Fillable Competency Checklist Procedure 51 Recognize and Respond to (Cengage)

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Competency Checklist Procedure 51 Recognize and Respond to (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 5–1 Recognize and Respond to Nonverbal Communication
ABHES Curriculum
MA.A.1.4.a Follow documentation guidelines
MA.A.1.8.f Display professionalism through written and verbal communications
CAAHEP Core Curriculum
V.P.2 Respond to nonverbal communication
V.A.1 Demonstrate (a) empathy, (b) active listening, and (c) nonverbal communication
V.A.2 Demonstrate the principles of self-boundaries
V.A.3 Demonstrate respect for individual diversity including: (a) gender, (b) race, (c) religion, (d) age,
(e) economic status, and (f) appearance
Task: Following the steps listed in the procedure, complete the patient intake, recognizing nonverbal
communication and possible barriers to communicating with the patient.
Supplies & Conditions: Patient’s chart, pen (if paper chart), computer (if EHR). You need to elicit information about the
patient’s chief complaint for the provider. Additionally, you notice in the chart that today is the
patient’s birthday. Optional: Procedure 5–1 form (progress note) can be used to complete this
activity.
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.
Forms: Procedure 5–1 Scenario and Procedure 5–1 Form (optional). Procedure forms can be
downloaded from the Student Companion website; procedure scenarios are provided in the
Instructor’s Manual.
EVALUATION
Evaluator Signature: Date:
Evaluator Comments:
411
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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 5–1 Steps
Start Time: End Time: Total Time:
Steps
Possible
Points
First
Attempt
Second
Attempt
Third
Attempt
1. Ask the patient the reason for today's office visit, while
demonstrating respect for individual diversity
including: gender, race, religion, age, economic status,
and appearance.
5
2. Demonstrating perception of nonverbal cues and the
patient’s level of comprehension, ask the question again.
10
3. Ask open-ended questions and use other techniques
discussed in this chapter to start a conversation and
avoid silence.
5
4. During entire contact with patient, demonstrate
empathy, active listening, and nonverbal
communication.
10
5. During entire contact with patient, demonstrate the
principles of self-boundaries by maintaining
appropriate distance from patient.
10
6. When you have obtained the chief complaint and
documented it in the patient’s chart, thank the patient
and say that the provider will be in shortly.
5
Points Awwarded / Points Possible _____/
45
412
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Completed 3 May 2021

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