Physical Exams and General Exams

Physical Exams and Police Onboarding

Move the patient to one of the exam rooms upstairs to complete the physical exam

General Information

Fill out an ICE Contacts log, making sure you gather this information

  • Name:
  • DOB:
  • Department (PD, Sheriff, DOC):
  • Personal Medical History
    • Any Chronic Issues like Diabetes, Stroke, Heart Disease, Lung Issues, Addictions
  • Family Medical History
    • Any Chronic Issues like Diabetes, Stroke, Heart Disease, Lung Issues, Addictions
  • Allergies
  • Weight (scale in dr office)
  • Height (from pt)

Eye Exam:

  • Have the patient stand on the opposite side of the room from the eye chart
  • Have the patient read out the lines
  • They must pass Line 8 for this to be considered a Pass
    • Can add covering an eye for more RP flair

Ear Exam

  • Place some headphones on the patient
  • Turn on a tone generator so they hear a constant beep sound (starting at about 1.5KHz)
  • Slowly turn up the tone generator until they can’t hear it anymore (usually around 12KHz-15KHz)
  • Ears will be considered passing if they can perceive 8KHz

Heart and lung check:

  • Listen to lung sounds.
    • Take deep breaths, release.
    • Listen for pneumonia or labored breathing
  • Listen to heart.
    • Check for irregular beat, heart murmur etc.
    • Gather Vitals
      • Check BP
        • Low (First number below 90, second number below 60)
        • Ideal (First number between 90-120, Second number between 60-80)
        • Pre-High (First number between 120-140, Second number between 80-90)
        • High (First number above 140, Second number above 90)
      • Check heart rate
        • Low (below 60, unless athlete) - Bradycardia
        • Ideal (60-100)
        • High (above 100) - Tachycardia
      • Check blood oxygen levels (95-99 perfect, less than 95 is concerning/start oxygen)

Drug Test:

  • Urine sample - walk to bathroom
  • /OOC to find results

Physical Fitness test:

  • Move the patient to the physical therapy gym
  • Have the patient perform a series of physical tasks such as:
    • 20 jumping jacks
    • 20 situps
    • 20 pushups
    • Run 2 laps around upper garage parking lot
  • Check the patient post-physical exertion
    • Heart Rate
    • Oxygen Levels
    • Labored breathing
    • etc.

Notation

  • Do /OOC to see if there are any other concerns that should be notated
  • Once complete, you should be able to send the patient on their way
  • You can ask the patient if they would like a copy of the record sent to them
  • Take a few moments to chart the physical and results into your medical records system
  • Send the document to the patient if requested.

Credit to the editor of this document