National Assessment Tools

Attendance Sheet

Evidence Plan

Self Assessment Guide

Rating Sheet for Demonstration

Questioning Tool to Probe the Underpinning Knowledge

Questions About the Demonstration

Performance Test (Specific Instructions)

Table of Specification

Written Test

Competency Assessment Result Summary

PREPARED BY:

MA. REINA ROSE DELOS SANTOS GULMATICOTechnical Education and Skills Development Authority

ASSESSMENT AND CERTIFICATION PROGRAM

ATTENDANCE SHEET

Health Care Services NCII(Title of Qualification)Name of Competency

Assessment Center:Concordia College

Date of Assessment:May 13, 2015

No.CANDIDATES NAMESIGNATUREASSESSMENT RESULTS

1. Rosalia Silvino Velasco

2. Reynaldo Musngi

3. Princess Santiago

4. Catherine Angeles

5. Ricardo Pascual

6. Jovita Centeno

7. Angelica Quizon

8. Rose Gamboa

9. Rhian Gonzales

10. Michelle Testa

Assessor/s:

Ma. Reina Rose D. Gulmatico

Signature Over Printed Name

Accreditation Number:

TESDA Representative:

Rysa Asis

Signature Over Printed Name

Assessor/s:

Signature Over Printed Name

Accreditation Number: CAC Manager:

Teresa P. Ang

Signature Over Printed Name

Evidence Plan

QUALIFICATIONHealth Care Services II

Unit of competency:Prepare and Maintain Beds

Ways in which evidence will be collected: [tick the column]Demonstration with Oral QuestioningOral QuestioningWritten Test

The evidence must show that the candidate:

Uses personal protective equipment according to institutional policy*//

Adjusts bed height as necessary*///

Clears bed surroundings of medical and other equipment before bed is stripped, where necessary*///

Provides patient privacy, comfort and safety at all times//

Checks bed linen for displaced personal items; Places aids and equipment in appropriate area/container*//

Strips bed linen where necessary*//

Removes and places clinical waste and soiled linen in appropriate container*///

Cleans bed according to established procedures, where necessary//

Places clean bed linen on bed in accordance with institution procedures*//

Remakes existing bed linen, as needed/

Asks patient whether he/she is comfortable, or if he/she has any preferred bed needs/

Handles reusable clean bed linen in accordance with institution procedures//

Cleans and disinfects mattresses and pillows, in accordance with established procedures*/

Adjusts bed height for occupancy and brakes are applied according to bed type /

Keeps beds and equipment/ aids accessible and leaves bed ready for occupancy/

Reports damaged and/or faulty beds, equipment mattresses, pillows and linen to appropriate personnel and documents accordingly./

Discards soiled linen and clinical wastes according to established protocol*///

Cleans cleaning implements and returns to designated storage areas or disposes of appropriately.//

NOTE: *Critical aspects of competency

Performance Test (Sample)

Specific Instruction for the Candidate

QualificationHealth Care Services NCII

Unit of CompetencyPrepare and Maintain Beds

General Instruction:Given the necessary tools, materials and equipment, you are required to prepare and maintain beds in accordance with accepted institutional/industry standard for 1 hourSpecific Instruction:1. The assessment shall be based on the unit of competency in the Training Regulation and the evidence plan and shall focus on the following evidence gathering methods:

Demonstration with Oral Questioning Oral Questioning

Written Test

2. You shall be given 15 minutes to prepare the needed materials, tools and equipment for the performance of tasks.

3. You shall be required to perform the following tasks for 1 hour:

LO1.Prepare area for bed making

LO2.Perform bed making

LO3.Perform after care activities of materials and equipment used 4. Present your finished product/work to your assessor

5. After the performance of tasks, answer the questions about your demonstration to be asked by the assessor.

6. You have to answer other questions to probe the underpinning knowledge about the unit of competency

7. After the oral questioning portion, answer carefully the written test about the unit of competency. Please write your answer on a separate sheet of paper to be provided by the assessor.

8. After the assessment, the assessor shall provide you feedback on the assessment result. The feedback shall indicate whether you are :

COMPETENT

NOT YET COMPETENT

ORAL QUESTIONING TOOL

Questions to probe the candidates underpinning knowledgeSatisfactory response

Extension/Reflection Questions YesNo

1. What would you do if you see a jewelry (i.e. wedding ring) on top of the bed while you are changing the bed linens? How will you tell your client about the found item?

2. What would you do if there are medical equipments (i.e. syringes) left in the bed while you are doing bed making?

Safety Questions

3. What precautions must you take when you are changing the linen of an OCCUPIED bed?

4. To prevent contamination, what personal protective equipment (PPE) will you use while doing bed making?

Contingency Questions

5. (Equipment) To ensure clients comfort, what would you do if the bed cannot be adjusted to an appropriate level?

6. (Complaint) What would you do if you observed that the beds, mattresses, pillows and linen are damaged?

Job/ Role Environment Questions

7. How will you ensure clients comfort and privacy while performing bed making?

8. What is your responsibility to ensure cleanliness of mattresses and pillows?

Rules and Regulations

9. What are the standard protocols with respect to discarding soiled linen and clinical wastes?

10. What are the guidelines in handling reusable clean bed linen?

The candidates underpinning knowledge was: Satisfactory Not Satisfactory

Candidates Signature over printed name : Date:

Rosalia S. Velasco May 13, 2015

Assessors Signature over printed name : Date:

Ma. Reina Rose D. Gulmatico May 13, 2015

QUESTIONS ABOUT THE CANDIDATES DEMONSTRATION OF TASKS

Name:Rosalia S. Velasco

Qualification:Health Care Services NCII

Unit of Competency:Prepare and Maintain Beds

QUESTIONSSatisfactory Responses

The candidate should answer the following questions:

YesNo

What is the appropriate height of the bed during bed making? During bed occupancy?

To prevent contamination, how do you strip your bed linens?

What are the linens that you will be needing for bed making? In correct sequence, how will you place your clean bed linen?

Give a situation where remaking of existing bed linen can be done?

How will you ensure comfort of your client while performing bed making?

How will you ensure that beds and equipment/ aids are accessible to your client?

The Candidates underpinning knowledge about the demonstration of tasks was:

Satisfactory Not Satisfactory

Feedback to the Candidate:

Overall Performance: Satisfactory Not Satisfactory

Candidates Signature: Date: May 13, 2015

Assessors Signature: Date: May 13, 2015

SELF-ASSESSMENT GUIDE

Qualification:

Health Care Services II

Unit Competency:

Prepare and Maintain Bed

Instruction: - Read the questions in the left hand column of the chart

Place a check mark in the appropriate box opposite each question to indicate your answers.

Can I?

Yes

No

Use personal protective equipment according to institutional policy*

/

Adjust bed height as necessary*

/ Clear bed surroundings of medical and other equipment before bed is stripped, where necessary*

/ Provide patient privacy, comfort and safety at all times

/ Check bed linen for displaced personal items; Place aids and equipment in appropriate area/container*

/ Strip bed linen where necessary*

/ Remove and place clinical waste and soiled linen in appropriate container*

/ Clean bed according to established procedures, where necessary

/ Place clean bed linen on bed in accordance with institution procedures*

/ Remake existing bed linen, as needed

/ Ask patient whether he/she is comfortable, or if he/she has any preferred bed needs

/ Handle reusable clean bed linen in accordance with institution procedures*

/ Clean and disinfect mattresses and pillows, in accordance with established procedures*

/ Adjust bed height for occupancy and applies brake according to bed type

/ Keep beds and equipment/ aids accessible and leave bed ready for occupancy

/ Report damaged and/or faulty beds, equipment mattresses, pillows and linen to appropriate personnel and documents accordingly.

/ Discard soiled linen and clinical wastes according to established protocol*

/ Clean cleaning implements and returns to designated storage areas or dispose of appropriately.

/Candidates Name and SignatureRosalia Silvino Velasco

Date:

May 13, 2015

RATING SHEET FOR DEMONSTRATION

Candidates Name:

Rosalia Silvino Velasco

Assessor s Name:

Ma. Reina Rose Delos Santos Gulmatico

Qualification

Health Care Services II

Unit of Competency

Prepare and Maintain Beds

Date of Assessment

May 13, 2015

Time of Assessment

10:00 AM

Instructions for Demonstration:

Given the necessary materials, tools and equipment, the trainee must be able to prepare and maintain bed in 1 hour

Materials and Equipment

Facilities, equipment, supplies and materials relevant to the unit of competency

OBSERVATION

During the demonstration of skills, did the candidate

To show if evidence is demonstrated

Yes

No

N/A

Adjust bed height as necessary*

/ Strip bed linen where necessary*

/ Place clean bed linen on bed in accordance with institution procedures*

/ Remake existing bed linen, as needed

/ Ask patient whether he/she is comfortable, or if he/she has any preferred bed needs

/ Adjust bed height for occupancy and brakes are applied according to bed type

/ Keep beds and equipment/ aids accessible and leave bed ready for occupancy

/The candidates demonstration was :

Satisfactory Not Satisfactory

Candidates Name and Signature: Rosalia S. Velasco Date: May 13, 2015

Assessors Name and Signature: Ma. Reina Rose D. Gulmatico Date: May 13, 2015

SAMPLE TABLE OF SPECIFICATION

Learning Outcome 2: Perform bed making

Objectives/Content area/TopicsKnowledgeComprehensionApplication# of items/% of testOSH policies and procedures

10% (3)

10% (3)

Infection control policies and procedures

10% (3)

10% (3)

20% (6)

Safe manual handling techniques

10% (3)

10% (3)

Correct bed making procedures in hospital corners

35% (10)

15% (5)

10% (3)

60% (18)

TOTAL

20% (13)

20% (8)

40% (9)

100% (30)

WRITTEN TEST

Name of Candidate:Rosalia S. Velasco

Qualification:Health Care Services NCII

Unit of Competency:Prepare and Maintain Beds

PART 1: MULTIPLE CHOICE (20 items)

(Select the best answer to the following questionsby encircling the letter of your answer)I. Occupational Safety and Health (OSH) policies and procedures

1. You are assigned to care for a client in isolation. After you have changed the bed, you need to remove the soiled linen from the room. What is the procedure for dealing with soiled linen?

A. Linen remains in the room until the client is discharged.

B. Carry the rolled up linen without touching your uniform

C. Place the soiled linen in a bag, which is held by another person outside the isolation room.

D. Dispose of the linen in the refuse container.

2. The health care personnel is preparing to make an occupied bed for a patient who is on aspiration precautions. What will the health care personnel do to ensure the safety of this patient during the bed change?A. Keep the head of the bed no lower than a 30-degree angleB. Fold a pillow in half and place it under the patient's headC. Lower the bed to a flat position and place two pillows beneath the patient's headD. Ask another caregiver to hold the patient's head during the bed change3. The health care personnel who is preparing to make an unoccupied bed should do what to ensure his or her personal safety?A. Put on sterile gloves.B. Place the call light within the nurse's reach.C. Place the bed at a comfortable working height.D. Place a laundry bag on the bedside chair.II. Infection control policies and procedures

4. You are preparing to change the soiled linen of a patient's unoccupied bed. Which precaution minimizes the risk of transmitting microorganisms?A. Perform hand hygiene and apply clean gloves.B. Place fresh linen on a clean bedside table or chair.C. Put soiled linen in a pillow case before placing in a hamper.D. Roll soiled linen together with the dirty sides toward the center.5. What would the health care personnel do before making an unoccupied bed if the mattress is soiled?A. Wash the mattress with hot water.B. Wipe off moisture with antiseptic solution, and dry thoroughly.C. Flip the mattress.D. Apply a waterproof pad over the soiled area.

6. The health care personnel will make an occupied bed. What will he/she perform to minimize the risk of disease transmission to staff and patient during the bed change?A. "You'll need to apply Standard Precautions during this task."B. "Be aware that the bed might be contaminated with blood."C. "Soiled linen should be rolled toward your uniform."D. "Keep the linen bag at the foot of the bed."7. When making a surgical bed with no patient present, at which time is it unnecessary to perform hand hygiene?A. Before making the bedB. After gloving, washing the mattress with an antiseptic solution, and ungluingC. After disposing of soiled linen that is not visibly soiledD. After fanfolding the sheets to complete the open bed

8. When making a surgical bed, why does the health care personnel avoid shaking the linen being removed from the bed?A. To keep the linen folded correctlyB. To prevent contamination to the environment and the nurse's uniformC. To keep it separate from the towels and washcloths in the linen bagD. To reduce the amount of time needed to make the bed9. Linens that are still clean are often reused by the same patient. The article of linen that is least likely to be reused is the:A. top sheet

B. bedspread

C. pillowcaseD. cotton blanketIII. Safe manual handling techniques

10. You are changing the bed linen of a patient on bed rest. When you are ready to make the other side of the bed, what will you do before having the patient turn onto the side that has already been made?A. Lower the head of the bedB. Raise the side railsC. Apply the top sheetD. Discard the soiled linen in the linen bag11. For a surgical bed, why is the linen formed into a triangle and fan-folded away from the side on which the patient will be transferred?A. To protect the linen from soilingB. To ensure that the toe pleat is not pulled outC. To keep the linen out of the way during the transferD. To keep the flat sheet taut during the transfer

12. The client is in surgery and will be returning to his bed via a stretcher. The health care personnel plans ahead by making which type of bed and placing the bed in which position?

A. An open bed in low positionB. An occupied bed in low positionC. A closed bed in high positionD. A surgical bed in high positionIV. Correct bed making procedures in hospital corners

13. The main purpose for making sure that the smooth side of the linen is toward the patient is:

A. follow medical asepsis guidelines

B. decreases skin irritation

C. makes the bed look neat

D. promotes feeling of self worth

14. What will the health care personnel do right after placing a clean top sheet on the patient?A. Make a cuff with the top of the sheetB. Make a horizontal toe pleatC. Tuck the remaining portion of the sheet under the foot of the mattressD. Remove the bath blanket15. The health care personnel is making a surgical bed for a patient who is having abdominal surgery. Where will she place the waterproof pad on this bed?A. Over the mattressB. Over the bottom sheetC. Over the top sheetD. A waterproof pad should not be used for this patient16. When making an unoccupied bed, where would the health care personnel place a waterproof pad?A. Directly on the mattress.B. Beneath the draw sheet.C. Over the bottom sheet.D. Over the top sheet.17. The health care personnel has finished making a surgical bed for a patient in surgery. How would the health care personnel leave the bed to transfer the surgical patient safely?A. Raise the head of the bed to a 30-degree angle.B. Raise the top two side rails.C. Raise the height of the bed.D. Release the bed wheels.18. The health care personnel is reviewing placement of an unfitted bottom sheet while making an unoccupied bed. Which of the following statements is correct?A. The lower hem of the sheet should lie seam down and even with the bottom edge of the mattress.B. Keep enough material to miter the lower mattress corners.C. Apply the draw sheet on the cleaned mattress first.D. Make the top of the bed first, moving to the bottom of the bed.]

19. The health care personnel is changing the clients bed linen and begins by removing the old linen. The health care personnel takes the oiled linen and:

A. Places it on the floor at the foot of the bed and slightly under the bed until the new linen is applied.

B. Places it on the chair in the clients room until the new linen is placed.

C. Carries it to a proper linen bag by holding it close to the uniform to avoid dropping it.

D. Carries the oiled linen to the linen bag placed just outside the clients room, taking care not to touch the uniform.

20. The health care personnel is changing linen on an occupied bed and begins by:

A. Removing top bedding

B. Moving the mattress up on the bed

C. Turning the client toward the side where the linen will be changed

D. Loosening foundation of the bottom linen on the side of the bed nearest the linen supply.

PART 2: TRUE OR FALSE (10 items)

(Read the following statements carefully. Write TRUE if the statement isCORRECTor FALSE if the statement is INCORRECT. Write your answers on the space provided.)_________21.When making an unoccupied bed, make up one side of the bed and then

the other side.

_________22.Draw sheets are placed on the bed from the patients shoulders to the hips.

_________23.The pillow is placed on the bed with the opening facing the door.

_________24.The bottom sheet is mitered and then the blanket is mitered at the foot of

the bed.

_________25.When making an occupied bed, it is best to place the patient in a supine

position.

_________26.The health care personnel does not have to wear gloves at any time during bedmaking.

_________27.Linens should be folded and unfolded without shaking.

_________28.The bed should be made closed until the arrival of a patient.

_________29.A surgical bed is made with the linens fan-folded to one side of the bed.

_________30.The health care personnel should raise the bed to waist height while making the bed.

True / False

21. T

22. T

23. F

24. F

25. F

26. F

27. T

28. T

29. T

30. TCOMPETENCY ASSESSMENT RESULTS SUMMARY

Candidates Name:Rosalia Silvino Velasco

Assessors Name:Ma. Reina Rose Delos Santos Gulmatico

Title of Qualification / Cluster of Units of CompetencyHealth Care Services NC II

AssessmentCenter:Concordia College Date:May 13, 2015

The performance of the candidate in the following unit(s) of competency and corresponding methodsSatisfactoryNot Satisfactory

Unit of CompetencyAssessment Methods

Prepare and maintain beds Collect and maintain linen stocks at end-users location

Assist in patient mobility

Assist in transporting patients

Assist in bio-psychosocial support care of patients

Handle waste in a health care environment

A. Demonstration with Oral Questioning

B. Oral Questioning

Note: Satisfactory Performance shall only be given to candidate who demonstrated successfully all the competencies identified in the above-named Qualification/Cluster of Units of Competency

Recommendation: For issuance of NC/COC

(Indicate title of COC, if full Qualification is not met)encircle NCHealth Care Services NCII For submission of additional documents

Specify: _______________

______________________ For re-assessment (pls. specify)

Did the candidate overall performance meet the required evidences/standards? YES NO

OVERALL EVALUATION Competent Not Yet Competent

General Comments [Strengths/Improvements needed]

Candidates signature:Date:May 13, 2015

Assessors signature:Date:May 13, 2015

AssessmentCenter Manager Signature:Date:May 13, 2015

CANDIDATES COPY(Please present this form when you claim your NC/COC)

COMPETENCY ASSESSMENT RESULTS SUMMARY

Name of Candidate:Rosalia Silvino VelascoDate:May 13, 2015

Name of AssessmentCenter:Concordia CollegeDate:May 13, 2015

Assessment Results: Competent Not Yet Competent

Recommendation: For issuance of NC/COC

(Indicate title of COC, if full Qualification is not met)Health Care Services NCII

For submission of additional documents

Specify:

For re-assessment (pls. specify)

Assessed by:Ma. Reina Rose D. Gulmatico

Name and SignatureAttested by:Teresa P. Ang

Name and Signature

Date:May 13, 2015Date:May 13, 2015

TESDA-SOP-CACO-07-F23

Tele Fax No. 527-2690 http://manila.lpu.edu.ph/

Muralla cor. Real St. Intramuros, Manila

COLLEGE OF NURSING

LYCEUM OF THE PHILIPPINES UNIVERSITY