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PHYSICAL ASSESSMENT

PROCEDURE

Satisfactory

Unsatisfactory

7.

Visually inspects the patient for the following:

Ventilatory pattern

Purse-lip breathing

Accessory muscle usage

Retractions

Cough

Sputum production

o

Color

o

Amount

o

Thickness

8.

Examines extremities:

Skin temperature

Digital clubbing

Capillary refill

Pedal edema

9.

Examines thorax:

Chest configuration

Thoracic expansion

Breath sound

Uses the following to clarify adventitious breath sounds

o

Egophony

o

Whispered petoriloquy

o

Bronchophony

Palpation

Percussion

10.

Auscultates heart sounds

11.

When completing assessment, correctly removes and disposes of PPE and washes hands

12.

Charts findings

RATING

Satisfactory (performs without supervision)

Competent (no critical errors, corrects with some coaching)

Unsatisfactory (critical errors, requires remediation)

Evaluator Signature: ________________________________________________________    Date: ___________________

Comments/Remedial Action Plan:  _______________________________________________________________________

___________________________________________________________________________________________________

Student Signature: _________________________________________________________    Date: ____________________

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