Reference no: EM133569001

For this procedure, most of the supplies and equipment required will already be stocked in a standard exam room. Additional equipment may include an ECG Machine, a phlebotomy kit, and an audiometer. Wash your hands. Introduce yourself to the patient. Speaking to the patient's level of understanding, explain the procedure for the examination and what the expectations for the patient will be. Use your active listening skills and review any medical history with the patient to ensure that it is and current. Take the patient's vital signs, test visual acuity, and assess hearing ability. Ask the patient to provide a urine specimen. If a clean catch urine is ordered, be sure to instruct the patient. Obtain any required blood samples as ordered by the provider. Provide the patient with an appropriate gown and drape and instruct him to disrobe completely. Explain to the patient the proper manner in which to wear the gown. Provide the patient with an ample amount of privacy while changing. Once the patient is gowned, perform an electrocardiogram if directed. When the patient is changed, instruct the patient to sit on the end of the exam table, assisting as necessary, and notify the provider. When the provider arrives, remain with the patient and be prepared to assist in a calm, professional, and caring manner. It is important that you help to maintain a quiet atmosphere so that the provider can auscultate the heart and chest. Your other duties will vary depending on both the provider and the patient needs. You may be expected to hand the provider any needed instruments for various examinations. These might include general examinations of the head, throat, eye, ear, neck, and chest. They may also include specialty examinations, such as rectal examination, breast examination, or examination of the male and female reproductive organs. You might also be asked to assist the patient to get into optimal positioning, such as a supine position, in order to examine the abdomen and extremities, or a prone position so that a thorough assessment of the posterior of the body can be conducted. During the exam you may be expected to assist the provider as needed, or to record findings, so it's important for you to pay close attention to detail. When the exam is complete, help the patient to a seated position if necessary, and assess for any dizziness. Take a moment to ensure that the patient is stable before inviting him or her to stand, and again assess for any dizziness before asking the patient to change. Be prepared to assist the patient with dressing if needed; otherwise, offer the patient privacy while changing back into street clothes. Provide the patient with any written instruction and, if the patient will be meeting with the provider after the examination, accompany the patient to the provider's office. Don disposable gloves and clean and decontaminate the room by first disposing of the gown and drape in the appropriate receptacle. Dispose of any contaminated disposable materials into the biohazard waste container in order to prevent micro-organism cross-contamination. Spray down the counters and examination table with a solution of 10% bleach, and clean, disinfect, and sanitize any reusable instruments as appropriate. Remove and discard gloves and wash your hands before replacing the table paper and any equipment in preparation for the next patient. Document the patient procedure, as well as any test results or provider notes, into the patient's medical record.

1. During the physical exam you assist the patient into the supine and prone positions. Describe the supine and prone positions and explain what is examined while the patient is in these positions.

2. During the physical exam, you may also need to drape the patient. Describe the purpose for draping and describe the draping techniques for 3-4 positions.

3. At the completion of the physical examination you will be responsible for cleaning and disinfecting the used items. Which items/surfaces will you need to disinfect? What is the process of disinfecting them?