Vital Signs
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Assess pain |
X |
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BP |
X |
X |
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RR |
X |
X |
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HR |
X |
X |
X |
Sa02 |
X |
X |
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Body temp |
X |
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Weight |
X |
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Height |
X |
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Integumentary
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Inspect skin color |
X |
X |
X |
X |
|
X |
X |
Skin lesions |
X |
X |
X |
X |
|
X |
X |
Skin wounds |
X |
X |
X |
X |
|
X |
X |
Estimate skin fold |
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|
X |
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Head: |
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Inspect facial structures |
X |
X |
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|
X |
X |
Oral cavity |
X |
X |
X |
X |
X |
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Ears: |
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Assess hearing based on conversation |
X |
X |
X |
X |
X |
Eyes: |
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Inspect external eyes |
X |
X |
X |
X |
X |
X |
Visual acuity |
X |
X |
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|
X |
X |
PERRLA |
X |
X |
X |
X |
X |
X |
Thorax: |
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Inspect chest shape |
X |
X |
X |
|
X |
X |
X |
Breathing effort |
X |
X |
X |
|
X |
X |
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Palpate chest wall expansion |
X |
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|
X |
X |
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Auscultate breath sounds |
X |
X |
X |
X |
X |
X |
X |
Ability to cough |
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Percuss lungs |
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|
X |
X |
X |
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Abdomen: |
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Inspect abdomen |
X |
X |
X |
X |
X |
X |
X |
Auscultate bowel sounds |
X |
X |
X |
X |
X |
X |
X |
Palpate for tenderness/distention |
X |
X |
X |
X |
X |
X |
X |
Assess stool |
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|
X |
X |
X |
X |
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Percuss abdomen |
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Cardiovascular: |
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Inspect cap refill |
X |
X |
X |
X |
X |
X |
X |
Palpate distal pulses |
X |
X |
X |
X |
X |
X |
X |
Inspect/palpate edema |
X |
X |
X |
X |
X |
X |
X |
Palpate extremities temp |
X |
X |
X |
X |
|
X |
X |
Inspect extremities for color and hair growth |
X |
X |
X |
X |
X |
X |
X |
Auscultate carotid artery |
X |
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|
|
|
X |
|
Inspect jugular pulsation |
X |
X |
X |
X |
X |
X |
X |
Auscultate heart sounds |
X |
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Musculoskeletal: |
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Inspect back/Spine |
X |
|
X |
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|
X |
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Inspect muscles/extremities size/symmetry |
X |
|
X |
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|
X |
X |
Palpate extremities/joints/calve for tenderness |
X |
X |
X |
X |
|
X |
|
Observe ROM |
X |
X |
X |
X |
|
X |
X |
Assess muscle strength |
X |
X |
X |
X |
X |
X |
X |
Neurological: |
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Assess mental/LOC |
X |
X |
X |
X |
|
X |
Glascow Coma Scale |
X |
|
X |
|
|
X |
Evaluate speech |
X |
X |
X |
X |
|
X |
Facial movement/sensation |
X |
X |
X |
|
X |
X |
Assess gait |
|
|
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CN I-XII |
X |
X |
X |
X |
X |
X |
Patella/Planter reflex |
|
|
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|
X |
|
Gag reflex |
|
|
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|
X |
X |
Total Skills |
34 |
28 |
30 |
32 |
30 |
36 |
19 |