NR 306 RUA

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NR304Head-to-ToeReturnDemonstrationForm13.pdf

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Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 1 of 9

SKILL VIDEO: HEAD-TO-TOE ASSESSMENT

Student Name: D#:

Session and Year: Course Leader:

Campus Location: Essentials Elements Met: Yes No

Program:

Skill Completed in 30 minutes:

Yes, how long: No, how long:

Number of Self-Identifiable Breaks Utilized:

Attempt #1 Date:

Outcome: c Satisfactory c Unsatisfactory

Faculty Name Evaluating Attempt #1:

Attempt #2 Date:

Outcome: c Satisfactory c Unsatisfactory

Faculty Name Evaluating Attempt #2:

Requirements:

• Students must complete all essential elements of the skills return demonstration in a one-on-one, non-cueing environment with faculty evaluating or as a video recording. Submission of a video return demonstration may be requested or required.

• Students are not permitted to use any resources for the return demonstration except for health assessment tools such as a stethoscope, penlight, pen, etc. Students will be provided a blank piece of paper at the beginning of the return demonstration to record vital signs and assessment findings while performing the return demonstration.

• Students must complete a thorough head-to-toe physical assessment return demonstration in a systematic approach on a human volunteer or mannequin as directed by faculty.

• Students must verbalize their findings utilizing appropriate terminology throughout the assessment or as directed by faculty.

• Students must complete the assessment within 30 minutes.

• Students must complete and submit the Direct Patient Care Documentation: Laboratory Courses the same day the return demonstration is completed (or as directed by course leader). Documentation is not included in this time-frame. If the student documentation is Unsatisfactory or Needs Improvement, resubmission of documentation is required within 24 business hours. A maximum of two attempts is permitted.

Essential Elements:

During nursing skills return demonstration, students must complete all essential elements, which are bolded throughout the return demonstration form. Unsafe nursing behaviors, unsafe actions, not completing skill within designated timeframe or omitting any bolded essential element(s) without self-identifying, will result in an unsatisfactory for the return demonstration. Only the bolded areas count towards unsatisfactory rating.

Self-Identifiable Breaks:

Self-identifiable breaks are defined as the acknowledgment made by a student during a return demonstration of either a missed action or the incorrect performance of an action that is required for the successful skill completion. Students have a designated number of self-identifiable breaks for each return demonstration. If a student uses more than one self-identifiable break for any section, it will result in an unsatisfactory.

• One self-identifiable break for each section is permitted.

Evaluation and Remediation:

• Students will earn a satisfactory/unsatisfactory on the return demonstration, with a maximum of two attempts allowed.

• A student may be unsatisfactory one time on the skill Head-to-Toe Assessment with an opportunity to remediate. If the student fails to complete the remediation session and satisfactorily complete the Head-to-Toe Assessment on a second attempt, it will result in course failure.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 2 of 9

COURSE OUTCOMES This return demonstration enables the student to meet the following course outcomes:

• CO1 Use knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment (PO4, 8).

• CO2 Explain expected client behaviors while differentiating between normal findings, variations and abnormalities (PO1).

• CO8 Demonstrate the beginning roles and responsibilities associated with health promotion and nursing care (PO7).

Due Date: By week-eight or as assigned by faculty

Supplies: Stethoscope, penlight, tongue blade, gloves, measuring tape (optional), reflex hammer or paperclip, watch with second hand, pulse-oximeter (optional), thermometer (optional), blood pressure cuff (optional), black pen, disinfectant wipes, cotton ball, alcohol prep pads, small notebook or paper

SECTION 1: INTRODUCTIONS Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c c Acknowledges presence

2 c c c c Introduces self

3 c c c c Explains procedure to be performed, including duration of assessment

4 c c c c Identifies patient with two identifiers

5 c c c c Reviews provider orders

6 c c c c Determines allergies

7 c c c c Provides privacy

8 c c c c Dons clean gloves

9 c c c c Cleanses equipment with a disinfectant wipe

10 c c c c Removes gloves and discards into trash receptacle

11 c c c c Performs hand hygiene

12 c c c

Assesses pain: What makes pain better/worse

Description

Travel/spread, if so where

Intensity

Intermittent

Evaluator Comments:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 3 of 9

SECTION 2: GENERAL SURVEY Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Observes physical appearance: Consistent with chronological age c Yes c No

2 c c c c Observes for signs of acute distress

3 c c c Observes Behavior: c Facial expression c Mood/Affect c Speech

4 c c c Assesses: c Dress c Personal hygiene

5 c c c Assesses Level of Consciousness: c Alert

Oriented to: c Person c Place c Time c Situation

6 c c c Assesses for visible devices (cane, walker, crutches, prosthesis, hearing aids)

Evaluator Comments:

SECTION 3: VITAL SIGNS Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c

Obtains Vital Signs: c Temperature c Blood Pressure c Pulse c Respirations c Oxygen

2 c c c c Reviews vital signs and verbalizes any abnormal results

Evaluator Comments:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 4 of 9

SECTION 4: SKIN & NAILS Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Inspects skin: c Color c Skin Integrity c Piercings

2 c c c c Palpates skin temperature

3 c c c c Assesses skin turgor

4 c c c Inspects nails: c Color c Shape/Contour

5 c c c c Assesses capillary refill

Evaluator Comments:

SECTION 5: HEAD, FACE, NECK Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c c Performs hand hygiene

2 c c c c Dons clean gloves

3 c c c Inspects face: c Symmetry of facial structures

4 c c c Inspects and palpates head: c Infestations c Lesions c Symmetry

5 c c c Assesses hair: c Texture c Distribution c Quantity

6 c c c Cranial Nerve V: c Assesses motor function c Assesses sensory function

7 c c c Cranial Nerve VII: c Assesses motor function

8 c c c Cranial Nerve XI: c Assesses shoulder movement

c Rotates head bilaterally

9 c c c Inspects and palpates neck: c Trachea midline c Masses

Evaluator Comments:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 5 of 9

SECTION 6: EYES Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Inspects external ocular structures: c Discharge c Redness c Lesions

2 c c c Inspects: c Conjunctiva c Sclera

3 c c c Inspects: c Eyebrows c Eyelids c Eyelashes

4 c c c c Darkens the room

5 c c c Pupils: c Size c Equal c Round

c Reactive to Light c Accommodation

6 c c c Assesses Cranial Nerve III, IV and VI: c Assesses Six Cardinal Fields of Gaze

Evaluator Comments:

SECTION 7: EARS Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Inspects external structure: c Lesions c Piercings

2 c c c Inspects external auditory meatus:

c Discharge c Swelling c Redness

3 c c c c Palpates external meatus for tenderness

4 c c c c Assesses Cranial Nerve VIII: Whispered voice test

Evaluator Comments:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 6 of 9

SECTION 8: NOSE Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Inspects external structure: c Lesions c Position c Symmetry

2 c c c Inspects internal structures: c Asymmetry c Inflammation

3 c c c c Assesses for drainage

4 c c c c Assesses bilateral patency

Evaluator Comments:

SECTION 9: MOUTH & THROAT Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Inspects lips: c Color c Moisture

2 c c c Inspects gums: c Color c Moisture

3 c c c c Inspects teeth

4 c c c Inspects tongue: c Color c Moisture

5 c c c Inspects buccal mucosa: c Color c Moisture

6 c c c Inspects palate: c Color c Moisture

7 c c c Inspects Pharynx: c Redness c Drainage

8 c c c c Assesses Cranial Nerve IX and X

9 c c c c Assesses Cranial Nerve XII

10 c c c c Discards tongue blade into trash receptacle

11 c c c c Removes and discards gloves into trash receptacle

12 c c c c Performs hand hygiene

Evaluator Comments:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 7 of 9

SECTION 10: RESPIRATORY SYSTEM Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Inspects the anterior chest:

c Accessory muscle use c Chest expansion

2 c c c

Auscultates and verbalizes anterior lung fields (5 positions on each side): c Side-to-side pattern

c RUL c RML c RLL c LUL c LLL

3 c c c

Auscultates and verbalizes posterior lung fields (9 positions on each side):

c Side-to-side pattern

c RUL c RLL c LUL c LLL

4 c c c c Inspects A/P to transverse diameter: c Normal c Abnormal

5 c c c Inspects curvature of the spine (Scoliosis, Kyphosis, Lordosis): c Normal

c Abnormal

Evaluator Comments:

SECTION 11: CARDIOVASCULAR/PERIPHERAL VASCULAR Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Palpates carotid pulses: c Left c Right

2 c c c Palpates radial pulses: c Left c Right

3 c c c Palpates pedal pulses: Dorsalis pedis: c Left c Right

Posterior tibialis: c Left c Right

4 c c c c Assesses for edema

5 c c c c Assesses hair distribution on legs

6 c c c c Auscultates carotid arteries: c Left c Right

7 c c c

Verbalizes landmarks and auscultates cardiac areas with diaphragm:

c Aortic c Pulmonic c Erb’s point c Tricuspid c Mitral c Apical Pulse

Auscultate cardiac areas with bell:

c Aortic c Pulmonic c Erb’s point c Tricuspid c Mitral Evaluator Comments:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 8 of 9

SECTION 12: GASTROINTESTINAL/URINARY Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Inspects abdomen: c Contour c Symmetry c Color

2 c c c Auscultates bowel sounds in the correct order: c RLQ c RUQ c LUQ c LLQ

3 c c c c Auscultates abdominal aorta for bruit

4 c c c Light palpation of all quadrants: c RLQ c RUQ c LUQ c LLQ

c Tenderness c Distention c Guarding c Masses c Rigidity

5 c c c c Assesses last BM c Assesses Urination (frequency, burning)

Evaluator Comments:

SECTION 13: MUSCULOSKELETAL Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c

Bilaterally inspects one major and one minor upper extremity joint for:

c Symmetry c Contour c ROM (two for each joint)

Major joint include shoulders, elbows, hips and knees

Minor joints include wrist, hands, ankles and feet

2 c c c

Bilaterally inspects one major and one minor lower extremity joint for:

c Symmetry c Contour c ROM (two for each joint)

Major joint include shoulders, elbows, hips and knees

Minor joints include wrist, hands, ankles and feet

3 c c c Assesses sensory function: c Upper extremities c Lower extremities

4 c c c Assesses muscle strength: c Upper extremities c Lower extremities

5 c c c Assesses: c Gait c Coordination

Evaluator Comments:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

Head-to-Toe Return Demonstration Page 9 of 9

SECTION 14: CLOSURE Step No. Complete Incomplete Self-Identified

Break Assessment to Perform

1 c c c Reassesses pain level

2 c c c Thanks patient

3 c c c Offers comfort measures

4 c c c

Cleanses equipment with disinfectant wipe

c Blood pressure cuff (if applicable)

c Pulse oximeter probe (if applicable)

c Thermometer (if applicable)

c Stethoscope (end piece cleansed with alcohol prep pad)

c Reflex hammer (if applicable)

5 c c c c Bed in lowest position c Side rails up

c Bed locked

6 c c c Call light within reach

7 c c c Performs hand hygiene

Evaluator Comments:

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