Skin Skill Sheet
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Muhammed ElgasimSkin Skill Sheet
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Muhammed ElgasimSkill Performance Evaluation: Skin, Hair, and Nails Examination
Directions: You will have 10 minutes to complete the skill. All critical (C) steps and 80% of the noncritical steps
must be performed or verbalized. Special tests (S) will be performed if requested by the examiner.
Start: End:
Performed Verbalized
Washes hands and dons appropriate personal protective equipment. C
Introduces self to patient using first and last name. Y/N
Notes general appearance and vital signs. Y/N
Inspection
1. Assess color: erythema, pallor, cyanosis, or jaundice Y/N Y/N
2. Look for areas of hypo- or hyperpigmentation Y/N Y/N
3. Scalp hair- assess distribution and quantity, and examine any scalp lesions Y/N Y/N
4. Nails/nail beds: note color, shape, and any lesions Y/N Y/N
5. Note characteristics of any lesions: color, location, distribution, pattern, size, shape, and
Y/N Y/N
type
Identify any nevi and apply the ABCDE method to screen for melanoma: Asymmetry,
Y/N
Borders, Color, Diameter, Evolution
Palpation
1. Skin temperature: check for localized or generalized warmth or coolness Y/N Y/N
2. Check skin moisture and texture Y/N Y/N
3. Assess skin turgor Y/N Y/N
4. Palpate hair texture Y/N Y/N
5. Palpate fingernails and toenails Y/N Y/N
Adequate exposure was obtained for all inspection steps. C
Adequate draping was maintained for all steps. C
Evaluation: #Y = #C =
min. = 18/23 min. = 3
Comments on quality of performance: Needs remediation?
Y/N
Student: Evaluator: Date:
Developed by Albany Medical College, Center for Physician Assistant Studies | Bickley: Bates’ Guide to Physical Examination
and History Taking, Twelfth Edition. Copyright © 2017 Wolters Kluwer Health
