DE LA SALLE LIPA

COLLEGE OF NURSING

NURSING CARE MANAGEMENT 104

Evaluation Performance in
ASSISTING A PATIENT WITH AMBULATION USING CRUTCHES

Name:________________________________ Year & Section:__________ Rating:_______

GENERAL OBJECTIVES:
Given actual or simulated situations/conditions, the students will be able to differentiate
normal from abnormal findings and utilize concepts, principles, techniques and appropriate
assessment tools in the assessment of individual client with varying age group and
development.

SPECIFIC OBJECTIVES:
1. To distinguish the specific landmarks that guides the appropriate assessment.
2. To plan with the client the proper preparation for the assessment including the position
and materials needed.
3. To implement the proper and correct techniques in assisting a patient with ambulation
using crutches.
4. To summarize and evaluae the findings.

LEGEND:

Unit Weight Verbal Interpretation

4 EXCELLENT
3 VERY
SATISFACTORY
2 SATISFACTORY
NEEDS
1 IMPROVEMENT
0 POOR
Able to function independently and correctly without
guidance and supervision observing principles at all
times.
Able to function with minimal supervision from the
instructor and observes underlying principles and
theories of nursing.
Able to function but needs close supervision from the
instructor.
Requires close supervision but shows potential for
improvement.
Unable to function and needs repeated specific and
detailed guidance or direction.

I. Knowledge – 30% (QUIZ)

II. SKILLS – 20%

4 3 2 1 0 Remarks
1. Review the medical record and nursing plan of care for
conditions that may influence the patient’s ability to move and
ambulate. Assess for tubes, IV lines, incisions, or equipment that
may alter the procedure for ambulation. Assess the patient’s
knowledge and previous experience regarding the use of crutches.
Determine that the appropriate size crutch has been obtained.
2. Perform hand hygiene. Put on PPE, if indicated.
3. Identify the patient. Explain the procedure to the patient. Tell the
patient to report any feelings of dizziness, weakness, or shortness
of breath while walking. Decide how far to walk.
4. Encourage the patient to make use of the stand-assist device, if
available. Assist the patient to stand erect, face forward in the tripod
position. This means the patient holds the crutches 12 inches in
front of and 12 inches to the side of each foot.
5. For the four-point gait: a. Have the patient move the right crutch
forward 12 inches and then move the left foot forward to the level of
the right crutch. b. Then have the patient move the left crutch
forward 12 inches and then move the right foot forward to the level
of the left crutch.
6. For the three-point gait: a. Have the patient move the affected leg
and both crutches forward about 12 inches. b. Have the patient
move the stronger leg forward to the level of the crutches.
7. For the two-point gait: a. Have the patient move the left crutch
and the right foot forward about 12 inches at the same time. b.
Have the patient move the right crutch and left leg forward to the
level of the left crutch at the same time.
8. For the swing-to gait: a. Have the patient move both crutches
forward about 12 inches. b. Have the patient lift the legs and swing
them to the crutches, supporting his or her body weight on the
crutches.
9. Continue with ambulation for the planned distance and time.
Return the patient to the bed or chair based on the patient’s
tolerance and condition, ensuring that the patient is comfortable.
Make sure call bell and other necessary items are within easy
reach.
10. Remove PPE, if used. Perform hand hygiene.

III. Attitude 30% 6 4 2 0 Remarks

1. Performs procedure with ease and confidence
2. Shows effort to improve his/her performance.
3. Approaches the client positively and clear when giving instructions.
4. Wear prescribed uniform neatly and completely + good grooming.
5. Systematic in doing the procedure.

COMMENTS:

Strengths:

Weaknesses:

CONFORME: EVALUATED BY:

__________________________________ KENNETH MYRO D. GARCIA, RN, MAN, EdD

Signature over Printed Name
Student Clinical Instructor