University of Cebu – Banilad
College of Nursing
Cebu City
SKILLS LABORATORY PERFORMANCE CHECKLIST
ORAL CARE
Name: _Varron, Dazell Ann A._ Year & Section: _BSN-1B Grade: __________
DEFINITION:
It is the preventive measures which consist of fluoride rinsing, flossing, and brushing of the oral
cavity.
PURPOSE:
To maintain the integrity of the mucous membranes, teeth, gums, and lips.
EQUIPMENT NEEDED: LEGEND:
BRUSHING AND FLOSSING DENTURE CARE 1 - Excellent
Toothbrush Denture brush 2 – Very Satisfactory
Toothpaste Denture cleaner 3 – Satisfactory
4 Emesis basin Emesis basin 4 – Needs Improvement
Towel Towel 5 – Poor
Cup of water Cup of water
Nonsterile gloves Nonsterile gloves
Dental floss Tissue
Dental floss holder Denture cup
Mirror
Lip moisturizer
Special care items for clients with impaired physical mobility or who are unconscious
Soft toothbrush or toothette Milk of magnesia
Tongue blade Cotton-tip applicators
3x3 gauze sponges Plastic asepto syringe
Suction machine and catheter
E VS NI
PROCEDURE RATIONALE
1
PREPARATION
1. Wash hands. To prevent the spread of
infection
2. Gather equipment for demonstration. To promote efficient
time management
3. Provide Privacy. To protect client from
psychological harm like
embarrassment or
distress
SELF-CARE CLIENT: FLOSSING AND
BRUSHING
4. Place client in a fowler’s position. To promote client’s
comfort and safety and
effectiveness of the care
including oral
inspection and
assessment
5. Wash hands and apply gloves. To prevent the spread of
infection
6. Arrange articles within client’s reach. To save time and
promote effective care
7. Assist client flossing and brushing as To ensure that brushing
necessary. Position mirror, emesis basin, and water and flossing is done
with straw near the client and a towel across the accordingly
chest.
8. Assist client with rinsing mouth. To make comfort an
suspend remaining fluid
and debris
9. Reposition client, raise side rails, and place call To ensure client’s
button within reach. comfort, to avoid the
risk of falling, and to
position the call button
near the client for
emergency assistance
SELF-CARE CLIENT: DENTURE CARE
10. Assist client to a high fowler’s position. To promote client’s
comfort and safety and
effectiveness of the care
11. Wash hands and apply gloves. To prevent the spread of
infection
12. Assist client with denture removal. With To ensure proper
tissue, grasp top denture with thumb and forefinger and removal of denture and
pull downward. to keep them from
slipping out of the hand
13. Place in denture cup. To ensure that the
dentures are safe and to
prevent damage
14. Place thumbs on the gums and release the To properly remove the
bottom denture. Grasp denture with thumb and forefinger denture
and pull upward.
15. Place in denture cup. To ensure that the
dentures are safe and to
prevent damage
16. Apply toothpaste to brush, and brush dentures To remove food and
either with cool water in the emesis basin or under plaque on the dentures
running water in the sink. Pad sink with towel to protect and to avoid damaging
dentures in case they are dropped. the plastic or bend
attachments
17. Rinse thoroughly. To remove cleaning
solution and debris
18. Assist client with rinsing mouth and To make comfort and
replacing dentures. remove remaining fluid
and debris
19. Reposition client, with side rails up and call To provide for the
button within reach. client’s comfort and
safety
FULL-CARE CLIENT: BRUSHING AND
FLOSSING
To promote client’s
20. Position client as condition allows: high
comfort and safety and
fowler’s; or lateral position, head turned toward side.
effectiveness of the care
21. Place towel across client’s chest or under face To avoid spilling or
and mouth if head is turned to one side. wetting the client
E VS NI
PROCEDURE RATIONALE
1
22. Moisten toothbrush, apply small amount of To remove plaques and
toothpaste, and brush teeth and gums. debris between the teeth
23. Grasp the dental floss in both hands or use a To ensure removal of
floss holder and floss between all teeth, holding floss remaining debris
against tooth while moving floss up and down sides of between
teeth. the teeth
24. Assist the client in rinsing mouth. To make comfort and
remove remaining fluid
and debris
25. Reapply toothpaste and brush the teeth and To ensure removal of
gums using friction in a vertical or circular motion. On debris and dental plaque
inner and outer surfaces of teeth, hold brush at 45 degree from teeth and gingival
angle against teeth and brush from sulcus to crowns of area
teeth. On biting surfaces, move brush back and forth in
short strokes. All surfaces of teeth should be brushed
from every angle.
26. Assist the client in rinsing and drying mouth. To make comfort and
remove remaining fluid
and debris
27. Apply lip moisturizer, if appropriate. To moisturize lips and
reduce risk for cracking
28. Reposition client, raise side rails, and place To provide for the
call button within reach. client’s comfort and
safety
CLIENTS WHO ARE UNCONSCIOUS
29. Provide privacy. To promote client’s
safety and
confidentiality
30. Wash hands and apply gloves. To prevent the spread of
infection
31. Explain the procedure to the client. Providing information
fosters cooperation
32. Place the client in a lateral position, head To prevent back strain
turned toward side. and allow fluid to drain
out of the client’s mort
to prevent aspiration.
33. Use a floss holder and floss between all teeth. To remove plaques and
debris between the teeth
34. Moisten toothbrush, and brush the teeth and To avoid bleeding and
gums using friction in a vertical or circular motion. to
Do not use toothpaste. On inner and outer effectively dislodge
surfaces of teeth, hold brush at 45 degree angle against plaques and debris from
teeth and brush from sulcus to crowns of teeth. On biting teeth
surfaces, move brush back and forth in short strokes. All
surfaces of teeth should be brushed from every angle.
35. After flossing and brushing, rinse mouth with To remove cleaning
an Asepto syringe (do not force water into the mouth) and solution and debris
perform oral suction.
36. Dry the client’s mouth. To promote client’s
comfort
37. Apply lip moisturizer. To moisturize lips and
reduce risk for cracking
38. Leave the client in a lateral position with head To make comfort and
turned toward side for 30 to 60 minutes after oral hygiene remove remaining fluid
care. Suction one more time. Remove the towel from and debris
under the client’s mouth and face.
39. Dispose of any contaminated items in a To maintain standard
biohazard bag. precautions
POST-PROCEDURE ACTIVITY:
40. After Care. For sanitation purpose
and to promote
cleanliness
41. Remove gloves. To reduce transmission
of microorganisms
42. Wash hands. To prevent the spread of
infection
43. Document care. Documentation provides
ongoing data collection
and coordination of care
ATTITUDE OF THE STUDENT:
22. Accepts constructive suggestion and Attaining such attitude
criticisms. leaves room for
improvement and better
care in the future
23. Assumes accountability. To cultivate a positive
attitude of willingness
to
accept responsibility
Source:
Daniel, Ricks. Nursing Fundamentals: Caring and Clinical Decision Making. Thomson Asian
Edition.
United States: Delmar, 2004, pp. 919-924.
SCORING: 1 x _____ = _______
2 x _____ = _______
3 x _____ = _______
4 x _____ = _______
5 x _____ = _______
Total divided by no. of items = _______
COMMENTS:
______________________________________________________________________________________
______________________________________________________________________________________
_______________________ ________________________
Student’s Name and signature Clinical Instructor’s Signature
_________________________
DATE
