Clinical Skills Flashcards
Describe the soap hand washing procedure
And how long should it last
Describe hand rub procedure
And duration
What 4 things should you consider in initial assessment
RACE:
Records
Appearance
Conscious level/behavior
Environment
Normal body temperature range
36-37.5 C
What body temperature is considered hypothermia
<35C
What are the steps in taking someone’s temperature with a non - contact thermometer
What is a normal oxygen saturation on air
> 96%
What are the steps in using a pulse oximeter
Why do we estimate blood pressure by palpation first
Auscultatory gap
Hand examination:
- Nails
Clubbing
Leuconychia
Koilonchya
Pitting
Tar stains
Splinter haemorrhages
Capillary refill
Peripheral Cyanosis
Hand examination:
- Palm
Muscle wasting
Ulnar deviation
Herbeden’s nodes
Palmar erythema
Dupuytren’s contracture
Tremors
Arm examination
Pulse and resp rate
Scars; surgery or IVDU
Pinch test - turgor
Pigmentation
Face examination
Symmetry - swelling
Eyes; conjunctivae, sclera
Mouth examination
Ulcers
Pigmentation - cyanosis
Tonsils
Lips - angular stomatitis
Order of lymph node examination
Supraclavicular
Anterior cervical chain
Tonsillar
Submandibular
Submental
Post and pre auricular
Occipital
Posterior cervical chain
Anterior chest exam
Scarring
Bone formation
Pacemaker
Gynaecomastia
Examination of lower limbs
Scarring
Temperature
Hair loss
Varicose veins
Oedema
Examination of feet
Swelling
Capillary refill
Soles; ulcer, dry thick skin, verrucas
What is the structure for peak flow and inhaler technique consultations
Explanation
Demonstration
Deconstruction
Rehearsal
Steps of how to use a peak flow meter
Steps of how to use an inhaler
Resp exam:
- Inspection
Rhythm
Accessory muscle use
Sound
Chest movement
Structure
Resp exam:
- Palpation
Chest expansion
Resp exam:
- Percussion
>Sounds heard
Hyper resonance
Dull/impaired
Stony dullness
Upper border of liver dullness
