Name: ________________________________________
Date: _________________________________________
Procedure 38-2:
Assessing and Recording Near Vision Acuity Using a Jaeger Card
Objective: Screen near vision acuity using the Jaeger system.
Equipment and Supplies: Jaeger near vision acuity chart; paper and pen
Affective Behaviors: Affective behaviors provide a professional approach to a skill that enhances
the patient encounter. These behaviors may also display sensitivity to a patient’s rights and
enhance communication. Pay close attention to these skills, which will be in bold, italicized font.
Skills Assessment Requirements
Read and familiarize yourself with the procedure. Complete each procedure within a reasonable
amount of time, with a minimum of 85% accuracy.
Documentation
Use the area below for any documentation needed to complete the procedure.
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GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
1. Perform hand hygiene.
2. Review physician’s order.
3. Assemble equipment.
4. Identify the patient and
introduce yourself.
5. Explain the procedure.
6. In a well-lit room, have the patient
hold the Jaeger card at a distance
of 14 to 16 inches.
7. Ask the patient to read aloud,
with both eyes open, the smallest
paragraph or line possible without
error (Figure A).
8. Document the results accurately,
noting any unusual symptoms,
such as squinting.
GRADING
Points Earned
Points Possible 57 57
Percent Grade (Points Earned/
Points Possible)
PASS: YES
NO
N/A
YES
NO
N/A
Instructor Sign-O
Instructor: ______________________________________________ Date: _________________________
POINT VALUE
= 3–6 points
= 7–9 points
Name: ________________________________________
Date: _________________________________________
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