CMS Skills
Wheel entries:
- Heart rate
- Respiration rate
- Blood pressure (brachial)
- Skin examination of a lower limb
- Heart auscultation
- Jugular venous pressure
- Auscultation: posterior and/or anterior
- chest
- Egophony, bronchophony, and/or
- whispered pectoriloquy (bilateral)
- Percussion: posterior and/or anterior
- chest
- DTR: biceps, brachioradialis, and/or
- triceps (bilateral)
- DTR: patellar and/or Achilles/ankle
- reflex (bilateral)
- Plantar reflex (test for Babinski
- response)
- Rapid alternating movements (upper
- and lower body) (bilateral)
- Point-to-point testing (Finger-to-Nose
- and Heel-to-Shin tests) (bilateral)
- Gait assessment (normal walking,
- tandem/heel-to-toe, toes, heels)
- Romberg Test
- Pronator Drift test
- Extraocular movements
- Pupillary response to light and
- accommodation
- Ophthalmoscopic exam (bilateral)
- Otoscopic exam (bilateral)
- Abdominal auscultation
- Abdominal percussion
- Abdominal palpation (light and deep)
- McBurney’s point tenderness
- Shifting dullness (ascites)
- Fluid wave (ascites)
- Liver percussion
- Liver palpation
- Liver span
- Thyroid inspection (including tangential
- lighting)
- Thyroid palpation
- Cervical lymph node palpation
- (bilateral)
- Spleen percussion
- Spleen palpation
LCPD Team Wheel
Class Wheel
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HPC