The document summarizes the steps and skills required to properly assess a patient's abdomen during an OSCE final exam. It outlines preparing equipment, greeting the patient, examining the abdominal skin, auscultating bowel sounds and the aorta, palpating the abdomen for masses or tenderness, documenting findings, and thanking the patient. The skills are awarded points and the student must score a total of 10 points to pass the exam.
The document summarizes the steps and skills required to properly assess a patient's abdomen during an OSCE final exam. It outlines preparing equipment, greeting the patient, examining the abdominal skin, auscultating bowel sounds and the aorta, palpating the abdomen for masses or tenderness, documenting findings, and thanking the patient. The skills are awarded points and the student must score a total of 10 points to pass the exam.
The document summarizes the steps and skills required to properly assess a patient's abdomen during an OSCE final exam. It outlines preparing equipment, greeting the patient, examining the abdominal skin, auscultating bowel sounds and the aorta, palpating the abdomen for masses or tenderness, documenting findings, and thanking the patient. The skills are awarded points and the student must score a total of 10 points to pass the exam.
Preparation: Prepare needed equipment (stethoscope and antiseptic wipe, felt-tipped marker, tape measure and ruler, penlight 0.5 or examination light, pen and record form) Great the patient, introduce yourself, check ID band, explain the procedure and obtain verbal consent. 0.5 Excuse visitor, close the door or curtains, have adequate light, and adjust proper room temp. 0.5 Wash hands and wear procedure gloves if necessary. 0.5 Procedure steps Place the patient supine, arms at sides, with small pillows under the head and knees. 1 Inspect the size, shape, symmetry, and condition of the abdominal skin. 1 Observe abdominal movements including respirations, pulsations, and peristalsis. 1 Inspect the umbilicus for position, shape, color, and discharge. 1 Auscultate bowel sounds in all four quadrants, and the aorta for bruits. 1 Palpate all four quadrants for tenderness, guarding, and masses. Inspect for rebound tenderness. 1 Post care: Thank, reassure and reposition the patient. 0.5 Discard the gloves and wash hands 0.5 Documentation: Recording patient’s response and abnormal findings 0.5 Reporting abnormal findings 0.5 Total grade 10