Skill Description Points Points Notes
Possible Earned
General Full 360 scan of exam Full 360 scan not performed
room (-5)
(deduct 5 pts if not done)
Introduce self and role Show ID here also.
Permission to video. 1
Wash hands (can
verbalize)
Subjective HPI, FH, Social, PMH, Comprehensive history and
Interview current health (2) 4 review of systems.
Review of Systems (2)
Mental status Must verbalize: Must verbalize and should ask
General appearance (1) orientation questions.
Mood and affect (1) 4
Level of consciousness
(1)
Communication skills (1)
Skin and Nails Inspect skin surface This can be verbalized through
throughout exam for color out the exam but do not forget.
and integrity (1)
Describe lesions
according to
characteristics (exudates,
location, distribution) (.5) 4
Palpate skin for turgor
(.5)
Inspect nails for base
angle and for color,
length, symmetry, and
cyanosis (1)
Palpate nails for capillary
refill (1)
Hair Inspect for hair color,
distribution, and quality of
hair, hair loss, scarring or
inflammation (1) 2
Palpate scalp and hair
(texture) (1)
This study source was downloaded by 100000838530596 from CourseHero.com on 03-06-2022 19:22:24 GMT -06:00
, 2
Head & Neck Inspect head and facial
features, size, shape &
symmetry (1)
Inspect for thyromegaly
(1)
Evaluate. palpate (1), and
auscultate (1)) thyroid 7
Evaluate trachea position
This study source was downloaded by 100000838530596 from CourseHero.com on 03-06-2022 19:22:24 GMT -06:00
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