University of Minnesota Duluth
Athletic Training Education Program
Proficiency – GENERAL MEDICAL EVALUATION
Name: _________________________ General Medical Evaluation
Auscultations
Evaluation Rating Criteria: 3 Performed complete skill
2 Performed skill with prompting/few corrections
1 Performed weak skill with prompting/several corrections
0 Cannot perform skill
CARDIAC AUSCULTATIONS Rating Evaluation
Patients position ______ Supine, sitting or standing
ATSs position ______ Standing at side c stethoscope
Instructions to patient ______ Breathe normally
Proper stethoscope placement ______ Mitral valve: apex of heart
______ Tricuspid valve: L inf stern border-5
______ Aortic valve: R sup sternal border - 2
______ Pulmonary valve: L sup stern bord- 2
______ Epigastric: subxiphoid, aortic split
Proper method ______ Listen at ea area for several beats
Listen for ______ Clicks, swoosh, Rate, Murmurs
Record keeping ______ ATS notes and records any findings
Proper Referral ______ Refer for any abnormal findings
Total: ____________ ACI:______________________________ Date: _____________
PULMONARY AUSCULTATIONS Rating Evaluation
Patient position ______ Seated
ATSs position ______ Stand at side c stethoscope
Instructions to patient ______ Take full breath & let out
slowly c each placement
______ Mouth breathing
Proper stethoscope placement ______ Anterior & posterior thorax
Anterior auscultations ______ Below clavicle L & R
______ Medial 3rd space L & R
______ Lateral 4th space L & R
______ Middle 10th rib L & R
Posterior auscultations ______ T2 L & R med border of scap
______ T5 L & R med border of scap
______ T7 L & R inf/medial scapula
______ T7 L & R inf/lateral scapula
Assess sounds ______ At ea location c inspir/expir
______ Alternates locations L/R
______ Apnea, tachypnea, dyspenea,
bradypnea, obstruction,
wheezing, stridor, rales
Record keeping ______ SAT notes & records findings
Proper Referral ______ Refer for any abnormal sound
Total: ___________ ACI: ___________________________ Date:_____________
BOWEL AUSCULTATIONS Rating Evaluation
Patient position ______ Supine
ATSs position ______ Standing at side c stethoscope
Instructions to patient ______ Relax
Proper stethoscope placement ______ Lower R quadrant
______ Upper R quadrant
______ Upper L quadrant
______ Lower L quadrant
Procedure ______ Listen up to 1 minute at each spot
Assess sounds ______ Hyperactive, hypoactive, normal
______ Notes any lack of sounds (Ileus)
Record keeping ______ ATS notes & records any findings
Proper Referral ______ Refer for any abnormal findings
Total: __________ ACI: ____________________________ Date: ___________