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Cardiac Exam 
Cardiac Exam Final Exam
Rubric Code: FXB8CCA
By jazlady
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

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  Excellent

(N/A)

Good

(N/A)

Needs Improvement

(N/A)

Unacceptable

(N/A)

HEALTH & SAFETY

Asks permission to conduct exam.
Sanitizes hands prior to beginning exam.
Excellent

Asked permission and sanitized hands prior to beginning exam
Good

Sanitized hands but did not ask permission prior to beginning exam.
Needs Improvement

N/A
Unacceptable

Did not sanitize hands prior to beginning exam
INQUIRY

Asks relevant cardiac history questions in lay language (any Hx heart disease, heart attack, heart surgery or procedures, chest pain, heart meds)
Excellent

Asked if patient Hx of:
1. Heart disease
2. Heart attack
3. Heart surgery/procedures
4. Chest pain
5. Heart medications
Good

asked 3 or 4 of 5 elements
Needs Improvement

asked up to 2 of 5 elements
Unacceptable

Did not inquire about history.
INSPECTION Neck

Checks for JVD
(Patient at 45°, head rotated to L, pract. on R side of pt.) verbalizes what is normal, indicates correct area on neck)
Excellent

1. Inspected correct area
2. patient at 45°
3. head rotated slightly to opposite side,
4. verbalized what is normal (flat internal jugular v.)
Good

Inspected correct neck area from correct side, patient at 45°, head rotated properly
BUT
unable to verbalize what is normal
Needs Improvement

Inspected correct side of neck,
BUT
?? correct neck area
OR
Patient was not at 45°
OR
head not rotated
Unacceptable

Did not inspect neck
OR
Inspected wrong side
PALPATION Neck

Palpates carotid pulse using correct technique ( on carotid artery; checks BOTH arteries, one at a time); verbalizes what is normal (smooth and of normal strength)
Excellent

1. Palpated carotid pulses at St 9
2. Checked BOTH arteries, one at a time
3. Verbalized what is normal
Good

Palpated neck using correct location and technique, but was unable to verbalize what is normal
Needs Improvement

Palpated neck, used correct technique
BUT
did not use correct location
Unacceptable

Did not palpate neck
OR
palpated bilaterally simultaneously
AUSCULTATION Neck

Auscultates carotids for bruits. Auscultates bilaterally in proper position using bell after patient inhales, then exhales. Verbalizes what constitutes normal and abnormal findings.
Excellent

Auscultated
1. bilaterally
2. after having patient inhale, then exhale
3. used bell
4. used proper placement
5. was able to verbalize what constitutes normal and abnormal findings.
Good

Auscultated:
bilaterally
after having patient inhale, then exhale
used proper placement
used bell
Needs Improvement

Auscultated 1 side only, using bell properly placed
Unacceptable

Did not auscultate the neck
OR
Did not use bell
OR
Stethoscope placement incorrect
INSPECTION Precordium

Inspects precordium for pulsations
Excellent

1. Inspected precordium
2. Verbalized findings
Good

1. Inspected precordium but did not verbalize
Needs Improvement
Unacceptable

1. Did not inspect precordium
PALPATION Precordium

Palpates PMI (at ST 18)
Excellent

1. Had patient lift breast if needed
2. Palpated at St.18
3. Verbalized findings
Good

1. Had patient lift breast if needed
2. Palpated at St.18
3. Did not verbalize findings
Needs Improvement

1. Failed to have patient lift breast if needed

OR

2. Location of palpation incorrect
Unacceptable

1. Did not palpate precordium

OR

Failed to have patient lift breast if needed AND Location of palpation incorrect
AUSCULTATION Precordium

Auscultates 4 listening posts using both bell and diaphragm. Describes sounds that would constitute possible pathological findings.
Excellent

Auscultated:
1.*All 4 listening posts using correct placement for each: L and R 2nd ICS (K 25); L 5th ICS (Ki22); 5th ICS, MCL (St18)
2. Used bell and diaphragm.
3. Able to describe sounds that would constitute possible pathological findings (murmurs, clicks, gallops, rubs) "whoosh"
*may auscultate after having patient inhale, then exhale and hold.
Good

Auscultated 4 listening posts using correct placement for each. Used both bell and diaphragm.
Unable to describe sounds that would constitute possible pathological findings.
Needs Improvement

Listened at fewer than 4 listening posts
OR
Used incorrect placement for 1 or more listening post
OR
Did not listen with bell AND diaphragm
Unacceptable

Did not auscultate precordium.




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