Inspect and palpate the Neck
Student: I am assessing the neck for DCAP-BTLS.
PROCTOR:There are no obvious injuries.
- Assess for Jugular Vein Distention
Student:Do I find any jugular vein distention(JVD)?
PROCTOR:No
- Assess for Tracheal Deviation
Student:Do I see any tracheal deviation?
PROCTOR:No
- Assess for Chest
Student:I am assessing the chest for DCAP-BTLS.
PROCTOR:Noted
- Inspect
Student:What do I see when I look at the chest?
PROCTOR:There are no obvious injuries.
Student: Is the chest symmetric?
PROCTOR: Yes
- Palpate
Student: When I touch the chest, do feel crepitus or a flail segment?
PROCTOR:No
- Ausultate
Student:Are lung sounds present in all fields?
PROCTOR: Yes
Student:Do I hear any sucking sounds from the chest.?
PROCTOR:No
- Assess the abdomen/pelvis
- assess the abdomen
Student:I am assessing the abdomen for DCAP-BTLS. I am assessing all four quadrants. Do I find any problems.?
PROCTOR:Yes. He has abdominal pain and is nauseated.
- Assess the Pelvis
Student:I am assessing the pelvis for DCAP-BTLS. Is the pelvis stable.?
PROCTOR:Yes .
- Assess the Genitalia/Perineum as Needed (Verbalize in Training)
Student:I am assessing the genitalia/perineum as necessary for DCAP-BTLS.
PROCTOR: The area is unremarkable.
Assess the Extremities
- Inspect
Student: I am assessing the lower and upper extremities for DCAP-BTLS. Do I find anything?
- Palpate
Student:Do I feel anything unusual.?
PROCTOR:No
- Assess Motor, sensory,and Circulatory Function
Student:I am checking for DCAP-BTLS, motor and sensory function, and pulses.Right leg.?
PROCTOR:Negative DCAP-BTLS, motor and sensory function, and present.pulses are present.
Student:Left leg.?
PROCTOR:Negative DCAP-BTLS, motor and sensory function, and present.pulses are present.
Student:Left arm.?
PROCTOR:Negative DCAP-BTLS, motor and sensory function, and present.pulses are present.
- Assess the Posterior
Student:We will check the back.
PROCTOR:Noted.
- Assess the Thorax
Student:I am assessing the Thorax. Do I find injuries.?
PROCTOR:No
- Assess the Lumber Area
Student:I am assessing the flanks. Do I find injuries.?
PROCTOR:No
- Assess the Entire Backside