NURS 6512-COMPREHENSIVE PHYSICAL EXAMINATION CHECKLIST

NURS 6512-COMPREHENSIVE PHYSICAL EXAMINATION CHECKLIST

NURS 6512-COMPREHENSIVE PHYSICAL EXAMINATION CHECKLIST
The following list will be used to determine the grade for the physical examination demonstration.  It does not constitute a complete list of everything that could be included in a physical examination, but rather a list of those things that should be done at a minimum for every individual having a “complete physical examination”.
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IMPORTANT INSTRUCTIONS: Adjust your camera to show a full view of both you and your patient volunteer, show your government issued photo ID/passport for verification of who you are, scan the room that you are using for verification that notes are not being used or posted, then begin the video. You may not take notes during the examination. Omitting these instructions or obtaining a score of less than 69.5% will result in a failure of the video assignment and the course.

Possible
Points
Score

Skin

2
Inspects all areas of body esp. feet
2

Head & Neck

6
Inspect & Palpates skull
1

Palpates lymph nodes for adenopathy
2

Palpates thyroid (with H2O/swallowing)
2

Palpates tracheal placement
1

Eyes

12
Checks visual acuity  (Snellen chart required)
1

Checks peripheral fields
2

Checks EOMs
2

Checks conjunctiva for pallor
1

Checks pupillary reaction
1

Opthalmoscopic exam (opthamoloscope is required)
5

describes discs, checks for microaneurysms,

hemorrhages, neovascularization

Ears, Nose,

Sinuses, Mouth 
Determines gross hearing/whisper test (Tuning Forks are required. Frequency of 500-1000Hz to be used)
2

8
Otoscopic exam (describes landmarks) (otoscope is required)
2

Inspect & Assess Nares
1

Palpate & percuss  sinuses
2

Examines mouth (hard palate/soft palate, salivary glands, tongue, gag reflex)
1

Chest and Lungs

8
Inspect chest & Observes respiratory movements
1

Posterior chest
5

Palpates & percuss respiratory excursion. Assess  tactile fremitus; Thoracic  expansion

Auscultates breath sounds

Anterior chest
2

Palpate & percuss ant chest. Auscultate breath sounds

NURS 6512-COMPREHENSIVE PHYSICAL EXAMINATION CHECKLIST

Breasts
Explanation only –do not demonstrate
1

1
Palpates axillae, inspects breasts

Palpates axillary lymph nodes

Cardiovascular

8
Inspect & Observes neck veins and measures JVD (two pocket ruler required)
1

Palpates PMI and precordium
2

Auscultates cardiac sites (Aortic area, Pulmonic area, Tricuspid area, Mitral Area (Apex) and state sounds
5

With diaphragm and bell sitting position

then diaphragm supine/left lateral decubitus

Peripheral Vascular

5
Inspect & Palpates pulses: carotids, radials, tibialis, pedals
2

Palpates for lower extremity edema
1

Auscultates for  carotid bruit
2

Abdomen

10
Inspect & Auscultates bowel sounds
1

Auscultates renal arteries
2

Percuss liver to determine span
 
2

Palpates abdomen for tenderness(light and deep palpation, including McBurney’s point and rebound tenderness)
2

Check for splenic & liver enlargement
3

Neurological

30
Mental status—MMSE or clock drawing
1

Cranial nerves:
12

Olfactory: smell

Optic: visual acuity, fields

Oculomotor, trochlear, abduces: EOMs

Trigeminal: sensation & jaw strength

Facial: frown, smile, corneal reflex

Acoustic: gross hearing

Glossopharyngeal, vagus: gag reflex

Spinal accessory: shrug shoulders

Hypoglossal: moves tongue

Reflexes: all DTRs and Babinski (reflex hammer is required)
5

Sensory:

L ight touch/monofilament on feet (Monofilament tool required)
1

Vibration
1

Stereognosis or graphesthesia
1

Motor:

Strength—upper and lower extremities
2

Muscle tone
2

Gait
1

Cerebellar:

Test for coordination(any coordination test covered in your text readings)
1

One test for balance
1

One test for meningeal irritation
1

One test for nerve root irritation
1

Musculoskeletal

10
Inspects spine
1

Palpates spine
2

Palpates major joints
2

(Shoulders, Hips, Knees, Elbows)

Active ROM of spine, knee, shoulders, hips
5

Overall approach
-20 points for every editing/cut/paste in video
-20 points using notes or wall notes for each instance
-10 points if order is illogical or fragmented
-10 points for repeating the video due to not following instructions

–

-10  points for hesitation or evidence of lack of practice
-5 points for not wearing a lab coat AND professional dress attire
Video over 30 mins- video stopped at 30 mins and 10 points deducted in addition to point deductions for systems not covered. Faculty must watch the video to determine if all criteria were met to pass video.

–

Failure-  not using appropriate equipment;
Failure-  to perform a system assessment as this is a complete physical exam
Failure- not showing photo ID

Total

 

You MUST pass the video with 69.5% or higher or you will fail the course.

NURS 6512-COMPREHENSIVE PHYSICAL EXAMINATION CHECKLIST
 
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