COURSE:

NR509: Advanced physical assessment

Preparing the Assignment

1. Create a video using the assignment guidelines. This video is for educational purposes only and will be viewed by course faculty and appointed Chamberlain officials. This video will not be posted for public viewing.
2. Select a volunteer participant, school-aged or older, to demonstrate the examination. If the volunteer participant is a minor, you must be the parent or guardian.
3. Select a private environment without background noise or distractions to conduct the examination. Demonstration of examination techniques must be conducted in the positions identified in the demonstration video with the volunteer participant sitting upright, lying down, and standing/walking. Plan accordingly.
4. The volunteer participant should remain clothed at all times. Auscultating over the shirt is acceptable for privacy purposes. The suggested attire for the participant is a tank top and shorts.
5. Use required medical equipment:
   1. Stethoscope with bell and diaphragm
   2. Reflex hammer
   3. Otoscope/ophthalmoscope set
   4. Pocket Snellen chart
6. Textbooks/notes/assistive materials are NOT permitted during the physical examination.
7. Wear nursing scrubs with or without a lab coat. Business casual dress with or without a lab coat is also acceptable. Religious head wrap/headdress may be worn.
8. Begin the video with a 360-degree environment scan and verbal consents:
   1. Scan the entire examination area/room with a 360-degree view with the camera to show that textbooks/notes/assistive materials are not present (i.e., taped to a wall, on a table).
   2. If there is a volunteer recording your video, please identify them in the environment scan. Neither the patient nor/or recording volunteer may verbally or physically coach you during the recording session. Evidence of coaching by volunteers and/or using notes/assistive materials, etc. is grounds for an Academic Integrity Violation.
   3. Student states in front of the camera: “My name is [First and Last Name of Student] and this is my physical examination assignment for NR509.“
   4. Volunteer participant states in front of the camera: “My name is [First and Last Name of Adult Participant] and I give my permission for this examination to be recorded and submitted to Chamberlain College of Nursing for grading purposes.“
   5. If the volunteer is a minor, the student must state in front of the camera: “I am the parent/guardian of [First and Last Name of Minor Participant] and I give my permission for this examination to be recorded and submitted to Chamberlain College of Nursing for grading purposes”.

Technology Requirements

• A video recording device with microphone is required. Select one of the following options to create your recording:
  • Use the KalturaLinks to an external site. recording tool on your computer with a microphone/webcam.
  • Use a hand-held recording device to record a video. The video MUST be uploaded to Kaltura for submission. Reach out to IT for guidance on file size and file requirements.
• Camera view: The grading faculty must have a clear view of your examination techniques during the examination, including stethoscope placement on the torso. Set the recording device at a distance just far enough for the student and volunteer to be fully viewed; make sure your exam techniques can be seen. You do NOT need to zoom the recording device in for examination techniques. Adjust the camera angle as needed during the recording.
• Consider using a tripod if using a hand-held recording device. Alternatively, have another person hold the camera steady during the recording.
• Complete the assignment before the due date in case technical problems or other unforeseen events occur.
• Ensure video and audio quality. Recording without quality video and/or audio will not be evaluated; the opportunity to resubmit is not guaranteed.
• Kaltura ResourcesLinks to an external site.: Kaltura resources are available under the Technology section of the Student Resource Center. Call the Help Desk for technical support and request a ticket number. The Help Desk is available at 877-366-9388for 24/7 support.

Completing the Physical Examination Video

• Follow the examination sequence and techniques listed on the Physical Examination Grading Rubric and demonstrated in the physical examination videoLinks to an external site.in the course. Please note: You should aim to replicate the exam order and techniques seen on this video; however, you SHOULD NOT provide professional edits, power point slides and/or other transitional slides while completing this assignment.
• Record the video in one continuous recording. Do not edit the video. Edited videos will not be graded.
• Use a head-to-toe and anterior-posterior approach during the exam. If an examination area or technique is forgotten, add it at the end of the video before stopping the recording.
• The video should NOT exceed 33 minutes, including an environmental scan, verbal consents, and the entire physical examination.
  • If the video is longer than 33 minutes, grading will stop, and the score earned in the first 33 minutes will be the final score.
• Verbalize each exam step as noted on the grading rubric. Verbalize expected normal examination findings during the examination. For example, when examining the external auditory canal with the otoscope, describe what is seen. It is not necessary to differentiate between normal and abnormal findings.
• Identify all cranial nerves by name and number.
• Review the entire video before submission to ensure all examination techniques are visible and the audio is clear throughout. The transcript must be enabled in Kaltura prior to submission. Use the Physical Examination Grading Rubric as a self-check when to review the video before submission.

Upload your Kaltura video to the assignment dropbox.

Solution