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Evaluator:   Student Evaluator:    \nSignature Signature  \nNOTE: The student is to perform a comprehensive physical examination (well physical examination) on a toddler or school-aged child who has no complaint or distress.  \n*Choose appropriate age level  \n\n| SCORING |  |\n| --- | --- |\n| N/A | Not applicable for this patient |\n| 0 | Unsuccessful; required critical or excessive prompting; inconsistent; not yet competent |\n| 1 | Not yet competent, marginal or inconsistent, this includes partial attempts |\n| 2 | Successful; competent; no prompting necessary |\n\n\n| Actual Time Started:   | SCORE |\n| --- | --- |\n| Initial general impression |  |\n| Appearance |  |\n| Facial expression | N/A |\n| Skin color | N/A |\n| Work of breathing | N/A |\n| Odors of body or breath | N/A |\n| *If toddler or school-aged child: |  |\n| Activity level | N/A |\n| Speaks when addressed | N/A |\n| *If school-aged child: |  |\n| Eye contact | N/A |\n| Mood | N/A |\n| Orientation |  |\n| Time | N/A |\n| Place | N/A |\n| Person | N/A |\n| Memory |  |\n| Recent | N/A |\n| Long term | N/A |\n| Assesses baseline vital signs |  |\n| Vital signs |  |\n| Blood pressure | N/A |\n| Pulses – brachial, radial, carotid |  |\n| Pulse rate | N/A |\n| Pulse amplification | N/A |\n| Respirations |  |\n| Respiratory rate | N/A |\n| Tidal volume | N/A |\n| Temperature – oral, tympanic, rectal | N/A |\n| SpO2 | N/A |\n\n\n| Secondary physical examination |  |\n| --- | --- |\n| Somatic growth |  |\n| Length | N/A |\n| Weight | N/A |\n| Head circumference | N/A |\n| Skin |  |\n| Colors – flushed, jaundiced, pallor, cyanotic | N/A |\n| Moisture – dryness, sweating, oiliness | N/A |\n| Temperature – hot or cool to touch | N/A |\n| Turgor | N/A |\n| Lesions – types, location, arrangement | N/A |\n| Nails – condition, cleanliness, growth | N/A |\n| Head and neck |  |\n| Hair | N/A |\n| Scalp | N/A |\n| Skull | N/A |\n| Face | N/A |\n| Eyes |  |\n| Acuity – vision is clear and free of disturbance | N/A |\n| Appearance – color, iris clear | N/A |\n| Pupils – size, reaction to light | N/A |\n| Extraocular movements – up, down, both sides | N/A |\n| Ears |  |\n| External ear | N/A |\n| Ear canal – drainage, clear | N/A |\n| Hearing – present/absent | N/A |\n| Nose |  |\n| Deformity | N/A |\n| Air movement | N/A |\n| Mouth |  |\n| Opens willingly | N/A |\n| Jaw tension | N/A |\n| Mucosal color | N/A |\n| Moisture | N/A |\n| Upper airway patent | N/A |\n| Neck |  |\n| Trachea – midline | N/A |\n| Jugular veins – appearance with patient position | N/A |\n| Chest |  |\n| Chest wall movement – expansion | N/A |\n| Skin color – closed wounds | N/A |\n| Integrity |  |\n| Open wounds | N/A |\n| Rib stability | N/A |\n| Presence/absence of pain | N/A |\n\n\n| Lower airway |  |\n| --- | --- |\n| Auscultation – anterior and posterior |  |\n| Normal sounds and location |  |\n| Tracheal | N/A |\n| Bronchial | N/A |\n| Bronchovesicular | N/A |\n| Vesicular | N/A |\n| Heart and blood vessels |  |\n| Heart |  |\n| Apical pulse | N/A |\n| Sounds |  |\n| S 1 | N/A |\n| S2 | N/A |\n| Arterial pulses |  |\n| Locate with each body area examined | N/A |\n| Abdomen |  |\n| Color – closed wounds | N/A |\n| Open wounds | N/A |\n| Size, symmetry, shape | N/A |\n| Scars | N/A |\n| Distention | N/A |\n| Auscultation | N/A |\n| Palpation – quadrants, masses, tenderness, rigidity | N/A |\n| Back |  |\n| Color – closed wounds | N/A |\n| Open wounds | N/A |\n| Size, symmetry, shape | N/A |\n| Scars | N/A |\n| Palpation – tenderness, rigidity, masses | N/A |\n| Pelvis |  |\n| Stability | N/A |\n| Male genitalia – inspects for: |  |\n| Wounds, rashes, external lesions, drainage | N/A |\n| Female genitalia – inspects for: |  |\n| Wounds, rashes, external lesions, drainage | N/A |\n| Musculoskeletal |  |\n| Legs and feet |  |\n| Symmetry | N/A |\n| Range of motion | N/A |\n| Deformity | N/A |\n| Skin |  |\n| Color | N/A |\n| Closed wounds | N/A |\n| Open wounds | N/A |\n| Pulses |  |\n| Femoral | N/A |\n| Popliteal | N/A |\n| Dors","cbCainJty7rMz8cu","https://ap.wps.com/l/cbCainJty7rMz8cu","pdf",73766,"English","# Initial general impression\n## Secondary physical examination\n# Critical criteria\n# Student self-evaluation","[{\"question\":\"What type of patient does the skills lab require for the physical examination?\",\"answer\":\"The student performs a comprehensive physical examination on a toddler or a school-aged child who has no complaint or distress.\"},{\"question\":\"How is scoring determined in this skills lab?\",\"answer\":\"Use the provided scoring rubric: N/A for not applicable, 0 for unsuccessful or not yet competent with critical prompting, 1 for marginal or inconsistent performance, and 2 for successful, competent performance without prompting.\"},{\"question\":\"What are the critical criteria for failing the assessment?\",\"answer\":\"Failure can occur for issues such as not taking or verbalizing appropriate PPE precautions, inadequate assessment of airway/breathing/circulation, disorganized assessment, failure to assess as a competent EMT, inappropriate conduct, incorrect assessment leading to potential injury, or not meeting the required total score thresholds.\"}]","COMPREHENSIVE NORMAL PEDIATRIC PHYSICAL ASSESSMENT TECHNIQUES SKILLS LAB | PDF",1790203127]