Scribd Logo
Upload

Welcome to Scribd!

  • Breast Exam Skill Sheet

    Uploaded by

    Muhammed Elgasim
    51 views1 page
    This document outlines the steps for performing a breast examination skill evaluation. It includes critical steps that must be performed or verbalized, as well as inspection and palpation procedures for the breasts, nipples, axillae, and lymph nodes. The skill evaluation takes 10 minutes and requires performing or verbalizing at least 17 of the 21 critical and noncritical steps for females, and 10 of the 13 steps for males. At the end, the evaluator determines if the student needs remediation based on their performance quality and number of successfully completed steps.

    Original Description:

    Breast Exam Skill Sheet

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document outlines the steps for performing a breast examination skill evaluation. It includes critical steps that must be performed or verbalized, as well as inspection and palpation procedures for the breasts, nipples, axillae, and lymph nodes. The skill evaluation takes 10 minutes and requires performing or verbalizing at least 17 of the 21 critical and noncritical steps for females, and 10 of the 13 steps for males. At the end, the evaluator determines if the student needs remediation based on their performance quality and number of successfully completed steps.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    51 views1 page

    Breast Exam Skill Sheet

    Uploaded by

    Muhammed Elgasim
    This document outlines the steps for performing a breast examination skill evaluation. It includes critical steps that must be performed or verbalized, as well as inspection and palpation procedures for the breasts, nipples, axillae, and lymph nodes. The skill evaluation takes 10 minutes and requires performing or verbalizing at least 17 of the 21 critical and noncritical steps for females, and 10 of the 13 steps for males. At the end, the evaluator determines if the student needs remediation based on their performance quality and number of successfully completed steps.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Skill Performance Evaluation: Breast Examination

    Directions: You will have 10 minutes to complete the skill. All critical (C) steps and 80% of the noncritical steps must
    be performed (if possible) or verbalized. Special tests (S) will be performed if requested by instructor.
    Start: End:
    Performed Verbalized
    Washes hands and dons appropriate personal protective equipment. C
    Introduces self to patient using first and last name. Y/N
    Notes general appearance and vital signs. Y/N
    Inspection of Breast
    FEMALE: Patient is seated with arms at sides.
    1. Color, any thickening or enlarged pores Y/N Y/N
    2. Size, symmetry, contours, and any retraction or dimpling Y/N Y/N
    3. Nipples: size, shape, direction, any rashes, ulcers, discharge, or inversion Y/N Y/N
    4. Patient’s arms above head: Repeat inspection steps 1–3 Y/N
    5. Patient’s hands pressed against hips: Repeat inspection steps 1–3 Y/N
    6. Patient leans forward: Repeat steps 1–3 (This is a special test for large/pendulous
    S Y/N
    breasts.)
    MALE
    1. Nodules, swelling, ulcerations, or gynecomastia Y/N Y/N
    Palpation of Breast
    FEMALE: Patient is supine with ipsilateral hand behind head.
    1. Palpate for consistency, tenderness, or nodules Y/N Y/N
    2. Palpate nipple, noting its elasticity Y/N Y/N
    MALE: Patient is seated or supine.
    1. Palpate areola and breast tissue for nodules Y/N Y/N
    2. Palpate to distinguish glandular enlargement from soft fatty enlargement of obesity
    S Y/N
    (This is a special test for enlarged breasts.)
    Inspection of Axillae: Both female and male patients.
    1. Inspect for rash, lesions, masses, or unusual pigmentation Y/N Y/N
    Palpation of Axillae: Patient is sitting or supine with arms relaxed by sides.
    1. Palpate central, pectoral, and lateral lymph nodes Y/N Y/N

    2. Palpate the infraclavicular and supraclavicular lymph nodes Y/N Y/N


    3. Assess any enlarged nodes for size, shape, consistency, mobility, and tenderness Y/N
    Adequate exposure was maintained for all inspection steps. C
    Adequate draping was maintained for all steps. C
    Evaluation: #Y = #C =
    min. = 17/21 female min. = 3
    = 10/13 male
    Needs remediation?
    Comments on quality of performance:
    Y/N

    Student: Evaluator: Date:

    Developed by Albany Medical College, Center for Physician Assistant Studies | Bickley: Bates’ Guide to Physical Examination
    and History Taking, Twelfth Edition. Copyright © 2017 Wolters Kluwer Health

    You might also like