Max King 4y/o 3'4"(102 cm) 40.0 lb (18.2 kg) Chief complaint- leaking stool in his underwe, Exams of Nursing

Download Max King 4y/o 3'4"(102 cm) 40.0 lb (18.2 kg) Chief complaint- leaking stool in his underwe and more Exams Nursing in PDF only on Docsity!

HPI statement Novice Competent 0 (0%) - 5 (5%) 6 (6%) - 10 (10%) Poorly written HPI statement. Incomplete Well written HPI statement but may be ideas and sentences. Lacks basic history _missing 1-2 key components from the | taking skills history History 0 (0%) - 6 (6%) 7 (7%) - 8 (8%) : Fairly complete hisotry covering most of Incomplete history missing 3 or more aspects of the OLDCARDS criticalto ME Ghats but may be ca 12 cia agra aspects of OLOCARDS critical to | Li patient’s diagnosis. | Physical Exam 0 (0%) - 6 (6%) 7 (7%) - 8 (8%) Incomplete physical examination. May be Fairly complete physical examination but \ missing 3 or more key exam findings that may be missing 1-2 key exam findings | are critical to patient's diagnosis. critical to patient's diagnosis. Testing 0 (0%) - 6 (6%) 7 (7%) - B (8%) Tests ordered are generally appropriate. Includes 3 or more inappropriate exams or tests. May include contraindicated testing. gfe LSsinocesse yieeatne ae | Differential Diagnosis 0 (0%) - 9 (9%) 10 (10%) - 14 (14%) | Summary Primary diagnosis may be Correct primary diagnosis identified. Plan for patient Exercises COMPONENTS OF THE SUBJECTIVE PORTION Use oldcarts Onset Location wrong Differential diagnosis list too brief Well written differential diagnoses. May and inconclusive. May be missing 3 or morebe missing |-2 critical components. critical components. Priority list may be out of order 0 (0%) - 15 (15%) 16 (16%) - 25 (25%) Poorly written plan. May be missing 3 or more key issues that are critical to patient's diagnosis. ‘Well written plan but may be missing 1-2 key issues critical to patient's diagnosis. 0 (0%) -2 (1%) 3 (3%) - 4 (4%) Correctly answered 0-69% of the clinical Correctly answered 70-89% of the questions. clinical questions. . After you have completed the HPI Inquire about allergies * Medications PMH *FMH * Social History ROS: Go through the pertinent review of systems. { Proficient 11 (11%) = 15 (15%) Clearly written HPI seater comprehensive informatio: from case questions, 9 (9%) - 10 (10%) Complete history covering components of a focus exa aspects of OLDCARDS 9 (9%) - 10 (10%) Complete physical examin: all critical components of ¢ 9 (9%) - 10 (10%) Tests that are ordered are for patient and cost effecti 15 (15%) - 20 (20%) Primary diagnosis identifies written differential diagnos 26 (26%) - 30 (30%) Clearly written plan cover components for patient's fi 5 (8%) Correctly answered 90-10) clinical questions.