ARELLANO UNIVERSITY

College of Nursing

SKILLS CHECKLIST ON
MOVING AND TRANSFERRING CLIENT IN BED

NAME OF STUDENT: ____________________________ DATE: _______________________

Section: _______________ Rating _______________________

Guidelines in Evaluating Student’s Competency

Legend Points Description

CD 3 Completely Done – Performs / Displayed / Demonstrated procedures
correctly, independently & with high degree of competency

FD 2 Fairly Done – Performs / Displayed / Demonstrated procedures correctly

after reinforcement of Clinical Instructor

ID 1 Incompletely Done – Procedures may be performed / displayed /

demonstrated but incorrectly despite reinforcement of Clinical Instructor

NP 0 Not Performed – Procedures not performed / displayed / demonstrated.

PROCEDURE CD FD ID NP Remarks
SKILLS BASED CRITERIA
I. PREPARATION PHASE
1. Verifies the right client for the procedure
2. Explain procedure and its purpose to the
client
3. Do hand washing before the procedure
4. Prepares all the equipment / supplies needed
5. Keeps room well lighted and warm

II. PROCEDURE PROPER

6. Initiates, maintains and observes safety of
client (ex. Wheel locks, siderails)
7. Observes privacy by closing doors and
curtains
8. Conducts procedure in chronological
sequence
9. Assists clients in moving and repositioning
a. Moving a client up in bed
b. Log rolling
c. Sit at Bed Side (Dangling)
d. Transfer from Bed to Chair
10. Involves client with the procedure by giving
clear instructions or coaching
 11. Maintains proper posture and body
mechanics while performing procedure
12. Observes client’s reaction / response to
procedure
13. Maintains IPR with client during the
procedure

III. POST – PROCEDURE PHASE

14. Performs after care
15. Performs post-handwashing
16. Evaluates client’s response to the procedure
17. Documents procedures and significant
observations

KNOWLEDGE BASED CRITERIA

(Theoretical Foundation)
18. States procedure in chronological order
19. States rationale in every nursing action
20. Identifies indications/ contraindications of
nursing actions
21. Uses appropriate terminologies accordingly
22. Summarizes major points of the ret-dem

ATTITUDE BASED CRITERIA

23. Reports on time
24. Wears complete prescribed uniform
25. Neat and well-groomed
26. Observes proper decorum
27. Performs ret-dem within given time
TOTAL POINTS 0/90

Total Points / Score x 55 + 45 = (Grade in %)

Evaluated by:

____________________________
Instructor’s Signature and date

Conforme:

_____________________________
Student’s Signature and date