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The University of Jordan
Faculty of Nursing
Evaluation Form
Student Name:
Course Name: Introduction to Adult Health Nursing
Instructor Name:
Day/Date:
Section:
Evaluator Name:
Procedure: Assessing Apical Pulse
Evaluation key
Performance
Not done
Not appropriate/Incomplete
Well done
Score %
0% of the task score
50% of the task score
100% of the task score
Task
Score
1. Introduced self and verified client’s identity.
2
2. Explained procedure to client
2
3. Gathered appropriate equipment.
2
4. Performed hand hygiene and observed other appropriate
infection control procedures.
2
5. Provided for client privacy.
2
6. Positioned the client appropriately in comfortable supine
position or sitting position. Exposed area of the chest
over the apex of heart.
4
7. Located apical pulse.
4
8. Auscultated and counted heartbeats.
4
9. Assessed the rhythm and strength of heartbeat.
4
10. Documented all relevant information.
4
Total
Prepared by Dr. Ahmad Aqel 2015/2016
30
Student
Score
Comments