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    Cardiac Exam Skill Sheet

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    Muhammed Elgasim
    This document outlines the steps for performing a cardiac examination. It lists 30 critical and non-critical steps to inspect, palpate, percuss, and auscultate the heart. Key areas examined include jugular venous pressure, point of maximal impulse, carotid pulses, heart sounds, murmurs, and rhythm. The evaluator scores the student on completion of steps and critical steps. Overall quality of performance is also assessed.

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    Cardiac Exam Skill Sheet

    Uploaded by

    Muhammed Elgasim
    44 views1 page
    This document outlines the steps for performing a cardiac examination. It lists 30 critical and non-critical steps to inspect, palpate, percuss, and auscultate the heart. Key areas examined include jugular venous pressure, point of maximal impulse, carotid pulses, heart sounds, murmurs, and rhythm. The evaluator scores the student on completion of steps and critical steps. Overall quality of performance is also assessed.

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    Cardiac Exam Skill Sheet

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    This document outlines the steps for performing a cardiac examination. It lists 30 critical and non-critical steps to inspect, palpate, percuss, and auscultate the heart. Key areas examined include jugular venous pressure, point of maximal impulse, carotid pulses, heart sounds, murmurs, and rhythm. The evaluator scores the student on completion of steps and critical steps. Overall quality of performance is also assessed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    44 views1 page

    Cardiac Exam Skill Sheet

    Uploaded by

    Muhammed Elgasim
    This document outlines the steps for performing a cardiac examination. It lists 30 critical and non-critical steps to inspect, palpate, percuss, and auscultate the heart. Key areas examined include jugular venous pressure, point of maximal impulse, carotid pulses, heart sounds, murmurs, and rhythm. The evaluator scores the student on completion of steps and critical steps. Overall quality of performance is also assessed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Skill Performance Evaluation: Cardiac Examination

    Directions: You will have 10 minutes to complete the skill. All critical (C) steps and 80% of the noncritical steps
    must be performed or verbalized. Special tests (S) will be performed if requested by the examiner.
    Start: End:
    Performed Verbalized
    Washes hands and dons appropriate personal protective equipment. C
    Introduces self to patient using first and last name. Y/N
    Notes general appearance and vital signs. Y/N
    Patient supine 30º elevation of head unless otherwise stated. C
    Inspection
    1. Inspect for jugular venous pressure (JVP) and carotid pulsations Y/N Y/N
    2. Note point of maximal impulse (PMI) using tangential lighting, and inspect for abnormal
    Y/N Y/N
    pulsations
    Palpation
    1. Measure JVP S Y/N
    2. Assess amplitude of carotid pulse, and feel for thrills Y/N Y/N
    3. Palpate the PMI and note its location, amplitude and duration Y/N Y/N
    4. Palpate at left sternal border in 3rd–5th interspaces to assess systolic impulse of right
    Y/N Y/N
    ventricle.
    5. Palpate the pulmonic area/left 2nd interspace to assess pulmonic artery impulse Y/N Y/N
    6. Palpate the aortic area/right 2nd interspace to assess the aortic arch for pulsations Y/N Y/N
    Percussion
    1. Percuss to determine the left border of cardiac dullness if PMI is not palpable S Y/N
    Auscultation
    1. Listen for carotid bruits if indicated S Y/N
    2. Auscultate with the diaphragm in the aortic and pulmonic areas (2nd interspace), then
    Y/N Y/N
    along the left sternal border (3rd–5th interspaces) and at the apex
    3. Auscultate with bell at apex and along left sternal border at the 4th and 5th interspaces Y/N Y/N
    For new patients and patients needing a complete cardiac exam:
    1. Auscultate with bell at apex in left lateral decubitus position to listen for S3, S4, and the Y/N Y/N
    murmur of mitral stenosis
    2. Auscultate with the diaphragm along the left sternal border and the apex with patient
    Y/N Y/N
    leaning forward/exhaling, listening for aortic murmurs
    3. Note rate, rhythm, and any extra sounds (S3, S4, systolic or diastolic sounds, or murmurs) Y/N
    4. Note timing, intensity, and any splitting of S1 or S2 Y/N
    5. If a murmur is detected, describe completely S Y/N
    Adequate exposure was maintained for all inspection steps. C
    Adequate draping was maintained for all steps. C
    Evaluation: #Y= #C=
    min. = 24/30 min. = 4
    Comments on quality of performance:
    Needs remediation?

    Y/N

    Student: Evaluator: Date:

    Developed by Albany Medical College, Center for Physician Assistant Studies | Bickley: Bates’ Guide to Physical Examination
    and History Taking, Twelfth Edition. Copyright © 2017 Wolters Kluwer Health

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