Rch-Child Health Rating Scale Nta Level 5 - 2022

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MINISTRY OF HEALTH

TECHNICIAN CERTIFICATE IN CLINICAL MEDICINE (NTA LEVEL 5)

RATING SCALE FOR RCH-Child health

Candidate’s examination Number: ------------------------------------------- NACTVET Registration Number: ----------------------------


FOR VERIFIED AVERAGE SCORE ONLY
NAME OF INSTITUTION -----------------------------------------Starting Time --------------- Ending Time ---------------------

The examiner shall observe student when demonstrating the skill and attitude during the whole process of clinical examination
SCORE RANGE
 SN COMPETENCIES/TASKS TO BE ASSESSED Comments
4 3 2 1 0
ATTITUDE DURING CREATION OF RAPPORT
1 Appearance, Dressing code and prepared (equipped) and Assures privacy

Welcomes and greets the care taker, introduces his/her


examiners and explain his/her role; Assure confidentiality, Seeks
Consent to discuss child’s health status.
Demographic data (collects information from the care taker)
2 Asks the care taker about child’s particulars including the name, date of birth,
sex and place of birth. Then inform the care taker on
services offered by the clinic and asks the care taker for the type of service is
looking for
Determine if the child has any problem
3
ASK if the child is sick or has any problem,
Amplify the complaints and review systems, If the child has no problem review
all systems to be sure
4 Past medical history
Prenatal/Natal/Postnatal

5 Dietary history
ASK about type and frequency of breastfeeding, and weaning.
6 Immunization history
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Check immunization schedule and vitamin A if the child is due for any
Explain the importance of vaccines to children if vaccines were not given.
Acknowledge the mother for her willingness to bring the child to RCH.
7 Developmental milestone
Ask about Motor, speech, vision/hearing and social developmental milestone
Family and social history
8
Ask about marital status and occupation of the Care taker,
Asks about the number of siblings and their health status
Ask about presence of hereditary/chronic illnesses in the family.
General Assessment
Perform general examination and take vital signs,
9 Assess for any congenital malformation e.g. tongue tie, club foot, omphalocele
imperforate anus, extra-digits etc,
Take anthropometric measurements and state of dehydration

10 Assessment on Risk Indicators


Determines growth faltering or loss of weight from previous visit

Check HIV status,


11 Assesses the child feeding and properly advices according to the   situation( if
HIV exposed or not exposed)
Checks if PMTCT services is required for the child, and if yes, determines if the
child is on ART or not and refers for appropriate care.
Diagnosis / Interpretation of the Findings
Interpret the Findings from the history and clinical examination and provide
appropriate management plan (differentials, investigations and treatment plan)

12

13 Health education to the care taker:


Give health education about the vaccines given and determines date for next
immunization and vitamin A if indicated.

Students’ Clinical Assessment Tool for RCH-Child health Page 2 of 3


Provides appropriate health education concerning child’s cleanness, feeding,
uses open ended questions and checks if care taker/mother understands.
14 DISCUSSION IN RELATION TO CHILD HEALTH
Ask additional concrete questions
GENERAL ATTITUDE THROUGHOUT EXAMINATION
Appropriately positions the patient, observes privacy and safety throughout the
15 procedure, Show caring and acceptance attending behavior and respect to
examiners.

SUB TOTAL

TOTAL SCORE

Total score in % = Attained score x100


60
Instructions:
Rate the performance of each task/activity observed using the following rating scale. Use the tick (√) symbol

0 = Task not performed correctly and/or out of sequence (if required) or is omitted.
1 = Task done incorrectly but occasionally adequate
2 = Task performed sufficiently no harm to the client although not competently enough
3 = Task performed correctly in proper sequence but participant does not progress from step to step efficiently.
4 = Task performed efficiently and precisely in proper sequence (if required).

Examiner’s general comments ------------------------------------------------------------------------------------------


-------------------------------------------------------------------------------------------------------------------------------

Examiner’s Name ---------------------------------------- Signature ------------------------- Date --------------------

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