*NURSING > EXAM > Western Governors University - C 349 Physical Assessment Documentation Form (PADF) 0118. (All)

Western Governors University - C 349 Physical Assessment Documentation Form (PADF) 0118.

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DIRECTIONS: This form will guide you through completing the video and documentation of LJT1. The Assessment Area column tells you what assessment technique to perform in your video, what to say, and ... in what position the patient should be during that assessment. General Survey is only to be documented and not performed on the video. You are encouraged to use this form in the video with you. Assessment findings will be documented by checkmarks or X's in the Assessment Findings column. If your patient has an abnormal finding, you are to chart by exception and provide a narrative report of your findings in the far right-hand column. Please note that each individual assessment technique must be verbalized in the video prior to you performing it. Simply visualizing your actions does not indicate what is being assessed. Be sure to verbalize what you are going to do and what you are assessing for. A complete head-to-toe assessment video that includes an unobstructed view of each of the assessments, in which the student provides clear verbalization of each step, and demonstrates correct and complete assessment techniques for a minimum of 51 out of the 63 items is needed to pass the video portion of the assessment. Please document your observations in the Assessment Findings column. There is no need to discuss these observations during your video [Show More]

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