Fillable Competency Checklist Procedure 395 Screen Visual Acuity with (Cengage)

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Competency Checklist Procedure 395 Screen Visual Acuity with (Cengage)

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© 2017 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Name: __________________________________________ Date: _____________ Score: _____________
Competency Checklist
Procedure 39–5 Screen Visual Acuity with the Jaeger System
ABHES Curriculum
MA.A.1.4.a Follow documentation guidelines
MA.A.1.9.a Practice standard precautions and perform disinfection/sterilization techniques
MA.A.1.9.e Perform specialty procedures
CAAHEP Core Curriculum
I.P.8 Instruct and prepare a patient for a procedure or a treatment
I.A.1 Incorporate critical thinking skills when performing patient assessment
I.A.2 Incorporate critical thinking skills when performing patient care
I.A.3 Show awareness of a patient’s concerns related to the procedure being performed
V.A.4 Explain to a patient the rationale for performance of a procedure
X.P.3 Document patient care accurately in the medical record
Task: To determine near distance visual acuity of a patient by using the Jaeger system.
Supplies and Conditions: Jaeger near vision acuity chart, patient chart/EHR, and a pen.
Standards: A maximum of three attempts may be used to complete the task. The time limit for each attempt
is 10 minutes, with a minimum score of 70 percent. Scoring: Determine student’s score by
dividing points awarded by total points possible and multiplying results by 100.
EVALUATION
Evaluator Signature: Date:
Evaluator Comments:
539
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© 2017 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Name: __________________________________________ Date: _____________ Score: _____________
Procedure 39–5 Steps
Start Time: End Time: Total Time:
Steps
Possible
Points
First
Attempt
Second
Attempt
Third
Attempt
1. Identify the patient, introduce yourself, and explain
the rationale for performance of the procedure. Show
awareness of the patient’s concerns related to the
procedure being performed. Incorporate critical
thinking skills when performing patient assessment
and care.
15
2. Have the patient sit up straight but comfortably in a
well-lighted area.
15
3. Hand the Jaeger chart to the patient to hold, between
14 inches and 16 inches from the eyes.
15
4. Instruct the patient to read (out loud to you) the
various paragraphs of the card with both eyes open,
first without wearing corrective lenses and then with.
15
5. Record the results and problems, if any, on the
patient’s chart to assist the provider in determining the
visual acuity of the patient.
15
6. Thank the patient for cooperation and answer any
questions.
10
7. Return the Jaeger chart to proper storage. 10
Points Awarded / Points Possible ____/
95
540
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Competency Checklist Procedure 395 Screen Visual Acuity with (Cengage)

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Completed 13 May 2021

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