NOTE: Before even assessing a body system, you are already collecting important information about the patient. In addition, ask the patient where they are, the current date, and current events (who is the president and vice president) etc.Ĭollect vital signs: heart rate, blood pressure, temperature, oxygen saturation, respiratory rate, pain level Provide privacy, perform hand hygiene, introduce yourself to the patient, and explain to the patient that you need to conduct a head-to-toe assessmentĪsk the patient to confirm their name and date of birth by looking at the patient’s wrist band (this helps assess orientation to person and confirms you have the right patient). Palpation (palpation and percussion are done last to prevent from altering bowel sounds) However, with the abdomen it is changed where auscultation is performed second instead of last. A head-to-toe assessment checklist, or form, is a document that processes. Of hands on knees Can alternately supinate and pronate hands at rapid pace. Simple Head To Toe AssessmentHead to Toe Physical Assessment POLST/Code Status.

The sequence for performing a head-to-toe assessment is: Head to Toe Assessment in 5 Minutes School of Nursing. Use this checklist to do a complete head to toe assessment of all your injuries, then take it to your GP appointment when you get your certificate of. Nursing Student Head to Toe Assessment Sample Charting Entry Cheat SheetĮxamples of Documentation: Forms and Formats (Nursing) The order for the abdomen would be: Inspection.

Head to toe assessment checklist