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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