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.

  PossiblePointsScore
Skin   
2Inspects all areas of body esp. feet2 
Head & Neck   
6Inspect & Palpates skull1 
 Palpates lymph nodes for adenopathy2 
 Palpates thyroid (with H2O/swallowing)2 
 Palpates tracheal placement1 
Eyes   
12Checks visual acuity  (Snellen chart required)1 
 Checks peripheral fields2 
 Checks EOMs2 
    
 Checks conjunctiva for pallor1 
 Checks pupillary reaction1 
 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 
8Otoscopic exam (describes landmarks) (otoscope is required)2 
 Inspect & Assess Nares1 
 Palpate & percuss  sinuses2 
 Examines mouth (hard palate/soft palate, salivary glands, tongue, gag reflex)1 
Chest and Lungs   
8Inspect chest & Observes respiratory movements1 
 Posterior chest5 
 Palpates & percuss respiratory excursion. Assess  tactile fremitus; Thoracic  expansion  
 Auscultates breath sounds  
 Anterior chest2 
 Palpate & percuss ant chest. Auscultate breath sounds  
 NURS 6512-COMPREHENSIVE PHYSICAL EXAMINATION CHECKLIST  
BreastsExplanation only –do not demonstrate1 
1Palpates axillae, inspects breasts  
 Palpates axillary lymph nodes  
Cardiovascular   
8Inspect & Observes neck veins and measures JVD (two pocket ruler required)1 
 Palpates PMI and precordium2 
 Auscultates cardiac sites (Aortic area, Pulmonic area, Tricuspid area, Mitral Area (Apex) and state sounds5 
 With diaphragm and bell sitting position  
 then diaphragm supine/left lateral decubitus  
Peripheral Vascular   
5Inspect & Palpates pulses: carotids, radials, tibialis, pedals2 
 Palpates for lower extremity edema1 
 Auscultates for  carotid bruit2 
Abdomen   
10Inspect & Auscultates bowel sounds1 
 Auscultates renal arteries2 
 Percuss liver to determine span2 
 Palpates abdomen for tenderness(light and deep palpation, including McBurney’s point and rebound tenderness)2 
 Check for splenic & liver enlargement3 
Neurological   
30Mental status—MMSE or clock drawing1 
 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 
 Vibration1 
 Stereognosis or graphesthesia1 
 Motor:  
 Strength—upper and lower extremities2 
 Muscle tone2 
 Gait1 
 Cerebellar:  
 Test for coordination(any coordination test covered in your text readings)1 
 One test for balance1 
 One test for meningeal irritation1 
 One test for nerve root irritation1 
Musculoskeletal   
10Inspects spine1 
 Palpates spine2 
 Palpates major joints2 
 (Shoulders, Hips, Knees, Elbows)  
 Active ROM of spine, knee, shoulders, hips5 
    
    
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 attireVideo 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 examFailure- 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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