OUR LADY OF FATIMA UNIVERSITY

College of Nursing – Valenzuela Campus

PROGRAM Bachelor of Science in Nursing STUDENT NAME

COURSE NCMB 316 YEAR & SECTION

Care of Clients with Alteration in INSTRUCTOR

Perception and Coordination
DATE
(SKILLS LABORATORY)

PROCEDURE : APPLYING BALANCE SKELETAL TRACTION

EXPECTED OUTCOME : The student should be able to apply a balance skeletal traction properly.
ASSESSMENT TASK : Return Demonstration

Assessment
DONE SCORES NOT DONE
Dimension
1. Identifying the Patient 1
2. Gathering and Preparing Materials. 1
3. Explaining the procedure 1
4. Applying the Skeletal Traction
4.1 Attached Pearson attachment in Thomas splint observing
proper alignment (screw of Pearson attachment should be
in line with the knee of the patient). 4
4.2 Tied one end of the thigh rope at the medial to junction of
the Thomas Splint; 4.3 Mounted rest splint to the Thomas
splint and Pearson attachment
5. Attaching the slings
5.1Attached the slings to the Thomas splint and Pearson
Attachment from medial to lateral; with smooth surfaces of 6
the slings in contact with the skin of the patient.
5.2 Applied the Slings snugly, not too tight nor too loose.
5.3 Placed the slings 1 - 1 1/2 inch in between.
6. Transferring affected extremity
Nurse A:
6.1. Applied manual traction
6.2 Informed patient to hold on the overhead trapeze then flex
the unaffected leg. 4
Nurse B:
6.3. Lifted the affected leg
Nurse C:
6.4. Served the assembled traction.
7. Applying the Traction Rope and Bag
7.1 Applied traction weight by tying one end of the traction rope
to the Steinman’s pin 6
7.2. Placed one end of the traction rope to the third pulley
7.3. Tied the traction bag in the traction rope making a square knot.
8. Applying the Suspension Rope and Bag
8.1. Tied the other end of the thigh rope to the lateral junction
of Thomas Splint.
8.2. Attached the suspension rope at the middle of the thigh 5
rope and passed the other end to the first pulley.
8.3. Passed the suspension rope to the suspension bag and

hang suspension bag temporarily in the clamp.

8.4. Passed the suspension rope to the second pulley
 8.5. Lifted the traction mechanism) to the rest splint then tie at
the Thomas Splint and Pearson attachment making a
clove-hitch knot.
9.Applying the Traction Mechanism
9.1. Hanged the suspension bag.
9.2. Checked the alignment of the traction and removed the 3
rest splint
9.3. Checked the efficiency of traction with the patient
coordination.
10. Timing 1
11. Documenting the procedure 1

Target Raw Score: 25out of 33. If raw score is less than 25, repeat the return demonstration.

OVERALL SCORE: ______________

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FACULTY SIGNATURE OVER PRINTED NAME