
A. Bed board
B. Footboard
C. Hand roll
D. Pillow
Enumeration: list down what is being asked for by the following items in the left column. Write
your answers on the right column.

Ten Categories of Health Care wastes 1.

2.
3.
4.
5.
6.
7.
8.
9.
10.

Ten Assistive Devices 1.

2.
3.
4.
5.
6.
7.
8.
9.
10.

Two types of Asepsis 1.

2.
COMPLETION:
A. Identify the bed positions illustrated below and complete the following descriptions stated
on the second column.

DESCRIPTION.

The position is one of

three types where the head is elevated
up to 300 to 450. P P P

is another type among

two others which is indicated for
difficulty breathing and where the head
is elevated to
P P-90P P.

The is a type of Fowler’s

position where the head is elevated to a
minimum of 70 to PP

150P. P
is also known as
back-lying position and is indicated to
enhance healing of abdominal
wounds or spinal injuries or the
administration of general anesthesia.

Best for pregnant women,

is a position that
provides rest to the back of the
patient and relieves pregnant
women from the weight of her
womb.
This is best used to relieve tension and
pressure on one side of the body’s bony
prominences and is also used to
enhance the healing process in certain
lung surgeries. This is called the
position.
 The is best done to
patients that has had previous throat or
mouth injuries and to also relieve the
back from pressure.

The position is best

made for patients who are having
difficulty breathing such as those with
asthma or COPD.

Matching Type: Identify what is being asked for or described by each item. Choose your
answers from column B and write them down in Column C.

B C
A
1.
1. It is the efficient, coordinated and safe use of the
body to move objects and carry out the activities of daily
living a. Balance
2. The point at which its mass is centered. b. Base of 2.
Support
3. The foundation that provides the stability of the object c. Body 3.
Mechanics
d. Center of
4. What is being maintained during work by widening the Gravity 4.
base of support and keeping the line of gravity close to e. Pressure
the center? Ulcer

5. Degradation of the skin consequent to stasis in one bed 5.

position.
 WRITTEN TEST SELF-CHECK

I. TRUE OR FALSE
The following test is designed to measure a part of your comprehension regarding the
concepts of Patient Rights and Confidentiality, Infection Control, Client Safety
Equipment Use and Body Mechanics. Identify whether statements are true or false.
Draw a CIRCLE ( ) on Column B if the statement is correct and CROSS ( ) if it is
incorrect.

Patient Rights and Confidentiality

A B

1. Without looking at the aspect of monthly income, a patient has the

O
right to be treated with considerate and respectful care.

2. If information is deemed to be harmful to the patient or is medically

O
inappropriate, it cannot be disclosed to an appropriate person.

3. The patient has the right to refuse any treatment, procedure or any
X
life-giving measure as long as the patient is able to decide for
himself/ herself.

4. Case discussions, consultations, treatments, and examination are

0
confidential and should be strictly conducted discreetly.

5. All communications (written, spoken, non-verbal) should always be

X
treated as confidential except when a media person is asking for
information regarding the patient’s condition.

Infection Control Guideline

6. A sterile object or field can become unsterile by

O
prolonged exposure to airborne microorganisms.

7. Do not remove used needles from disposable syringes by hand; and

O
do not bend, break or otherwise manipulate used needles by hand.
8. Microorganisms move slowly on wet surfaces but very quickly
X
through dry surface.

9. Microorganisms move through space on air currents. O

10. Never recap used needles using both hands O

11. Practice passing dirty items over clean items or areas, that way,
X
sterility will be preserved.

12. Put on clean gloves just before touching mucous membranes and
O
non-intact skin.

13. The skin can be sterilized via autoclaving for an optimal duration
X
of 15 minutes.

14. Wash immediately after gloves are removed and

O
between patient contacts.

15. When a clean item touches a less clean item, it becomes “dirty,”
O
because microorganisms are transferred to it

Client Safety Equipment Use

16. Pillows are used for support and / or elevation of a body part
O

17. Mattresses provide additional support to pillows and improve

X
vertebral alignment.

18. The fowler’s position is indicated to facilitate healing following

X
certain surgeries or anesthetics.

19. The orthopneic position facilitates respiration by

O
allowing maximum chest expansion.

20. Side rails allow weak clients to roll from side to side or to sit up in
O
bed.

Body Mechanics

21. Balance is maintained when the line gravity falls close to the base
O
of support.

22. Appropriate preparation prevents potential falls and injury and

O
safeguards the client and equipment.

23. Balance cannot be maintained when the line of gravity falls outside
O
the base of support.
24. Balance is not maintained and muscle strain is promoted as long as
X
the line of gravity passes through the base of support.

25. More friction between the object moved and the

X
surface on which it is moved requires less energy.

26. Less friction between the object moved and the surface on which
O
it is moved requires less energy.

27. Moving an object along a level surface requires less energy than
O
moving an object up an inclined surface

28. Objects that are far from the center of gravity are moved with
X
the least effort.

29. The heavier an object, the greater the force needed to move the
O
object.

30. When pushing an object, enlarge the base of support by moving

O
the front foot forward.

31. The unsynchronized use of as many large muscle groups as

X
possible during an activity increases overall strength and prevents
muscle fatigue and injury.

32. Imbalance is maintained with minimal effort when the base of

X
support is enlarged in the direction in which the movement will
occur.

33. The farther the line of gravity to the center of the base of support,
X
the greater the stability.

34. Body weight decreases force to counteract the weight of the

X
object and reduces the amount of strain on the arms and back.

35. Continuous muscle strain and injury.

exertion
III. Multiple-Choice
The following test is a set of items derived from the different contents of the first
learning outcome- Prepare to Assist in Client Mobility. Identify what is being asked for
by each item.
This part will measure how you are going to perform in actual situations and your
knowledge about the concepts previously learned.
Choose your answers from the selection given after each statement. Encircle letter
of the correct answer.

1. Mr. Raul is due for surgery of his appendicitis. The surgeon has
explained how the surgery will be done, the risks during and after
surgery and the alternative treatment available. What is the best
statement to describe the situation?
A. His surgeon is honoring the patient’s rights by explaining the
surgery to be done and including the risks and alternatives.
B. It does not have any weight on the client’s condition and is, thus,
insignificant.
C. The surgeon has done too much for the patient that the patient
already has a tendency to get confused.
D. None of the above.
2. A nursing attendant observes that Mrs. Lampitoc’s obstetrician hasn’t been
changing her gloves for the whole labor period of the mother and finds out
that this was because of Mrs. Lampitoc’s poverty. What principle is
subjected in this situation?
A. The patient has the right to know from his physician what his/ her present
diagnosis is.
B. The patient has the right to refuse any treatment
C. The privacy of the patient is very important.
D. Without looking at the aspect of monthly income, a patient has the right
to be treated with considerate and respectful care.
3. Before Mr. Raul goes to the surgery room for his operation, what should be
secured first?
A. A signed informed consent signifying that the patient knows the
surgery to be done, and the risks attached to it.
B. An anesthetic to numb him of the pain during surgery.
C. A transfer referral to another health care institution
D. Hallucinogens to divert his attention and keep him from being anxious.
4. You are the nurse taking care of an attempted suicide patient and your
colleague who is not involved in your patient’s care asks you about the past
medical history of the patient. What is the best thing for you to say?
A. “Ok, I will let you take a peek at her chart”
B. “No, I cannot tell you any information about her since these are private matters.”
C. “You’ll have to ask my chief nurse.”
D. “You’ll have to write a consent”
5. A patient is complaining that she does not want any student nurses “practicing”
with her and asks that only staff nurses care for her. What is the best thing to
consider?
A. The student nurses are competent and thus should not be withdrawn
from caring for the patient.
B. Honor the request of the patient and let staff nurses care
exclusively for her.
C. Ask for additional fee for her request.
D. Tell the patient to leave and find a better hospital.
6. The patient is in Abatan Hospital and is under severe cardiogenic shock. He
needs to be transferred to another institution since Abatan Hospital lacks the
needed facilities to support the care for the patient. Which statement is best?
A. A transfer can only be completed if the receiving institution accepts the
patient.
B. The patient cannot be transferred unless he settles his fees.
C. The patient will be transferred but the health care providers of the referring
institution will go with him to continue care.
D. There is no correct statement.
7. They are tiny living beings that make their presence known only by their effect.
A. Dwarves
B. Microorganisms
C. Organisms
D. Pathogens
8. These are microbes that are useful to human beings
A. Eubacteria
B. Microorganisms
C. Non-pathogens
D. Pathogens
9. They are microbes that causes diseases to human.
A. Eubacteria
B. Microorganisms
C. Non-pathogens
D. Pathogens
10. Which of the following is not a classification of microorganisms?
A. Bacteria
B. Cholera
C. Protozoa
D. Virus
11. Which statement is true about the Human Normal Flora?
A. Normal body flora are cells that attack foreign bodies
B. Normal body flora are flowers that normally grow inside the human body
C. Normal body flora are naturally residing microorganisms in the human body.
D. Normal body flora are the same in each part of the body
12. Among the chain of infection, this is the part that causes the disease
A. Causative agent
B. Mode of transmission
C. Portal of exit
D. Reservoir
13. This is a person who will become ill from the entry of pathogens into the body.
A. Causative agent
B. Portal of entry
C. Reservoir
D. Susceptible host
14. It is where the pathogens can survive.
A. Causative agent
B. Portal of entry
C. Reservoir
D. Susceptible host
15. Which is not a way of transmitting a disease
A. Airborne transmission
B. Contact transmission
C. Droplet transmission
D. Mucosal transmission
16. These are people who have pathogens in their bodies but does not show signs of
the disease are called:
A. Carriers
B. Immune
C. Parasites
D. Pathogens
17. This type of waste is suspected to contain pathogens
A. General
B. Infectious
C. Radioactive
D. Chemical
18. Which is not a kind of infectious waste
A. Laboratory cultures
B. Wastes from autopsies
C. Patient’s feces
D. Wet food residuals
 19. These are types of wastes that are parts of human body
A. Pathological waste
B. Chemical waste
C. Pharmaceutical waste
D. General waste
20. Which is not considered as a sharp
A. Needle
B. Syringe
C. Pressurized container
D. Blade
21. Which of the following is not a characteristic of hazardous wastes?
A. Toxic
B. Corrosive
C. Potable
D. Reactive
22. Where do you place non-infectious dry wastes?
A. Black container
B. Green container
C. Yellow container
D. Red container
23. Where should infectious wastes go?
A. Black container
B. Green container
C. Yellow container
D. Red container
24. Where should pathological wastes go?
A. Black container
B. Green container
C. Yellow container
D. Red container
25. What kinds of receptacle should radioactive materials be placed?
A. Orange
B. Red
C. Black
D. Green
26. Where should sharps be disposed in
A. Orange
B. Red
C. Black
D. Green
27. Where does non-infectious, wet waste go?
A. Orange
B. Red
C. Black
D. Green
 28. It is the efficient, coordinated and safe use of the body to move objects and carry
out the activities of daily living
A. Aerobics
B. Body mechanics
C. Ergonomics
D. Exercise
29. Provides additional support to the mattress and improves vertebral alignment.
A. Bed board
B. Footboard
C. Hand roll
D. Mattress
30. Used for support or elevation of a body part.
A. Bed board
B. Footboard
C. Hand roll
D. Pillow

Enumeration: list down what is being asked for by the following items in the left column. Write
your answers on the right column.

Ten Categories of Health Care wastes 1. General Waste

2. Infectious Waste
3. Pathological Waste
4. Pharmaceutical Waste
5. Sharps
6. Pressurized Containers
7. Wastes with high metal
content
8. Chemical Waste
9. Radioactive Waste
10. Genotoxic Waste
1. Pillow
Ten Assistive Devices
2. Mattress
3. Side Rails
4. Trapeze Bar
5. Hand Roll
6. Foot Board
7. Bed Board
8. Trochanter Roll
9. Sand Bag
10. Hand-Wrist Splint

Two types of Asepsis 1. Medical Asepsis

2. Surgical Aspesis
COMPLETION:
A. Identify the bed positions illustrated below and complete the following
descriptions stated on the second column.

DESCRIPTION.

The F owler’s position is one of

three types where the head is elevated
up to 300 to 450. P P P

High-Fowler’s is another type

among two others which is indicated for
difficulty breathing and where the head
is elevated to
P -P 90P .P

The Low-fowler’s is a type of Fowler’s

position where the head is elevated to a
minimum of 70 to PP

150P. P
Supine Position is also known as
back-lying position and is indicated to
enhance healing of abdominal wounds
or spinal injuries or the administration
of general anesthesia.

Best for pregnant women, imp’s Position

is a position that provides rest to the back
of the patient and relieves pregnant
women from the weight of her womb.
This is best used to relieve tension and
pressure on one side of the body’s bony
prominences and is also used to
enhance the healing process in certain
lung surgeries. This is called the Side-
lying position.
 The Prone Position is best done to
patients that has had previous throat or
mouth injuries and to also relieve the
back from pressure.

The Orthopneic position is best made

for patients who are having difficulty
breathing such as those with asthma or
COPD.

B. Identify what is being asked for or described by each item. Write your answers
on the space proved after each item.

1. It is the efficient, coordinated and safe 1. C

use of the body to move objects and carry
out the activities of daily living
2. The point at which an object’s mass is 2. D
a. Balance
centered.
b. Base of
Support
3. The foundation that provides the 3. B
c. Body
stability of the object
Mechanics
4. What is being maintained during work by d. Center of 4. A
widening the base of support and keeping Gravity
the line of gravity close to the center? e. Pressure Ulcer

5. Degradation of the skin consequent to stasis 5. E

in one bed position.
 PERFORMANCE TEST

Specific Instruction for the Candidate

Qualifications Health Care Services NC II
Unit of Competency Assist in Client/ Patient Mobility
General Instructions: Given the necessary equipment, supplies and materials you are
required to prepare in assisting in client/ patient mobility following the proper procedures.
Perform the said task in accordance with the criteria.

Time Duration: 1 hour and 20 minutes

Specific Instructions:
The following tasks should be accomplished. If you finish before the allotted time, you may call
the attention of your trainer.
1. Before starting the task, identify important safety practices to be observed. (5
minutes)
2. Prepare and identify materials and equipment needed in assisting client in
mobility. (10 Minutes)
3. Using the given supply/ materials and equipment, you should be able to perform
the following tasks.
a. Identify the patient and the patient’s case (2 minutes)
b. Perform the appropriate aseptic technique (5 minutes)
Materials and Supplies Needed:
a. Sink
b. Faucet
c. Paper Towel
d. Soap

4. After this, proceed to the working area and gather needed materials
strategically. (10 minutes)
5. Identify the waste containers accordingly using the provided labels: (10
minutes)
a. Black
b. Green
c. Yellow
d. Red
6. Identify and check the equipment and materials if they are complete and
functioning well: (15 minutes)
a. Pillows
b. Trochanter rolls
c. Sand bags
d. Hospital Bed
 e. Trapeze Bar
f. Side Rails
g. Foot board
7. Operate the equipment according to its ideal function as instructed by
your trainer. (10 minutes)
a. Hospital Bed
8. Make sure to practice proper body mechanics while performing.
9. The questioning will be made while the demonstration is being performed and
assessment will be undertaken while tasks are being performed. Make sure to
explain significant details of your performance as you are being rated accordingly.
(3 minutes)
10. After successfully performing the procedure of preparing in assisting the client in
mobility, some additional problems may be given to further test your skills. (10
minutes)
11. Other evidence gathering methods maybe used to address the less critical areas, fill
the gaps or confirm judgment that strictly adhere to the Evidence Plan.
a. Portfolio- Checks the authenticity of the materials presented and the
trainee’s work.
b. Demonstration with questioning
c. Oral Questioning
12. Record Assessment result using the prescribe form.
13. Obtain feedback on the assessment result.

◻ COMPETENT
◻ NOT YET COMPETENT
 Questioning Tool

Satisfactory
Question to Prove the Trainee’s Underpinning Knowledge Response

YES NO

Extension/ Reflection Questions:

1. What are some safety practices that you should observe

before, during and after performing a task? Give at least three

2. What is the significance of gathering materials before proceeding

with your tasks?

3. What would be better to use, a bar of soap or a liquid one? Could

you explain your answer?

4. Suppose only a bar soap is available, how would you consider it

before using it? What should you do with it first before lathering it
over your hands?

5. What are the types of wastes that you are going to place on
those waste receptacles that you have just identified? Can
you give an example for each color?

6. What are the materials that you have just checked (refer to item
no. 6 in the Performance Test)? Can you briefly describe how
they function?

7. Why is it important for you to know how the hospital bed

functions?

Safety Questions

1. When working with patients and equipment, what should

you observe to prevent yourself from unnecessary back
strain and/or injury?

2. What is the importance of using PPEs in the preparation of

your task?
 Contingency Questions

1. Suppose a bulk of infectious waste was accidentally place in the

black container, what would you do to prevent contamination
to health care waste handlers?
 2. If your patient needs to be positioned to low fowler’s position
but you have a problem elevating the head of the bed, then
what could be a remedy that you can use?

Infrequent Events

1. Let’s say you have performed surgical asepsis, and you are already
considered “sterile”. You have unmindfully touched your left hand
with the other, how would you consider yourself and what should
you do?

2. What if a trochanter roll is needed for your patient but there is

none available in your department

Rules and Regulations

1. Supposed you heard your patient arguing with her husband about
lack of funds to pay for hospital bills. What should be your
reaction?

The candidate’s
underpinning ◻ SATISFACTORY ◻ NOT SATISFACTORY
knowledge was

Feedback to Candidate:
General Comments:
Strengths:

Improvements:

Candidate’s Signature Date

Assessor’s Signature Date