Fillable Competency Checklist Procedure 396 Determine Color Vision Acuity (Cengage)

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Competency Checklist Procedure 396 Determine Color Vision Acuity (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 39–6 Determine Color Vision Acuity by the Ishihara Method
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 color vision acuity of a patient by using the Ishihara method.
Supplies and Conditions: Ishihara book, proper lighting, occluder, 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:
541
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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 39–6 Steps
Start Time: End Time: Total Time:
Steps
Possible
Points
First
Attempt
Second
Attempt
Third
Attempt
1. Obtain the chart from the back of the book.
Incorporate critical thinking skills when performing
patient assessment and care.
15
2. 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.
w15
3. Ask the patient to hold the book 34 inches from his or
her face and read the plates with both eyes.
15
4. Have the patient cover the left eye to test the right eye
and then cover the right to test the left.
15
5. Compare answers given with those on the chart.
Record those frames the patient misses and write down
what the patient reports so that the degree of color
deficiency may be determined by the provider.
15
6. Document results in the patient’s chart. 15
Points Awarded / Points Possible ____/
90
542
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Competency Checklist Procedure 396 Determine Color Vision Acuity (Cengage)

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Completed 13 May 2021

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