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General Survey Form
Objective: Conduct a General survey on a person of your choice. The purpose of this interaction is observation only.
- Physical Appearance/Hygiene:
- General appearance:
- Gender
- Apparent age
- Ethnic group
- Appears overall healthy
- Well-groomed or disheveled (Note the general color of skin and hygiene)
- Body Structure and Movement (Observe general stature):
- Height appropriate for apparent age
- Appears well nourished
- Weight suitable for the height
- Position or posture (comfortable and relaxed)
- Obvious deformities
- Walks with ease
- Gait balanced and smooth
- Limitations to range of motion
- Involuntary movements
- Using assistive devices
- Emotional/Mental Status and Behavior:
- Document observations with detailed responses in a narrative format.For example, if a client appears tired provide a description adequate for the reader to visualize the client, “Client is alert and appears tired, slumped in a chair with eyes half closed.”
- Describe one strength and one weakness you observed (can be psychosocial and/or physical). Provide rationales to support why you chose this strength and weakness.
- Complete a spell and grammar check on your work before submission using Grammarly,
Level of alertness
Appear well rested or tired
Converse appropriately
Behavior appropriate for the situation
Dress suitable for the weather
Title:
General Survey
Purpose of Assignment:
Learning to make purposeful observations is an essential skill for a nurse. The general survey is the observation a nurse makes during the initial client interaction. The nurse must provide nonbiased, descriptive documentation of these observations.
Course Competency:
Identify the foundations of health assessment.
Instructions:
Content:
- Use the provided form as a guide to the information that should be collected.
- Short descriptive paragraph of findings. Remember, this is objective information, so only what you observe. Avoid stating why you know or think something is.
- Identify one weakness and one strength based on the findings and provide supporting rationales for your choices.
Format:
- Standard American English (correct grammar, punctuation, etc.)
Resources:
Bates video: http://batesvisualguide.com.ezproxy.rasmussen.edu/MultimediaPlayer.aspx?multimediaid=6091198) view to 2:35 minutes
Grading Rubric:
General Survey Grading Rubric – 20 possible points
|
Levels of Achievement |
||||
|
Criteria |
Emerging |
Competence |
Proficiency |
Mastery |
|
Documented Observations (15 Pts) |
Addressed all three categories. Omitted more than half the requested information in each area. Subjective information detected. Bias or explanation for findings evident. Failure to address all three categories will result in zero points for this criteria. |
All three categories addressed. Sparse detail given in all areas. Answers majority of items as yes or no with little detail. Subjective information may be detected. |
Addressed all three categories with more than one word responses to each question provided. No bias or explanation for findings evident. All objective information. |
Clear detailed descriptions of observations in all three categories. No bias or explanation for findings evident. All objective information |
|
Points: 9 |
Points:12 |
Points: 13.5 |
Points: 15 |
|
|
Strength and Weakness (3 Pts) |
Lists one strength and one weakness with no description or reason for selection of them. Failure to provide both one strength and weakness will result in zero points for this criteria. |
Provides brief description of one strength and one weakness with no reason for identification of the strength and weakness. |
Provides description of one strength and one weakness noted on observation. Gives reason for identification of the strength and weakness. |
Detailed description of one strength and one weakness noted during observation. Detailed reason provided for identifying the strength and weakness. |
|
Points: 1.8 |
Points: 2.4 |
Points: 2.7 |
Points: 3 |
|
|
Spelling and Grammar (2 Pts)
|
Six or more spelling or grammar errors.Detracts from the readability of the submission. |
No more than five spelling or grammar errors, minimally detracts from the readability of the submission. |
No more than three spelling or grammar errors.Does not detract from the readability of the submission. |
No spelling or grammar errors. |
|
Points: 1.2 |
Points: 1.6 |
Points: 1.8 |
Points: 2 |
|
|
Points: 12 |
Points: 16 |
Points: 18 |
Points: 20 |
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