全身材魄检查评分表(国外英文资料).docVIP

全身体格检查评分表 Clinical skill operation evaluation table Physical examination Department: the operator: title: achievement: project alignment Points for Should the score score Instrument three points 1, clothes and hats are neat; The meter is elegant. Be soft and kind. One item does not meet the requirement of deduction. 1 1 1 The preparatory work 6 points Complete with everything: a blood pressure gauge, a thermometer, a stethoscope, a tape measure, a percussion hammer, a cotton swab, a flashlight. The patient is lying on the left side with the light. The doctor stands on the right side of the patient. One item does not meet the requirement of the standard, and does not complete one point. 3 3 operation requirements 28 points 1, the technique is correct; 2, gentle movement; Fully exposing the examination site; The inspection order is reasonable. Lie to patients, for example, the general examination and vital signs - head and neck - front and lateral chest (lung) - back - (sitting) area (including lung, spine, kidney, lumbosacral region) to the abdomen (lie), limbs, rectum and anus external genital organs and nervous system (last position). 5, humanistic care An item that does not conform to the requirement of the standard, does not have a complete deduction of one to two points. 4 4 4 10 6 check check item Orders, and shun sequence 163 points General examination and vital signs (1) prepare and check the equipment (2) introduce yourself (explain your position, name, and make a brief conversation to get along with the patient) (3) observe the general state of development, nutrition, facial expression, expression and consciousness (4) wash your hands when the person is present (5) measuring temperature (axillary temperature, 10 minutes) (6) contact the radial artery for at least 30 seconds (7) the two lateral radial arteries were palpated with both hands, and the symmetry was examined Missing a deducted standard; Incomplete deduction of 0.5 points in each item; 3, reverse