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    Preparation: Competency Performance Checklist Assessing Head and Neck

    Uploaded by

    Cyril Joy N. Fernando
    ___________________________________

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    Preparation: Competency Performance Checklist Assessing Head and Neck

    Uploaded by

    Cyril Joy N. Fernando
    35 views2 pages
    ___________________________________

    Original Title

    PAG_Chapter_15 Head and Neck

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    35 views2 pages

    Preparation: Competency Performance Checklist Assessing Head and Neck

    Uploaded by

    Cyril Joy N. Fernando
    ___________________________________

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Competency Performance Checklist

    Assessing Head and Neck

    Student: Date:___________________

    Skill Competency
    Demonstrated
    Yes No
    Preparation
    1. Introduce self and verify client’s identity.
    2. Explain the procedure to the client.
    3. Gather the appropriate equipment (gloves, penlight or flashlight,
    small glass of water, stethoscope).
    4. Perform hand hygiene and observe other appropriate infection
    prevention procedures.
    5. Provide for client’s privacy.
    6. Position the client appropriately.
    Head and Face
    1. Inspect head for size, shape, and configuration.
    2. Palpate head for consistency while wearing gloves.
    3. Inspect face for symmetry, features, movement, expression, and
    skin condition.
    4. Palpate temporal artery for tenderness and elasticity.
    5. Palpate temporomandibular joint for range of motion, swelling,
    tenderness, or crepitation by placing index finger over the front of
    each and asking client to open mouth. Ask if client has history of
    frequent headaches.
    Neck
    1. Inspect neck while it is in a slightly extended position (and using a
    light) for position, symmetry, and presence of lumps and masses.
    2. Inspect movement of thyroid and cricoid cartilage and thyroid gland
    by having client swallow a small sip of water.
    3. Inspect cervical vertebrae by having client flex neck.
    4. Inspect neck range of motion by having client turn
    chin to right and left shoulder, touch each ear to the shoulder, touch
    chin to chest, and lift chin to ceiling.
    5. Palpate trachea by placing your finger in the sternal notch, feeling to
    each side, and palpating the tracheal rings.
    6. Palpate the thyroid gland.
    7. Auscultate thyroid gland for bruits if the gland is enlarged (use bell
    of stethoscope).
    8. Palpate lymph nodes for size/shape, delimitation, mobility,
    consistency, and tenderness (refer to display on characteristics of
    lymph nodes)
    a. Preauricular nodes (front of ears)
    b. Postauricular nodes (behind the ears)
    c. Occipital nodes (posterior base of skull)
    d. Tonsillar nodes (angle of the mandible, on the anterior edge of
    the sternocleidomastoid muscle)
    e. Submandibular nodes (medial border of the mandible); do not
    confuse with the lobulated submandibular gland
    f. Submental nodes (a few centimeters behind the tip of the
    mandible); use one hand
    g. Superficial cervical nodes (superficial to the sternomastoid
    muscle)
    h. Posterior cervical nodes (posterior to the sternocleidomastoid and
    anterior to the trapezius in the posterior triangle)
    i. Deep cervical chain nodes (deep within and around the
    sternomastoid muscle)
    j. Supraclavicular nodes (hook fingers over clavicles and feel deeply
    between the clavicles and the sternomastoid muscles)
    Completing the examination
    1. Tells the patient the results of the examination and asks if there are
    any questions.
    2. Washes hands (alcohol or soap).
    3. Document findings.
    Final Score /32

    Comments:

    Overall Performance: Satisfactory Unsatisfactory

    Instructor:__________________________________

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