LBCC: N146 FINAL PRACTICUM Head-To-Toe Physical Assessment

N146 FINAL PRACTICUM
Head-To-Toe Physical Assessment

Name: ______________________________________________
 [1] Washes hands (using sanitizer)
 [2] Introduction to the patient - pt. permission, pt. privacy
 [3] Verifies patient identity using two identifiers
 [4] Incorporates universal precautions
 [5] Correct equipment to perform the assessment

***Students must verbalize what they are assessing, visualizing, etc.
throughout the examination***
15 minutes per student starting with General survey


Examiner: Mark all boxes that student completes correctly


Patient in semi-Fowlers position

General survey:
 Physical Appearance (Age, Sexual development, Skin color, Facial features,
Signs of acute distress, Visible devices and equipment)
 Body Structure (Stature, Nutrition, Symmetry, Posture, Position, Body build
and contour, Obvious physical deformities)
 Mobility (May verbalize: Gait and Range of motion as noted upon walking
into exam room, etc.)
 Behavior (Facial expression, Mood and affect, Speech, Dress, Personal
hygiene)
Examiner comments: ____/4 boxes

Head and Face:
 Inspect and palpate scalp, hair and skull (normocephalic, no infestation,
lesions, etc)
 Inspect the face (note expression, symmetry, abnormal facial structures,
skin)
 Palpate temporomandibular joint (have patient open mouth: note crepitus,
limited ROM, or tenderness)
 Percuss/palpate maxillary and frontal sinuses (nontender)
Examiner comments: ____/4 boxes



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