NAGA COLLEGE FOUNDATION
NURSING AND HEALTH SCIENCES DEPARTMENT
NAGA CITY
Performance Checklist
ASSESSING MUSCULOSKELETAL SYSTEM
NAME:_____________________________________________ DATE_____________ RATING_________
Instruction: Rate the following criteria after you have satisfactorily practiced the skills. Check
appropriate scale.
Legend: 3- Correctly done 1- Incorrectly done
2- Partially done 0-Not done
PERFORMANCE POINTS 3 2 1 0 REMARKS
1.Wash hands
2. Explain procedure to the client.
3. Ask the client to put on the gown.
GAIT
1.Observe gait for base, weight-bearing stability, feet position, arm
swing, and posture.
TEMPOROMANDIBULAR JOINT
1.Inspect, palpate, and test ROM
STERNOCLAVICULAR JOINT
1.Inspect and palpate for midline location, color, swelling and
masses.
SPINE
1.Inspect and palpate cervical, thoracic, and lumbar spine for pain
and tenderness.
2. Test ROM of :
a. cervical spine
b. thoracic & lumbar
SHOULDERS
1.Inspect and palpate shoulders for symmetry, color, swelling, and
masses.
2. Test ROM of shoulders.
ELBOWS
1.Inspect & palpate elbows for size, shape, deformities, redness, or
swelling.
2. Test ROM of elbows
WRISTS
1.Inspcet and palpate wrists for size, shape, symmetry, color,
swelling, tenderness, and nodules.
2. Test ROM of wrists
AVAMARIECLARO,RN.RM.MAN
3. Test for Carpal Tunnel syndrome
a. Tinel’s sign
b. Phalen’s sign
HANDS & FINGERS
1.Inspect and palpate hands & fingers for size, shape, symmetry,
swelling, color, tenderness, and nodules.
2. Test ROM of hands and fingers.
HIPS
1.Inspect and palpate hips for shape & symmetry.
2. Test ROM of hips
KNEES
1.Inspect and palpate knees for size, shape, symmetry, deformities,
pain, and alignment
2. Test knees for swelling. If small amount of fluid present do
“bulge test”.
3. Test ROM of knees.
4. Perform McMurray test if client complains of “clicking” in knee.
ANKLES AND FEET
1.Inspect and palpate ankles and feet for position, alignment,
shape, skin, tenderness, temperature. Swelling , or nodules.
2. Test ROM of ankles and toes.
Analysis of Data
1.Formulate nursing diagnoses (health promotion, risk, actual)
2. Formulate collaborative problems
3. Make necessary referrals
ATTITUDE
1.Accepts criticisms well & shows effort to improve performance
2. Answers questions politely
3. Observes proper decorum & behaves as a mature student nurse.
_________________________ __________________________
Student’s Signature CI’s Signature
AVAMARIECLARO,RN.RM.MAN