NR509 Week 7 Assignment: Physical Examination Video Evaluation

NR509 Week 7 Assignment: Physical Examination Video Evaluation

Preparing the Assignment

Follow these guidelines when preparing the assignment. You may save a copy of these guidelines and grading rubric as a PDF by choosing the print option on the browser.

• Select a volunteer participant, school-aged or older, to demonstrate the examination. If the volunteer participant is a minor, you must be the parent or guardian.
• Select a private environment without background noise or distractions to conduct the examination. Demonstration of examination techniques must be conducted in the positions identified in the demonstration video with the volunteer participant sitting upright, lying down, and standing/walking. Plan accordingly.
• The volunteer participant should remain clothed at all times. Auscultating over the shirt is acceptable for privacy purposes. The suggested attire for the participant is a tank top and shorts.
• Use required medical equipment:
  • Stethoscope with bell and diaphragm
  • Reflex hammer
  • Otoscope/ophthalmoscope set
  • Pocket Snellen chart
• Textbooks/notes/assistive materials are NOT permitted during the physical examination.
• Wear nursing scrubs with or without a lab coat. Business casual dress with or without a lab coat is also acceptable. Religious head wrap/headdress may be worn.
• Follow the head-to-toe and anterior-posterior approach during the exam using the techniques listed on the Physical Examination Grading Rubric and demonstrated in the physical examination video exemplar. in the course. If an examination area or technique is forgotten, add it at the end of the video before stopping the recording.
• Use the Physical Examination Grading Rubric as a self-check and be prepared to include the following details during the assessment:
  • Verbalize each exam step as noted on the grading rubric.
  • Verbalize examination findings during the examination. For example, when examining the external auditory canal with the otoscope, describe what is seen. It is not necessary to differentiate between normal and abnormal findings.
  • Identify all cranial nerves by name and number.
  • When conducting a range of movement (ROM) skill, demonstrate the movement mechanism and verbalize the anatomical terms for each movement. The terminology describes the motion according to its direction relative to the anatomical position of the body parts involved.
  • Use appropriate medical terminology with correct pronunciation.
  • Perform the abdominal exam in the correct sequential order: inspect, auscultate, percuss, palpate

Technology Requirements

• Select a video recording device with a microphone. Use ONE of the following options:
  • Use the Kaltura recording tool on your laptop computer with a microphone/webcam. Follow the instructions to download the Kaltura app.
  • Use a hand-held recording device to record a video. The video MUST be uploaded to Kaltura for submission. Reach out to IT for guidance on file size and file requirements.
• Camera view: The grading faculty must have a clear view of your examination techniques during the examination, including stethoscope placement on the torso. Set the recording device at a distance just far enough for the student and volunteer to be fully viewed; make sure your exam techniques can be seen. You do NOT need to zoom the recording device in for examination techniques. Adjust the camera angle as needed during the recording.
• Consider using a tripod if using a hand-held recording device. Alternatively, have another person hold the camera steady during the recording.
• Kaltura Resources.: Kaltura resources are available under the Technology section of the Student Resource Center. Call the Help Desk at 877-366-9388 for technical support and request a ticket number.

Completing the Physical Examination Video

• Begin the recording with a 360-degree environment scan:
  • Scan the entire examination area/room with a 360-degree view with the camera to show that textbooks/notes/assistive materials are not present (i.e., taped to a wall, computer, or on a table).
  • If a volunteer is recording your video, please identify them in the environment scan. Neither the volunteer participant nor the volunteer recording may verbally or physically coach the student during the recording session. Evidence of coaching by volunteers and/or using notes/assistive materials, etc., is grounds for an Academic Integrity Violation.
• Introduction, Declaration Statement, and Verbal Consent(s):
  • The student states in front of the camera: “My name is [First and Last Name of Student], and this is my physical examination assignment for NR509. I am not using any aids/notes/assistive devices to complete this assignment.”
  • Volunteer participant states in front of the camera: “My name is [First and Last Name of Adult Participant] and I give my permission for this examination to be recorded and submitted to Chamberlain College of Nursing for grading purposes.”
  • If the volunteer is a minor, the student must state in front of the camera: “I am the parent/guardian of [First and Last Name of Minor Participant], and I give my permission for this examination to be recorded and submitted to Chamberlain College of Nursing for grading purposes.”
• Record the video in one continuous recording.
  • Do NOT edit the video.
  • Edited videos will NOT be graded.
• You are tasked with ensuring that the video quality is high, all examination techniques are clearly visible, and the audio is clear throughout.
  • Recordings without quality video and/or audio will NOT be evaluated; the opportunity to resubmit is not guaranteed.
  • Contact the Help Desk for assistance and technical support if needed.
• The environmental scan, verbal consent, and the entire physical examination should NOT exceed 30 minutes.
  • If the video is longer than 30 minutes, grading will stop, and the score earned in the first 30 minutes will be the final score.
• The transcript must be enabled in Kaltura for submission.
• Upload your Kaltura video to the assignment dropbox.

 

SOLUTION (comprehensive transcript for the interview)

Student:
“My name is [First and Last Name] and this is my physical examination assignment for NR509.”

Volunteer Participant:
“My name is [First and Last Name of Adult Participant], and I give my permission for this examination to be recorded and submitted to Chamberlain College of Nursing for grading purposes.”

Environment Scan:
[360-degree camera scan of the examination room to confirm no notes, materials, or coaching.]

Introduction:
“Hello, [Participant’s Name], my name is [First and Last Name], and I will be conducting your physical examination today. The exam will include a head-to-toe assessment and should take about 30 minutes. If at any point you feel uncomfortable, please let me know.”

HEAD AND FACE

1. Inspection of the head and face:
   • “I will begin by inspecting your head and face. Your head is midline and symmetrical, with no visible lesions or abnormalities.”
2. Palpation of lymph nodes:
   • “Now, I will palpate the lymph nodes.”
     • Preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior cervical, posterior cervical, and supraclavicular.
   • “The lymph nodes are non-tender, without enlargement.”
3. CN 5 (Trigeminal Nerve):
   • “Please clench your jaw tightly.” (Palpate the masseter muscle.)
     • “Great strength, no abnormalities.”
   • “Now, close your eyes and let me know where you feel the light touch.”
     • “Forehead, cheeks, chin – sensory function is intact.”
4. CN 7 (Facial Nerve):
   • “Please smile, frown, raise your eyebrows, puff your cheeks, and pucker your lips.”
   • “Facial symmetry and movements are intact.”………………………purchase the entire transcript at $10 only