Davao Medical School Foundation, Inc

ARTS AND SCIENCE OF MEDICINE 2

RATING SCALE FOR EXAMINATION OF

CARDIOVASCULAR EXAMINATION-IPPA

Name of Student: _____________________________________________ Date:

__________
Legend: 3 points = Done COMPLETELY and CORRECTLY
2 points = Done CORRECTLY but INCOMPLETE
1 point = Done INCORRECTLY and INCOMPLETE
0 point= NOT DONE

A. ESTABLISHING RAPPORT 3 2 1 0 REMARKS

1. Washes hands before and after

the examination.
2. Greets the patient politely
3. Introduces Self
4. Asks the patient’s NAME, AGE,
CIVIL STATUS, OCCUPATION,
ADDRESS
5. Explains the
examination/procedure
6. Asks the patient’s consent and
permission to do the procedure
7. Drapes the patient appropriately
B. ASSESSMENT OF THE CAROTID PULSE
8. Inspects the neck for carotid
pulsation
9. Points correctly the proper
position of carotid pulse (medial
to sternocleidomastoid (muscle)
10. Places the right index finger and
the middle finger on the right
carotid artery in the lower third
of the neck and feels for
pulsations
11. Presses the medial border of
sternocleidomastoid at the level
of cricoids cartilage by slowly
increasing the pressure your
press until you feel maximal
pulsations
C. INSPECTION AND PALPATION
12. Carefully inspects the anterior
chest and noting for the PMI
13. Shines a tangential light across
the chest wall to appreciate the
apex
14. If apex is identified, palpate the
PMI to confirm its characteristic
15. Knows the normal location of
the PM
16. Checks for heaves, thrills and
knows how to differentiate them
D. PERCUSSION
17. Starting with the left side of the
chest, percusses from
resonance toward cardiac
 dullness in the 3rd, 4th, 5th and
possibly 6th interspace
E. AUSCULTATION
18. Positions the patient properly
(Left lateral decubitus position
or sit up, leaning forward,
exhaling completely and
stopped breathing in expiration)
19. Uses the diaphragm of the
stethoscope
20. Auscultates in the right position

3 2 1 0 REMARKS

F. SUMMARY
21. Provides summary of the result
of the examination
22. Educates the patient

Name and Signature of Preceptor__________________________________

Date__________

Updated and Revised by: Dr. Gladys Ogatis-Sermon

Compiled by: Dr. Claire Frances Miyake