evaluating an individuals frequency thresholds,
hearing deficiencies can be detected. To test an
individuals frequency thresholds, the technician will
use an instrument called an audiometer (manual or
computerized). Audiometers used by the Navy are
calibrated to American National Standards Institute
(ANSI) specifications.
Upon entry into the service, a baseline audiogram
is performed and recorded on a DD 2215. Subsequent
audiometric test results are recorded on a DD 2216 and
performed as directed by OPNAVINST 5100.19 and
the MANMED.
Audiometric testing shall be
performed only by personnel who have attended an
audiometric training course and have been certified.
All audiometric tracings or readings recorded on the
SF 88 or other medical documentation should contain
the certification number of the person performing the
audiometric test.
ELECTROCARDIOGRAM
An electrocardiogram is a record of electrical
impulses made by the heart. Electrocardiograms are
produced by an instrument called an electrocardio-
graph. The electrocardiograph is used to examine and
record electrical impulses produced by the contraction
of the heart muscle. Abbreviated either EKG or ECG,
the electrocardiogram is interpreted by a physician or
cardiologist to determine the heart rate and rhythm,
and evidence of any heart damage, especially damage
associated with a heart attack.
EKGs are currently performed as part of the
physical examination once the member reaches the age
of 40, and routinely thereafter. Otherwise, EKGs are
performed only as clinically indicated or required for
special duty. Refer to BUMED instructions for current
periodicity information on EKG testing. The Naval
Medical Department routinely uses EKGs with 12
leads for physical examinations performed on Navy
and Marine Corps personnel.
SUMMARY
A general review has been provided to you on
various types of physical examinations, their
requirements, and the documentation procedures of
commonly used physical examination forms. We have
also discussed physical examination testing equipment
and procedures that evaluate vision, hearing, and
cardiac function.
The physical examination is a key component of
the Navy Medical Departments efforts to maintain the
health of Sailors and Marines during times of war and
peace. The importance of the physical examination
cannot be overstated. The combination of medical
history, medical testing, and medical examination
furnishes the healthcare provider with a complete
picture of the individuals health. Any indications of
medical problems can be evaluated and managed more
expediently and effectively through the use of the
physical examination. Your assistance with medical
testing and your detailed document management will
ensure the patient receives the best possible medical
evaluation by the medical examiner. More in-depth
information is contained in the Manual of the Medical
Department, NAVMED P-117.
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