D222
Health Assessment Script
Video Submission Guide
Western Governors University
, lOMoARcPSD|51648332
Required equipment: stethoscope, a penlight, a watch, a BP cuff (manual or automatic), a
reflex hammer, a cotton swab (soft touch), and a pen cap/ paper clip (sharp touch).
PART 1
(BEGIN WITH THE VOLUNTEER IN A SEATED POSITION FACING THE CAMERA WITH YOU
TO THE SIDE OR BEHIND THEM.)
• Hello. My name is Hunter. I am a Registered Nurse. I understand you are here
for a physical exam. Is it okay if I complete a comprehensive assessment on
you?
• Can you tell me your Name? DOB? What year is it? What city are you in?
• What is your height and weight?
o Pt is Alert and Oriented x4. The posture is upright. Facial expression,
mood, and affect are appropriate for the situation. Speech is clear.
Personal hygiene is clean.
I will now check your Vital Signs.
• I am going to assess your bpm RADIAL PULSE for 30 seconds and multiply by 2.
o Pulse is 82 and regular.
• Now I will count your Respirations for 30 seconds and multiply by 2
o Respiratory rate is 14 labored, even, regular.
• I am now going to check your Blood Pressure. First sitting down then standing up.
o BP sitting: / . BP standing: / .
• I am going to assess your current Pain Level on a 0-10 scale.
SKIN ASSESSMENT
I’m assessing the color and pigmentation of your skin on your arms, legs, face, and body.
I’m checking for
pallor, erythema, cyanosis, and jaundice.
• Skin color is consistent with ethnic background with smooth texture. Skin temperature
warm and moist bilaterally with no swelling or edema noted. No lesions noted.
Downloaded by Benjamin Luca ()
, lOMoARcPSD|51648332
• I am now assessing your skin turgor. Skin non-tenting
HEAD AND FACE
Next, I am going to assess your scalp, hair, and cranium:
• (Place your fingers in the person’s hair and palpate the scalp.)
• I am checking for any lesions, lumps, scaling, or evidence of trauma. I am checking
that your cranium is normocephalic. I am also assessing any pain or tenderness.
Now I’m going to assess your cranial nerve 7: I am assessing your face for
symmetry, and any
signs of
weakness.
1. (Touch Temporal Artery): Can you open and close your mouth?
2. (Check sinuses on Maxillary (By nose) and Frontal sinuses (middle eyebrow):
Any pain?
Downloaded by Benjamin Luca ()
, lOMoARcPSD|51648332
3. Can you frown for me? Please smile for me.
4. Now wrinkle your forehead?
5. Can you raise your eyebrows?
6. Show me your teeth?
7. puff out your checks?
Downloaded by Benjamin Luca ()
Health Assessment Script
Video Submission Guide
Western Governors University
, lOMoARcPSD|51648332
Required equipment: stethoscope, a penlight, a watch, a BP cuff (manual or automatic), a
reflex hammer, a cotton swab (soft touch), and a pen cap/ paper clip (sharp touch).
PART 1
(BEGIN WITH THE VOLUNTEER IN A SEATED POSITION FACING THE CAMERA WITH YOU
TO THE SIDE OR BEHIND THEM.)
• Hello. My name is Hunter. I am a Registered Nurse. I understand you are here
for a physical exam. Is it okay if I complete a comprehensive assessment on
you?
• Can you tell me your Name? DOB? What year is it? What city are you in?
• What is your height and weight?
o Pt is Alert and Oriented x4. The posture is upright. Facial expression,
mood, and affect are appropriate for the situation. Speech is clear.
Personal hygiene is clean.
I will now check your Vital Signs.
• I am going to assess your bpm RADIAL PULSE for 30 seconds and multiply by 2.
o Pulse is 82 and regular.
• Now I will count your Respirations for 30 seconds and multiply by 2
o Respiratory rate is 14 labored, even, regular.
• I am now going to check your Blood Pressure. First sitting down then standing up.
o BP sitting: / . BP standing: / .
• I am going to assess your current Pain Level on a 0-10 scale.
SKIN ASSESSMENT
I’m assessing the color and pigmentation of your skin on your arms, legs, face, and body.
I’m checking for
pallor, erythema, cyanosis, and jaundice.
• Skin color is consistent with ethnic background with smooth texture. Skin temperature
warm and moist bilaterally with no swelling or edema noted. No lesions noted.
Downloaded by Benjamin Luca ()
, lOMoARcPSD|51648332
• I am now assessing your skin turgor. Skin non-tenting
HEAD AND FACE
Next, I am going to assess your scalp, hair, and cranium:
• (Place your fingers in the person’s hair and palpate the scalp.)
• I am checking for any lesions, lumps, scaling, or evidence of trauma. I am checking
that your cranium is normocephalic. I am also assessing any pain or tenderness.
Now I’m going to assess your cranial nerve 7: I am assessing your face for
symmetry, and any
signs of
weakness.
1. (Touch Temporal Artery): Can you open and close your mouth?
2. (Check sinuses on Maxillary (By nose) and Frontal sinuses (middle eyebrow):
Any pain?
Downloaded by Benjamin Luca ()
, lOMoARcPSD|51648332
3. Can you frown for me? Please smile for me.
4. Now wrinkle your forehead?
5. Can you raise your eyebrows?
6. Show me your teeth?
7. puff out your checks?
Downloaded by Benjamin Luca ()
