U11 Assisting with the Physical Exam. Physical Exam Sequence This is a general series of events...

U11 U11 Assisting with the Assisting with the

Physical ExamPhysical Exam

Physical Exam SequencePhysical Exam Sequence

This is a general series of events that This is a general series of events that may happen. The MA may or may not be may happen. The MA may or may not be part of the following sequence of events.part of the following sequence of events.

Physical Exam SequencePhysical Exam Sequence

1. Room Prep- Make sure 1. Room Prep- Make sure exam room is neat, clean, exam room is neat, clean, and have the supplies ready and have the supplies ready to use.to use.

This may be the job for the This may be the job for the MA. MA.

Physical Exam SequencePhysical Exam Sequence

1. Room Prep- Make sure exam room is neat, clean, 1. Room Prep- Make sure exam room is neat, clean, and have the supplies ready to use. Job for MA ?and have the supplies ready to use. Job for MA ?

2. Pt prep-check the medical 2. Pt prep-check the medical record for completeness, record for completeness, complete vital signs, provide complete vital signs, provide gown in required.gown in required.

Physical Exam SequencePhysical Exam Sequence

1. Room Prep- Make sure exam room is neat, clean, 1. Room Prep- Make sure exam room is neat, clean, and have the supplies ready to use.and have the supplies ready to use.

2. Pt prep-check the medical record for completeness, 2. Pt prep-check the medical record for completeness, complete vital signs, provide gown in required.complete vital signs, provide gown in required.

Items #3 through #8 usually Items #3 through #8 usually completed by Doc/Nursecompleted by Doc/Nurse

3.General Appearance3.General Appearance

Physical Exam SequencePhysical Exam Sequence

1. Room Prep- Make sure exam room is neat, clean, 1. Room Prep- Make sure exam room is neat, clean, and have the supplies ready to use.and have the supplies ready to use.

2. Pt prep-check the medical record for completeness, 2. Pt prep-check the medical record for completeness, complete vital signs, provide gown in required.complete vital signs, provide gown in required.

3.General Appearance3.General Appearance

4. Speech/breath odors4. Speech/breath odors

Physical Exam SequencePhysical Exam Sequence

1. Room Prep- Make sure exam room is neat, clean, 1. Room Prep- Make sure exam room is neat, clean, and have the supplies ready to use.and have the supplies ready to use.

2. Pt prep-check the medical record for completeness, 2. Pt prep-check the medical record for completeness, complete vital signs, provide gown in required.complete vital signs, provide gown in required.

3.General Appearance3.General Appearance 4. Speech/breath odors4. Speech/breath odors

5. Skin5. Skin

Physical Exam SequencePhysical Exam Sequence

1. Room Prep- Make sure exam room is neat, clean, 1. Room Prep- Make sure exam room is neat, clean, and have the supplies ready to use.and have the supplies ready to use.

2. Pt prep-check the medical record for completeness, 2. Pt prep-check the medical record for completeness, complete vital signs, provide gown in required.complete vital signs, provide gown in required.

3.General Appearance3.General Appearance 4. Speech/breath odors4. Speech/breath odors 5. Skin5. Skin

6. Reflexes6. Reflexes

Physical Exam SequencePhysical Exam Sequence

1. Room Prep- Make sure exam room is neat, clean, and have the 1. Room Prep- Make sure exam room is neat, clean, and have the supplies ready to use.supplies ready to use.

2. Pt prep-check the medical record for completeness, complete vital 2. Pt prep-check the medical record for completeness, complete vital signs, provide gown in required.signs, provide gown in required.

3.General Appearance3.General Appearance 4. Speech/breath odors4. Speech/breath odors 5. Skin5. Skin 6. Reflexes6. Reflexes

7. Head/Neck/Eyes/7. Head/Neck/Eyes/ Mouth/Nose/EarsMouth/Nose/Ears

Physical Exam SequencePhysical Exam Sequence

1. Room Prep- Make sure exam room is neat, clean, and have the 1. Room Prep- Make sure exam room is neat, clean, and have the supplies ready to use.supplies ready to use.

2. Pt prep-check the medical record for completeness, complete vital 2. Pt prep-check the medical record for completeness, complete vital signs, provide gown in required.signs, provide gown in required.

3.General Appearance3.General Appearance 4. Speech/breath odors4. Speech/breath odors 5. Skin5. Skin 6. Reflexes6. Reflexes

7. Head/Neck/Eyes/Mouth/Nose/Ears7. Head/Neck/Eyes/Mouth/Nose/Ears

8.Body-chest,abdomen,arms,legs8.Body-chest,abdomen,arms,legs

Basic Examination Basic Examination EquipmentEquipment Nasal SpeculumNasal Speculum Speculums increase the size Speculums increase the size

of the hole.of the hole.ExamineExamine

the inside the inside

of the noseof the nose

OphthalmoscopeOphthalmoscopeExamine the inside of the Examine the inside of the eye-blood vessels, retina, eye-blood vessels, retina, optic discoptic disc

OtoscopeOtoscopeExamines the inside of the Examines the inside of the

ear—ear drumear—ear drum

Tongue depressorTongue depressorUse to move the tongue out of Use to move the tongue out of

the way when doing a oral the way when doing a oral examination--mouthexamination--mouth

Reflex HammerReflex HammerTest the reflexes –knee, Test the reflexes –knee, elbow wristelbow wrist

Tuning Fork—test hearing, Tuning Fork—test hearing, and for fracturesand for fractures

StethoscopeStethoscopeListen to body Listen to body

SoundsSounds

Diaphragm-Diaphragm-

Bell-Bell-

GlovesGloves

ProtectionProtection

Tape measureTape measure

Measure stuffMeasure stuff