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Bimanual exam

Rubric Code: LXB325A

By tk1845

Draft

Public Rubric

Subject: Medical

Type: Assessment

Grade Levels: (none)

Bimanual Exam and pap smear
	Poor 0 pts	Fair 1 pts	Good 2 pts	Excellent 3 pts
Explanation	Poor Not explaining to patient what to expect before exam	Fair Only answers questions from patient but does not give any information freely	Good Explaining how the exam will go using medical jargon that is confusing to the lay person. Mention that STD check will take place. Does not ask for questions from the patient.	Excellent Discuss with the patient in non-medical jargon what to expect from the exam, and explain how the STD testing will be taken from Pap smear swab. Ask for any questions.
Inspection	Poor No inspection noted	Fair Does not verbally explain they are examining the vulva	Good Inspects only vulvar region	Excellent Spreads labia and inspects vaginal tissue as well as vulvar region
Palpation	Poor Does not palpate	Fair Palpates in a disorganized manner or roughly handles the tissue	Good Palpates the vulvar region OR vaginal region only, but organized.	Excellent Palpates the vulvar and vaginal tissue with appropriate technique and sensitivity
Insertion of speculum	Poor Does not insert speculum	Fair Inserts speculum perpendicularly to the vaginal opening, or has speculum open upon insertion	Good Does not spread labia or use a finger to guide the speculum into the vaginal introitus, does not insert the speculum in far enough	Excellent Speculum inserted parallel with vaginal opening uses finger at the posterior aspect of the vagina to guide the speculum or spreads labia appropriately. Inserts the speculum at correct angle and depth.
Visualization of cervix	Poor Does not insert speculum to visualize cervix	Fair Cannot see cervix	Good Can only see a portion of the cervix	Excellent Can see entire cervix
Pap smear	Poor Does not perform pap smear	Fair Does not use the cervical brush appropriately, (does not brush the cervix, or places it in the wrong place), does not place cervical brush into cytology bottle	Good Does not rotate the brush in a full circle, places the cervical brush in cytology bottle	Excellent Completes a full circle with the cervical brush and places the brush into cytology bottle.
Removal of speculum	Poor Does not perform speculum exam	Fair Removes speculum without closing it	Good Removes speculum but pinches tissue, or does not remove parallel to the vaginal opening	Excellent Removes speculum in a parallel fashion as the vaginal opening with the speculum closed
Bimanual exam	Poor Does not perform bimanual exam	Fair Places one finger in the vagina and/or does not place pressure from the abdomen.	Good Uses two fingers to feel cervix and ovaries. Palpates midline but does not sweep hand on abdomen/pelvis to capture ovaries	Excellent Uses two fingers in the vagina and correctly places the 2nd hand on the abdomen to palpate uterus as well as correctly sweeps in the lateral aspects to palpate ovaries

Subjects:

Medical

Types:

Assessment

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