iRubric: Nasal & Para-nasal sinus exam rubric

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Nasal & Para-nasal sinus exam

Rubric for assessing physical exam techniques of the nose and sinuses

Rubric Code: TXAWX79

By lesliemccoy

Ready to use

Public Rubric

Subject: Medical

Type: Assessment

Grade Levels: Graduate

Nasal & Para-nasal sinus exam
	Poor (N/A)	Fair (N/A)	Good (N/A)	Excellent (N/A)
Hand washing & Introduction	Poor Hands not washed prior to examination Did not ask permission	Fair N/A	Good N/A	Excellent Hands washed prior to examination Asked permission
Visual inspection	Poor The examiner DID NOT visually inspect external nose	Fair N/A	Good N/A	Excellent The examiner visually inspected the external nose for shape, size, color and nares
Palpation	Poor The examiner DID NOT palpate the nose	Fair The examiner palpated only one of the following: 1. Bridge of nose 2. Soft tissue of nose	Good N/A	Excellent The examiner palpated: 1. Bridge of nose 2. Soft tissue of nose
Nasal Mucosa & Septum	Poor The examiner DID NOT use an appropriate light source, gently move patient's head and tip of nose, check for septal deviation	Fair The examiner did two of the following: 1. Used an appropriate light source 2. Gently moved patient's head upward 3. Gently moved tip of nose upward 4. Checked for septal deviation	Good The examiner did three of the following: 1. Used an appropriate light source 2. Gently moved patient's head upward 3. Gently moved tip of nose upward 4. Checked for septal deviation	Excellent The examiner: 1. Used an appropriate light source 2. Gently moved patient's head upward 3. Gently moved tip of nose upward 4. Checked for septal deviation
Palpation of Sinuses	Poor The examiner DID NOT palpate the correct locations nor used a gentle but firm tap	Fair The examiner did one of the following: 1. Palpated the correct location for the frontal sinus 2. Palpated the correct location for the maxillary sinus 3. Palpated/percussed with gentle but firm tap	Good The examiner did two of the following: 1. Palpated the correct location for the frontal sinus 2. Palpated the correct location for the maxillary sinus 3. Palpated/percussed with gentle but firm tap	Excellent The examiner: 1. Palpated the correct location for the frontal sinus 2. Palpated the correct location for the maxillary sinus 3. Palpated/percussed with gentle but firm tap