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Performance Checklist Changing Diaper

This document provides a checklist for changing a diaper with 14 steps. It lists the procedure, whether it was done or not, and a scoring system. The checklist aims to ensure all necessary steps are followed to change a diaper in a sanitary and private manner while recording the process.

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Mhel MG
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567 views1 page

Performance Checklist Changing Diaper

This document provides a checklist for changing a diaper with 14 steps. It lists the procedure, whether it was done or not, and a scoring system. The checklist aims to ensure all necessary steps are followed to change a diaper in a sanitary and private manner while recording the process.

Uploaded by

Mhel MG
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PERFORMANCE CHECKLIST

CHANGING DIAPER

NOT
PROCEDURE DONE SCORE
DONE
1. Inform the patient about the procedure. 3
2. Gather the materials needed. 3
3. Wash hands. 3
4. Provide privacy. 3
5. Remove pants/ undergarments. 4
6. Wear gloves. 4
7. Remove diaper tapes and cover the soiled part of
4
the diaper.
8. Cleanse the genitals from front to back with wet
4
tissue or cotton.

9. Place soiled tissues in a separate container.


3
10. Weigh and record the diaper and place the soiled
3
diaper in the proper disposal.
11. Remove gloves. 3
12. Put on clean diapers.Replace a clean underpad
5
when necessary.
13. Wash hands. 3
14. Record all the procedures done, time started &
finished, reaction of the patient to the procedure 5
and any deviations seen.
TOTAL 50

Name: ____________________ Score: _______________


Section: ___________________ Date: _______________
Instructor:__________________

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