Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

(Chris Devlin) #1

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:


Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition


Name Date


Unit Position


Instructor/Evaluator: Position


SKILL 2-2

Using a Bed Scale


Goal: The patient’s weight is assessed accurately, without
injury, and the patient experiences minimal discomfort. Comments


  1. Check medical order or nursing care plan for frequency of
    weight measurement. More frequent pulse measurement
    may be appropriate based on nursing judgment. Obtain
    the assistance of a second caregiver, based on patient’s
    mobility and ability to cooperate with procedure.

  2. Perform hand hygiene and put on PPE, if indicated.

  3. Identify the patient.

  4. Close curtains around bed and close door to room if possi-
    ble. Discuss procedure with patient and assess patient’s
    ability to assist with the procedure.

  5. Place a cover over the sling of the bed scale.

  6. Attach the sling to the bed scale. Lay the sheet or bath
    blanket in the sling. Turn the scale on. Adjust the dial so
    that weight reads 0.0.

  7. Adjust bed to comfortable working position, usually elbow
    height of the caregiver (VISN 8, 2009). Position one care-
    giver on each side of the bed, if two caregivers are present.
    Raise side rail on the opposite side of the bed from where
    the scale is located, if not already in place. Cover the
    patient with the sheet or bath blanket. Remove other
    covers and any pillows.

  8. Turn patient onto his or her side facing the side rail, keeping
    his or her body covered with the sheet or blanket. Remove
    the sling from the scale. Roll sling long ways. Place rolled
    sling under patient, making sure the patient is centered in
    the sling.

  9. Roll patient back over sling and onto other side. Pull sling
    through, as if placing sheet under patient, unrolling sling
    as it is pulled through.

  10. Roll scale over the bed so that arms of scale are directly
    over patient. Spread the base of the scale.Lower arms of
    the scale and place arm hooks into holes on the sling.


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