Respiratory System Checklist

This criterion is linked to a Learning Outcome

1. Knocks on door and introduces self, explain purpose of exam, obtain consent

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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2. Washes hands properly, drape patient for exam

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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3. INSPECTION Observe for nasal flaring, lip pursing or cyanosis

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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4. Listen for stridor and wheezing

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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5. Observe the intercostal muscles and muscles of respiration

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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6. PALPATION Trachea: Place finger along one side of the trachea notice the space between trachea and sternomastoid

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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7. Compare it to the other side

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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8. Palpate the thorax noting symmetry, crepitus, and ask about tenderness (3anterior, 3 lateral, 4 posterior)

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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9. PERCUSSION: Percuss the thorax comparinq side to side noting dullness and hyper- resonance in the same positions as palpation

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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10. Percussion done with correct technique, comparing symmetrical parts of chest

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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11. Report on palpation and percussion is done

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

--

12. AUSCULTATION: Instruct the patient to take deep breaths through their mouth.

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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13. Usinq the stethoscope diaphragm. compare side to side

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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14. Auscultation posterior in 4 points on each side

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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15. Auscultation lateral at least 2 points on each side

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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16. Auscultation anterior 4 points on each side, including supraclavicular area (apex)

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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17. Chest expansion assessment performed

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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18. Bronchophony test (say 99, back only)

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

--

19. Whispered Pectoriloquy (whisper 123, back only)

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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20. Egophony (say "e" back only)

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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21. Demonstrate tactile fremitus and quantify location and amount of fremitus

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

--

22. Measure diaphragmatic excursion by percussion (unilateral)

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threshold: pts

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Yes

2.0 pts

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Partly

1.0 pts

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Not done

0.0 pts

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pts

2.0 pts

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23. Thanks patient and ask if patient has any questions

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threshold: pts

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Full Marks

2.0 pts

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Partly

1.0 pts

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No Marks

0.0 pts

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pts

2.0 pts

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Description of criterion

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threshold: 5 pts

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Full Marks

5 pts

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No Marks

0 pts

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pts

5 pts

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Respiratory System Checklist

Rubric

Rubric