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iRubric: H&P Practical - Thorax and Lungs rubric

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H&P Practical - Thorax and Lungs 
H&P Practical - Thorax and Lungs
Rubric Code: ZX626C2
By mtucker01
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: (none)

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  Exceeds Expectations

5 pts

Meets Expectations

4 pts

Needs Improvement

3 pts

Unaccpetable

2 pts

Did Not Attempt

0 pts

INSPECT CHEST

Exceeds Expectations

Gathered historical data.

Asked permission to properly expose patient.

Noted RR, effort, chest wall movement.

Re-covered patient.
Meets Expectations

Performed 2 of these tasks
Needs Improvement

Performed 1 of these tasks.
Unaccpetable

Did not verbalize inspection of the chest
Did Not Attempt
PERCUSS CHEST

Exceeds Expectations

Percussed chest in following areas:
1. Posteriorly, 3 levels (superior level medial to scapulae)
2. Anteriorly, 2 levels (one at apex)
3. Laterally 2 levels.
Meets Expectations

Technique needs improvement OR missed 1 of the 4 requirements
Needs Improvement

Technique not correct OR missed 2-3 of the 4 requirements
Unaccpetable

Did not percuss the chest
Did Not Attempt
AUSCULTATE CHEST

Exceeds Expectations

Auscultated chest:
1. Posteriorly, 3 levels (superior level medial to scapulae)
2. Anteriorly, 2 levels (one at apex)
3. Laterally 1 levels.
4. Listens for full breath (inspiration and expiration)
Meets Expectations

Auscultated 7-12 of the 13 listening posts on the anterior and posterior chest
Needs Improvement

Auscultated 1-6 listening posts, did not listen symmetrically, and/or did not listen for a full breath
Unaccpetable

Did not auscultate the chest for lung sounds
Did Not Attempt
SPECIAL TESTING

Exceeds Expectations

Performed egophony, whispered pectoriloquy, tactile fremitus as indicated
Meets Expectations

Attempted 1 specialized component and performed correctly.
Needs Improvement

Recognized need for specialized components, but failed to perform any correctly
Unaccpetable

Did not recognize or perform specialized components of exam.
Did Not Attempt




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