**LAB EXERCISE TITLE & INFORMATION**

**Title:** Ambulatory Care: Conducting a Basic Physical Examination and Recording Vital Signs
**Duration:** 2-3 hours
**Group Size:** 4-6 students
**Difficulty Level:** STEP 3

This laboratory exercise aims to equip students with the practical skills required for conducting a basic physical examination and recording vital signs in an ambulatory care setting. Students will learn to perform a comprehensive assessment of patients, including taking vital signs, performing a head-to-toe examination, and interpreting results.

**LEARNING OBJECTIVES**

1. Conduct a thorough head-to-toe physical examination on an adult patient
2. Record accurate vital signs (temperature, blood pressure, pulse, respiratory rate)
3. Perform a basic assessment of cardiovascular and respiratory systems
4. Interpret normal and abnormal findings in vital signs
5. Identify potential risk factors for common ambulatory care conditions (hypertension, diabetes, etc.)
6. Develop a basic plan for patient education and follow-up care
7. Demonstrate proper hygiene and safety protocols during the examination
8. Apply critical thinking skills to interpret examination results and develop an appropriate treatment plan

**BACKGROUND & THEORY**

Ambulatory care is a crucial aspect of healthcare delivery, focusing on providing high-quality, patient-centered care in outpatient settings. Conducting a basic physical examination and recording vital signs are essential components of ambulatory care. This lab exercise aims to equip students with the practical skills required for conducting a comprehensive assessment of patients.

The World Health Organization (WHO) recommends that healthcare providers conduct regular assessments of patients' vital signs, including temperature, blood pressure, pulse, respiratory rate, and oxygen saturation. These findings can provide valuable information about the patient's overall health status and guide further evaluation and treatment.

**MATERIALS & EQUIPMENT**

* Patient simulators or models (adult male/female)
* Stethoscope
* Blood pressure cuff
* Thermometer (oral or digital)
* Pulse oximeter
* Respiratory rate monitor (optional)
* Whiteboard and markers for recording vital signs and examination findings
* Medical history forms and patient education materials
* Hygiene supplies (gloves, hand sanitizer, etc.)
* Safety equipment (safety glasses, face shield)

**PROCEDURE / PROTOCOL**

1. **Pre-Examination Preparation** (5 minutes)
* Review patient's medical history and any relevant documentation
* Ensure proper hygiene and safety protocols are in place
2. **Head-to-Toe Examination** (30 minutes)
* Begin with a general assessment of the patient, including observing their overall appearance and demeanor
* Conduct a thorough head-to-toe examination, paying attention to:
+ Skin and mucous membranes
+ Cardiovascular system (pulse, blood pressure)
+ Respiratory system (breathing rate, oxygen saturation)
+ Neurological system (reflexes, sensation)
3. **Vital Sign Recording** (15 minutes)
* Record temperature, blood pressure, pulse, respiratory rate, and oxygen saturation
4. **Interpreting Examination Findings** (20 minutes)
* Interpret normal and abnormal findings in vital signs
* Identify potential risk factors for common ambulatory care conditions
5. **Developing a Basic Plan for Patient Education and Follow-up Care** (15 minutes)
* Develop a basic plan for patient education and follow-up care, including:
+ Treatment recommendations
+ Follow-up appointments or tests
+ Patient education materials

**DATA COLLECTION & ANALYSIS**

* Record vital signs on the whiteboard or using a data collection form
* Record examination findings in the medical history form or a similar document
* Analyze results by comparing to established normal ranges and identifying potential risk factors for common ambulatory care conditions

**CLINICAL CORRELATIONS**

This lab exercise is clinically relevant as it provides students with the practical skills required for conducting a comprehensive assessment of patients in an ambulatory care setting. This skill is essential for developing effective treatment plans, providing patient education, and reducing healthcare costs through early detection and prevention.

Common clinical scenarios where this skill is used include:

* Conducting regular health check-ups and screenings
* Evaluating patients with common ambulatory care conditions (hypertension, diabetes, etc.)
* Developing a basic plan for patient education and follow-up care

**POST-LAB QUESTIONS**

1. What are the most important vital signs to record during an ambulatory care examination?
2. How do you interpret abnormal findings in blood pressure readings?
3. What are some potential risk factors for common ambulatory care conditions (hypertension, diabetes, etc.)?
4. How do you develop a basic plan for patient education and follow-up care?
5. What are some common errors that can occur during an ambulatory care examination?

**ASSESSMENT CRITERIA**

* Checklist of skills demonstrated:
+ Conducting a thorough head-to-toe physical examination
+ Recording accurate vital signs
+ Interpreting normal and abnormal findings in vital signs
+ Developing a basic plan for patient education and follow-up care
* Grading rubric:
+ Accuracy and completeness of vital sign recordings (30 points)
+ Quality and thoroughness of head-to-toe examination (25 points)
+ Effectiveness of treatment recommendations and follow-up care plan (20 points)
+ Patient safety and hygiene protocols (10 points)
+ Clinical judgment and critical thinking skills (15 points)

**REFERENCES & RESOURCES**

* World Health Organization. (2019). Guidelines for Basic Life Support.
* American Heart Association. (2020). Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
* Centers for Disease Control and Prevention. (2022). Blood Pressure Monitoring: A Guide for Healthcare Providers.

Video demonstrations of vital sign recording, head-to-toe examination, and patient education can be found on YouTube or other online platforms.
Last modified: Sunday, 9 November 2025, 5:46 PM