Table 2 Clinical performance checklist (sample instructor assessment form: Pneumothorax)
Domain | Item |
|---|---|
Primary assessment | Washing hands, checking patient name |
Checking chief complaint | |
Measuring and identifying vital signs, connecting a monitor with an ECG | |
Diagnostic actions | Checking the medical history related to chief complaint |
Performing a lung examination (inspection, palpation, percussion, auscultation) | |
Blood test (ABGA, cardiac enzyme, pro-BNP, CBC, ESR, CRP, procalcitonin) prescription, patient’s consciousness evaluation, chest X-ray prescription, ECG prescription, reassessment of dyspnea, reassessment of vital signs | |
Therapeutic actions | Planning for the treatment of dyspnea (admission, oxygen therapy prescription, checking the results of an examination, increasing oxygen administration, chest tube insertion, intravenous prescription) |
Communication | Active listening to the patient |
Encourage ideas and opinions from colleagues | |
Description of patient condition, required examinations, and results |