1. 5 5 Assisting with Physical Examinations Lesson 2: Preparing the Exam Room and Examination Methods – Part 2

2. Lesson Objectives Upon completion of this lesson, students should be able to … Discuss the steps to take in preparing a patient for a physical examination. Explain concepts of properly draping patients. List and describe nine patient examination positions that are used during a physical examination. List laboratory and diagnostic tests that may be ordered as part of a complete physical examination. Explain the sequence of a routine physical examination.

3. Critical Thinking Question 1. What is the role of the medical assistant during patient physical examinations?

4. Role of the MA in Assisting with a Physical Exam Position and drape the patient Hand instruments, equipment, and supplies Document and label specimens Provide reassurance Act as a witness Carry out treatment plans Schedule diagnostic tests

5. Preparing the Patient for Exam Obtain patient’s medical history Acquire the chief complaint (CC) Measure vital signs, and height and weight chart vital signs and measurements

6. Addressing a Patient’s Anxiety level of anxiety express feelings Unusual nervousness

7. Draping the Patient protect the pt’s privacy provide warmth Drape must not interfere with exam Sterile drapes are used during surgical procedures

8. The Role of the Medical Assistant in Positioning the Patient positioning the pt correctly Provide the pt clear directions Gently guide the pt Ensure the pt’s safety Video positioning and draping

9. Standard Positions for Examinations and Procedures (see text 189-197)

10. Sitting Position (pg 189)

11. Supine Position (pg 190)

12. Supine Position

13. Prone Position (pg 191)

14. Prone Position

15. Dorsal Recumbent Position (192)

16. Dorsal Recumbent Position

17. Lithotomy Position (pg 193)

18. Lithotomy Position

19. Sims’ or Lateral Position (pg 194)

20. Sims’ or Lateral Position

21. Knee-Chest Position (pg 195)

22. Knee-Chest Position

23. Fowler’s Position (pg 196)

24. Fowler’s Position

25. Trendelenburg Position EMERGENCY cases of shock or low blood pressure Pt head is lowered, legs raised Used for abdominal surgeries Pt is draped from underarms to below the knees

26. Trendelenburg Position

27. Fenestrated drape

28. Lab time 4 groups Practice positions Workbook Questions 1-21 page 187-189