WGU D222 Health assessment script Guide & Skills Checklist

D222
Health Assessment Script

Western Governors University

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stethoscope, a penlight or flashlight, watch or timer, BP cuff (manual or automatic),
reflex hammer, and cotton swab/pen cap.

Intro

- Introduce self then patient
- What are you here for
o A physical examination
- Can I have your permission to exam you and touch you?
- Patient identification
o Full name
o DOB
- A/O’s
o Name
o Year
o What city/state
o Patient is A/O x3
- Do you have any pertinent medical history?
- Visual Inspection
- Assess nutritional status
o Nutritional st is appropriate for age
- Posture
o Patients posture is appropriate for age
- No apparent physical deformities present

C1. Part 1: Measurements, Skin, & Head/Face

Vital Signs

1. Ask height and weight

2. Measure radial pulse (bpm) x 30 sec -74

3. Measure respiratory rate- 18 regular and unlabored




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4. Measure blood pressure (arm)

5. Assess current pain level- No pain

Skin (bilateral)

6. Assess skin color/pigmentation- Appropriate for age and race

7. Assess skin temperature- warm

8. Assess skin moisture- Dry




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