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Steam Inhalation Evaluation Tool

The document is a performance evaluation tool for steam inhalation used at Far Eastern University Institute of Nursing. It evaluates students on their attitude, knowledge, and skills in administering steam inhalation treatment to patients. The evaluation contains sections on attitude, knowledge, preparation, procedure, after care, and documentation, with multiple items rated on a scale of 0 to 3. It will be used to assess a student's performance of steam inhalation and assign an overall score.

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Nikki Batenga Bonifacio
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99 views2 pages

Steam Inhalation Evaluation Tool

The document is a performance evaluation tool for steam inhalation used at Far Eastern University Institute of Nursing. It evaluates students on their attitude, knowledge, and skills in administering steam inhalation treatment to patients. The evaluation contains sections on attitude, knowledge, preparation, procedure, after care, and documentation, with multiple items rated on a scale of 0 to 3. It will be used to assess a student's performance of steam inhalation and assign an overall score.

Uploaded by

Nikki Batenga Bonifacio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Far Eastern University

Institute of Nursing

PERFORMANCE EVALUATION TOOL FOR


STEAM INHALATION

NAME: ____________________________________________ SCORE: ________________


SEC & GRP NO: ________________ CONCEPT: _________________________________
FACULTY: _____________________ DATE: ______________ ROOM NO: __________

NUMERICAL
QUANTITATIVE DESCRIPTION
RATING
Performed expected behavior in a very consistent
3 Outstanding
manner with minimal guidance and supervision
Performed expected behavior in a moderately
2 Very Good consistent manner with minimal guidance and
supervision
Performed expected behavior in a rarely consistent
1 Satisfactory
manner with minimal guidance and supervision
Does not carry out expected behavior even under close
0 Needs Improvement
guidance and supervision

ATTITUDE (10 %) SCORE


1. Reports on time and attends to activities punctually 0 1 2 3
2. Displays proper grooming and wears complete well pressed uniform 0 1 2 3
3. Observes proper decorum at all times 0 1 2 3
4. Accepts constructive criticism 0 1 2 3
5. Handles mannequin/patient with care and respect 0 1 2 3
KNOWLEDGE (15 %)
1. Explains what is steam inhalation 0 1 2 3
2. Enumerates the purposes/principles/considerations in steam inhalation 0 1 2 3
3. Identifies the articles/materials needed for steam inhalation 0 1 2 3
SKILLS (75 %)
A. PREPARATION
1. Introduces self to patient 0 1 2 3
2. Verifies patient’s name 0 1 2 3
3. Explains the procedure to be done and the reason for it 0 1 2 3
4. Assembles the apparatus making sure that the parts fit snugly 0 1 2 3
5. Does hand washing 0 1 2 3
Steam Inhalation 2

B. PROCEDURE
1. Fills the container with warm water up to the water level mark 0 1 2 3
2. Pours specified amount of medication (usually 3 to 5 cc) into the
medicine chamber of the inhalator or in a cotton ball 0 1 2 3

3. Brings the inhalator tray on a stable surface on the bedside 0 1 2 3


4. Plugs the apparatus to the appropriate electric out let 0 1 2 3
5. Puts patient in a comfortable position and kept warm 0 1 2 3
6. Closes the windows and doors if in a private room. Screens the bed,
if in a general ward 0 1 2 3

7. Directs the spout towards the patient's face as the steam comes out 0 1 2 3
. 8. Adjusts apparatus 18-24 inches from patient or at a safe distance to
enable the steam to reach him 0 1 2 3

9. Instructs patient to take slow and deep breathes and cough up


secretions during and after the therapy 0 1 2 3

10. Stays with the patient during the entire procedure 0 1 2 3


C. AFTER CARE
1. Positions patient comfortably 0 1 2 3
2. Does after care of all articles and equipments used 0 1 2 3
D. DOCUMENTATION
1. Documents the procedure and all nursing assessment
a. Time steam inhalation was administered
b. Reason for administering steam inhalation 0 1 2 3
c. Character, color and amount of secretions
d. Findings on auscultation after the treatment

Attitude : Actual Score / 15 X 10 % = __________


Knowledge : Actual Score / 9 X 15 % = __________
Skills : Actual Score / 54 X 75 % = __________

__________________________________ __________________________________
Student’s Signature Signature of Faculty

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