Examinee knocked on the door before entering.
_1255
threshold:
Rating Description
3.0 pts_5311
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee introduced self by name.
_7073
threshold:
Rating Description
3.0 pts_8570
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee identified his/her role or position.
_1229
threshold:
Rating Description
3.0 pts_5916
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee correctly used patient’s name.
_1152
threshold:
Rating Description
3.0 pts_2660
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee made eye contact with the SP.
_7677
threshold:
Rating Description
3.0 pts_8564
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee asked an open-ended question and actively listened to the response.
_6715
threshold:
Rating Description
3.0 pts_8631
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee asked the SP to list his/her concerns and listened to the response without interrupting.
_1024
threshold:
Rating Description
3.0 pts_6693
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Examinee summarized the SP’s concerns, often using the SP’s own words.
_4232
threshold:
Rating Description
3.0 pts_8072
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Chief complaint
_1625
threshold:
Rating Description
3.0 pts_4617
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Onset
_4393
threshold:
Rating Description
3.0 pts_8604
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Constant/intermittent
_2487
threshold:
Rating Description
3.0 pts_5519
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Frequency
_7186
threshold:
Rating Description
3.0 pts_7025
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Progression
_6534
threshold:
Rating Description
3.0 pts_5567
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Severity on a scale
_5464
threshold:
Rating Description
3.0 pts_5725
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Location
_4786
threshold:
Rating Description
3.0 pts_7056
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Radiation
_7455
threshold:
Rating Description
3.0 pts_8145
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Quality
_5888
threshold:
Rating Description
3.0 pts_5704
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Alleviating factors
_8101
threshold:
Rating Description
3.0 pts_404
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Exacerbating factors
_1569
threshold:
Rating Description
3.0 pts_9271
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Types of food that exacerbate pain
_3133
threshold:
Rating Description
3.0 pts_910
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Relationship of food to pain
_2226
threshold:
Rating Description
3.0 pts_9259
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Previous episodes of similar pain
_2459
threshold:
Rating Description
3.0 pts_9778
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Nausea/vomiting
_8860
threshold:
Rating Description
3.0 pts_4595
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Description of vomitus
_89
threshold:
Rating Description
3.0 pts_5257
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Blood in vomitus
_4491
threshold:
Rating Description
3.0 pts_7002
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Diarrhea/constipation
_1933
threshold:
Rating Description
3.0 pts_896
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Weight changes
_9242
threshold:
Rating Description
3.0 pts_8086
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Appetite changes
_3596
threshold:
Rating Description
3.0 pts_5342
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Change in stool color
_6568
threshold:
Rating Description
3.0 pts_3981
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Current medications
_215
threshold:
Rating Description
3.0 pts_1491
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Past medical history
_6663
threshold:
Rating Description
3.0 pts_2347
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Past surgical history
_517
threshold:
Rating Description
3.0 pts_8297
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Family history
_2747
threshold:
Rating Description
3.0 pts_2199
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Occupation
_1601
threshold:
Rating Description
3.0 pts_3808
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Alcohol use
_9948
threshold:
Rating Description
3.0 pts_157
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Illicit drug use
_9967
threshold:
Rating Description
3.0 pts_3537
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Tobacco
_3011
threshold:
Rating Description
3.0 pts_9605
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Sexual activity (partners, type of sex, STDs, protection)
_428
threshold:
Rating Description
3.0 pts_1108
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Drug allergies
_8584
threshold:
Rating Description
3.0 pts_8460
This area will be used by the assessor to leave
comments related to this criterion.
/
5.0 pts
--
Description of criterion
threshold:
5 pts
This area will be used by the assessor to leave
comments related to this criterion.
/
5 pts
--
Total Points:
195.0 out of 195.0
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