NSG 6020 Advanced Health and Physical Assessment

NSG 6020 Advanced Health and Physical Assessment FINAL HEAD TO TOE PHYSICAL EXAM DEMONSTRATION • General tips: Do not disrobe patients for any part of exam; we will assume this has been done. You will need a stethoscope, cotton ball (or other soft object), penlight or small flash light. Great if you have a reflex hammer no problem if you do not; use side of hand or stethoscope if you do not have one. • No need to state what you are doing during the exam unless indicated in the particular section below. If filming exam place web cam or video camera far enough away to keep patient and examiner in full view of camera; take a few test videos and review them to make sure we will be able to see you performing the aspects of the exam. • You may look at your note cards or look away from the exam (to view a note board) briefly during the exam. The video cannot be stopped more than once during the exam. You do have the option of submitting the exam in two parts. The video or live exam cannot be longer than 30 minutes; time your practice sessions. • Most of all, relax and do not stress- stress will decrease your ability to recall the steps in the exam. Remember- you all know these steps, if you have been practicing regularly you should have no trouble performing them for the final exam Introduction: (Total: 2 pts) 1. Establishes contract to perform assessment (1pt) (Introduce yourself to patient) 2. Washes hands (1pt) (Use waterless hand sanitizer or state “I just washed my hands”) Stand in Front of Patient: Patient sitting, with legs dangling Skin (General survey): (Total: 1 pt) 1. Inspects: overall skin color: (pink, cyanotic, jaundice, pale, pigmentation & uniformity) (1pt) (Generally look over skin as you do each part of the exam so we can tell that you performed this part- knowing that in a real exam the patient would CMA/8_11 (Adapted from Jarvis, C. (2012). Physical examination and health assessment. (6th ed.). Philadelphia: Saunders) be disrobed) (During the exam, examine skin condition with