Competency Performance Checklist
Skill 30-14: Assessing the Breasts and Axillae
Student: Date:
Essential/ Element Competency
critical Demonstrated?
element? Yes No
1. Introduced self and verified client’s identity.
2. Explained procedure to client and discussed how results will be used.
3. Gathered appropriate equipment.
4. Performed hand hygiene and observed appropriate infection
prevention procedures.
5. Provided for client privacy.
6. Inquired about the client’s history related to the breasts and axillae.
7. Inspected the breasts for size, symmetry, and contour or shape while
the client was in a sitting position.
8. Inspected the skin of the breast for localized discolorations or
hyperpigmentation, retraction or dimpling, localized hypervascular
areas, swelling, or edema.
9. Emphasized any retraction by having the client
a. Raise the arms above the head.
b. Push the hands together, with elbows flexed.
c. Press the hands down on the hips.
10. Inspected the areola area for size, shape, symmetry, color, surface
characteristics, and any masses or lesions.
11. Inspected the nipples for size, shape, position, color, discharge, and
lesions.
12. Palpated the axillary, subclavicular, and supraclavicular lymph
nodes.
13. Palpated the breast for masses, tenderness, and any discharge from
the nipples using a systematic pattern.
14. Palpated the areolae and the nipples for masses, discharge, or
tenderness.
15. Taught the client the technique of breast self-examination.
Used effective body mechanics throughout procedure.
Communicated appropriately with the client.
Documented all relevant information.
Comments:
Overall Performance: Satisfactory Unsatisfactory
Copyright 2016 by Pearson Education, Inc.
Evaluator:
Copyright 2016 by Pearson Education, Inc.