iRubric: Thyroid Examination rubric

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Thyroid Examination

Rubric for demonstrating the skill of palpating the thyroid. Can be used for either an anterior or posterior approach to thyroid palpation.

Rubric Code: KXAWX67

By lesliemccoy

Ready to use

Public Rubric

Subject: Medical

Type: Assessment

Grade Levels: Graduate

Thyroid Palpation
	Poor (N/A)	Fair (N/A)	Good (N/A)	Excellent (N/A)
Permission/Hygiene	Poor Hands not washed prior to examination Examiner does not introduce self, nor asks for permission	Fair N/A	Good N/A	Excellent Hands washed prior to examination Examiner introduces self, asks for permission
Visual inspection	Poor The examiner DID NOT visually inspect the neck for symmetry and masses.	Fair N/A	Good N/A	Excellent The examiner visually inspected the neck for symmetry and masses.
Landmark Palpation	Poor The examiner DID NOT palpate for anatomical landmarks.	Fair The examiner identified one of the following: 1. Top of thyroid cartilage 2. Cricoid cartilage 3. First ring of trachea	Good The examiner identified two of the following: 1. Top of thyroid cartilage 2. Cricoid cartilage 3. First ring of trachea	Excellent The examiner clearly identified the following structures: 1. Top of thyroid cartilage 2. Cricoid cartilage 3. First ring of trachea
Hand Position	Poor Examiner DID NOT stand in correct position, place fingers at correct level, or place finger in correct position.	Fair Examiner completed one of the following: Posterior approach: 1. Stood in correct position 2. Placed fingers at level of isthmus of thyroid 3. Placed fingers gently on either side of midline Anterior approach: 1. Stood in correct position 2. Placed fingers at level of isthmus of thyroid 3. Gently displaced SCM laterally	Good Examiner completed two of the following: Posterior approach: 1. Stood in correct position 2. Placed fingers at level of isthmus of thyroid 3. Placed fingers gently on either side of midline Anterior approach: 1. Stood in correct position 2. Placed fingers at level of isthmus of thyroid 3. Gently displaced SCM laterally	Excellent Posterior approach: 1. Stood in correct position 2. Placed fingers at level of isthmus of thyroid 3. Placed fingers gently on either side of midline Anterior approach: 1. Stood in correct position 2. Placed fingers at level of isthmus of thyroid 3. Gently displaced SCM laterally
Ask patient to swallow	Poor DID NOT ask patient to swallow, feel/watch for movement, re-position fingers/repeat	Fair Examiner completed one of the following: Posterior approach: 1. Asked patient to swallow 2. Felt for movement in hand position 3. Re-positioned fingers as needed Anterior approach: 1. Asked patient to swallow 2. Observed neck for movement 3. Repeat for other side	Good Examiner completed two of the following: Posterior approach: 1. Asked patient to swallow 2. Felt for movement in hand position 3. Re-positioned fingers as needed Anterior approach: 1. Asked patient to swallow 2. Observed neck for movement 3. Repeat for other side	Excellent Posterior approach: 1. Asked patient to swallow 2. Felt for movement in hand position 3. Re-positioned fingers as needed Anterior approach: 1. Asked patient to swallow 2. Observed neck for movement 3. Repeat for other side

Keywords:

Thyroid, Neck exam, Physical Exam

Subjects:

Medical

Types:

Assessment

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